“…The reduction of glutathione by the NADPH dependent enzyme, glutathione reductase, provides a redox shuttle to activate the deSUMOylating enzyme, SUMO specific peptidase-1 (SENP1), which acts on the exocytic SNARE machinery [ 55 ], including synaptotagmin 7, syntaxin 1A and the syntaxin 1A inhibitor, tomosyn, to amplify insulin secretion [ 62 , 63 , 64 , 65 ]. In addition to this redox-supported pathway, mitochondria oscillate between anaplerotic and oxidative states, which is used to generate phosphoenolpyruvate (PEP) from malate via the mitochondrial isoform of phosphoenolpyruvate carboxykinase (PEPCK) [ 66 , 67 , 68 ]. Mitochondria to cytosol shuttling of PEP through an unknown mitochondrial carrier is then utilized by pyruvate kinase to generate ATP.…”