The mechanisms that regulate insulin secretion were investigated using caitance measurements of exocytosis in single (3 MATERIALS AND METHODS Preparation of Cells. Normal mouse 13 cells were used throughout the study. The mice were stunned by a blow against the head and killed by cervical dislocation and decapitation. The pancreas was quickly removed and pancreatic islets were isolated by collagenase digestion. Single cells were prepared as described (7), plated on Corning tissue culture dishes, and maintained in tissue culture for up to 3 days in RPMI 1640 tissue culture medium, containing 5 mM glucose and supplemented with streptomycin (100 pug/ml) and penicillin (100 international units/ml).Electrophysiology. Whole-cell membrane currents were recorded from individual (3 cells by using the perforatedpatch whole-cell configuration as described (3,8). Perforation required a few minutes and the voltage clamp was regarded as satisfactory when the series conductance exceeded 40 nS. The holding potential was -70 mV and depolarizations were 500 ms long and went to 0 mV. Exocytosis was measured as changes in cell capacitance (Cm,) as described elsewhere (9). The interval between each measurement of Cm was 100 ms. Depolarizations were applied at low frequency (0.3-0.5 min'). It was ascertained that stable capacitance responses were obtained before addition of a compound so that the observed changes are not just longterm trends. Effects on the Ca2+ current were assessed by measuring both the peak amplitude of the Ca2+ current (Ica) and the integrated Ca2+ current ([QCa = f ICa(t)dtI)-Solutions. The extracellular medium consisted of 118 mM NaCl, 20 mM tetraethylammonium chloride, 5.6 mM KCl, 1.2 mM MgCl2, 2.6 mM CaCl2, and 5 mM Hepes (pH 7.4 with NaOH). Glucose was included in the extracellular solution at a concentration of 5 mM to provide the metabolic fuel required to energize the secretory process. However, subsequent experiments have indicated that secretion proceeds well in the complete absence of the sugar. The pipette solution contained 76 mM Cs2SO4, 10 mM NaCl, 10 mM KCl, 1 mM MgCl2, and 5 mM . Electrical contact was established by the addition of amphotericin B (Sigma) to the pipette solution. Briefly, a stock solution containing 6 mg of amphotericin dissolved in 100 Al of dimethyl sulfoxide was prepared. Twenty microliters of this stock solution was then added to 5 ml of the pipette solution, yielding a final concentration of 0.24 mg/ml. The tip of the pipette was filled with amphotericin-free solution and the pipette was then back-filled with amphotericin-containing solution. Okadaic acid (Molecular Probes), the phorbol ester phorbol 12-myristate 13-acetate (PMA), and forskolin (both from Sigma) were dissolved in dimethyl sulfoxide (final concentration of dimethyl sulfoxide, 0.02-0.1%). In Figs. 1 and 4, the cells were pretreated with forskolin for >15 min. This protocol was used as it was difficult to maintain the recording long enough to permit multiple additions and to Abbreviations: PMA, phorb...