Metabolic and Paracrine Heterogeneity of Pancreatic Glucagon-Secreting α-Cells.
Dou H., Miranda C., Tolö J., Santos C., Gao R., Gandasi NR., Hill TG., Kothegala L., Tarasov AI., Zhang Q., Rorsman P.
By stimulating hepatic glucose production, glucagon (released by islet α-cells) restores normal blood glucose levels when they fall below the normal range. We used optogenetics in conjunction with electrophysiology, cytoplasmic free Ca2+ concentration imaging, and hormone release measurements to explore the intrinsic and paracrine regulation of glucagon secretion. Many α-cells were spontaneously active at 1 mmol/L glucose. However, up to ∼50% of the α-cells were electrically silent. KATP channel blockade, amino acids, and somatostatin receptor antagonism restored electrical activity in such α-cells. Termination of optoactivation resulted in KATP channel-dependent (tolbutamide sensitive) membrane repolarization in active α-cells but long-lasting membrane depolarization and action potential firing in silent α-cells. The latter effect was associated with an increased cytoplasmic ATP:ADP ratio. Optoactivation or optoinhibition of somatostatin-releasing δ-cells inhibits and stimulates electrical activity in adjacent (but not distal) α-cells. There is an inverse relationship between basal glucagon secretion (a measure of the fraction active α-cells) and the relative stimulatory effects of amino acids. We conclude that islet α-cells are functionally heterogenous and that their electrical excitability and glucagon release are determined by K+ channel activity due to variable mosaic of KATP and somatostatin-sensitive K+ channels reflecting metabolic state and proximity to δ-cells, respectively.Article highlightsA subpopulation of α-cells lack spontaneous electrical activity. KATP channel blockers, somatostatin receptor antagonists, or amino acids activate silent α-cells. Stimulatory effects of amino acids are inversely related to basal glucagon secretion. Metabolic and paracrine heterogeneity determines glucagon secretion.

