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Endocrinology Vol. 138, No. 6 2359-2364
Copyright © 1997 by The Endocrine Society


ARTICLES

Correlation of the Activation of Ca2+/Calmodulin-Dependent Protein Kinase II with the Initiation of Insulin Secretion from Perifused Pancreatic Islets1

Richard A. Easom, Natalie R. Filler, Emma M. Ings, Jim Tarpley and Michael Landt

Department of Biochemistry and Molecular Biology (R.A.E., N.R.F., E.M.I., J.T.), University of North Texas Health Science Center at Fort Worth, Fort Worth, Texas 76107-2699; and Department of Pediatrics (M.L.), Washington University School of Medicine, St. Louis, Missouri 63110

Address all correspondence and requests for reprints to: Richard A. Easom, Department of Biochemistry and Molecular Biology, University of North Texas Health Science Center at Fort Worth, 3500 Camp Bowie Boulevard, Fort Worth, Texas 76107-2699. E-mail: reasom{at}hsc.unt.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
An experimental procedure has been designed to permit the simultaneous assessment of the activation status of the multifunctional Ca2+/calmodulin-dependent protein kinase II (CaM kinase II) with insulin secretion in perifused islets. By this procedure, the activation of CaM kinase II by glucose correlated closely with the initial and sustained phases of insulin secretion within a 30-min test period. By contrast, islets (160–200/tube) in static incubations neither supported second-phase insulin secretion nor CaM kinase II activation beyond 10–15 min. This was not the result of the accumulation of insulin, because the introduction of insulin (40–160 ng/ml) into the perifusion medium failed to mimic the suppression of glucose-induced insulin secretion or CaM kinase II activation. A similar addition of SRIF (0.01–1 µM) or epinephrine (1 µM) profoundly suppressed insulin secretion although failing to significantly influence CaM kinase II activation. Finally, on withdrawal of glucose from perifused islets, insulin secretion rapidly returned to basal rates, but CaM kinase II deactivation was significantly delayed. The correlation of kinase activation with the initiation of insulin secretion suggests that CaM kinase II may be important in the regulation of glucose-induced insulin secretion. The observed dissociation of these parameters in the presence of inhibitory hormones or after the withdrawal of a glucose stimulus, however, suggests that the kinase is not directly involved in the final steps of insulin exocytosis.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A PRIMARY response of the ß-cell to D-glucose is to increase the intracellular concentration of Ca2+ (1, 2). This is achieved primarily by the promotion of Ca2+ influx (3, 4), although there is also evidence that the mobilization from intracellular stores may contribute to the increase (5). Although intense investigation has established the roles of glucose metabolism and various ion channels in this process (6, 7), the mechanism by which Ca2+ stimulates exocytosis from the ß-cell is largely unknown.

It has been hypothesized that the activation of Ca2+/calmodulin-dependent protein kinases (CaM kinases) function in the initiation of insulin release (8, 9, 10). Included in this group is the multifunctional CaM kinase II, which has been shown to be present (11, 12) and activated (13) by glucose in isolated rat islets. Despite numerous attempts to link this enzyme with insulin secretion via correlative studies or by the use of putative inhibitors of CaM kinase II, current evidence of a role of this kinase is ambiguous. Although glucose activation of CaM kinase II correlates with insulin secretion, at least with respect to glucose concentration (13), other experimental results suggest that these cellular events may be independent of each other. For example, exposure of islets to the muscarinic agonist, carbachol, in the presence of stimulatory concentrations of glucose, suppresses the activation of CaM kinase II while potentiating insulin secretion (14). Moreover, though several reports have documented that the putative inhibitor of CaM kinase II, KN-62 (15), inhibits glucose- and nutrient-induced insulin secretion from isolated islets (16, 17) or cultured ß-cells (18), other studies have shown that KN-62 does not inhibit Ca2+-induced insulin secretion from permeabilized ß-cells (18). Studies using intact cells are further complicated by the reported effect of KN-62 to inhibit Ca2+ channel activity (18, 19).

