Kazuhiro Eto, Tokuyuki Yamashita, Kenzo Hirose, Yoshiharu Tsubamoto, Edward K. Ainscow, Guy A. Rutter, Satoshi Kimura, Mitsuhiko Noda, Masamitsu Iino and Takashi Kadowaki Am J Physiol Endocrinol Metab 285:262-271, 2003. First published Mar 18, 2003; doi:10.1152/ajpcell.00542.2002 You might find this additional information useful... This article cites 56 articles, 34 of which you can access free at: http://ajpendo.physiology.org/cgi/content/full/285/2/E262#BIBL Updated information and services including high-resolution figures, can be found at: http://ajpendo.physiology.org/cgi/content/full/285/2/E262 Additional material and information about AJP - Endocrinology and Metabolism can be found at: http://www.the-aps.org/publications/ajpendo
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Am J Physiol Endocrinol Metab 285: E262–E271, 2003. First published March 18, 2003; 10.1152/ajpendo.00542.2002.
Glucose metabolism and glutamate analog acutely alkalinize pH of insulin secretory vesicles of pancreatic -cells Kazuhiro Eto,1,3 Tokuyuki Yamashita,1 Kenzo Hirose,2 Yoshiharu Tsubamoto,1 Edward K. Ainscow,5 Guy A. Rutter,5 Satoshi Kimura,1 Mitsuhiko Noda,3,4 Masamitsu Iino,2 and Takashi Kadowaki1,3 Departments of 1Metabolic Diseases and 2Pharmacology, Graduate School of Medicine, University of Tokyo, Tokyo 113-8655; 3CREST of Japan Science and Technology Corporation, Saitama 332-0012; 4Institute for Diabetes Care and Research, Asahi Life Foundation, Tokyo 100-0005, Japan; and 5Department of Biochemistry, School of Medical Sciences, University of Bristol, Bristol BS8 1TD, United Kingdom Submitted 13 December 2002; accepted in final form 10 March 2003
Address for reprint requests and other correspondence: Takashi Kadowaki, Dept. of Metabolic Diseases, Graduate School of Medicine, Univ. of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan (E-mail: kadowaki-3im@h.u-tokyo.ac.jp).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
glutamate metabolism; alkalinization of vesicular pH; regulation of insulin secretion
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from pancreatic -cells in response to extracellular glucose is essential for maintenance of systemic glucose homeostasis. Although a pathway to trigger Ca2⫹ influx into the cytosol via glucose metabolism, ATP generation, and a closure of the ATP-sensitive potassium (KATP) channels is of prime importance for glucose-stimulated insulin secretion (5, 16, 31, 56), this central paradigm cannot explain some aspects of the secretory pathway. Thus it is known that an increase in glucose concentrations further enhances
insulin secretion when cytosolic Ca2⫹ concentration ([Ca2⫹]) is fixed at higher levels in the presence of depolarizing concentration of KCl and the KATP channel opener diazoxide (19, 45). Moreover, in -cells that were permeabilized with ␣-toxin and exposed to relatively high cytosolic [Ca2⫹] and ATP concentration ([ATP]), substrates for the mitochondrial tricarboxylic acid (TCA) cycle induced a substantial increase in insulin secretion (28). These results indicate that metabolic derivatives from the TCA cycle might positively modulate glucosestimulated insulin secretion. Lipid metabolites synthesized from glucose-derived citrate through acetyl-CoA and malonyl-CoA are among the intriguing molecular candidates for this potentiation mechanism (12, 40, 41). Recently, two important findings were reported regarding a relationship between glutamate metabolism and insulin secretion. A new form of persistent hyperinsulinemia with hypoglycemia of the infant (PHHI) was demonstrated to be caused by an excessive activity of glutamate dehydrogenase, which catalyzes a conversion between glutamate and a TCA cycle substrate, ␣-ketoglutarate (26, 49, 50). Second, glutamate produced via ␣-ketoglutarate from glucose was reported to enhance insulin secretion under conditions of clamped cytosolic [Ca2⫹] and [ATP] at high levels (29). The insulin secretion stimulated by glutamate was blocked by an inhibitor of vacuolar type H⫹-ATPase or by an inhibitor of vesicular glutamate transporter. Although the direction of metabolic flux between glutamate and ␣-ketoglutarate upon stimulation with glucose has been controversial in -cells (18, 25), these results raised a novel postulation that glutamate might play a role in transducing secretory signals from glucose metabolism to secretory vesicles and that this pathway might involve a modulation of secretory vesicle pH, the acidity of which is thought to be generated mainly by vacuolar-type H⫹-ATPase (9, 21, 22, 33). Here, we studied the roles of glucose and glutamate in the regulation of vesicular pH and glucose-stimulated insulin secretion. Our results indicated that glu-
Eto, Kazuhiro, Tokuyuki Yamashita, Kenzo Hirose, Yoshiharu Tsubamoto, Edward K. Ainscow, Guy A. Rutter, Satoshi Kimura, Mitsuhiko Noda, Masamitsu Iino, and Takashi Kadowaki. Glucose metabolism and glutamate analog acutely alkalinize pH of insulin secretory vesicles of pancreatic -cells. Am J Physiol Endocrinol Metab 285: E262–E271, 2003. First published March 18, 2003; 10.1152/ajpendo.00542.2002.—We studied acute changes of secretory vesicle pH in pancreatic -cells with a fluorescent pH indicator, lysosensor green DND-189. Fluorescence was decreased by 0.66 ⫾ 0.10% at 149 ⫾ 16 s with 22.2 mM glucose stimulation, indicating that vesicular pH was alkalinized by ⬃0.016 unit. Glucose-responsive pH increase was observed when cytosolic Ca2⫹ influx was blocked but disappeared when an inhibitor of glycolysis or mitochondrial ATP synthase was present. Glutamate dimethyl ester (GME), a plasma membrane-permeable analog of glutamate, potentiated glucose-stimulated insulin secretion at 5 mM without changing cellular ATP content or cytosolic Ca2⫹ concentration ([Ca2⫹]). Application of GME at basal glucose concentration decreased DND-189 fluorescence by 0.83 ⫾ 0.19% at 38 ⫾ 2 s. These results indicated that the acutely alkalinizing effect of glucose on -cell secretory vesicle pH was dependent on glucose metabolism but independent of modulations of cytosolic [Ca2⫹]. Moreover, glutamate derived from glucose may be one of the mediators of this alkalinizing effect of glucose, which may have potential relevance to the alteration of secretory function by glutamate.
