Glucose homeostasis is maintained by beta cells of pancreatic islets through precisely regulated release of insulin from preformed granules. To maintain constant intracellular insulin stores while meeting wide physiological variations in demand, insulin synthesis is modulated in parallel with secretion rates [1]. Immediately following glucose stimulation, synthesis is primarily augmented through enhanced translation [2] and decreased degradation of existing insulin mRNAs [3]. Glucose also induces delayed responses that are manifested several hours after stimulation [4] by increasing insulin gene transcription [5] and expression of other genes involved in beta-cell function. Increased gene expression of glucose transporter 2 (GLUT-2) [6], pyruvate kinase [7], acetyl-coenzyme A-carboxylase [8], and 64 kDa glutamic acid decarboxylase (GAD65) [9] have been observed in primary rat islets in vitro and in rodent insulin-producing tumour cell lines following exposure to glucose. Together these changes comprise a delayed adaptive response that could be necessary to meet increased metabolic and secretory demands during extended or repeated periods of hyperglycaemia. Diabetologia (1999) Summary A copy deoxyribonucleic acid (cDNA) clone of the immediate early growth response gene, egr-1 (Krox-24, Zif268, NGFI-1), was isolated through subtractive hybridization screening to identify glucose-induced genes in pancreatic beta cells. Glucose rapidly and transiently induced egr-1 mRNA in the SV40-transformed murine beta-cell line, MIN6. Glucose also increased egr-1 mRNA expression in INS-1, bTC3 and RINm5F beta-cell lines, although with different kinetics. Expression of the 82 kDa Egr-1 protein was induced both in MIN6 cells stimulated with glucose in vitro and in primary rat islet cells stimulated in vivo or in vitro. This response is unique to beta cells since glucose did not affect egr-1 expression in NIH-3T3 fibroblasts or glucosesensitive hepatocytes. In beta cells egr-1 induction is specifically associated with insulin secretion, as it was not observed after stimulation with serum or insulin but was elicited by insulin secretagogues, including membrane depolarizing agents and cAMP agonists. Moreover, induction of egr-1 by glucose was inhibited by EDTA, indicating dependence on influx of extracellular Ca
2+. Other immediate early response genes, c-fos and junB, were also induced following glucose stimulation with kinetics similar to egr-1, whereas c-jun and junD expression were not affected. Since the zinc-finger protein encoded by egr-1 is highly homologous to transcription factors that control expression of glucose-regulated genes in yeast, Egr-1 could mediate delayed adaptive responses of beta cells to sustained glucose stimulation through transcriptional regulation. [Diabetologia (1999) 42: 195±203]