The suggestion that CaM kinase II activation and insulin secretion may be dissociated has major implications with respect to the role of this enzyme in the exocytotic process. This has prompted a direct analysis of the temporal correlation of glucose-induced kinase activation and insulin secretion in conditions where both could be measured simultaneously. Such conditions have been achieved using a perifusion technique in which isolated rat islets are immobilized on a hydrophilic membrane to allow their recovery at any given time. The analysis of the insulin content of the perifusate has thus permitted the direct measurement of the rate of insulin secretion at the moment of kinase assay. This analysis has provided convincing data for the association of CaM kinase II activation with the initiation of insulin secretion but suggests that kinase deactivation lags the cessation of secretion on the removal of stimulus.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Male Wistar rats were purchased from Harlan Sprague-Dawley (Indianapolis, IN) and maintained on Tekland Rodent Diet (Indianapolis, IN) ad libitum for 7–10 days before use. CMRL-1066, glutamine, streptomycin, and FBS were purchased from Life Technologies (Gaithersburg, MD), and HBSS was from Biowhittaker (Walkersville, MD). Ficoll, ATP (disodium salt), SRIF, bovine insulin, and leupeptin were purchased from Sigma Chemical Co. (St. Louis, MO). Collagenase P was purchased from Boehringer Mannheim (Indianapolis, IN) and glucose (Dextrose) was from the National Bureau of Standards (Gaithersburg, MD). [{gamma}-32P]ATP was purchased from NEN Research Chemicals (DuPont, Boston, MA). Autocamtide-2, sequence KKALRRQETVDAL (20), was synthesized by Bio-Synthesis, Inc. (Lewisville, TX). All other chemicals were of the finest reagent grade available.

Isolation of islets
Pancreatic islets were isolated from male rats (250–350g) by collagenase P digestion and subsequent enrichment by centrifugation on a Ficoll gradient as described previously (14). After isolation, islets were cultured for at least 1 h in CMRL-1066 containing 5.5 mM glucose and supplemented with 2 mM L-glutamine, 10% heat-inactivated FBS at 24 C under an atmosphere of 95% air/5% CO2. Animal maintenance and surgical procedures were conducted in accordance with an Institutional Animal Care and Use Committee-approved protocol (University of North Texas Health Science Center at Fort Worth).

Insulin secretion models
Static secretion.
For static secretion experiments, islets (160–200 per tube) were counted into polypropylene microcentrifuge tubes and preincubated for 15 min at 37 C in Krebs-Ringer-Bicarbonate (KRB) basal medium (25 mM HEPES, pH 7.4, 115 mM NaCl, 24 mM NaHCO3, 5 mM KCl, 2.5 mM CaCl2, 1 mM MgCl2) containing 3 mM glucose and 0.1% BSA (500 µl) under an atmosphere of oxygen/CO2 (95/5%). The medium was then replaced with fresh KRB basal medium (3 mM glucose) or KRB medium supplemented with 17 mM glucose, and the incubation continued for the indicated times. Incubations were terminated by brief centrifugation (7000 x g, 5 sec) and supernatants recovered for the analysis of insulin content by double-antibody RIA (21). The pelleted islets were washed once in 500 ml ice-cold homogenization buffer (20 mM Tris-HCl, pH 7.5, 0.5 mM EGTA, 1.0 mM EDTA, 2.0 mM dithiothreitol, 10 mM sodium pyrophosphate, 0.4 mM ammonium molybdate) and homogenized by sonication (10 pulses, setting 3, 30% duty cycle) in 50 ml homogenization buffer supplemented with 100 µg/ml leupeptin. The resulting homogenate was used for the assay of CaM kinase II activation.

Perifusion.
Islets (150–200 per chamber) were placed on hydrophilic 13-mm polycarbonate cyclopore filters (Whatman, Fairfield, NJ) in Swinnex chambers (Whatman) and perifused with KRB basal medium (3 mM glucose) at 1 ml/min for 30 min at 37 C. The perifusion was then continued with either the same medium or KRB medium containing 17 mM glucose. The perifusate was collected in 1- to 5-ml fractions and analyzed for insulin or C-peptide content by RIA (21, 22). At the indicated time, the perifusion was terminated, and the islets were recovered from the filter by washing twice with ice-cold homogenization buffer containing 1 mg/ml BSA. The islets were further harvested by centrifugation and homogenized as described above.

