JOE
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Journal of Endocrinology (2006) 190, 681-693    DOI: 10.1677/joe.1.06890
© 2006 Society for Endocrinology

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mosén, H.
Right arrow Articles by Lundquist, I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mosén, H.
Right arrow Articles by Lundquist, I.

Nitric oxide inhibits, and carbon monoxide activates, islet acid {alpha}-glucoside hydrolase activities in parallel with glucose-stimulated insulin secretion

Henrik Mosén, Albert Salehi, Ragnar Henningsson and Ingmar Lundquist

Department of Experimental Medical Science, University of Lund, BMC F13, S-221 84 Lund, Sweden

(Requests for offprints should be addressed to H Mosén; Email: henrik.mosen{at}med.lu.se)


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have studied the influence of nitric oxide (NO) and carbon monoxide (CO), putative messenger molecules in the brain as well as in the islets of Langerhans, on glucose-stimulated insulin secretion and on the activities of the acid {alpha}-glucoside hydrolases, enzymes which we previously have shown to be implicated in the insulin release process. We have shown here that exogenous NO gas inhibits, while CO gas amplifies glucose-stimulated insulin secretion in intact mouse islets concomitant with a marked inhibition (NO) and a marked activation (CO) of the activities of the lysosomal/vacuolar enzymes acid glucan-1,4-{alpha}-glucosidase and acid {alpha}-glucosidase (acid {alpha}-glucoside hydrolases). Furthermore, CO dose-dependently potentiated glucose-stimulated insulin secretion in the range 0.1–1000 µM. In intact islets, the heme oxygenase substrate hemin markedly amplified glucose-stimulated insulin release, an effect which was accompanied by an increased activity of the acid {alpha}-glucoside hydrolases. These effects were partially suppressed by the guanylate cyclase inhibitor 1H-[1,2,4]oxadiazolo-[4,3-a]quinoxalin-1-one. Hemin also inhibited inducible NO synthase (iNOS)-derived NO production probably through a direct effect of CO on the NOS enzyme. Further, exogenous CO raised the content of both cGMP and cAMP in parallel with a marked amplification of glucose-stimulated insulin release, while exogenous NO suppressed insulin release and cAMP, leaving cGMP unaffected. Emiglitate, a selective inhibitor of {alpha}-glucoside hydrolase activities, was able to markedly inhibit the stimulatory effect of exogenous CO on both glucose-stimulated insulin secretion and the activityof acid glucan-1,4-{alpha}-glucosidase and acid {alpha}-glucosidase, while no appreciable effect on the activities of other lysosomal enzyme activities measured was found. We propose that CO and NO, both produced in significant quantities in the islets of Langerhans, have interacting regulatory roles on glucose-stimulated insulin secretion. This regulation is, at least in part, transduced through the activity of cGMP and the lysosomal/vacuolar system and the associated acid {alpha}-glucoside hydrolases, but probably also through a direct effect on the cAMP system.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Nitric oxide (NO), a small and quite reactive gas molecule, is now considered to be a ubiquitous messenger molecule in many organ systems (Moncada et al. 1991, Berdeaux 1993, Alderton et al. 2001). NO is produced by NO synthase (NOS), which we and other researchers previously have shown, by histochemical, immunocytochemical and biochemical methods, to occur in the islets of Langerhans (Panagiotidis et al. 1992, 1994, Schmidt et al. 1992, Corbett et al. 1993, Salehi et al. 1996, Alm et al. 1999, Henningsson et al. 2000, 2001). There are two main isoforms of NOS: the Ca2+/calmodulin-dependent constitutive enzyme (cNOS) and Ca2+/calmodulin-independent inducible enzyme (iNOS). The cNOS enzyme, in turn, displays two variants: the neural cNOS (ncNOS) and endothelial cNOS (Knowles & Moncada 1994, Alderton et al. 2001). When NO is produced in large amounts by iNOS, it seems to play an important role in the pathogenesis of type 1, insulin-dependent diabetes, via a noxious influence on the islet ß-cells (Corbett & McDaniel 1992, Welsh & Sandler 1992, Eizirik et al. 1996, MandrupPoulsen 1996, McDaniel et al. 1996). In contrast, ncNOS-derived NO, which is produced in much smaller amounts, seems to be able to serve as a physiological modulator of islet hormone secretion (Panagiotidis et al. 1992, 1994, 1995, Schmidt et al. 1992, Gross et al. 1995, Akesson et al. 1996, 1999, Salehi et al. 1996, 2001, 2003, Henningsson & Lundquist 1998, Akesson & Lundquist 1999, Henningsson et al. 2000, 2002, Mosén et al. 2000, Jimenez-Feltstrom et al. 2004). We have previously, and repeatedly, shown that NO evolution by islet ncNOS activity seems to serve as a negative modulator of insulin release stimulated by glucose or L-arginine (Panagiotidis et al. 1995, Salehi et al. 1996, 1998a, 2001, 2003, Henningsson & Lundquist 1998, Henningsson et al. 2000, 2002, Jimenez-Feltstrom et al. 2004), although other interpretations are on record (Schmidt et al. 1992, Smukler et al. 2002).

Carbon monoxide (CO), another small molecule, is formed from heme under the influence of the enzyme heme oxygenase (HO; Maines 1988, Marks 1994). There are two major known isoforms: an inducible enzyme (HO-1) and a constitutive enzyme (HO-2), both of which have been found in the islets of Langerhans (Henningsson et al. 1997, 1999, 2001, 2002, Ye & Laychock 1998, Alm et al. 1999, Lundquist et al. 2003, Mosén et al. 2005). Interestingly, addition of gaseous CO has an inhibitory effect on the production of NO in isolated islets (Henningsson et al. 2001) and very recently (Mosén et al. 2005), we found that an animal model of mild type 2 diabetes, the Goto-Kakizaki (GK) rat, showed a markedly reduced expression and activity of HO-2 in their islets. Moreover, in isolated islets, the cAMP system as well as CO antagonize the suppressive effect of NO on the insulin secretory process (Henningsson et al. 1999, 2000, Salehi et al. 2003, Jimenez-Feltstrom et al. 2004, 2005).

We have previously shown that one of the several secretory signals in nutrient-stimulated insulin release seems to be transduced by the activation of the glycogen hydrolyzing enzymes labelled acid {alpha}-glucoside hydrolases, characterized as acid glucan-1,4-{alpha}-glucosidase and acid {alpha}-glucosidase, both displaying a high activity in islet tissue (Lundquist 1985, 1986, Lundquist & Panagiotidis 1992, Salehi & Lundquist 1993a,1993b,1993c,1993d, Salehi et al. 1999, Mosén et al. 2000). The acid glucan-1,4-{alpha}-glucosidase preferentially cleaves {alpha}-1,4-linked glucose polymers and produces free glucose, by attacking vacuolar glycogen, while the acid {alpha}-glucosidase prefers oligosaccharides. However, their action and physiological effects are overlap considerably, (Pazur & Kleppe 1962, Smith et al. 1968, Lundquist 1985, 1986). The liberated glucose molecules could then serve as regulatory transducers, acting from the vacuolar compartment, in distal steps of the complex process of insulin release (Lundquist et al. 1996, Salehi et al. 1998b, 1999).