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cose was capable of acutely alkalinizing secretory vesicle pH and that this effect was dependent on glucose metabolism but not on cytosolic [Ca2⫹] elevation. Glutamate dimethyl ester (GME), a cell-permeable analog of glutamate (10, 46, 55), potentiated glucose-stimulated insulin secretion without changing cellular ATP content or cytosolic [Ca2⫹]. Application of GME reproduced the alkalinizing effect of glucose on vesicular pH at the basal glucose concentration. These results suggested that glucose metabolism increased secretory vesicle pH, at least in part, through generation of glutamate, which may be related to an alternative pathway of insulinotropic effect of glucose to the KATP channel-dependent pathway. MATERIALS AND METHODS
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(170 ⫻ 170 m) were obtained every 20 s with an exposure time of 100 ms. Image analysis was carried out using the IPLab program (Signal Analysis). A standard curve for DND189 fluorescence was obtained by dissolving DND-189 in the intracellular solution (in mM: 136 KCl, 4 NaCl, 5 MgCl2, 5 glucose, and 20 HEPES) with varying pH values from 5.0 to 6.0. For monitoring cytosolic pH, islets were loaded with 1 M BCECF for 30 min at 37°C and excited with alternate wavelengths of 440 and 490 nm (23, 44, 47, 48). The emission intensity from islets when excited at 490 nm compared with that at 440 nm of BCECF’s isosbestic point was measured and plotted on a standard curve made with the intracellular solution with varying pH values from 6.0 to 8.0. For monitoring cytosolic [Ca2⫹], islets were loaded with 15 M fura 2-acetoxymethyl ester at 37°C for 60 min in Sol AII buffer and excited with alternate wavelengths of 355 and 380 nm (4, 17). Cytosolic [Ca2⫹] was expressed as ratios of the emission intensities excited at 355/380 nm. For double staining of -cells with DND-189 and phogrin-Ds red, a confocal microscopic examination was performed with the FLUOVIEW system and an oil-immersion objective UPlanApo lens (Olympus). Dispersed single -cells on a coverslip were transfected with 0.4 g of plasmid encoding cDNA for phogrin-Ds red by Effectene transfection reagent (Qiagen, Hilden, Germany) (37, 38). After 48 h, islets were loaded with 1 M DND-189 for 30 min at 37°C. The fluorescence of DND-189 was excited at 488 nm, and that of phogrin-Ds red was excited at 568 nm. The image analysis was performed with FLUOVIEW software (version 2.0.32, Olympus). Glucose oxidation. Oxidation of [U-14C]glucose in islets was measured by generation of 14CO2 (54). Batches of 10 islets were incubated at 37°C for 90 min in KRB buffer containing the isotope. The 14CO2 generated in the buffer was made volatile by an addition of HCl, captured in NaOH, and measured with liquid scintillation counting. ATP content. To determine ATP content in islets, batches of 10 islets were incubated at 37°C for 60 min in KRB buffer. The incubation was stopped by addition of ice-cold HClO4, and islets were homogenized by sonication. The homogenates were neutralized by addition of NaOH. ATP content in the supernatants was measured with an ATP bioluminescence assay kit, using known amounts of ATP as internal controls (54). Statistical analysis. Statistical analysis was performed using Student’s t-test for unpaired comparisons and analysis of variance. Values were presented as means ⫾ SE. RESULTS
Glucose acutely alkalinizes secretory vesicle pH. We first studied whether glucose was able to acutely modify the intraluminal pH of secretory vesicles in mouse pancreatic -cells. For this purpose, -cells were loaded with a fluorescent probe, lysosensor green DND-189. This probe accumulates in intracellular acidic organelles and emits an increasing intensity of fluorescence in response to acidifying change of the organelle pH when its fluorescence is excited at 373 nm (3, 20). Upon microscopic examination of -cells loaded with DND-189, the fluorescence was observed in the cytosolic space with a fine granular pattern, which was consistent with the probe’s distribution in secretory vesicles (Fig. 1A, left). To more precisely assess the distribution of DND-189, pancreatic -cells were transfected with the plasmid phogrin-Ds red. It was constructed to express a fluorescent protein, Ds Red, connected to a
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Materials. Insulin radioimmunoassay kit and [U-14C]glucose were purchased from Amersham Pharmacia Biotech (Uppsala, Sweden); lysosensor green DND-189, fura 2-acetoxymethyl ester, and 2⬘,7⬘-bis(2-carboxyethyl)-5(6)-carboxyfluorescein (BCECF)-acetoxymethyl ester were from Molecular Probes (Eugene, OR); collagenase, quinacrine, 3-O-methylglucose, monoiodoacetic acid, oligomycin, diazoxide, glibenclamide, and ATP bioluminescent assay kit were from Sigma (St. Louis, MO); and GME was from Fluka (Buchs, Switzerland). Plasmid construction. Plasmid phogrin-Ds red was generated by subcloning an AgeI-NotI fragment bearing Ds Red cDNA from plasmid prepro-atrial natriuretic factor (kindly provided by Dr. David K. Apps, University of Edinburgh, Scotland, UK) into phogrin-EGFP, previously digested to remove the EGFP-encoding region. Preparation of