T he circulating insulin concentration displays regular oscillations in normal human subjects (1). Disturbances of these oscillations are an early sign in the development of type 2 diabetes (2,3). Such alterations may lead to insulin resistance and glucose intolerance by downregulation of insulin receptors (4). The plasma insulin oscillations have been attributed to the pulsatile release of the hormone from the pancreas (5), a process that requires coordinated secretion from the pancreatic islets (6).When the ambient glucose concentration is raised, -cell metabolism is stimulated (7). The resulting increase in the ATP/ADP ratio decreases the permeability of the ATP-sensitive K ϩ (K ATP ) channels and depolarizes the cell (8). Subsequent influx of Ca 2ϩ through voltage-dependent channels triggers the exocytosis of insulin granules (9). ATP produced by metabolism also plays an important role in providing energy for secretion by recruitment and priming of insulin granules for exocytosis (10). Impaired glucose metabolism in pancreatic -cells has been implicated in the development of the disturbed plasma insulin pattern seen in type 2 diabetes (11). Support for this idea has been obtained from altered plasma insulin patterns in patients with mutations in genes coding for glycolytic enzymes, such as phosphofructokinase and glucokinase and mitochondrial tRNA (12)(13)(14)(15)(16)(17).In the present study, we attempted to determine the importance of glycolytic and mitochondrial metabolism for pulsatile insulin release by measuring insulin secretion and [Ca 2ϩ ] i from individual pancreatic islets exposed to metabolic inhibitors at basal and stimulatory glucose concentrations.
RESEARCH DESIGN AND METHODS
Materials.Reagents of analytical grade and deionized water were used. Collagenase, HEPES, and bovine serum albumin (fraction V) were obtained from Boehringer Mannheim (Mannheim, Germany). Antimycin A, iodoacetamide (IAA), 2,4-dinitrophenol (DNP), tetramethylbenzidine, and insulinperoxidase were obtained from Sigma (St. Louis, MO). The rat insulin standard was obtained from Novo Nordisk (Bagsvaerd, Denmark). IgGcertified microtiter plates were purchased from Nunc (Roskilde, Denmark). The insulin antibodies were raised in guinea pigs. Preparation and culture of islets. Pancreatic islets were collagenaseisolated from ob/ob mice taken from a local colony (18). For the insulin experiments, freshly isolated islets were perifused in a medium supplemented with 1 mg/ml albumin and containing (in mmol/l) 125 NaCl, 5.9 KCl, 1.2 MgCl 2 , 1.3 CaCl 2 , and 25 HEPES, titrated to pH 7.4 with NaOH. For the [Ca 2ϩ ] i experiments, the islets were cultured overnight in the presence of 5.5 mmol/l glucose in RPMI 1640 supplemented with 10% fetal calf serum, and the Ca 2ϩ concentration of the perifusion medium was 2.6 mmol/l. Measurements of insulin release. The kinetics of insulin release were studied essentially as described previously (6). A single islet was placed in a temperature-controlled (37°C) 10-l chamber and perifused with med...