In a previous study (Mosén et al. 2000), we found that the intracellular NO donor hydroxylamine inhibited the acid {alpha}-glucoside hydrolase activities in incubated intact mouse islets in parallel with a suppression of glucose-stimulated insulin release. In contrast, we have also observed (Henningsson et al. 1997, 1999, Mosén et al. 2005) that glucose stimulates islet production of CO in parallel with an enhanced insulin release.

Hence, the aim of this study was to focus on the action and interaction of NO and CO on glucose-stimulated insulin release, and to investigate whether the effects of these two gaseous messenger molecules might influence the insulin secretory pathway transduced through the lysosomal/vacuolar system and the activities of acid {alpha}-glucoside hydrolases.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals

Female mice of the naval medical research institute strain (B&K, Sollentuna, Sweden), weighing 25–30 g, standard pellet diet (B&K) and water available ad libitum, were used throughout the study. The animal experiments were approved by the local animal welfare committee (Lund, Sweden) and in accordance with the international standard recommended by NIH.

Drugs and chemicals

Collagenase (CLS 4) was obtained from Worthington Biochemicals (Freehold, NJ, USA), BSA and 1H-[1,2,4]oxadiazolo-[4,3-a]quinoxalin-1-one (ODQ) from ICN Biomedicals (High Wycombe, UK). Hemin, Rp-cAMPS and methylumbelliferyl-coupled substrates were from Sigma Chemical. N-[ß-(4-Ethoxycarbonylphenoxy)ethyl]-1-deoxy-nojirimycin (emiglitate) was kindly supplied by Bayer AG. All other chemicals were from British Drug Houses Ltd (Poole, UK) or Merck AG. The RIA kits for insulin determination were obtained from Diagnostica (Falkenberg, Sweden). Hemin was dissolved in 0.1 mol/l NaOH, followed by titration with 0.1 mol/l HCl.

Experimental procedure

Isolation of pancreatic islets from freely fed mice was accomplished by retrograde injection of a collagenase solution via the bile-pancreatic duct (Gotoh et al. 1985).

Experiments with intact islets  Freshly isolated islets were preincubated for 30 min at 37 °C in Krebs Ringer bicarbonate buffer (pH 7.4), supplemented with 10 mM HEPES, 0.1% BSA and 1 mM glucose. When only insulin secretion was studied, we used batches of ten islets in 1 ml incubation medium. When islet lysosomal enzymes were determined as well, batches of 30 islets in 1.5 ml were used. In the experiments where emiglitate was used, it was present in the preincubation medium as well. After preincubation at 1 mM glucose for 30 min, the buffer was changed to a medium containing 1, 12 or 20 mM glucose, as well as the different test agents used. The islets were incubated in a water bath at 37 °C (30 cycles/min). In the experiments where exogenous NO or CO was used, the incubation buffer was purged of O2 by helium and saturated with either NO or CO and the control buffer was saturated with helium. The solubility of CO when saturated is 2.3 ml/100 ml H2O ({approx} 1 mM) and of NO 4.6 ml/100 ml H2O ({approx} 2 mM). To achieve CO concentrations ranging from 0 to 1000 µM, the incubation solution was diluted with an identical buffer solution saturated with CO. In the experiments where NOS activities were studied, batches of 200 islets in 1.5 ml incubation medium were used.

Immediately after incubation, an aliquot of the medium was removed for an assay of insulin in all the experiments with intact islets. In the experiments where islet lysosomal enzyme activities were measured, the islets were then thoroughly washed and collected in 200 µl ice-cold acetate–EDTA buffer (1.1 mM EDTA and 5 mM Na acetate (pH 5.0)) and thereafter stored at –20 °C. In the experiments where NOS activities were determined, the islets were instead collected in 840 µl ice-cold buffer, containing 20 mmol/l N-2-hydroxyethylpiperazine-N'-2-ethanesulfonic acid (HEPES), 0.5 mmol/l EDTA, and 1 mmol/l D,L-dithiothreitol (pH 7.2). On the day of assay, the islets were sonicated on ice and enzyme activities were determined.

HPLC analysis of islet NO production  When NOS activities were measured the buffer solution containing the islet homogenate was reconstituted to contain, in addition to the above-mentioned compounds, also 0.2 mmol/l L-arginine, 0.45 mmol/l CaCl2, 2 mmol/l NADPH and 25 U calmodulin in a total volume of 1 ml. To determine iNOS activity, both Ca2+ and calmodulin were omitted. The buffer composition was essentially the same as previously described for the assay of NOS in brain tissue using radiolabelled L-arginine (Bredt & Snyder 1989). Aliquots of the incubated homogenate (200 µl) were then passed through a 1 ml Amprep chloro benzoic acid cation-exchange column for HPLC analysis of the L-citrulline formed according to Carlberg and others (Carlberg 1994, Salehi et al. 1996, Henningsson et al. 2002). Since L-citrulline is created in equimolar concentrations to NO and since L-citrulline is stable, whereas NO is not, L-citrulline is the preferred parameter when measuring NO production.

Assay of islet lysosomal enzyme activities  The procedures for determination of acid phosphatase (pH 4.5), acid {alpha}-glucosidase (pH 4.0) and N-acetyl-ß-D-glucosaminidase (pH 5.0) with methylumbelliferyl-coupled substrates have previously been described (Lundquist 1985). Islet glucan-1,4-{alpha}-glucosidase activity with glycogen as substrate was determined at pH 4.0 as described in detail elsewhere (Lundquist 1971, 1985). Protein was analysed according to the method of Lowry et al.(1951).

Determination of cAMP and cGMP  Incubation of isolated islets was performed in the presence of phosphodi-esterase inhibitor 3-isobutyl-1-methylxanthine (0.2 mmol/l) and was stopped by removal of the buffer and the addition of 0.5 ml ice-cold 10% trichloroacetic acid (TCA), followed by immediate freezing in a –70 °C ethanol bath (Panagiotidis et al. 1995). Before the assay, 0.5 ml H2O was added, and the samples were sonicated for 3 x 5 s followed by centrifugation at 1100 g for 15 min. The supernatants were collected and extracted with 4 x 2 ml water-saturated diethyl ether. The aqueous phase was removed and freeze-dried, using a Lyovac GT 2 freeze dryer. The residue was then dissolved in 450 µl of 50 mmol/l Na-acetate buffer (pH 6.2). The amounts of cAMP and cGMP were quantified with a [125I]-cAMP and [125I]-cGMP RIA kit (RIANEN, Du Pont Company, Boston, MA, USA). [3H]-cGMP was added to the TCA islet homogenate in order to determine the recovery of cAMP and cGMP during the ether extraction. The mean recovery was 85%.

