Channels formed by the gap junction protein connexin36 (Cx36) contribute to the proper control of insulin secretion. We investigated the impact of chronic hyperlipidemia on Cx36 expression in pancreatic -cells. Prolonged exposure to the saturated free fatty acid palmitate reduced the expression of Cx36 in several insulin-secreting cell lines and isolated mouse islets. The effect of palmitate was fully blocked upon protein kinase A (PKA) inhibition by H89 and (Rp)-cAMP, indicating that the cAMP/PKA pathway is involved in the control of Cx36 expression. Palmitate treatment led to overexpression of the inducible cAMP early repressor (ICER-1␥), which bound to a functional cAMP-response element located in the promoter of the CX36 gene. Inhibition of ICER-1␥ overexpression prevented the Cx36 decrease, as well as the palmitate-induced -cell secretory dysfunction. Finally, freshly isolated islets from mice undergoing a long term high fat diet expressed reduced Cx36 levels and increased ICER-1␥ levels. Taken together, these data demonstrate that chronic exposure to palmitate inhibits the Cx36 expression through PKA-mediated ICER-1␥ overexpression. This Cx36 down-regulation may contribute to the reduced glucose sensitivity and altered insulin secretion observed during the pre-diabetic stage and in the metabolic syndrome.The fine-tuning of insulin secretion in response to nutrient stimulation relies on a closely coordinated functioning of pancreatic -cells. The cell-to-cell communication mediated by gap junction channels contributes to synchronization of -cell clusters and has been demonstrated to be essential for the proper regulation of storage and release of insulin, both in vitro and in vivo (for review see Ref. 1). Gap junctions are specific membrane structures consisting of aggregates of intercellular channels interconnecting the cytoplasms of neighboring cells and providing them with a direct pathway for sharing ions, nutrients, and intracellular messengers. We and others (2-5) have demonstrated that only one connexin, the constitutive unit of these channels, is expressed in insulin-secreting cells, connexin36 (Cx36 2 for 36 kDa), and that this connexin plays a critical role in -cell function. In addition, modulation of the Cx36 levels results in impaired glucose-induced insulin secretion, indicating that Cx36 must be expressed at a very precise level to maintain a normal insulin secretion (2, 6). Thus, changes in the Cx36 expression levels might impair -cell function and hence be involved in the pathophysiology of diabetes mellitus.Type 2 diabetes partly ensues from -cell failure to compensate for peripheral insulin resistance (for review see Ref. 7). Abnormalities in both glucose and lipid metabolism contribute to the pathogenesis of this condition and in particular to the inexorable decline of -cell function (8, 9). Recently, we have demonstrated that long term exposure to a high concentration of glucose resulted in a reduced expression of Cx36 in insulinsecreting cells (10). Although hyperglycemia is und...