The release of insulin from the pancreatic ,B cell is dependent upon a complex interplay between stinulators and inhibitors. Recently, amylin, a peptide secreted by pancreatic ,B ceils, has been implicated in the development of type II (noninsulin dependent) diabetes through its modulation of the peripheral effects of insulin. However, the effect of amylin on insulin secretion from the .8 cell has remained controversial.It is reported here that in single ,B cells exhibiting normal glucose sensing, amylin causes membrane hyperpolarization, increases in net outward current, and reductions in insulin secretion. In contrast, in cells with abnormal glucose sensing (e.g., from db/db diabetic mice), amylin has no effect on electrical activity or secretion. Thus, amylin's effects on excitation-secretion coupling in the (8 cell of the pancreas appear to be linked to the cell's capacity for normal glucose sensing.Although the mysteries underlying the effects of glucose and other secretagogues on pancreatic ,B-cell electrical and secretory activity are rapidly unfolding, the mechanisms by which hormones and peptides modulate these activities remain unclear. Certain neuropeptides, released by nerves supplying the pancreas, decrease insulin secretion. This inhibition involves coupling between receptors and ion channels (1). In contrast to such neurotransmitters, it is not known whether and how peptides secreted from the ,B cells themselves affect insulin secretion. Amylin, a 37-aa peptide, is colocalized with insulin in 13-cell secretory granules of human islets (2) and is cosecreted with insulin. It is also the major component of pancreatic islet amyloid commonly found in the pancreases of patients with non-insulin-dependent diabetes mellitus (3). In this disease, loss of normal glucose sensing is one of the earliest defects. Although peripheral actions of amylin have been demonstrated, the influence of amylin on insulin secretion is still debated (4-7). Though the overall role ofamylin in regulating insulin secretion and in the development of diabetes may remain unclear for some time, it is critical to determine the effects of amylin on stimulussecretion coupling at the single-cell level. Thus, we have examined the effects of amylin on excitation and insulin secretion in single isolated pancreatic /3 cells that exhibit normal or abnormal glucose sensing.
METHODSTo determine the effects of both glucose and amylin on membrane electrical parameters of single /8 cells, we used the nystatin perforated patch technique (8) to record membrane potentials and ion currents. Detection of insulin secretion from single 13 cells was accomplished using a sequential-cell immunoblot method (9) whereby cells are stimulated to secrete insulin into peptide-retentive immunoblot materialThe publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact. and secreted hormone is quantified by standar...