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Neurotransmitter control of islet hormone pulsatility
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Cell Biology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Cell Biology.
2014 (English)In: Diabetes, obesity and metabolism, ISSN 1462-8902, E-ISSN 1463-1326, Vol. 16, no S1, 102-110 p.Article, review/survey (Refereed) Published
Abstract [en]

Pulsatile secretion is an inherent property of hormone-releasing pancreatic islet cells. This secretory pattern is physiologically important and compromised in diabetes. Neurotransmitters released from islet cells may shape the pulses in auto/paracrine feedback loops. Within islets, glucose-stimulated -cells couple via gap junctions to generate synchronized insulin pulses. In contrast, - and -cells lack gap junctions, and glucagon release from islets stimulated by lack of glucose is non-pulsatile. Increasing glucose concentrations gradually inhibit glucagon secretion by -cell-intrinsic mechanism/s. Further glucose elevation will stimulate pulsatile insulin release and co-secretion of neurotransmitters. Excitatory ATP may synchronize -cells with -cells to generate coinciding pulses of insulin and somatostatin. Inhibitory neurotransmitters from - and -cells can then generate antiphase pulses of glucagon release. Neurotransmitters released from intrapancreatic ganglia are required to synchronize -cells between islets to coordinate insulin pulsatility from the entire pancreas, whereas paracrine intra-islet effects still suffice to explain coordinated pulsatile release of glucagon and somatostatin. The present review discusses how neurotransmitters contribute to the pulsatility at different levels of integration.

Place, publisher, year, edition, pages
2014. Vol. 16, no S1, 102-110 p.
Keyword [en]
glucagon, insulin, neurotransmitters, oscillations, pulsatile secretion, somatostatin
National Category
Endocrinology and Diabetes
URN: urn:nbn:se:uu:diva-235021DOI: 10.1111/dom.12345ISI: 000341886600015OAI: oai:DiVA.org:uu-235021DiVA: diva2:759623
Available from: 2014-10-30 Created: 2014-10-28 Last updated: 2014-10-30Bibliographically approved

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Gylfe, ErikTengholm, Anders
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