islets. Islets were isolated by collagenase digestion and manual picking from the pancreata of C57BL6J mice at 3–4 mo old (54). These islets were used for experiments immediately after isolation. Insulin secretion from islets. Insulin secretion from pancreatic islets was measured in static incubation or perifusion incubation with Krebs-Ringer bicarbonate (KRB) buffer composed of (in mM) 129 NaCl, 4.8 KCl, 1.2 MgSO4, 1.2 KH2PO4, 2.5 CaCl2, 5 NaHCO3, 10 HEPES (pH 7.4), and 0.2% bovine serum albumin (15). In static incubation, batches of 10 islets were preincubated at 37°C for 30 min in KRB buffer containing 2.8 mM glucose. The preincubation solutions were replaced with KRB buffer containing test agents, and batches of islets were incubated at 37°C for 60 min. Insulin released into supernatants was measured by radioimmunoassay. In perifusion incubation, 30 islets were suspended in 500 l of Bio-Gel G-10 beads in each perifusion chamber and perifused with KRB buffer at 37°C at a flow rate of 0.6 ml/min. Islets were perifused for 30 min in the presence of 2.8 mM glucose before stimulation. Effluent fractions were periodically collected, and insulin in these samples was measured by radioimmunoassay. Fluorescence study. For monitoring intraluminal pH of insulin-secretory vesicles, islets were loaded with 2 M DND-189 for 30 min at 37°C in Sol AII buffer composed of (in mM) 150 NaCl, 5 KCl, 1 MgCl2, 2 CaCl2, and 10 HEPES (pH 7.4) (3, 20). After completion of the dye loading, a single islet on a glass coverslip in a perifusion chamber was placed on the stage of an inverted fluorescence microscope IX70 (Olympus, Osaka, Japan) equipped with a charge-coupled device camera (Photometrics). The islet was viewed under a water immersion objective LUMPlanFL lens (Olympus) with an excitation wavelength of 373 nm. Images of 256 ⫻ 256 pixels
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phogrin that was targeted to secretory vesicle membranes (37, 38). We found that localization of DND-189 fluorescence well overlapped that of phogrin-Ds red (Fig. 1A, right), supporting that DND-189 fluorescence originated from secretory vesicles. Quinacrine has been known to stain lysosomes as well as secretory vesicles (13, 39). When -cells were loaded with both quinacrine and phogrin-Ds red, the two fluorescences stained almost completely identical spots (data not shown), indicating that a contribution of lysosomes to the DND-189 fluorescence was negligible compared with that of secretory vesicles. Previous reports also showed that each -cell was tightly packed with ⬃10,000 secretory vesicles and that the other acidic organelles were much fewer than secretory vesicles in number (21, 43). Next, islets loaded with DND-189 were examined under perifusion conditions. When the glucose concentration of the perifusate was raised from 2.8 to 22.2 mM, DND-189 fluorescence was decreased by 0.66 ⫾ AJP-Endocrinol Metab • VOL
0.10% at 148.9 ⫾ 16.0 s (Fig. 1C). Because the pH of secretory vesicles has been reported to be ⬃5.5 (21), we estimated that the fluorescence decrease corresponded to an increase in pH by 0.016 ⫾ 0.002 unit, using a standard curve in Fig. 1B, in which a decrease in DND-189 fluorescence by 0.41% indicated an increase in pH by 0.010 unit at ⬃pH 5.5. For comparison, the cytosolic pH of islet cells was monitored with a pHsensitive fluorescent probe, BCECF (23, 44, 47, 48). In response to 22.2 mM glucose stimulation, cytosolic pH immediately and transiently rose by 0.02 ⫾ 0.01 unit (Fig. 1D). After the pH returned to baseline level, it was further decreased below the level by 0.04 ⫾ 0.01 unit but was finally restored to the baseline level. Thus the profile of cytosolic pH change in response to glucose was distinct from that of secretory vesicles in their phasic pattern and time course. Glucose-induced vesicular alkalinization is dependent on glucose metabolism. To study the mechanism of glucose-induced alkalinization of secretory vesicles, we
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Fig. 1. Changes of intravesicular and cytosolic pH in islets. A: confocal microscopic examination of -cells. Dispersed -cells were cultured on a glass coverslip overnight, transfected with plasmid phogrin-Ds red, and cultured for 48 h. Then, cells were loaded with 1 M fluorescent pH indicator, lysosensor green DND-189, for 30 min at 37°C, and fluorescence was observed with excitation at 488 nm (left). For detection of phogrin-Ds red fluorescence in the same field, excitation wavelength 568 nm was used (right). Scale bar, 0.5 m. B: standard curve of DND-189 fluorescence was plotted against varying values of pH in the intracellular solution. At pH 5.5, the pH increase by 0.01 unit corresponded to the fluorescence decrease by 0.41%. C: change of intravesicular pH of islets in response to elevating the perifusate glucose concentration from 2.8 to 22.2 mM at the indicated point. Trace shown is representative of 14 experiments. D: cytosolic pH of islets was monitored with fluorescence of 2⬘,7⬘-bis(2carboxyethyl)-5(6)-carboxyfluorescein (BCECF). Glucose concentration in the perifusate was changed from 2.8 to 22.2 mM at the indicated point. Trace shown is representative of 6 experiments.
