Cited by 190Pancreatic function and diabetesIon Channels and ReceptorsCalcium signaling and nucleotide metabolism

GLP-1 stimulates insulin secretion by PKC-dependent TRPM4 and TRPM5 activation

Open access
Shigeto, Makoto, Ramracheya, Reshma, Tarasov, Andrei I., Cha, Chae Young, Chibalina, Margarita V., Hastoy, Benoit, Philippaert, Koenraad, Reinbothe, Thomas +15 more·2015·Journal of Clinical Investigation

Abstract

Strategies aimed at mimicking or enhancing the action of the incretin hormone glucagon-like peptide 1 (GLP-1) therapeutically improve glucose-stimulated insulin secretion (GSIS); however, it is not clear whether GLP-1 directly drives insulin secretion in pancreatic islets. Here, we examined the mechanisms by which GLP-1 stimulates insulin secretion in mouse and human islets. We found that GLP-1 enhances GSIS at a half-maximal effective concentration of 0.4 pM. Moreover, we determined that GLP-1 activates PLC, which increases submembrane diacylglycerol and thereby activates PKC, resulting in membrane depolarization and increased action potential firing and subsequent stimulation of insulin secretion. The depolarizing effect of GLP-1 on electrical activity was mimicked by the PKC activator PMA, occurred without activation of PKA, and persisted in the presence of PKA inhibitors, the KATP channel blocker tolbutamide, and the L-type Ca(2+) channel blocker isradipine; however, depolarization was abolished by lowering extracellular Na(+). The PKC-dependent effect of GLP-1 on membrane potential and electrical activity was mediated by activation of Na(+)-permeable TRPM4 and TRPM5 channels by mobilization of intracellular Ca(2+) from thapsigargin-sensitive Ca(2+) stores. Concordantly, GLP-1 effects were negligible in Trpm4 or Trpm5 KO islets. These data provide important insight into the therapeutic action of GLP-1 and suggest that circulating levels of this hormone directly stimulate insulin secretion by β cells.

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Crossref · 10.1172/jci81975

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  • In human β-cells, glucose and sulfonylureas are true initiators of electrical activity.

    “As in mouse islets, glucose and sulfonylureas (618) are true initiators of electrical activity in human β-cells.”

    From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [618]

    The Figure 8 results report spontaneous action potentials in human β-cells at 6 mM glucose. Tolbutamide, a sulfonylurea, increased firing in those cells, but they were already electrically active; the passage does not show it initiating activity in silent human β-cells. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Removal of extracellular Na+ does not prevent glucose-induced depolarization, which argues that the background inward current cannot be Na+-dependent.

    “The fact that removal of extracellular Na+ does not prevent glucose-induced depolarization (549, 618) argues that the current cannot be Na+-dependent.”

    From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [618]

    In the KATP channel-dependent and -independent effects section (Figure 7; page not supplied), the paper says Na+ removal has a weak effect on glucose-induced electrical activity, consistent with depolarization persisting. But it also reports a small change in current with glucose alone and concludes that glucose activates a Na+-permeable conductance to a lesser extent than GLP-1. It therefore does not support the categorical conclusion that the current cannot be Na+-dependent. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Two-pore channels may not play an important role in glucose-induced electrical activity, at least in mouse β-cells.

    “which suggests two-pore channels may not play an important role in glucose-induced electrical activity, at least in mouse β-cells.”

    From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [618]

    In “GLP-1 increases [Ca²⁺]i in hyperpolarized β cells” (page unavailable), the paper reports that Tpc1/Tpc2 double-knockout islets remained responsive to 20 mM glucose. Figure 10C also shows GLP-1-stimulated electrical activity in knockout β-cells. Neither passage directly establishes that glucose-induced electrical activity is unaffected by loss of the two-pore channels, so the claim is a plausible but more specific inference. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • GIIS is little affected in Tpcn1/Tpcn2 double knockout mice.

