title: Diet-induced glucose intolerance in mice with decreased beta-cell ATP-sensitive K+ channels.
abstract: ATP-sensitive K+ channels (K(ATP) channels) control electrical activity in beta-cells and therefore are key players in excitation-secretion coupling. Partial suppression of beta-cell K(ATP) channels in transgenic (AAA) mice causes hypersecretion of insulin and enhanced glucose tolerance, whereas complete suppression of these channels in Kir6.2 knockout (KO) mice leads to hyperexcitability, but mild glucose intolerance. To test the interplay of hyperexcitability and dietary stress, we subjected AAA and KO mice to a high-fat diet. After 3 months on the diet, both AAA and KO mice converted to an undersecreting and markedly glucose-intolerant phenotype. Although Kir6.2 is expressed in multiple tissues, its primary functional consequence in both AAA and KO mice is enhanced beta-cell electrical activity. The results of our study provide evidence that, when combined with dietary stress, this hyperexcitability is a causal diabetic factor. We propose an "inverse U" model for the response to enhanced beta-cell excitability: the expected initial hypersecretion can progress to undersecretion and glucose-intolerance, either spontaneously or in response to dietary stress.
authors.affiliation: Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: Maria S
authors.initials: MS
authors.lastname: Remedi
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Koster
authors.forename: Kamelia
authors.initials: K
authors.lastname: Markova
authors.forename: Susumu
authors.initials: S
authors.lastname: Seino
authors.forename: Takashi
authors.initials: T
authors.lastname: Miki
authors.forename: Brian L
authors.initials: BL
authors.lastname: Patton
authors.forename: Michael L
authors.initials: ML
authors.lastname: McDaniel
authors.forename: Colin G
authors.initials: CG
authors.lastname: Nichols
mesh_terms: D000818:Animals; D001786:Blood Glucose / Q000378:metabolism; D018149:Glucose Intolerance / Q000188:drug therapy / Q000503:physiopathology*; D007328:Insulin / Q000097:blood / Q000378:metabolism; D000078790:Insulin Secretion; D007515:Islets of Langerhans / Q000378:metabolism / Q000503:physiopathology*; D051379:Mice; D018345:Mice, Knockout; D024661:Potassium Channels, Inwardly Rectifying / Q000172:deficiency / Q000235:genetics / Q000502:physiology*; D000099161:Kcnj11 Channel
chemical_list: D001786:Blood Glucose; D007328:Insulin; D024661:Potassium Channels, Inwardly Rectifying; D000099161:Kcnj11 Channel