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189 fluorescence were observed (Fig. 2D). Glibenclamide at 5 M, which closed the KATP channels and thereby activated Ca2⫹ influx into the cytosol, was also unable to induce the fluorescence change at 2.8 mM glucose (data not shown). These results indicated that cytosolic [Ca2⫹] elevation was neither necessary nor sufficient for the glucose-induced vesicular alkalinization and that the alkalinizing effect of glucose was mediated through its metabolic processes but independently of the closure of KATP channels and subsequent elevation of cytosolic [Ca2⫹]. GME enhances glucose-stimulated insulin secretion without modulating the KATP channel-dependent pathway. In the next series of experiments, we examined the possibility that the effect of glucose on secretory vesicle alkalinization might be relevant to intracellular generation of glutamate. It has been reported that cellular concentrations of glutamate were increased after stimulation of -cells with glucose (29), probably via breakdown of glucose molecules through glycolysis and the TCA cycle, generation of ␣-ketoglutarate in the cycle, and its conversion to glutamate by the enzyme glutamate dehydrogenase. Insulin secretion in re-
Fig. 2. Changes of intravesicular pH in islets. A: at indicated time point, 19.4 mM 3-O-methylglucose was applied to perifusate in presence of 2.8 mM glucose. Trace shown is representative of 9 experiments. B: glucose concentration was elevated from 2.8 to 22.2 mM in presence of inhibitor of mitochondrial ATP synthase oligomycin at 10 g/ml throughout the perifusion. Trace shown is representative of 12 experiments. C: effect of elevating concentration of glucose from 2.8 to 22.2 mM was monitored in presence of ATP-sensitive K⫹ (KATP) channel opener diazoxide at 250 M. Trace shown is representative of 12 experiments. D: depolarizing stimulation with 50 mM KCl was applied in presence of 2.8 mM glucose. Trace shown is representative of 6 experiments. AJP-Endocrinol Metab • VOL
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examined effects of glucose metabolism and cytosolic [Ca2⫹] on the phenomenon. The nonmetabolizable glucose analog 3-O-methylglucose, at 19.4 mM, was unable to induce a decrease in DND-189 fluorescence (Fig. 2A) (30). Inhibitor of glycolysis monoiodoacetic acid at 1 mM (data not shown) or inhibitor of mitochondrial ATP synthase oligomycin at 10 g/ml (Fig. 2B) completely blocked the effect of glucose on secretory vesicle pH (16, 24, 57). These results indicated that the vesicular alkalinization was dependent on glucose-metabolizing steps finally leading to ATP generation in mitochondria. We next studied a relationship between elevating cytosolic [Ca2⫹] and vesicular alkalinization. Diazoxide is known to suppress glucose-induced Ca2⫹ influx into the cytosol by opening the KATP channels on the plasma membranes (19, 45). Indeed, the drug at 250 M completely inhibited glucose-stimulated insulin secretion (data not shown), indicating that Ca2⫹ influx into the cytosol failed to occur. The alkalinizing change of vesicles in response to 22.2 mM glucose was preserved in the presence of 250 M diazoxide (Fig. 2C). When islets were stimulated with 50 mM KCl in the presence of 2.8 mM glucose, no changes in DND-
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the presence of 5 mM GME, ATP content was 13.7 ⫾ 0.3 pmol/islet at 22.2 mM glucose, and this value was comparable to that in the absence of GME. GME at 0.5⬃2.0 mM also failed to significantly change ATP content of islets stimulated with 22.2 mM glucose (Fig. 4B). Thus, although application of GME decreased glucose oxidation, we assumed that overall ATP generation from oxidation of both glucose and GME-derived glutamate remained largely unchanged. ATP is known to play a crucial role in inhibiting the KATP channels, thereby depolarizing the plasma membranes and elevating cytosolic [Ca2⫹] (1, 5). Consistent with the unchanged ATP content of islets, elevation of cytosolic [Ca2⫹] in response to 22.2 mM glucose (from 0.37 ⫾ 0.04 to 0.55 ⫾ 0.06; Fig. 4C, top) was not changed by a simultaneous application of 5 mM GME (from 0.36 ⫾ 0.03 to 0.53 ⫾ 0.05; Fig. 4C, bottom). These results suggested that GME’s potentiating effect on glucose-stimulated insulin secretion was exerted not through augmenting ATP generation or elevating cytosolic [Ca2⫹] but mainly through nonoxidative utilization of glutamate in the -cells. GME mimics the alkalinizing effect of a high concentration of glucose. We next examined whether GME modified the pH of secretory vesicles in perifusion experiments. At 2.8 mM glucose, application of 5 mM GME decreased DND-189 fluorescence by 0.83 ⫾ 0.19%
Fig. 3. Effects of cell-permeable glutamate analog glutamate dimethyl ester (GME) on insulin secretion from islets. A: effect of varying concentrations of GME on insulin secretion in response to 22.2 mM glucose (n ⫽ 6). **P ⬍ 0.01 compared with controls stimulated with 22.2 mM glucose without GME. B: effect of varying concentrations of glucose on insulin secretion in absence or presence of 5 mM GME (n ⫽ 6). **P ⬍ 0.01 compared with controls without GME; N.S., not significant. C: effect of 5 mM GME on 22.2 mM glucose-stimulated insulin secretion was monitored in a perifusion study. At 0 min, perifusate with 2.8 mM glucose was changed to that with 22.2 mM glucose (F, n ⫽ 4) or that with 22.2 mM glucose ⫹ 5 mM GME (■, n ⫽ 4). *P ⬍ 0.05 and **P ⬍ 0.01, respectively, compared with controls without GME. AJP-Endocrinol Metab • VOL
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sponse to 22.2 mM glucose was potentiated by GME (Fig. 3A), a cell-permeable analog of glutamate (10, 46, 55). The effect of GME was dose dependent until 1 mM, but the higher dose of 5 mM was employed thereafter in the present study. This was because the dose makes it easier to compare our results with the previous ones (29, 46). GME at 5 mM increased the secretion by 123 ⫾ 29%. This potentiating effect of GME at 5 mM was not observed at 2.8 or 5.6 mM glucose but was evident at higher concentrations of glucose, indicating that GME was not an initiator of insulin secretion but a potentiator of glucose stimulation (Fig. 3B). In a perifusion study, 5 mM GME potentiated both the first-phase and the second-phase secretions in response to 22.2 mM glucose (Fig. 3C). Next, we examined whether this effect of GME was mediated through activated oxidation of glucose, which should lead to an increase in ATP content of islets. [U-14C]glucose oxidation was not affected by 5 mM GME at 2.8 mM glucose (Fig. 4A). However, GME decreased [U-14C]glucose oxidation by 28 ⫾ 8% at 22.2 mM glucose (Fig. 4A). These results suggested that application of GME might decrease glucose-stimulated generation of ATP in islets. Thus we next measured ATP content of islets (Fig. 4B) (54). Stimulation of islets with 22.2 mM glucose significantly increased ATP content from 10.2 ⫾ 0.4 to 13.9 ⫾ 1.2 pmol/islet. In
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(an increase in pH by 0.020 ⫾ 0.005 unit) at 37.9 ⫾ 2.6 s (Fig. 5), which was comparable in magnitude to that of 22.2 mM glucose stimulation (Fig. 1C). However, the time required for attaining the level was significantly less (P ⬍ 0.01) than that of 22.2 mM glucose stimulation (Fig. 1C). DISCUSSION
Here, we report that, by use of a pH-sensitive fluorescent probe specifically targeted to the vesicular lumen, glucose stimulation acutely alkalinized the intravesicular pH of insulin-containing secretory granules by ⬃0.016 unit within ⬃3 min in pancreatic -cells. This was the first observation demonstrating that proton transfer across the vesicle membranes was regulated dynamically in response to the fuel insulin secretagogue. Until now, only chronic-phase acidification of the intravesicular pH has been known to progress AJP-Endocrinol Metab • VOL
Fig. 5. Changes of intravesicular pH of islets in response to GME. At indicated point, 5 mM GME was applied to perifusate containing 2.8 mM glucose. Trace shown is representative of 10 experiments.
