2018
DOI: 10.1152/physrev.00008.2017
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Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men

Abstract: The pancreatic β-cell plays a key role in glucose homeostasis by secreting insulin, the only hormone capable of lowering the blood glucose concentration. Impaired insulin secretion results in the chronic hyperglycemia that characterizes type 2 diabetes (T2DM), which currently afflicts >450 million people worldwide. The healthy β-cell acts as a glucose sensor matching its output to the circulating glucose concentration. It does so via metabolically induced changes in electrical activity, which culminate in an i… Show more

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Cited by 611 publications
(629 citation statements)
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References 781 publications
(1,398 reference statements)
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“…Loss of nuclear Pdx1 and reduced binding of MafA to cis -elements with the promoters of respective target genes may, in addition to impaired insulin signaling, explain the loss of glucose responsiveness indicated by βFLUOMETRI under glucotoxic/lipotoxic conditions (57). Moreover, we identified reduced expression of the soluble N -ethylmaleimide attachment receptor protein syntaxin-1A, a key protein in insulin exocytosis (58, 59), in islets from mice fed an HFHSD for 8 wk. This is in agreement with earlier observations showing that impaired insulin signaling in β cells results in reduced expression of syntaxin-1A (8, 60).…”
Section: Discussionmentioning
confidence: 99%
“…Loss of nuclear Pdx1 and reduced binding of MafA to cis -elements with the promoters of respective target genes may, in addition to impaired insulin signaling, explain the loss of glucose responsiveness indicated by βFLUOMETRI under glucotoxic/lipotoxic conditions (57). Moreover, we identified reduced expression of the soluble N -ethylmaleimide attachment receptor protein syntaxin-1A, a key protein in insulin exocytosis (58, 59), in islets from mice fed an HFHSD for 8 wk. This is in agreement with earlier observations showing that impaired insulin signaling in β cells results in reduced expression of syntaxin-1A (8, 60).…”
Section: Discussionmentioning
confidence: 99%
“…1,2 These islet cells are responsible for secreting insulin in response to rising plasma glucose concentrations. Robust, islet-wide oscillations in intracellular Ca 2+ are required for glucose-stimulated insulin secretion.…”
Section: Introductionmentioning
confidence: 99%
“…Elevated blood‐glucose level triggers the release of insulin from the pancreatic β‐cells through regulation of components of the β‐cell stimulus‐secretion coupling leading to Ca 2+ ‐dependent exocytosis of insulin‐containing granules. Molecular T2D islet defects of proteins important in ion channel regulation, metabolism and exocytosis display this pathway to be essential in the development of impaired insulin secretion and hyperglycaemia . Since 2004, when overexpression of the first islet miRNA was performed, several miRNAs were shown to influence primarily glucose uptake and metabolism as well as the exocytotic process (Figure ).…”
Section: Role Of Mirnas In the Insulin Secretion Processmentioning
confidence: 99%
“…The glucose transporters, GLUT1 and GLUT2, are responsible for glucose uptake. Once inside, glucose is phosphorylated to glucose‐6‐phosphate by glucokinase (GCK) . This is the rate‐limiting step in insulin secretion and mutations in the GCK gene lead to impaired insulin secretion .…”
Section: Role Of Mirnas In the Insulin Secretion Processmentioning
confidence: 99%
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