    “However, GIIS is little affected in Tpcn1/Tpcn2 double knockout mice (618), which suggests two-pore channels may not play an important role in glucose-induced electrical activity, at least in mouse β-cells.”

    From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [618]

    In the section ‘GLP-1 increases [Ca²⁺]i in hyperpolarized β cells’ (page not indicated), the paper says Tpc1/Tpc2 double-knockout islets remained responsive to 20 mM glucose. That supports a retained glucose response, but the text does not establish that glucose-induced insulin secretion was ‘little affected’ relative to wild-type islets; its statement of full responsiveness concerns GLP-1. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • Amino acids, neurotransmitters and hormones can stimulate electrical activity and insulin release in human β-cells only in the presence of a permissive concentration of glucose.

    “Amino acids (arginine and glycine)(744), neurotransmitters (like adenine nucleotides, GABA and acetylcholine) (89, 92, 347, 568) and hormones (618) can also stimulate electrical activity and insulin release but only in the presence of a ‘permissive’ concentration of glucose.”

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Authors
Shigeto, M., Ramracheya, R., Tarasov, A. I., Cha, C. Y., Chibalina, M. V., Hastoy, B., Philippaert, K., Reinbothe, T., Rorsman, N., Salehi, A., Sones, W. R., Vergari, E., Weston, C., Gorelik, J., Katsura, M., Nikolaev, V. O., Vennekens, R., Zaccolo, M., Galione, A., Johnson, P. R. V., Kaku, K., Ladds, G., & Rorsman, P.
Affiliations
  • Kawasaki Medical School (JP)
  • Churchill Hospital (GB)
  • KU Leuven (BE)
  • University of Gothenburg (SE)
  • University of Warwick (GB)
  • Imperial College London (GB)
  • Universität Hamburg (DE)
  • University of Oxford (GB)
  • University of Cambridge (GB)
Venue
Journal of Clinical Investigation
Published
2015-11-16
Volume
125
Issue
12
Pages
4714-4728
ISSN
  • 0021-9738 (ISSN-L)
  • 1558-8238
OpenAlex
W2178272961
Cited by
189
References
66
Citations by year
2026: 10 · 2025: 18 · 2024: 21 · 2023: 8 · 2022: 15 · 2021: 26 · 2020: 23 · 2019: 14 · 2018: 16 · 2017: 26 · 2016: 10 · 2015: 1
FWCI
17.81
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • University of Hertfordshire Research Archive (University of Hertfordshire) (acceptedVersion)
  • University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
  • Lirias (submittedVersion)
  • Spiral (Imperial College London) (submittedVersion)
  • Apollo (University of Cambridge) (submittedVersion)
Funders
  • Impact Fund
  • Wellcome Trust (102828, 084655, 095531/Z/11/Z, 102828/Z/13/Z, 095531)
  • British Heart Foundation (RG/12/3/29423)
  • Diabetes UK
  • University of Warwick
  • University of Oxford
  • KU Leuven
  • Knut och Alice Wallenbergs Stiftelse
  • Vetenskapsrådet
  • Kawasaki Medical School
  • Directorate for Biological Sciences
  • Medical Research Council
  • Biotechnology and Biological Sciences Research Council (BB/M00015X/1, BB/M00015X/2)
  • Japan Society for the Promotion of Science (25460113)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
Keywords
glucagon-like peptide-1, insulin secretion, glucose-stimulated insulin secretion, pancreatic beta cells, TRPM4, TRPM5, protein kinase C, diacylglycerol, phospholipase C, membrane depolarization, action potential firing, sodium channels, intracellular calcium stores, incretin-based therapy
MeSH terms
Insulin Secretion, Animals, Humans, Insulin, Membrane Potentials, Protein Kinase C, Tetradecanoylphorbol Acetate, Ion Transport, Mice, Knockout, TRPM Cation Channels, Insulin-Secreting Cells, Mice, Glucagon-Like Peptide 1

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