Determination of insulin  Insulin was determined with a RIA (Heding 1966).

Statistical analysis

Statistical significance between the sets of data was assessed using unpaired Student’s t-test with Welch correction when appropriate, or where applicable, ANOVA followed by Tukey’s multiple comparisons test. Results are expressed as means ± S.E.M.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Comparison of the effects of NO and CO gas on lysosomal enzyme activities in islet homogenates

Table 1Go shows the effect of NO and CO gas on lysosomal enzyme activities in islet homogenates. Addition of NO or CO gas in aqueous solution (saturating the homogenate buffer) induced quite different effects on the enzyme activities. NO suppressed the acid {alpha}-glucoside hydrolase activities by approximately 60% and the activities of acid phosphatase and N-acetyl-ß-D-glucosaminidase by 30%. In contrast, CO greatly stimulated all enzyme activities by ~150–250% (Table 1Go).


View this table:
[in this window]
[in a new window]
 
Table 1 Influence of nitric oxide (NO) and carbon monoxide (CO) on lysosomal enzyme activities in islet homogenates
 
Influence of exogenous NO and CO gas on basal and glucose-stimulated insulin release and lysosomal enzyme activities in intact islets

Figures 1Go and 2Go show the effects on insulin release and lysosomal enzyme activities after the incubation of intact islets at a glucose concentration of 1 or 20 mM, in buffer solutions saturated with either NO ({approx} 2 mM) or CO ({approx} 1 mM). Figure 1Go shows the effect of NO, which displayed an inhibitory action on both basal and glucose-stimulated insulin secretion. The effect was quite impressive at high glucose concentration where the insulin secretion was almost abrogated to a level not different from the basal levels. Concomitant with this effect, a similar suppressive action on the activities of acid glucan-1,4-{alpha}-glucosidase as well as its isoform acid {alpha}-glucosidase was seen, while the activities of acid phosphatase and N-acetyl-ß-D-glucosaminidase were unaffected.


Figure 1
View larger version (15K):
[in this window]
[in a new window]
 
Figure 1 Effect of NO on islet activities of different lysosomal enzymes and insulin secretion. The incubation solutions were directly gassed with NO or helium (control) until saturation. Islets were incubated in the absence (open columns) or presence (solid columns) of NO, at a glucose concentration of 1 mM (the two columns to the left) or 20 mM (the two columns to the right). Enzyme activities are expressed as micromole glucose (acid glucan-1,4-{alpha}-glucosidase) or 4-methylumbelliferone liberated/min per gram protein. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for eight to ten batches of islets in each group. Data from three independent experiments. *P < 0.01, {dagger}P < 0.001.

 

Figure 2
View larger version (22K):
[in this window]
[in a new window]
 
Figure 2 Effect of CO on islet activities of different lysosomal enzymes and insulin secretion. The incubation solutions were directly gassed with CO or helium (control) until saturation. Islets were then incubated in the absence (open columns) or presence (hatched columns) of CO, at a glucose concentration of 1 mM (the two columns to the left) or 20 mM (the two columns to the right). Enzyme activities are expressed as micromole glucose (acid glucan-1,4-{alpha}-glucosidase) or 4-methylumbelliferone liberated/min per gram protein. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for eight to ten batches of islets in each group. Data from three independent experiments. *P < 0.01, {dagger}P < 0.001.

 
Figure 2Go shows that, in contrast to NO, addition of CO to the incubation medium had a pronounced stimulatory effect not only on the acid {alpha}-glucoside hydrolases, but also on the other lysosomal enzymes, both at low and high glucose concentration. The stimulatory effect by CO on the lysosomal enzyme activities at high glucose concentration was associated with a parallel amplification of glucose-induced insulin release, while basal insulin release at low glucose concentration was not affected (Fig. 2Go).

Effect of the HO substrate hemin on glucose-stimulated insulin release and islet lysosomal enzyme activities

We have previously shown that glucose stimulates islet CO production concomitant with an amplification of insulin release (Henningsson et al. 1997, 1999, Mosén et al. 2005). Figure 3Go shows that the HO substrate hemin amplified glucose-induced insulin release in parallel with a marked stimulation of islet lysosomal enzyme activities. This hemin-stimulated increase in insulin release and lysosomal enzyme activities was greatly reduced by ODQ, a selective inhibitor of soluble guanylate cyclase (Fig. 3Go). In the absence of hemin, ODQ slightly suppressed glucose-stimulated insulin release as well as acid {alpha}-glucosidase and acid phosphatase activities (Fig. 3Go).


Figure 3
View larger version (25K):
[in this window]
[in a new window]
 
Figure 3 Effect of hemin on glucose-stimulated insulin release and islet lysosomal enzyme activities. Islets were incubated at 20 mM glucose, in the absence and presence of the HO substrate hemin as well as in the absence and presence of ODQ, a selective inhibitor of soluble guanylate cyclase. Enzyme activities are expressed as micromole glucose (acid glucan-1,4-{alpha}-glucosidase) or 4-methylumbelliferone liberated/min per gram protein. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for 10–28 batches of islets in each group. *P < 0.05, {dagger}P < 0.01, {ddagger}P < 0.001.

 
Dose–response effects of CO on glucose-stimulated insulin release

To further investigate the influence of the HO–CO signalling pathway on glucose-stimulated insulin release, we performed a dose–response study with increasing concentrations of exogenously added CO gas. Figure 4Go shows that CO amplifies insulin release also at a modestly ‘hyperglycaemic’ concentration of glucose (12 mM). This effect was barely detectable at 0$1 mM CO and showed a broad maximum at 10–1000 µM. A similar dose–response range for such an amplification by CO on glucose-stimulated insulin release was noted at 20 mM glucose (data not shown).


Figure 4
View larger version (10K):
[in this window]
[in a new window]
 
Figure 4 Dose–response effects of CO on glucose-stimulated insulin release. Islets were incubated at 12 mM glucose. The different CO concentrations were prepared by diluting a buffer solution saturated with CO (1 mM). Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for 5–12 batches of islets. *P < 0.05, {dagger}P < 0.001. Basal insulin release at 1 mM glucose was 0.23 ± 0.03 ng insulin/h per islet (n = 3).

 
Interaction of the HO–CO signalling pathway with cAMP-dependent protein kinaseA, protein kinaseC and guanylate cyclase in glucose-stimulated insulin release

Isolated islets were incubated at 12 mM glucose and 100 µM CO in the absence and presence of the PKA-inhibitor Rp-cAMPS, the PKC-inhibitor bisindolylmaleimide and the guanylate cyclase-inhibitor ODQ. Figure 5Go shows that the CO-stimulated amplification of glucose-stimulated insulin release was significantly reduced by the PKA and the guanylate cyclase inhibitors, while the PKC inhibitor did not influence the CO-induced effect.


