The pancreatic islets are richly supplied with autonomic nerves. The fibres follow the arterioles, penetrate the islets and terminate close to the endocrine ceils. This morphological relationship makes it likely that the nerves are involved in the physiological regulation of islet function. A great number of papers have been published describing the effects of electrical stimulation of autonomic nerves and of presumed neurotransmitters and blocking agents on islet function. During the last decade several reviews have summarized these findings and dealt with various aspects of neuroregulation of islet hormone secretion [1][2][3][4]. In general, these reviews have attempted to explain the effects of neural activation upon islet function in terms of the known effects of the classical adrenergic and cholinergic neural inputs to the islets. However, recent studies suggest that peptidergic input may also be important. Therefore, in this review we will highlight the new studies of the neuroregulation of insulin, glucagon, somatostatin and pancreatic polypeptide secretion, and specifically emphasize the role of the neuropeptides, in addition to the classical neurotransmitters acetylcholine and noradrenaline, as potential mediators of these effects.
Effects of vagal nerve stimulation and cholinergic agonists and antagonists on islet hormone secretionInsulin secretion. Electrical activation of the vagus has been shown to stimulate insulin secretion in several species, including dogs [7], calves [8] and pigs [9,10]. The response in dogs and calves is inhibited by atropine [7,8], implicating an interaction of the neurotransmitter acetylcholine with a post-ganglionic muscarinic receptor. However, in pigs atropine does not block the response, suggesting non-cholinergic, perhaps peptidergic, neurotransmission [9]. Neurotransmission at the ganglia is, however, mediated by a classical nicotinic action of acetylcholine, since hexamethonium blocks the response [9].Pharmacologic stimulation with the cholinergic agonists acetylcholine or Carbachol induces insulin secretion both in vitro [11] and in vivo [3,12]. Such stimulation could be due either to activation of nicotinic receptors on the intrapancreatic ganglia or to activation of muscarinic receptors on the B cells themselves. Since atropine blocks many of these responses, it appears that the vagus stimulates insulin secretion by a muscarinic mechanism in most circumstances.
Cholinergic-islet interactions
AnatomyThe preganglionic cholinergic nerves which innervate the pancreas originate in the dorsal motor nucleus of the vagus and in the nucleus ambiguus, travel in the vagus nerve and terminate at ganglia within the pancreas, sometimes within the islets [2]. These ganglia integrate neural signals and control the activity of the intrapancreatic postganglionic fibres which innervate individual endocrine cells. Though it was originally believed that all the post-ganglionic fibres within the pancreas were cholinergic, recent evidence suggests that some are peptidergic [5]. The import...