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Fig. 4. Effects of GME on glucose metabolism and KATP channel-dependent pathway of glucose-stimulated insulin secretion. A: [U-14C]glucose oxidation of islets at 2.8 or 22.2 mM glucose in absence or presence of 5 mM GME (n ⫽ 6). *P ⬍ 0.05 compared with controls without GME. B: cellular ATP content of islets was measured after 60-min incubation with indicated concentrations of glucose and GME (n ⫽ 6). **P ⬍ 0.01 compared with controls with 2.8 mM glucose. C: cytosolic Ca2⫹ concentration ([Ca2⫹]) changes in response to 22.2 mM glucose in absence (top) or presence (bottom) of 5 mM GME were monitored with fura 2 fluorescence. Cytosolic [Ca2⫹] was expressed as ratios of emission intensities excited at 355/380 nm. Traces shown are representative of 6 experiments.
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We observed that GME at 5 mM was effective in potentiating insulin secretion in response to 22.2 mM glucose in mouse islets. Previous reports indicated that the potentiating effect of GME was exhibited at lowto-moderate concentrations of glucose but disappeared at higher concentrations (16.7 to 25 mM) in rat islets and rat -cell-derived INS-1 cells (29, 46). One possible interpretation of these discrepancies is the difference in efficiencies of intrinsic glutamate generation from glucose. Thus rat -cells might be active in generating glutamate from glucose and an additional application of external glutamate, as a form of GME, failed to show the potentiating effect. In contrast, the effect was manifested in our study with mouse -cells because the intrinsic generation of glutamate from glucose might not reach the threshold required for the potentiation. It is well known that the amplitude of the second-phase insulin secretion to glucose is much higher in rat -cells than in mouse -cells. A recent report showed that the expression of glutamate dehydrogenase was indeed lower in mouse islets than in rat islets and supported our data because GME induced the secretory response even at 16.7 mM glucose in the mouse islets (27). At present, a causal relationship between the vesicular alkalinization and glucose-stimulated insulin secretion or glutamate-induced potentiation of the insulin secretion is unclear. In fact, addition of GME did not further alkalinize the pH of secretory vesicles attained by glucose treatment (data not shown), indicating that the potentiating effect of GME on glucose-stimulated insulin secretion was, at least in part, not directly linked to the vesicular alkalinization. However, the following observations prompted us to consider that the alkalinization would not be merely an event that coincided with those increases in insulin secretion but would be, at least in part, causally related to them. Maechler et al. (29) reported that a direct application of glutamate to the vesicles evoked increases in insulin secretion and cytosolic [ATP] and that these increases were blocked by an inhibitor of the vesicular glutamate transporters. They argued that the vesicles themselves were the ATP source of the increase in cytosolic [ATP], probably through a reverse reaction of the vacuolar-type H⫹-ATPase. In fact, similar effects were observed with an inhibitor of vacuolar-type H⫹-ATPase (29). If this were the case, an outward flux of protons across vesicular membranes would reduce the proton gradient, and the luminal pH of the vesicles would tend to be alkalinized, which is what we observed in the present study. Generation of ATP in this manner from the vesicles was assumed to elevate the cytosolic [ATP] immediately near the exocytotic machinery composed of soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) complex and thus to be favorable to the priming and final fusion processes of the vesicles (11, 52). Another merit of the vesicular alkalinization during exocytosis might be prompting the crystals of Zn2⫹-insulin hexamers stored inside the vesicles to
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during maturation steps of the vesicle (21, 22, 34, 35, 42). They included a processing of proinsulin molecules by prohormone convertases such as PC2, PC3, and carboxypeptidase H, the pH optimum of which was close to 5.5 (21). Moreover, an aggregation of insulin monomers to hexamers and finally into crystallization was known to be pH sensitive (14, 51). The acute-phase vesicular alkalinization by glucose was dependent on its metabolism, because the use of a nonmetabolizable glucose analog failed to manifest such effect, and the addition of inhibitor of glycolysis or mitochondrial ATP synthesis completely blocked the glucose-induced pH changes. The effect of glucose was preserved in the presence of diazoxide and was not reproduced by pure Ca2⫹ stimulations without glucose, suggesting that the elevation of cytosolic [Ca2⫹] was neither necessary nor sufficient for the phenomenon. It is notable that diazoxide has been known not to interfere with glucose oxidation (8), although the drug opens the KATP channels and thus inhibits glucose-stimulated insulin secretion. The alkalinizing change of vesicular pH in response to a glucose challenge was monotonous and lasted more than 10 min, and thus it was totally distinct from the pH change of the cytosolic space in response to glucose (Fig. 1D), which has been reported to have a biphasic pattern (44, 48). Upon stimulation with glucose, cytosolic pH quickly moved to an initial transient alkalinization. This was explained by mitochondrial consumption of H⫹ ions in the course of glucose metabolism. Next, the pH shifted to acidification, which was thought to be coupled with Ca2⫹ influx from the extra⫺ cellular space and the action of HCO⫺ 3 /Cl exchanger. These results further supported that the fluorescence of DND-189 originated from secretory vesicles but was not contaminated by the fluorescence of the cytosolic space, as was also demonstrated by the copresence of the DND-189 fluorescence with that of vesicular membrane-bound phogrin-Ds red (Fig. 1A) (37, 38). We assumed glutamate to be a candidate for molecular links between glucose metabolism and acute vesicular alkalinization. Intracellular concentration of glutamate was reported to be increased in -cells exposed to glucose (29), probably via generation of ␣-ketoglutarate through a series of steps in glycolysis and the TCA cycle, and finally via its reductive amination reaction into glutamate catalyzed by glutamate dehydrogenase. In fact, glutamate, which was derived from GME by intracellular removal of dimethyl moiety (10, 46, 55), mimicked the alkalinizing effect of glucose on the vesicular pH (Fig. 5). However, the times required to attain these fluorescence changes were quite different. The longer time required for the effect of glucose to occur probably corresponded to a time for metabolizing glucose until it becomes glutamate through the intermediate substrate ␣-ketoglutarate. It was known that it took ⬃2 min for the mitochondrial electrochemical membrane potential to be fully formed after glucose stimulation (16), which well reflected the activity of the TCA cycle and thus generation of ␣-ketoglutarate in the cycle.