Figure 5
View larger version (16K):
[in this window]
[in a new window]
 
Figure 5 Effect of inhibition of PKA (Rp-cAMPS, 50 µM), phospholipase C (bisindolylmaleimide, 100µM) and soluble guanylate cyclase (ODQ, 10 µM) at 12 mM glucose concentration (12 G), in the presence of 100 µM CO. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for 10–13 batches of islets. *P < 0.05, {dagger}P < 0.01. Basal insulin release at 1 mM glucose was 0.25 ± 0.02 ng insulin/h per islet (n = 6).

 
Influence of CO and NO on glucose-stimulated insulin release and accumulation of cAMP and cGMP in isolated islets

The results shown in Fig. 5Go suggested that both the cAMP and the cGMP pathways are implicated in the CO-induced amplification of glucose-stimulated insulin release. Because NO as well as CO are known to stimulate the cGMP system in various cell types (Moncada et al. 1991), we conducted a series of experiments measuring the cyclic nucleotide content of isolated islets after incubation at high glucose concentration (20 mM) in the absence and presence of CO or NO gas (saturated concentrations). Figure 6Go shows that CO raised the content of both cGMP and cAMP in parallel with a marked amplification of glucose-stimulated insulin release. In contrast, NO greatly suppressed insulin release and the cAMP content, while the cGMP content was not significantly affected. Figure 6Go also shows the islet content of both nucleotides and that, as expected, insulin release was raised by glucose itself when increasing the glucose concentration from 1 to 20 mM.


Figure 6
View larger version (14K):
[in this window]
[in a new window]
 
Figure 6 Influence of CO and NO on glucose-stimulated insulin release and accumulation of cAMP and cGMP in isolated islets. Islets were incubated at 1 or 20 mM glucose. Insulin secretion is expressed as nanogram insulin/h per islet. cGMP is expressed as amol/islet and cAMP as fmol/islet. Values are means ± S.E.M. for four to five pools of islets. *P < 0.05, {dagger}P < 0.01, {ddagger}P < 0.001.

 
Effect of hemin on islet isoforms of NOS

The interaction of CO and NO on glucose-stimulated insulin release was tested by studying the influence of hemin on the activities of islet isoforms of NOS. Figure 7Go shows that the increase in iNOS activity after incubation of isolated islets at 20 mM glucose was greatly reduced by the addition of hemin to the incubation medium. This inhibition of iNOS activity by hemin was accompanied by an impressive amplification of glucose-induced insulin release. Hemin also tended to reduce glucose-stimulated ncNOS activity resulting in a highly significant inhibition of total NO production (Fig. 7Go).


Figure 7
View larger version (16K):
[in this window]
[in a new window]
 
Figure 7 Effect of hemin on islet isoforms of NOS and insulin release. Islets were incubated at 1 or 20 mM glucose (IG, 20G), in the absence or presence of the HO substrate hemin. NO production is expressed as pmol/min per milligram protein. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. for three to four batches of islets. *P < 0.05, {dagger}P < 0.01, {ddagger}P < 0.001.

 
Effects of the selective {alpha}-glucoside hydrolase inhibitor emiglitate on glucose-stimulated insulin release and islet lysosomal enzyme activities in the absence and presence of CO

To study further whether the downstream potentiating action of CO in glucose-stimulated insulin secretion would interact with the vacuolar system and the lysosomal enzyme activities, we performed a series of experiments with the selective {alpha}-glucoside hydrolase inhibitor emiglitate. Figure 8Go shows that, in control islets, emiglitate greatly suppressed the glucose-stimulated insulin release in parallel with an inhibitory effect on the activities of acid glucan-1,4-{alpha}-glucosidase and acid {alpha}-glucosidase. In contrast, the activities of acid phosphatase and N-acetyl-ß-D-glucosaminidase tended to increase in the presence of the {alpha}-glucoside hydrolase inhibitor. Moreover, the CO-induced amplification of the glucose-stimulated insulin release as well as of the increased activities of the acid {alpha}-glucoside hydrolases were abrogated by emiglitate and displayed the same levels as in the absence of CO (Fig. 8Go). The CO-induced rise in the activities of acid phosphatase and acid N-acetyl-ß-D-glucosaminidase was not appreciably affected by emiglitate (Fig. 8Go).


Figure 8
View larger version (15K):
[in this window]
[in a new window]
 
Figure 8 Effect of the selective {alpha}-glucoside hydrolase inhibitor emiglitate (100 µM) on glucose-stimulated insulin secretion and islet lysosomal enzyme activities at 12 mM glucose in the absence and presence of CO gas. Islets were incubated in the absence (open columns) or presence (solid columns) of emiglitate. Experiments were performed both in the presence (the two columns to the right) and in the absence (the two columns to the left) of exogenous CO. Enzyme activities are expressed as micromole glucose (acid glucan-1,4-{alpha}-glucosidase) or 4-methylumbelliferone liberated/min per gram protein. Insulin secretion is expressed as nanogram insulin/h per islet. Values are means ± S.E.M. from eight incubation vials. *P < 0.01, {dagger}P < 0.001. Basal insulin release at 1 mM glucose was 0.32 ± 0.06 ng insulin/h per islet (n = 6).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present results show that NO gas not only strongly inhibits various lysosomal enzyme activities after direct addition to islet homogenates (Mosén et al. 2000), but also selectively suppresses the activities of the acid {alpha}-glucoside hydrolases in intact incubated islets concomitant with a marked inhibition of glucose-stimulated insulin release. This is in accordance with our previous results showing that suppression of islet acid {alpha}-glucoside hydrolase activities by various means is accompanied by a similar parallel inhibition of glucose-stimulated insulin release (Salehi & Lundquist 1993a,1993b,1993c, 1996, Salehi et al. 1995, 1998b, 1999, Lundquist et al. 1996, Mosén et al. 2000), suggesting an intact activity of these enzymes being one of the several important links in the insulin secretory process induced by glucose. With regard to the inhibitory effect of NO in this context, it seems most likely that important thiol groups on the enzyme molecule are nitrosylated and thus inactivated (Jaffrey et al. 2001), because the acid {alpha}-glucoside hydrolases are known to contain several cysteine residues (Barrett 1972) and it has been shown that inactivation of acid {alpha}-glucosidase from cattle liver can be prevented by protecting the sulphydry-groups (Bruni et al. 1969).

