Endogenous α2A-Adrenoceptor-Operated Sympathoadrenergic Tones Attenuate Insulin Secretion via cAMP/TRPM2 Signaling

Diabetes. 2017 Mar;66(3):699-709. doi: 10.2337/db16-1166. Epub 2016 Dec 27.

Abstract

In pancreatic β-cells, pharmacological concentrations of catecholamines, including adrenaline, have been used to inhibit insulin release and explore the multiple mechanisms involved. However, the significance of these signaling pathways for physiological adrenergic functions in β-cells is largely unknown. In the process of glucose-induced insulin secretion, opening of background current through nonselective cation channels (NSCCs) might facilitate membrane depolarization by closure of the ATP-sensitive K+ channels. Here, we examined whether physiological insulinostatic adrenaline action is mediated via the transient receptor potential melastatin 2 (TRPM2) channel, a type of NSCC, in β-cells. Results showed that physiological concentrations of adrenaline strongly suppressed glucose-induced and incretin-potentiated cAMP production and insulin secretion and inhibited NSCCs current and membrane excitability via the α2A-adrenoceptor in wild-type mice; however, insulin secretion was not attenuated in TRPM2-knockout (KO) mice. Administration of yohimbine, an α2-adrenoceptor antagonist, failed to affect glucose tolerance in TRPM2-KO mice, in contrast to an improved glucose tolerance in wild-type mice receiving the antagonist. The current study demonstrated that a physiological concentration of adrenaline attenuates insulin release via coupling of α2A-adrenoceptor to cAMP/TRPM2 signaling, thereby providing a potential therapeutic tool to treat patients with type 2 diabetes.

MeSH terms

  • Animals
  • Cyclic AMP / metabolism*
  • Epinephrine / metabolism*
  • Epinephrine / pharmacology
  • Glucose / metabolism*
  • Glucose / pharmacology
  • Glucose Tolerance Test
  • Incretins / pharmacology
  • Insulin / metabolism*
  • Insulin Secretion
  • Insulin-Secreting Cells / drug effects
  • Insulin-Secreting Cells / metabolism*
  • Islets of Langerhans / metabolism
  • Male
  • Mice
  • Mice, Knockout
  • Patch-Clamp Techniques
  • Receptors, Adrenergic, alpha-2 / metabolism*
  • Signal Transduction
  • Sympathetic Nervous System / drug effects
  • Sympathetic Nervous System / metabolism*
  • Sympathomimetics / pharmacology
  • TRPM Cation Channels / genetics*

Substances

  • Adra2a protein, mouse
  • Incretins
  • Insulin
  • Receptors, Adrenergic, alpha-2
  • Sympathomimetics
  • TRPM Cation Channels
  • TRPM2 protein, mouse
  • Cyclic AMP
  • Glucose
  • Epinephrine