The aim of this study was to assess whether cadherinmediated adhesion of human islet cells was affected by insulin secretagogues and explore the role of cadherins in the secretory activity of b-cells. Experiments were carried out with single islet cells adherent to chimeric proteins made of functional E-, N-, or P-cadherin ectodomains fused to the Fc fragment of immunoglobulin (E-cad/Fc, N-cad/Fc, and P-cad/Fc) and immobilized on an inert substrate. We observed that cadherin expression in islet cells was not affected by insulin secretagogues. Adhesion tests showed that islet cells attached to N-cad/Fc and E-cad/Fc acquired, in a timeand secretagogue-dependent manner, a spreading form that was inhibited by blocking cadherin antibodies. By reverse hemolytic plaque assay, we showed that glucosestimulated insulin secretion of single b-cells was increased by N-cad/Fc and E-cad/Fc adhesion compared with control. In the presence of E-cad/Fc and after glucose stimulation, we showed that total insulin secretion was six times higher in spreading b-cells compared with round b-cells. Furthermore, cadherin-mediated adhesion induced an asymmetric distribution of cortical actin in b-cells. Our results demonstrate that adhesion of b-cells to E-and N-cadherins is regulated by insulin secretagogues and that E-and N-cadherin engagement promotes stimulated insulin secretion.