Stimulation of the islet acid {alpha}-glucoside hydrolase transduction system, e.g. by Ca2+ and/or nutrient secretagogues leads to an increased insulin release (Salehi & Lundquist 1993b,c, Lundquist et al. 1996, Salehi et al. 1998b, Mosén et al. 2000). However, apart from Ca2+, no established intracellular messenger molecules associated with activation of the acid {alpha}-glucoside hydrolases and the lysosomal/vacuolar insulin secretory pathway are known. The present results suggest that the recently discovered HO–CO system (Henningsson et al. 1997, 1999, Lundquist et al. 2003, Mosén et al. 2005) might be a likely candidate in this regard. We show here that CO stimulates the acid {alpha}-glucoside hydrolases in islet homogenates and, most important, also in intact islets concomitant with a strong increase in glucose-stimulated insulin release. Since we have previously shown that glucose itself induces the production of CO in isolated islets (Henningsson et al. 1997, 1999, Mosén et al. 2005), it is tempting to suggest that glucose and/or its metabolism stimulates the production of CO, which in turn activates the acid {alpha}-glucoside hydrolases eliciting a vacuolar compartmentalized signal, resulting in free glucose and/or modification of {alpha}-1,4-linked glucose residues in membrane glycoproteins taking part in the complex process of exocytosis. Interestingly, in addition, CO also has stimulatory effects on the activities of acid phosphatase and N-acetyl-ß-D-glucosaminidase when added to intact islets. This might indicate that CO has a general stimulatory or modifying effect on the whole acidic vacuolar compartment of the ß-cell, i.e. secretory granules as well as other lysosomal/vacuolar organelles. Such an explanation would be in accordance with our previous data from the mildly diabetic GK rat, an animal model of type 2 non-obese diabetes, showing that the defective insulin response to glucose might involve an impaired interaction between different organelle constituents within the islet vacuolar system (Salehi et al. 1999) and that this impairment is associated with a greatly reduced CO production in these islets (Mosén et al. 2005).

We have shown previously that the pancreatic islets display an unusually high activity of HO-2 and that the HO-2 protein is expressed in all four major types of islet endocrine cells (Henningsson et al. 1997, 1999, 2000, Alm et al. 1999, Lundquist et al. 2003, Mosén et al. 2005). Moreover, hemin was found to stimulate, while the HO inhibitor Zn-protoporphyrin suppressed glucose-induced insulin release in parallel with the rate of CO production (Henningsson et al. 1997, 1999, Lundquist et al. 2003). Further, the enhancement of glucose-stimulated insulin release induced by hemin could be markedly reduced by the selective guanylate cyclase inhibitor ODQ (Henningsson et al. 1999) suggesting that a major effect of CO on insulin release might be exerted through the guanylate cyclase–cGMP system. The present data in addition showed that the hemin-induced amplification of the insulin response to glucose was associated with increased activities of the acid {alpha}-glucoside hydrolases as well as of acid phosphatase and N-acetyl-ß-D-glucosaminidase. The hemin-induced amplification of glucose-stimulated insulin release and the parallel increase in lysosomal enzyme activities were fully inhibited by ODQ, suggesting that the HO–CO–cGMP system not only amplifies glucose-stimulated insulin release but also has a general stimulating effect on the vacuolar system/lysosomal enzyme activities. However, ODQ added to the incubation medium at high glucose, but in the absence of hemin had only a slight inhibitory effect on glucose-stimulated insulin release and only marginally inhibited some of the lysosomal enzymes. These results thus raised the question whether the HO–CO signalling pathway might affect transduction mechanisms in glucose-stimulated insulin release other than the guanylate cyclase–cGMP system. CO dose-dependently amplified glucose-stimulated insulin release, and the results obtained in the presence of different antagonists against the cAMP (Rp-cAMPS), phospholipase C (bisindolylmaleimide) and cGMP (ODQ) systems, suggested that both the cGMP and the cAMP pathways were involved, while a direct effect on the phospholipase C pathway appeared less likely. The interaction of the HO–CO signalling pathway with the cAMP system was further corroborated by our observation that addition of gaseous CO to islets incubated at high glucose concentration amplified the glucose-stimulated increase in islet cAMP content in parallel with a similar enhancement of insulin release and a still more pronounced increase in islet cGMP content. In contrast, addition of gaseous NO to the incubation medium greatly suppressed the insulin release as well as the islet cAMP content, while the cGMP content was unaffected. These data suggested that the islet cAMP system is highly involved in the HO–CO signalling pathway and that CO, at least at high glucose concentration, has a greater impact than NO on the cGMP system, which at first seems to be at variance with the data from most other tissues (Ingi et al. 1996, Hartsfield 2002). However, it should be noted that endogenous molecules of an indazole nature have been hypothesized to sensitize the soluble guanylate cyclase to CO action (Hartsfield 2002). Although the interaction of NO and CO on the different NO- and CO-synthesizing enzymes is unclear and presently not predictable (Hartsfield 2002), we have found, in isolated islets, that iNOS-derived NO is inclined to stimulate HO-2-derived CO production in the absence of inflammatory processes (Henningsson et al. 2000), while an increased CO production emanating from both HO-1 and HO-2 is associated with iNOS-derived NO production after injection of endotoxin (Henningsson et al. 2001).

Hence, a high HO-derived CO production with the associated formation of the antioxidant bilirubin is probably beneficial as a protective mechanism against the deleterious action of iNOS-derived NO (Eizirik et al. 1996, Henningsson et al. 2001). Moreover, we have previously shown that addition of gaseous CO to islets incubated at high glucose greatly suppressed islet NO production, an effect which was not afflicted by ODQ and thus appeared to be operating independently of the cGMP system (Henningsson et al. 2001). This is consistent with the present data, which show that the inhibition of islet NO production by hemin was mainly exerted on iNOS-derived NO. In this context, it should be emphasized that islets freshly isolated ‘ex vivo’ from both mice and rats display a more than five- to tenfold higher production of CO than NO (Henningsson et al. 1997, 1999, 2000, 2001, 2002, Mosén et al. 2005), a difference that might partly compensate for the low levels of the antioxidant enzymes superoxide dismutase, catalase and glutathione peroxidase in the ß-cell (Mysore et al. 2005).

The present results suggest that the CO-induced amplification of glucose-stimulated insulin release is elicited both through the cGMP and the cAMP pathways, and that an important part of the cGMP effect is transduced through the activation of the acid {alpha}-glucoside hydrolases and the lysosomal/vacuolar system, although an additional direct action of CO on this system cannot be excluded. In contrast to the involvement of the acid {alpha}-glucoside hydrolases in insulin-releasing processes stimulated by glucose, the secretory pathways induced through direct activation of the cAMP or phospholipase C systems seem to operate independently of these enzyme activities (Salehi & Lundquist 1993a,1993b,1993c, Lundquist et al. 1996, Salehi et al. 1998b). In fact, suppression of glucose-stimulated insulin release by the selective {alpha}-glucoside hydrolase inhibitor emiglitate, as well as a dysfunction in the interaction between acidic organelles, could be compensated for by stimulation of the cAMP pathway through the adenylate cyclase activator forskolin (Salehi & Lundquist 1996, Salehi et al. 1999).