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This work was supported by a grant-in-aid for creative basic research (10NP0201) from the Ministry of Education, Science, Sports, and Culture, Japan (T. Kadowaki). REFERENCES 1. Aguilar-Bryan L, Clement JP, Gonzalez G, Kunjilwar K, Babenko A, and Bryan J. Toward understanding the assembly and structure of KATP channels. Physiol Rev 78: 227–245, 1998. 2. Aihara Y, Mashima H, Onda H, Hisano S, Kasuya H, Hori T, Yamada S, Tomura H, Yamada Y, Inoue I, Kojima I, and Takeda J. Molecular cloning of a novel brain-type Na⫹-dependent inorganic phosphate cotransporter. J Neurochem 74: 2622– 2625, 2000. 3. Arenas GN, Staskevich AS, Aballay A, and Mayorga LS. Intracellular trafficking of Brucella abortus in J774 macrophages. Infect Immun 68: 4255–4263, 2000. 4. Asada Y, Yamazawa T, Hirose K, Takasaka T, and Iino M. Dynamic Ca2⫹ signalling in rat arterial smooth muscle cells under the control of local renin-angiotensin system. J Physiol 521: 497–505, 1999. 5. Ashcroft FM, Proks P, Smith PA, Ammala C, Bokvist K, and Rorsman P. Stimulus-secretion coupling in pancreatic -cells. J Cell Biochem 55 Suppl: 54–65, 1994. 6. Aspinwall CA, Brooks SA, Kennedy RT, and Lakey JRT. Effects of intravesicular H⫹ and extracellular H⫹ and Zn2⫹ on insulin secretion in pancreatic -cells. J Biol Chem 272: 31308– 31314, 1997. 7. Bellocchio EE, Reimer RJ, Fremeau RT, and Edwards RH. Uptake of glutamate into synaptic vesicles by an inorganic phosphate transporter. Science 289: 957–960, 2000. 8. Bergsten P, Gylfe E, Wesslen N, and Hellman B. Diazoxide unmasks glucose inhibition of insulin release by counteracting entry of Ca2⫹. Am J Physiol Endocrinol Metab 255: E422–E427, 1988. 9. Bode H-P, Himmen A, and Goke B. Evidence for vacuolartype proton pumps in nonmitochondrial and inositol 1,4,5trisphosphate-sensitive calcium stores of insulin-secreting cells. Pflu¨gers Arch 432: 97–104, 1996. 10. Cancelas J, Villanueva-Penacarrillo ML, Valverde I, and Malaisse WJ. Potentiation by glutamic acid dimethyl ester of GLP-1 insulinotropic action in fed anaesthetized rats. Int J Mol Med 8: 531–532, 2001. 11. Daniel S, Noda M, Straub SG, and Sharp GW. Identification of the docked granule pool responsible for the first phase of glucose-stimulated insulin secretion. Diabetes 48: 1686–1690, 1999. 12. Deeney JT, Gromada J, Hoy M, Olsen HL, Rhodes CJ, Prentki M, Berggren PO, and Corkey BE. Acute stimulation with long chain acyl-CoA enhances exocytosis in insulin-secreting cells (HIT T-15 and NMRI -cells). J Biol Chem 275: 9363– 9368, 2000. 13. Di A, Krupa B, Bindokas VP, Chen Y, Brown ME, Palfrey HC, Naren AP, Kirk KL, and Nelson DJ. Quantal release of free radicals during exocytosis of phagosomes. Nat Cell Biol 4: 279–285, 2002. 14. Emdin SO, Dodson G, Cutfield JM, and Cutfield SM. Role of zinc in insulin biosynthesis, some possible zinc-insulin interactions in the pancreatic B-cell. Diabetologia 19: 174–182, 1980. 15. Eto K, Suga S, Wakui M, Tsubamoto Y, Terauchi Y, Taka J, Aizawa S, Noda M, Kimura S, Kasai H, and Kadowaki T. NADH shuttle system regulates KATP channel-dependent pathway and steps distal to cytosolic Ca2⫹ concentration elevation in glucose-induced insulin secretion. J Biol Chem 274: 25386– 25392, 1999. 16. Eto K, Tsubamoto Y, Terauchi Y, Sugiyama T, Kishimoto T, Takahashi N, Yamauchi N, Kubota N, Murayama S, Aizawa T, Akanuma Y, Aizawa S, Kasai K, Yazaki Y, and Kadowaki T. Role of NADH shuttle system in glucose-induced activation of mitochondrial metabolism and insulin secretion. Science 283: 981–985, 1999. 17. Eto K, Yamashita T, Tsubamoto Y, Terauchi Y, Hirose K, Kubota N, Yamashita S, Taka J, Satoh S, Sekihara H, Tobe
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dissolve for faster diffusion into the bloodstream. Interestingly, Aspinwall et al. (6) demonstrated with amperometric detection of insulin molecules that inhibiting the vacuolar-type H⫹-ATPase and thereby increasing the vesicular pH caused insulin to be more rapidly extruded from the vesicles. Thus alkalinizing the vesicular pH could be a form of priming process of the vesicles for exocytosis, in which the insulin crystals were “primed” for the forthcoming dissolution, although the extent of the alkalinization by glutamate was small. Lately, it has been found that glutamate is taken up into synaptic vesicles by brain-type Na⫹-dependent inorganic phosphate transporter (BNPI) (7, 53) to prepare for its later release in excitatory neuronal cells. Another Na⫹-dependent phosphate transporter, differentiation-associated Na⫹-dependent inorganic phosphate transporter (DNPI), which has a close resemblance in amino acid sequence to BNPI, was also cloned in neural tissues (2). We screened for these two transporters in a cDNA library made from insulin-producing INS-1 cells, resulting in isolation of both the types of transporters in the -cells (Yamashita T, Eto K, and Kadowaki T, unpublished observations). It was thus assumed that -cells also exhibited glutamate uptake activities via these transporters. It