Assay of CaM kinase II activity
CaM kinase II activity was assayed using the determination of 32P incorporation into an exogenously added selective peptide substrate, autocamtide-2, by a method described previously (14). CaM kinase II activity was assayed in a reaction mixture containing 50 mM piperazine diethanesulfonic acid, pH 7.0, 10 mM MgCl2, 0.1 mg/ml BSA (fraction V), 10 µM autocamtide-2, 20 µM ATP (specific activity, 40 Ci/mmol), and either 0.5 mM CaCl2/5 µg/ml calmodulin for Ca2+-stimulated activity or 0.9 mM EGTA for Ca2+-independent activity. Total reaction vol was 50 µl. The assay was initiated by the addition of 10 µl of islet homogenate and continued for 30 sec at 30 C before termination by the addition of ice-cold trichloroacetic acid (25 µl, 15%). After centrifugation (12,000 x g, 1 min), 35 µl of the resulting supernatant was spotted onto 3 cm by 0.5-cm strips of phosphocellulose paper (Whatman P81), washed 5 times in 500 ml distilled H2O, and dried at 110 C for 15 min. 32Pi incorporation into autocamtide-2 was determined by Cerenkov radiation (Beckman Instruments, Inc., Fullerton, CA). In the described experiments, 32Pi incorporation into autocamtide-2 in the absence of Ca2+/calmodulin (autonomous CaM kinase II activity) is expressed as percentage of incorporation in the presence of these cofactors (Ca2+-dependent CaM kinase II activity). Because autonomous activity is a property of autophosphorylated, activated CaM kinase II (23), this ratio was used as a measure of enzyme activation.

Statistical treatment of data
Data are presented as mean ± SE determined from at least three independent observations, unless otherwise stated. Where indicated, statistical significance was assessed by a Student’s t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The perifusion of isolated rat islets with stimulatory concentrations of glucose induced an initial burst of insulin secretion that peaked at 3 min (first phase) followed by a transient nadir at 6–7 min and a steady increase in insulin secretion that was sustained for the period of stimulation (30 min, second phase) (Fig. 1AGo). This pattern of secretion was similar to that reported previously (24, 25). To correlate CaM kinase II activation with biphasic hormone release, islets were recovered from the perifusion chambers at various time points subsequent to the introduction of stimulatory glucose concentrations (17 mM) and the amount of CaM kinase II in an autonomous, autophosphorylated form determined. As demonstrated in Fig. 1BGo, glucose (17 mM) induced the activation of CaM kinase II with a temporal profile that was very similar to insulin secretion from the same islets. Before stimulation, the ratio of autonomous to Ca2+-dependent CaM kinase II activity was determined to be 16.14 ± 2.89% of CaM kinase II, and this ratio did not change significantly throughout the period of incubation in the presence of basal (3 mM) glucose. On exposure to stimulatory concentrations of glucose (17 mM), the activation state of CaM kinase II increased rapidly to 31.89 ± 2.86% by 3 min and then onto 39.42 ± 4.52% at 30 min. A closer analysis suggested that enzyme activation also was biphasic, although the observed nadir in activation state was not statistically significant from the peak activation at 3 min. Nevertheless, Fig. 1CGo demonstrates that the temporal profiles of insulin secretion and CaM kinase II activation were, for the most part, superimposable, suggesting that the two processes are closely related.



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Figure 1. Correlation of the activation of CaM kinase II by glucose with the initiation of insulin secretion in perifused rat islets. A and B, Islets (150–200/chamber) were preperifused with basal KRB containing 3 mM glucose for 30 min. At the indicated arrow, islets were perifused with the same medium ({circ}) or KRB containing 17 mM glucose (•). Perifusates (1–5 ml) were collected for the determination of insulin content (A). At the indicated times, islets were recovered from selected chambers, homogenized, and assayed for CaM kinase II activation (B). C, Panels A and B have been superimposed to illustrate the correlation of the two parameters.