The relative importance of the cGMP-acid {alpha}-glucoside hydrolase pathway in relation to the cAMP pathway in CO-stimulated amplification of glucose-stimulated insulin release was shown by the fact that both ODQ and emiglitate suppressed a major part of this amplification, which suggests that cGMP is an important messenger in this context. However, as shown by the present results as well as by previous data (Lundquist et al. 1996, Henningsson et al. 1999) emiglitate greatly reduced the insulin response to glucose in the absence of exogenously added CO, while ODQ had only a minor inhibiting effect. Hence, most likely emiglitate inhibited not only the cGMP signalling pathway, but also the other transduction pathways in glucose-stimulated insulin release. The unique importance of an intact activity of the acid {alpha}-glucoside hydrolases for the insulin response to glucose is emphasized by our previous data showing a pronounced inhibition of glucose-stimulated insulin release both in vitro and in vivo in the presence of selective {alpha}-glucoside hydrolase inhibitors of different chemical nature, such as the deoxynojirimycin derivatives miglitol and emiglitate, the indolizine alkaloid castanospermine and the pseudotetrasaccharide acarbose (Salehi & Lundquist 1993b,c, Salehi et al. 1995, 1998b,, Salehi et al. c, 1999, Lundquist et al. 1996). The notion that acarbose accumulates specifically in the lysosomal/vacuolar system (Salehi et al. 1995, 1999) strengthens the validity of these data. It should be recalled that emiglitate and other selective {alpha}-glucoside hydrolase inhibitors exert their inhibitory effect on glucose-induced insulin release at a distal step in the stimulus-secretion coupling, since they also inhibit insulin release stimulated by nutrients directly entering the mitochondrial metabolism, e.g. leucine and {alpha}-ketoisocaproic acid, (Lundquist et al. 1996) and they do not influence glucose oxidation (Salehi et al. 1995). In contrast, a possible defect in endogenously produced CO is most likely associated with an earlier step in glucose-induced insulin release, since the glucose-stimulated induction of the HO–CO signalling pathway is defective in the islets of the diabetic GK rat, and these islets respond to exogenous CO with a normal amplification of glucose-stimulated insulin release (Mosén et al. 2005).

The present data show that two evolutionary very old messenger molecules, CO and NO, have a profound regulatory influence on glucose-stimulated insulin release and that the vacuole-associated glycogenolytic acid {alpha}-glucoside hydrolases seem to be deeply involved in the action of these gaseous molecules. We have previously proposed that the action of the acid {alpha}-glucoside hydrolases should take place in an acidic milieu at a distal step in the secretory process (Lundquist et al. 1996, Salehi et al. 1999) and probably in association with exocytosis at the entry of Ca2+ in the region of the ß-cell with the highest density of secretory granules (Bokvist et al. 1995). Such a hypothesis is in accordance with the observation in yeast (Ungermann et al. 1999) that vacuole acidification is required for the pairing of the soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) proteins, which take part in the exocytotic process, and that granular acidification is involved in ß-cell exocytosis (Barg et al. 2001). Moreover, this hypothesis is further encouraged by a very recent finding (Yamasaki et al. 2004) that different secretory stimuli use different Ca2+ organelles to elicit unique responses. Thus, in the ß-cell, glucose was found to mobilize Ca2+ from a lysosome-related organelle, while cholinergic stimulation, having no effect on the acid {alpha}-glucoside hydrolases (Salehi & Lundquist 1993a), only used a pathway associated with the endoplasmic reticulum (Yamasaki et al. 2004). Hence, we propose that further studies are required to resolve hitherto overlooked relationships between secretory granules and other acidic organelles in glucose-stimulated exocytosis and the involvement of CO and NO in these processes. It should be noted that it cannot be excluded that a fraction of the acid {alpha}-glucoside hydrolases could be located within the secretory granules themselves. Figure 9Go shows an over-simplified scheme on the proposed interaction of NO, CO and the acid {alpha}-glucoside hydrolases in glucose-stimulated insulin release.


Figure 9
View larger version (22K):
[in this window]
[in a new window]
 
Figure 9 Simplified scheme illustrating the interaction of NO, CO and acid {alpha}-glucoside hydrolases in glucose-stimulated insulin release as suggested from the present results. Whole arrows, stimulation; broken arrows, inhibition. Glucose metabolism leads to generation of ATP and an increase in the ATP/ADP ratio, which causes closure of the KATP+ channels, membrane depolarization, and stimulation of Ca2+ influx (not shown). The resulting increase in [Ca2+]i is the main trigger signal for exocytosis of the secretory granules. An increase in [Ca2+]i also stimulates ncNOS-derived NO formation exerting a negative feedback on insulin release, while stimulation of HO-2 generates CO which amplifies glucose-induced insulin release through activation of cGMP and acid {alpha}-glucoside hydrolases as well as through a direct effect on cAMP. Emiglitate, a selective inhibitor of acid {alpha}-glucoside hydrolases, strongly suppresses glucose-stimulated insulin release. The acid {alpha}-glucoside hydrolases participate in the exocytotic process through a still unclear mechanism and are localized to small acidic organelles and/or within the secretory granules. Islets exposed to high glucose for more than 60 min display expression and activity of iNOS which in the long run might have a deleterious action on secretory function and ß-cell survival. A compensatory increase in HO-2-derived CO antagonizes these effects by suppressing iNOS activity.

 


    Acknowledgements
 
This study was supported by the Swedish Research Council (Grants 14X-4286 and K2006-04X), the Albert Pa °hlsson Foundation, the Magnus Bergvall Foundation, the Crafoord Foundation and the Diabetes Program at the University of Lund. The technical assistance of Britt-Marie Nilsson is gratefully acknowledged. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Akesson B & Lundquist I 1999 Nitric oxide and hydroperoxide affect islet hormone release and Ca(2+) efflux. Endocrine 11 99–107.[CrossRef][ISI][Medline]

Akesson B, Mosén H, Panagiotidis G & Lundquist I 1996 Interaction of the islet nitric oxide system with L-arginine-induced secretion of insulin and glucagon in mice. British Journal of Pharmacology 119 758–764.[ISI][Medline]

Akesson B, Henningsson R, Salehi A & Lundquist I 1999 Islet constitutive nitric oxide synthase and glucose regulation of insulin release in mice. Journal of Endocrinology 163 39–48.[Abstract]

Alderton WK, Cooper CE & Knowles RG 2001 Nitric oxide synthases: structure, function and inhibition. Biochemical Journal 357 593–615.[CrossRef][ISI][Medline]

Alm P, Ekstrom P, Henningsson R & Lundquist I 1999 Morphological evidence for the existence of nitric oxide and carbon monoxide pathways in the rat islets of Langerhans: an immunocytochemical and confocal microscopical study. Diabetologia 42 978–986.[CrossRef][ISI][Medline]

Barg S, Huang P, Eliasson L, Nelson DJ, Obermuller S, Rorsman P, Thevenod F & Renstrom E 2001 Priming of insulin granules for exocytosis by granular Cl(–) uptake and acidification. Journal of Cell Science 114 2145–2154.[Abstract/Free Full Text]

Barrett AJ 1972 A laboratory handbook. In Lysosomes, pp 46–135. Ed JT Dingle. Amsterdam: North-Holland.