is suggested that H⫹ may play a role as a counter ion during the glutamate uptake by those transporters (36), where the outward efflux of H⫹ should contribute to alkalinization of the intravesicular pH, although precise expression and function of BNPI and DNPI in -cell secretory vesicles remain to be addressed. In summary, -cell secretory vesicle alkalinization occurred acutely after a glucose challenge depending on glucose metabolism but independently of cytosolic [Ca2⫹] elevation or the change of cytosolic pH. Our results suggest the possibility that one of the mediators of this glucose effect was glucose-derived glutamate, because the cell-permeable glutamate analog GME reproduced such alkalinization at a basal concentration of glucose. GME potentiated glucose-stimulated insulin secretion without affecting the KATP channel-dependent pathway of the secretion. Thus it is likely that glutamate exhibited such a potentiating effect on the secretion by acting directly on secretory vesicles, which may be coupled to changes of proton transport across the vesicle membrane and their acute alkalinization. It was reported that insulin-secretory vesicles were organelles actively importing and releasing Ca2⫹ via certain types of Ca2⫹-ATPases and ryanodine receptors, respectively, in response to glucose (32). Further elucidation of acute-phase regulation of the ionic milieu in the secretory vesicles will be needed for a comprehensive understanding of the exocytotic mechanism of glucose-stimulated insulin secretion in a normal state and in pathological states such as insulin-deficient type 2 diabetes and PHHI caused by mutations of glutamate dehydrogenase.
E269
E270
18.
19.
20.
21. 22.
23.
25. 26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36. 37.
K, Iino M, Noda M, Kimura S, and Kadowaki T. Phosphatidylinositol 3-kinase suppresses glucose-stimulated insulin secretion by affecting post-cytosolic [Ca2⫹] elevation signals. Diabetes 51: 87–97, 2002. Gao Z-Y, Li G, Najafi H, Wolf BA, and Matschinsky FM. Glucose regulation of glutaminolysis and its role in insulin secretion. Diabetes 48: 1535–1542, 1999. Gembal M, Gilon P, and Henquin JC. Evidence that glucose can control insulin release independently from its action on ATP-sensitive K⫹ channels in mouse B cells. J Clin Invest 89: 1288–1295, 1992. Guttenberger M. Arbuscules of vesicular-arbuscular mycorrhizal fungi inhabit an acidic compartment within plant roots. Planta 211: 299–304, 2000. Hutton JC. The insulin secretory granule. Diabetologia 32: 271–281, 1989. Hutton JC and Peshavaria M. Proton-translocating Mg2⫹dependent ATPase activity in insulin-secretory granules. Biochem J 204: 161–170, 1982. Juntti-Berggren L, Civelek VN, Berggren PO, Schultz V, Corkey BE, and Tornheim K. Glucose-stimulated increase in cytoplasmic pH precedes increase in free Ca2⫹ in pancreatic -cells, a possible role for pyruvate. J Biol Chem 269: 14391– 14395, 1994. Kim S-B and Berdanier C. Oligomycin sensitivity of mitochondrial F1F0-ATPase in diabetes-prone BHE/Cdb rats. Am J Physiol Endocrinol Metab 277: E702–E707, 1999. MacDonald MJ and Fahien LA. Glutamate is not a messenger in insulin secretion. J Biol Chem 275: 34025–34027, 2000. Macmullen C, Fang J, Hsu BYL, Kelly A, De Lonlay-Debeney P, Saudubray J-M, Ganguly A, Smith TJ, and Stanley CA. Hyperinsulinism/hyperammonemia syndrome in children with regulatory mutations in the inhibitory guanosine triphosphate-binding domain of glutamate dehydrogenase. J Clin Endocrinol Metab 86: 1782–1787, 2001. Maechler P, Gjinovci A, and Wollheim CB. Implication of glutamate in the kinetics of insulin secretion in rat and mouse perfused pancreas. Diabetes 51, Suppl 1: S99–S102, 2002. Maechler P, Kennedy ED, Pozzan T, and Wollheim CB. Mitochondrial activation directly triggers the exocytosis of insulin in permeabilized pancreatic -cells. EMBO J 16: 3833–3841, 1997. Maechler P and Wollheim CB. Mitochondrial glutamate acts as a messenger in glucose-induced insulin exocytosis. Nature 402: 685–689, 1999. Malaisse WJ, Giroix MH, Malaisse-Lagae F, and Sener A. 3-O-methyl-D-glucose transport in tumoral insulin-producing cells. Am J Physiol Cell Physiol 251: C841–C846, 1986. Matschinsky FM. A lesson in metabolic regulation inspired by the glucokinase glucose sensor paradigm. Diabetes 45: 223–241, 1996. Mitchell KJ, Pinton P, Varadi A, Tacchetti C, Ainscow EK, Pozzan T, Rizzuto R, and Rutter GA. Dense core secretory vesicles revealed as a dynamic Ca2⫹ store in neuroendocrine cells with a vesicle-associated membrane protein aequorin chimaera. J Cell Biol 155: 41–51, 2001. Nelson N and Harvey WR. Vacuolar and plasma membrane proton-adenosinetriphosphatases. Physiol Rev 79: 361–385, 1999. Orci L, Ravazzola M, Storch M-J, Anderson RGW, Vassalli J-D, and Perrelet A. Proteolytic maturation of insulin is a post-Golgi event which occurs in acidifying clathrin-coated secretory vesicles. Cell 49: 865–868, 1987. Orci LM, Ravazzola M, Amherdt M, Madsen O, Vassalli J-D, and Perrelet A. Conversion of proinsulin to insulin occurs coordinately with acidification of maturing secretory vesicles. J Cell Biol 103: 2273–2281, 1986. Ozkan ED and Ueda T. Glutamate transport and storage in synaptic vesicles. Jpn J Pharmacol 77: 1–10, 1998. Pouli AE, Emmanouilidou E, Zhao C, Wasmeier C, Hutton JC, and Rutter GA. Secretory-granule dynamics visualized in vivo with a phogrin-green fluorescent protein chimaera. Biochem J 333: 193–199, 1998. AJP-Endocrinol Metab • VOL