 
The sustained activation of CaM kinase II observed in this study was in marked contrast to the monophasic activation profile observed previously using static incubation of islets (13) and reproduced in the current study (Fig. 2AGo). Because of this disparity, it was of interest to study the temporal profile of insulin secretion from islets incubated in a static medium. As demonstrated in Fig. 2BGo, under these conditions the absolute amount of insulin secreted increased rapidly on the introduction of stimulatory concentrations of glucose (17 mM at time zero), such that approximately 15 µU was released in the first 3 min. The amounts of insulin accumulated between subsequent time points was not, however, consistent. For example, only a net 2 µU of insulin was secreted as the incubation was extended from 15 min to 20 min (Fig. 2BGo). These differences are revealed in an additional plot of the calculated rate of secretion between the time increments (Fig. 2CGo). A maximal secretion rate was achieved during the first 3 min, followed by a transient return of secretion rates to the basal level at 6 min. This initial burst of secretion likely corresponded to the first phase of secretion observed in islet perifusion (see Fig. 1Go). This was followed by a second burst of secretion that peaked at 10 min. However, unlike the steady incline of secretion rates observed from perifused islets, this phase was characterized by a marked decline of secretion such that by 20 min, the rate of secretion was not significantly different from that observed under basal glucose concentrations. This observation suggests that insulin secretion from statically incubated islets was biphasic but that the second phase of secretion was prohibited beyond 10 min, even in the presence of stimulatory concentrations of glucose. Interestingly, this prohibition of secretion correlated with the observed decline in CaM kinase II activation under similar conditions (Fig. 2AGo), though the temporal pattern of kinase activation did not include a clear second phase in these static secretion conditions.



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Figure 2. Correlation of glucose activation of CaM kinase II (A) with insulin secretion (B and C) from static incubations of islets. Islets (160–200/tube) were incubated at 37 C with 3 mM ({circ}) or (•) 17 mM glucose KRB (0.5 ml) for the indicated times. A, Islets were homogenized and assayed for CaM kinase II activation; B, the insulin content of the incubation medium was determined by RIA; C, the increment in insulin accumulation has been divided by the time elapsed between the appropriate points and plotted against time.

 
Initially, it was reasoned that the accumulation of insulin within the medium may feedback-inhibit both insulin secretion and CaM kinase II activation in static incubations. To test this hypothesis in perifusion experiments, insulin at concentrations of 40, 80, and 160 ng/ml was introduced to the perifusion medium 15 min after glucose addition and the effect on hormone release and CaM kinase II activation state evaluated. As indicated in Fig. 3Go, this treatment caused no inhibition of the second phase of insulin secretion, indirectly determined by the measurement of secreted C-peptide, despite being added at concentrations likely to be representative of hormone accumulation in static incubations. The introduction of insulin tended to potentiate C-peptide accumulation, although this was likely the result of an observed incremental affect to slow the perifusion rate. The activation of CaM kinase II by glucose was not influenced in these conditions in perifused islets (Fig. 3BGo), suggesting that insulin accumulation did not account for the observed suppression of kinase activation in static islet incubations.



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Figure 3. Effect of insulin on glucose-induced C-peptide release and activation of CaM kinase II. Islets (160–200/chamber) were perifused with basal KRB for 30 min and then with 17 mM glucose for the remaining time. At 40 min (indicated by the arrow), bovine insulin at the indicated concentrations (or control) was added. A, The collected perifusate (1–5 ml) was analyzed for C-peptide content by RIA; B, islets were recovered from chambers at 70 min and assayed for CaM kinase II activity.

 
Because SRIF also is secreted from {delta}-cells of the pancreatic islet and is known to inhibit insulin secretion (26, 27), similar experiments were performed to test the hypothesis that the accumulation of this hormone accounted for the decline in insulin secretion and CaM kinase II activation. As shown in Fig. 4AGo, the introduction of 1 µM SRIF, 15 min subsequent to the exposure of islets to 17 mM glucose, rapidly decreased insulin secretion, reaching a maximal inhibition of approximately 70%. By contrast, SRIF had no significant effect on glucose activation of CaM kinase II (Fig. 4BGo). In additional experiments, SRIF (0–1 µM) dose-dependently inhibited the onset of insulin secretion but had no significant effect on glucose activation of CaM kinase II determined at 3 min after the addition of glucose (data not shown). These results suggest that neither insulin nor SRIF account, in toto, for the observed suppression of insulin secretion or CaM kinase II activation, although it is possible that SRIF contributed to the suppression of insulin secretion.