Berdeaux A 1993 Nitric oxide: an ubiquitous messenger. Fundamental and Clinical Pharmacology 7 401–411.[ISI][Medline]

Bokvist K, Eliasson L, Ammala C, Renstrom E & Rorsman P 1995 Co-localization of L-type Ca2+ channels and insulin-containing secretory granules and its significance for the initiation of exocytosis in mouse pancreatic ß-cells. EMBO Journal 14 50–57.[ISI][Medline]

Bredt DS & Snyder SH 1989 Nitric oxide mediates glutamate-linked enhancement of cGMP levels in the cerebellum. PNAS 86 9030–9033.[Abstract/Free Full Text]

Bruni CB, Auricchio F & Covelli I 1969 Acid alpha-D-glucosidase glucohydrolase from cattle liver. Isolation and properties. Journal of Biological Chemistry 244 4735–4742.[Abstract/Free Full Text]

Carlberg M 1994 Assay of neuronal nitric oxide synthase by HPLC determination of citrulline. Journal of Neuroscience Methods 52 165–167.[CrossRef][ISI][Medline]

Corbett JA & McDaniel ML 1992 Does nitric oxide mediate autoimmune destruction of beta-cells? Possible therapeutic interventions in IDDM Diabetes 41 897–903.[Abstract]

Corbett JA, Sweetland MA, Wang JL, Lancaster JR Jr & McDaniel ML 1993 Nitric oxide mediates cytokine-induced inhibition of insulin secretion by human islets of Langerhans. PNAS 90 1731–1735.[Abstract/Free Full Text]

Eizirik DL, Flodstrom M, Karlsen AE & Welsh N 1996 The harmony of the spheres: inducible nitric oxide synthase and related genes in pancreatic beta cells. Diabetologia 39 875–890.[ISI][Medline]

Gotoh M, Maki T, Kiyoizumi T, Satomi S & Monaco AP 1985 An improved method for isolation of mouse pancreatic islets. Transplantation 40 437–438.[ISI][Medline]

Gross R, Roye M, Manteghetti M, Hillaire-Buys D & Ribes G 1995 Alterations of insulin response to different beta cell secretagogues and pancreatic vascular resistance induced by N omega-nitro-L-arginine methyl ester. British Journal of Pharmacology 116 1965–1972.[ISI][Medline]

Hartsfield CL 2002 Cross talk between carbon monoxide and nitric oxide. Antioxidants and Redox Signalling 4 301–307.[CrossRef][ISI][Medline]

Heding LG 1966 A simplified insulin radioimmunoassay method. In Labelled Proteins in Tracer Studies, pp 345–350. Eds L Donato, G Milhaud & J Sirchis. Brussels, Belgium: Euratan.

Henningsson R & Lundquist I 1998 Arginine-induced insulin release is decreased and glucagon increased in parallel with islet NO production. American Journal of Physiology 275 E500–E506.[Medline]

Henningsson R, Alm P & Lundquist I 1997 Occurrence and putative hormone regulatory function of a constitutive heme oxygenase in rat pancreatic islets. American Journal of Physiology 273 C703–C709.[Medline]

Henningsson R, Alm P, Ekstrom P & Lundquist I 1999 Heme oxygenase and carbon monoxide: regulatory roles in islet hormone release: a biochemical, immunohistochemical, and confocal microscopic study. Diabetes 48 66–76.[Abstract]

Henningsson R, Alm P, Lindstrom E & Lundquist I 2000 Chronic blockade of NO synthase paradoxically increases islet NO production and modulates islet hormone release. American Journal of Physiology. Endocrinology and Metabolism 279 E95–E107.[Abstract/Free Full Text]

Henningsson R, Alm P & Lundquist I 2001 Evaluation of islet heme oxygenase-CO and nitric oxide synthase-NO pathways during acute endotoxemia. American Journal of Physiology. Cell Physiology 280 C1242–C1254.

Henningsson R, Salehi A & Lundquist I 2002 Role of nitric oxide synthase isoforms in glucose-stimulated insulin release. American Journal of Physiology. Cell Physiology 283 C296–C304.

Ingi T, Cheng J & Ronnett GV 1996 Carbon monoxide: an endogenous modulator of the nitric oxide-cyclic GMP signaling system. Neuron 16 835–842.[CrossRef][ISI][Medline]

Jaffrey SR, Erdjument-Bromage H, Ferris CD, Tempst P & Snyder SH 2001 Protein S-nitrosylation: a physiological signal for neuronal nitric oxide. Nature Cell Biology 3 193–197.[CrossRef][ISI][Medline]

Jimenez-Feltstrom J, Lundquist I, Obermuller S & Salehi A 2004 Insulin feedback actions: complex effects involving isoforms of islet nitric oxide synthase. Regulatory Peptides 122 109–118.[CrossRef][ISI][Medline]

Jimenez-Feltstrom J, Lundquist I & Salehi A 2005 Glucose stimulates the expression and activities of nitric oxide synthases in incubated rat islets: an effect counteracted by GLP-1 through the cyclic AMP/PKA pathway. Cell and Tissue Research 319 221–230.[CrossRef][ISI][Medline]

Knowles RG & Moncada S 1994 Nitric oxide synthases in mammals. Biochemical Journal 298 249–258.[ISI][Medline]

Lowry OH, Rosebrough NJ, Farr AL & Randall RJ 1951 Protein measurement with the Folin phenol reagent. Journal of Biological Chemistry 193 265–275.[Free Full Text]

Lundquist I 1971 Method for determination of acid amyloglucosidase in isolated islets of the pancreas. Enzyme 12 647–657.[ISI][Medline]

Lundquist I 1985 Lysosomal enzyme activities in pancreatic islets from normal and obese hyperglycemic mice. Metabolism 34 1–9.[CrossRef][ISI][Medline]

Lundquist I 1986 Islet amyloglucosidase activity: some characteristics, and its relation to insulin secretion stimulated by various secretagogues. Diabetes Research 3 31–41.[ISI][Medline]

Lundquist I & Panagiotidis G 1992 The relationship of islet amyloglucosidase activity and glucose-induced insulin secretion. Pancreas 7 352–357.[ISI][Medline]

Lundquist I, Panagiotidis G & Salehi A 1996 Islet acid glucan-1,4-alpha-glucosidase: a putative key enzyme in nutrient-stimulated insulin secretion. Endocrinology 137 1219–1225.[Abstract]