38. Pouli AE, Karagenc N, Wasmeier C, Hutton JC, Bright N, Arden S, Schofield JG, and Rutter GA. A phogrin-aequorin chimaera to image free Ca2⫹ in the vicinity of secretory granules. Biochem J 330: 1399–1404, 1998. 39. Pralong W-F, Bartley C, and Wollheim CB. Single islet -cell stimulation by nutrients, relationship between pyridine nucleotides, cytosolic Ca2⫹ and secretion. EMBO J 9: 53–60, 1990. 40. Prentki M and Corkey BE. Are the -cell signaling molecules malonyl-CoA and cytosolic long-chain acyl-CoA implicated in multiple tissue defects of obesity and NIDDM? Diabetes 45: 273–283, 1996. 41. Prentki M, Vischer S, Glennon MC, Regazzi R, Deeney JT, and Corkey BE. Malonyl-CoA and long chain acyl-CoA esters as metabolic coupling factors in nutrient-induced insulin secretion. J Biol Chem 267: 5802–5810, 1992. 42. Rhodes CJ, Lucas CA, Mutkoski RL, Orci L, and Halban PA. Stimulation by ATP of proinsulin to insulin conversion in isolated rat pancreatic islet secretory granules, association with the ATP-dependent proton pump. J Biol Chem 262: 10712– 10717, 1987. 43. Rorsman P. The pancreatic -cell as a fuel sensor, an electrophysiologist’s viewpoint. Diabetologia 40: 487–495, 1997. 44. Salgado AP, Silva AM, Santos RM, and Rosario LM. Multiphasic action of glucose and ␣-ketoisocaproic acid on the cytosolic pH of pancreatic -cells, evidence for an acidification pathway linked to the stimulation of Ca2⫹ influx. J Biol Chem 271: 8738–8746, 1996. 45. Sato Y, Aizawa T, Komatsu M, Okada N, and Yamada T. Dual functional role of membrane depolarization/Ca2⫹ influx in rat pancreatic B-cell. Diabetes 41: 438–443, 1992. 46. Sener A, Conget I, Rasschaert J, Leclercq-Meyer V, Villanueva-Penacarrillo ML, Valverde I, and Malaisse WJ. Insulinotropic action of glutamic acid dimethyl ester. Am J Physiol Endocrinol Metab 267: E573–E584, 1994. 47. Shepherd RM, Gilon P, and Henquin J-C. Ketoisocaproic acid and leucine increase cytoplasmic pH in mouse pancreatic B cells, role of cytoplasmic Ca2⫹ and pH-regulating exchangers. Endocrinology 137: 677–685, 1996. 48. Shepherd RM, and Henquin J-C. The role of metabolism, cytoplasmic Ca2⫹, and pH-regulating exchangers in glucoseinduced rise of cytoplasmic pH in normal mouse pancreatic islets. J Biol Chem 270: 7915–7921, 1995. 49. Stanley CA, Fang J, Kutyna K, Hsu BYL, Ming JE, Glaser B, and Poncz M. Molecular basis and characterization of the hyperinsulinism/hyperammonemia syndrome: predominance of mutations in exons 11 and 12 of the glutamate dehydrogenase gene. Diabetes 49: 667–673, 2000. 50. Stanley CA, Lieu YK, Hsu BYL, Burlina AB, Greenberg CR, Hopwood NJ, Perlman K, Rich BH, Zammarchi E, and Poncz M. Hyperinsulinism and hyperammonemia in infants with regulatory mutations of the glutamate dehydrogenase gene. N Engl J Med 338: 1352–1357, 1998. 51. Steiner DF, Rouille Y, Gong Q, Martin S, Carroll R, and Chan SJ. The role of prohormone convertases in insulin biosynthesis, evidence for inherited defects in their action in man and experimental animals. Diabetes Metab 22: 94–104, 1996. 52. Takahashi N, Kadowaki T, Yazaki Y, Ellis-Davies GC, Miyashita Y, and Kasai H. Post-priming actions of ATP on Ca2⫹dependent exocytosis in pancreatic -cells. Proc Natl Acad Sci USA 96: 760–765, 1999. 53. Takamori S, Rhee JS, Rosenmund C, and Jahn R. Identification of a vesicular glutamate transporter that defines a glutamatergic phenotype in neurons. Nature 407: 189–194, 2000. 54. Tsubamoto Y, Eto K, Noda M, Daniel S, Suga S, Yamashita S, Kasai H, Wakui M, Sharp GWG, Kimura S, and Kadowaki T. Hexamminecobalt(III) chloride inhibits glucose-induced insulin secretion at the exocytotic process. J Biol Chem 276: 2979–2985, 2001. 55. Vicent D, Garcia-Martinez JA, Villanueva-Penacarrillo ML, Valverde I, and Malaisse WJ. Stimulation of insulin
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24.
ACUTE EFFECT OF GLUCOSE ON -CELL SECRETORY VESICLE PH
ACUTE EFFECT OF GLUCOSE ON -CELL SECRETORY VESICLE PH secretion and potentiation of glibenclamide-induced insulin release by the dimethyl ester of glutamic acid in anaesthetized rats. Diabetes Res Clin Pract 27: 27–30, 1995. 56. Wollheim CB and Maechler P. -cell mitochondria and insulin secretion, messenger role of nucleotides and metabolites. Diabetes 51, Suppl 1: S37–S42, 2002.
E271
57. Zhongmin M, Ramanadham S, Corbett JA, Bohrer A, Gross RW, McDaniel ML, and Turk J. Interleukin-1 enhances pancreatic islet arachidonic acid 12-lipoxygenase product generation by increasing substrate availability through a nitric oxide-dependent mechanism. J Biol Chem 271: 1029–1042, 1996.
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