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Cyclic AMP dynamics in the pancreatic beta-cell
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Cell Biology.
2012 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 117, no 4, 355-369 p.Article, review/survey (Refereed) Published
Abstract [en]

Insulin secretion from pancreatic beta-cells is tightly regulated by glucose and other nutrients, hormones, and neural factors. The exocytosis of insulin granules is triggered by an elevation of the cytoplasmic Ca2+ concentration ([Ca2+](i)) and is further amplified by cyclic AMP (cAMP). Cyclic AMP is formed primarily in response to glucoincretin hormones and other G(s)-coupled receptor agonists, but generation of the nucleotide is critical also for an optimal insulin secretory response to glucose. Nutrient and receptor stimuli trigger oscillations of the cAMP concentration in beta-cells. The oscillations arise from variations in adenylyl cyclase-mediated cAMP production and phosphodiesterase-mediated degradation, processes controlled by factors like cell metabolism and [Ca2+](i). Protein kinase A and the guanine nucleotide exchange factor Epac2 mediate the actions of cAMP in beta-cells and operate at multiple levels to promote exocytosis and pulsatile insulin secretion. The cAMP signaling system contains important targets for pharmacological improvement of insulin secretion in type 2 diabetes.

Place, publisher, year, edition, pages
2012. Vol. 117, no 4, 355-369 p.
Keyword [en]
Epac2, insulin secretion, oscillations, protein kinase A
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-187231DOI: 10.3109/03009734.2012.724732ISI: 000310372800002OAI: oai:DiVA.org:uu-187231DiVA: diva2:574744
Available from: 2012-12-06 Created: 2012-12-04 Last updated: 2012-12-06Bibliographically approved

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Tengholm, Anders
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