Lundquist I, Alm P, Salehi A, Henningsson R, Grapengiesser E & Hellman B 2003 Carbon monoxide stimulates insulin release and propagates Ca2+ signals between pancreatic beta-cells. American Journal of Physiology. Endocrinology and Metabolism 285 E1055–E1063.[Abstract/Free Full Text]

Maines MD 1988 Heme oxygenase: function, multiplicity, regulatory mechanisms, and clinical applications. FASEB Journal 2 2557–2568.[Abstract]

Mandrup-Poulsen T 1996 The role of interleukin-1 in the pathogenesis of IDDM. Diabetologia 39 1005–1029.[Medline]

Marks GS 1994 Heme oxygenase: the physiological role of one of its metabolites, carbon monoxide and interactions with zinc protoporphyrin, cobalt protoporphyrin and other metalloporphyrins. Cellular and Molecular Biology (Noisy-le-Grand, France) 40 863–870.[ISI][Medline]

McDaniel ML, Kwon G, Hill JR, Marshall CA & Corbett JA 1996 Cytokines and nitric oxide in islet inflammation and diabetes. Proceedings of the Society for Experimental Biology and Medicine 211 24–32.[Abstract]

Moncada S, Palmer RM & Higgs EA 1991 Nitric oxide: physiology, pathophysiology, and pharmacology. Pharmacological Reviews 43 109–142.[ISI][Medline]

Mosén H, Salehi A & Lundquist I 2000 Nitric oxide, islet acid glucan-1,4-alpha-glucosidase activity and nutrient-stimulated insulin secretion. Journal of Endocrinology 165 293–300.[Abstract]

Mosén H, Salehi A, Alm P, Henningsson R, Jimenez-Feltstrom J, Ostenson CG, Efendic S & Lundquist I 2005 Defective glucose-stimulated insulin release in the diabetic Goto-Kakizaki (GK) rat coincides with reduced activityof the islet carbon monoxide signaling pathway. Endocrinology 146 1553–1558.[Abstract/Free Full Text]

Mysore TB, Shinkel TA, Collins J, Salvaris EJ, Fisicaro N, Murray-Segal LJ, Johnson LE, Lepore DA, Walters SN, Stokes R et al. 2005 Overexpression of glutathione peroxidase with two isoforms of superoxide dismutase protects mouse islets from oxidative injury and improves islet graft function. Diabetes 54 2109–2116.[Abstract/Free Full Text]

Panagiotidis G, Alm P & Lundquist I 1992 Inhibition of islet nitric oxide synthase increases arginine-induced insulin release. European Journal of Pharmacology 229 277–278.[CrossRef][ISI][Medline]

Panagiotidis G, Akesson B, Alm P & Lundquist I 1994 The nitric oxide system in the endocrine pancreas induces differential effects on the secretion of insulin and glucagon. Endocrine 2 787–792.

Panagiotidis G, Akesson B, Rydell EL & Lundquist I 1995 Influence of nitric oxide synthase inhibition, nitric oxide and hydroperoxide on insulin release induced by various secretagogues. British Journal of Pharmacology 114 289–296.[ISI][Medline]

Pazur JH & Kleppe K 1962 The hydrolysis of alpha-D-glucosides by amyloglucosidase from Aspergillus niger. Journal of Biological Chemistry 237 1002–1006.[Free Full Text]

Salehi A & Lundquist I 1993a Changes in islet glucan-1,4-alpha-glucosidase activity modulate sulphonylurea-induced but not cholinergic insulin secretion. European Journal of Pharmacology 243 185–191.[CrossRef][ISI][Medline]

Salehi A & Lundquist I 1993b Islet glucan-1,4-alpha-glucosidase: differential influence on insulin secretion induced by glucose and isobutylmethyl-xanthine in mice. Journal of Endocrinology 138 391–400.[Abstract]

Salehi A & Lundquist I 1993c Ca2+ deficiency, selective alpha-glucosidehydrolase inhibition, and insulin secretion. American Journal of Physiology 265 E1–E9.[Medline]

Salehi A & Lundquist I 1993d Islet lysosomal enzyme activities and glucose-induced insulin secretion: effects of mannoheptulose, 2-deoxyglucose and clonidine. Pharmacology 46 155–163.[ISI][Medline]

Salehi A & Lundquist I 1996 Modulation of islet G-proteins, alpha-glucosidehydrolase inhibition and insulin release stimulated by various secretagogues. Bioscience Reports 16 23–34.[CrossRef][ISI][Medline]

Salehi A, Panagiotidis G, Borg LA & Lundquist I 1995 The pseudotetrasaccharide acarbose inhibits pancreatic islet glucan-1,4-alpha-glucosidase activity in parallel with a suppressive action on glucose-induced insulin release. Diabetes 44 830–836.[Abstract]

Salehi A, Carlberg M, Henningson R & Lundquist I 1996 Islet constitutive nitric oxide synthase: biochemical determination and regulatory function. American Journal of Physiology 270 C1634–C1641.[Medline]

Salehi A, Parandeh F & Lundquist I 1998a Signal transduction in islet hormone release: interaction of nitric oxide with basal and nutrient-induced hormone responses. Cellular Signalling 10 645–651.[CrossRef][ISI][Medline]

Salehi A, Mosén H & Lundquist I 1998b Insulin release transduction mechanism through acid glucan 1,4-alpha-glucosidase activation is Ca2+ regulated. American Journal of Physiology 274 E459–E468.[Medline]

Salehi A, Mosén H, Linell M & Lundquist I 1998c Castanospermine inhibits islet lysosomal acid glucan-1,4-{alpha}-glucosidase activity and glucose stimulated insulin release in parallel. Pharmacological Reviews and Communications 10 165–173.

Salehi A, Henningsson R, Mosén H, Ostenson CG, Efendic S & Lundquist I 1999 Dysfunction of the islet lysosomal system conveys impairment of glucose-induced insulin release in the diabetic GK rat. Endocrinology 140 3045–3053.[Abstract/Free Full Text]

Salehi A, Ekelund M, Henningsson R & Lundquist I 2001 Total parenteral nutrition modulates hormone release by stimulating expression and activity of inducible nitric oxide synthase in rat pancreatic islets. Endocrine 16 97–104.[CrossRef][ISI][Medline]

Salehi A, Ekelund M & Lundquist I 2003 Total parenteral nutrition-stimulated activity of inducible nitric oxide synthase in rat pancreatic islets is suppressed by glucagon-like peptide-1. Hormone and Metabolic Research 35 48–54.[CrossRef][ISI][Medline]

Schmidt HH, Warner TD, Ishii K, Sheng H & Murad F 1992 Insulin secretion from pancreatic ß cells caused by L-arginine-derived nitrogen oxides. Science 255 721–723.[Abstract/Free Full Text]

Smith EE, T