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Figure 4. Effect of SRIF on glucose-induced insulin release and activation of CaM kinase II. Islets (160–200/chamber) were perifused with basal KRB for 30 min and then with 17 mM glucose for the remaining period. At 45 min, SRIF at concentrations of 0–1 µM was added to the medium. A, The collected perifusate (1–5 ml) was analyzed for insulin content by RIA. Only the effect of 1 µM SRIF is illustrated. B, Islets were recovered from chambers at 75 min and assayed for CaM kinase II activity.

 
The sites of action of SRIF in the ß-cell are not fully known but likely include: 1) the modulation of membrane polarization resulting in decreases in cytoplasmic Ca2+ concentration in the presence of a stimulus (26); and/or 2) an unidentified exocytotic regulation point, possibly an exocytotic G-protein (Ge) (27, 28). The inhibitory effects elicited by SRIF are similarly induced by the {alpha}2-adrenergic agonist, epinephrine (Epi) (28), and so the ability of this hormone to alter CaM kinase II activation also was studied. As demonstrated in Fig. 5AGo, Epi totally reversed glucose-induced insulin secretion, when added 10 min subsequent to the initiation of secretion, by the addition of stimulatory concentrations of glucose. As observed for SRIF, this concentration of Epi only modestly decreased the activation status of CaM kinase II (Fig. 5BGo, P > 0.05). These observations suggest that insulin secretion and CaM kinase II, though showing similarities with respect to the initiation of insulin secretion, can be dissociated and that this dissociation may occur with respect to the exocytotic site.



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Figure 5. Effect of Epi on glucose-induced insulin release and activation of CaM kinase II. Islets (160–200/chamber) were perifused with basal KRB for 30 min and then with 17 mM glucose for the remaining period. At 40 min, 1 µM was added to the medium. A, The collected perifusate (1–5 ml) was analyzed for insulin content by RIA. Only the effect of 1 µM SRIF is illustrated. B, Islets were recovered from chambers at 70 min and assayed for CaM kinase II activity.

 
In a final series of experiments, the relationship between CaM kinase II activation and insulin secretion was evaluated after the withdrawal of a glucose stimulus. As demonstrated in Fig. 6Go, insulin secretion declined rapidly after the withdrawal of stimulatory concentrations of glucose from the perifusion medium. By 3 min, a 50% reversal of secretion was observed, and basal secretion rates were achieved by 15 min. In contrast, a maximal level of CaM kinase II activation (i.e. 50% autonomous) was maintained for at least 5 min subsequent to the withdrawal of glucose. Only then was enzyme deactivation observed such that greater than 90% reversal was achieved by 30 min, a time significantly longer than that required for the reversal of insulin secretion. These observations again suggest that although insulin secretion and CaM kinase II may be similar in activation profile, these parameters may be dissociated at the point of exocytosis.



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Figure 6. Differential temporal profile of insulin secretion and CaM kinase II deactivation after the withdrawal of glucose. Islets (160–200/chamber) were perifused with basal KRB for 30 min and then with 3 mM ({circ}, {triangledown}) or 17 mM (•,{blacktriangledown}) glucose (Glc) for 15 min. The last 5 min of this period is represented by time -5 to 0. The perifusion medium was then switched back to 3 mM and the incubation continued. During this period (0–30 min), insulin content of the perifusate (circles) and activation state of CaM kinase II (triangles) were analyzed at the indicated times.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Classically, insulin secretion from isolated islets in vitro has been assessed using one of two experimental models, the determination of the insulin content of 1) a volume of medium in which islets have been statically incubated for a given test period; or 2) a medium that has been passed over islets immobilized on some matrix support. This latter procedure is technically more challenging but provides a dynamic view of secretion in which first and second phases of insulin secretion are observed and, as such, resemble physiological secretion from the intact pancreas in vivo (29). The current study demonstrates that distinct temporal profiles of insulin secretion are supported by the different techniques. Most importantly, these data demonstrate that insulin secretion, at least with numbers of islets greater than 150 islets/tube, is not supported for longer that a few minutes in static incubations, despite the continued incubation in stimulatory concentrations of glucose. The observed profound suppression of second-phase secretion in the static model was suggestive of the accumulation of a feedback inhibitory factor. However, these data suggest that it was not the result of the accumulation of insulin, because the introduction of insulin to the medium failed to suppress glucose-induced insulin in the perifusion model. The partial suppression of secretion observed on the introduction of a high concentration of SRIF suggests that glucose-induced accumulation of this hormone in static incubations may have contributed to (though not be totally responsible for) this phenomenon. It is considered likely that additional factors, such as localized regions of anoxia or glucose depletion, contributed to the observed suppression of secretion. Independent of the mechanism, it is important to note that a static incubation of islets may not produce a true quantitation of hormone release, particularly when a relatively large number of islets are employed.

