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This chapter focuses on the biochemical mechanisms that mediate glucose (GSIS) fro m p-cells of the islets of Langerhans and the potentiating role played by fatty acids. We summarize evidence sup porting the idea that glucose metabolism is required for GSIS and that the GLUT-2 fa c i l itated glucose transporter and the glucose phosphorylating en zyme glucokinase play important roles in measuring changes in extracellular glucose concentration. The idea that glucose metabolism is linked to insulin stimulated insulin secretion 0066-4154/9510701 -0689$05.00 NEWGARD & MCGARRY secretion through a sequence of events involving changes in ATP:ADP ratio, inhibition of ATP-sensitive K+ channels, and activation of voltage-gated Ca2+ channels is critically reviewed, and the relative importance of ATP generated from glycolytic versus mitochondrial metabolism is evaluated. We also present the growing concept that an important signal for insulin secretion may reside at the linkage between glucose and lipid metabolism, specifically the genera tion of the regulatory molecule malonyl CoA that promotes fatty acid esteri fication and inhibits oxidation. Finally, we show that in contrast to its short term potentiating effect on GSIS, long-term exposure of islets to high levels of fatty acids results in p-cell dysfunction, suggesting that hyperlipidemia
Annual Review of Biochemistry – Annual Reviews
Published: Jul 1, 1995
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