In a general sense, the activation of CaM kinase II was found to correlate closely with insulin secretion. By perifusion, the activation of CaM kinase II coincided with the onset of hormone release, and for the most part, the two time profiles were superimposable, even to the extent that kinase activation seemed biphasic, although not in a manner that could be statistically established. This close temporal correlation suggests that these cellular events are associated and constitutes evidence in support of a function of CaM kinase II in the insulin secretion process. Furthermore, this temporal profile, particularly with respect to sustained kinase activation that correlated with the second phase of insulin secretion, was distinct from the monophasic-like profile observed from static incubation of islets, in which kinase activation was steadily repressed after 5 min of stimulation (see Fig. 2Go and 13 . It is interesting to note, therefore, that both kinase activation and insulin secretion were suppressed in static incubations after a 5- to 10-min period of stimulation. Although there is no direct evidence for a cause-effect relationship between these two parameters, it is tempting to speculate that the activation of CaM kinase II is required for insulin secretion and that the observed suppression of secretion is the result of inhibition of this enzyme.

Interpretation of the observed dissociation of CaM kinase II activation and insulin secretion in the presence of SRIF or Epi, or after glucose withdrawal, are less straightforward. At a cursory level, the observed ability of Epi and SRIF to profoundly suppress glucose-induced insulin secretion by more than 95% and more than 70%, respectively, without any significant effect on kinase activation, could be taken as evidence that CaM kinase II has no functional role in the insulin secretory process. Indeed, it should be recognized that insulin secretion can be elicited by mechanisms independent of the elevation of intracellular Ca2+ (30). An alternative explanation, however, could be that the targets of these secretory antagonists are cellular components distal to the activation of CaM kinase II by Ca2+. This explanation is supported by a substantial amount of evidence to suggest that these hormones directly interfere with exocytosis through the modulation of G-proteins (Gi or possibly Go) (26, 30, 31). Other reported effects of these hormones to promote membrane repolarization and ultimately decrease cytosolic Ca2+ concentrations (32) may not be of sufficient magnitude to affect the activation state of CaM kinase II.

The rapid return of insulin secretion to baseline rates after the withdrawal of a glucose stimulus, indicates that this nutrient tightly controls the final stages of exocytosis (i.e. secretory granule fusion and content release into the extracellular medium). The observed delay in CaM kinase II deactivation (by 5–10 min) eliminates the involvement of autonomous kinase activity in these events but is consistent with a potential involvement of this enzyme to regulate upstream events that represent the ATP-dependent steps of insulin exocytosis (30), as previously proposed by Ammala et al. (19). The movement of secretory granules to preexocytotic sites is thought to involve both microtubule and microfilament components of the cytoskeleton (33, 34, 35, 36). It is of interest, therefore, that calmodulin-dependent kinases have been reported to be associated with this cellular structure (9) and mediate Ca2+-induced phosphorylation of cytoskeletal or vesicle-associated components, such as microtubule-associated protein-2 (37) and synapsin I (38, 39), in intact or permeabilized ß-cells. It is conceivable, therefore, that the activation of CaM kinase II regulates movement of nascent secretory granules to the exocytosis site via the modulation of microtubule dynamics. This process would be envisaged to be activated immediately on stimulation of the cell but, ideally, would be required further to continue past the termination of the stimulus to permit the restocking of pools of granules strategically stored in close proximity to the plasma membrane for immediate release on cell stimulation. The property of CaM kinase II to convert, on activation, to a Ca2+-independent, autonomous form that will continue to phosphorylate and modulate the function of substrates, despite the elimination of stimulatory second messengers (40, 41, 42), perfectly equips this enzyme for such a role.


    Footnotes
 
1 This work was supported by NIH Grant DK-47925 (to R.A.E.). Back

Received January 9, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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