Endocrinology Vol. 142, No. 5 1744-1751
Copyright © 2001 by The Endocrine Society
Proteasomal Activation Mediates Down-Regulation of Inositol 1,4,5-Trisphosphate Receptor and Calcium Mobilization in Rat Pancreatic Islets1
Bumsup Lee2,
Wenlin Gai and
Suzanne G. Laychock
Department of Pharmacology and Toxicology, School of Medicine and
Biomedical Sciences, State University of New York at Buffalo, Buffalo,
New York 14214
Address all correspondence and requests for reprints to: Dr. S. Laychock, 102 Farber Hall, Department of Pharmacology and Toxicology, State University of New York at Buffalo, School of Medicine, Buffalo, New York 14214[hyphen3000. E-mail: laychock{at}acsu.buffalo.edu
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Abstract
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Inositol 1,4,5-trisphosphate receptor (IP3R) protein levels in isolated
rat pancreatic islets were investigated in response to carbachol (CCh)
and sulfated cholecystokinin 2633 amide stimulation. Within 2 h,
CCh reduced IP3R-I protein levels by 22% and IP3R-II and -III levels
to 65% or more below basal. Sulfated cholecystokinin 2633 amide
decreased the levels of IP3R-I, -II, and -III by 34%, 60%, and 66%
below basal, respectively. The effect of CCh was concentration- and
time-dependent, with a persistent decline in IP3R levels for up to
6 h after the onset of stimulation. CCh-pretreated islets also
showed an inhibition of glucose-stimulated insulin secretion.
Proteasome inhibition completely blocked the down-regulatory effects of
CCh on IP3Rs and significantly increased the insulin secretory response
to glucose stimulation in the presence of CCh. Islet stimulation by
glucose,
-ketoisocaproic acid, and tolbutamide completely protected
IP3Rs against the down-regulatory effects of CCh. 2-deoxyglucose and
3-O-methyl glucose failed to affect CCh-induced IP3R down-regulation.
The protective effects of glucose on IP3R down-regulation were
completely inhibited by the Ca2+ channel-blocking agent
nimodipine. Intracellular Ca2+
([Ca2+]i) levels in Fura-2 (fluorescent
Ca2+ indicator)-loaded islets, in the absence of
extracellular Ca2+, increased in response to glucose
stimulation; but in islets pretreated with CCh, glucose did not
increase [Ca2+]i above basal levels. However,
in islets pretreated with CCh and the proteasomal inhibitor MG-132
(carbobenzoxyl-leucinyl-leucinyl-leucinyl-H), the
glucose-stimulated increase in [Ca2+]i was
significantly higher than the change observed for glucose-stimulated
[Ca2+]i in the absence of MG-132. The results
suggest that muscarinic receptor stimulation modulates IP3R protein
levels in islets through a proteasomal activation pathway, and that
down-regulation of IP3Rs has a profound effect on Ca2+
mobilization in islets that may relate to insulin secretory
responsiveness.
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Introduction
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THE INOSITOL 1,4,5-TRISPHOSPHATE (IP3)
receptor (IP3R) is an integral ligand-activated
Ca2+-selective channel found in many tissues
(1, 2), including the pancreatic islet ß-cell
(3). After receptor binding by the secondmessenger
IP3, intracellular Ca2+
([Ca2+]i) is mobilized
from intracellular stores. There are three mammalian IP3R isoforms
(types IIII), all of which have been identified in the rat
pancreatic islet and ß-cell lines (3). Regulation of
transcriptional activation of messenger RNA (mRNA) for IP3R-III has
been reported to be an early response to glucose stimulation in islets,
and IP3R-III levels were reported to increase shortly thereafter
(4). In contrast, long-term glucose stimulation, both
in vivo and in vitro, has also been associated
with differential changes in the regulation of IP3R-II and -III
transcriptional and posttranscriptional activity (4).
IP3Rs have been implicated in the regulation of oscillations in
[Ca2+]i (5),
and the different receptor subtypes may activate multiple IP3-sensitive
Ca2+ pools (6). It has been proposed
that the selective expression in cells of IP3R subtypes with different
affinities for IP3 determines the sensitivity of
Ca2+ mobilization to IP3 (7).
Moreover, functional interactions between different IP3R isoforms
predict that differential regulation of IP3R isoform levels will be
reflected in functional changes in IP3-mediated
Ca2+ mobilization (8).
Insulin secretion is largely a Ca2+-dependent
process, and restricted increases in
[Ca2+]i have been related
to impairment of glucose-stimulated insulin release (9).
Several lines of evidence point to IP3 playing an important role in
insulin secretion. IP3 was shown to mobilize
[Ca2+]i in permeabilized
insulin-secreting cells (10), and IP3 production
correlated with Ca2+ mobilization in intact cells
(11). In the mouse anx7 (+/-) phenotype, where there is a
profound reduction in IP3R expression and Ca2+
mobilization in islets, there is also defective insulin secretion
(12). Numerous stimuli have been reported to activate the
IP3 pathway, and receptor stimulation is commonly linked to
phospholipase C activation, as with certain neurotransmitters, growth
factors, and hormones (13). In addition, in islets,
glucose stimulation acts through a Ca2+-dependent
mechanism to activate phospholipase C (14, 15), a
phenomenon also reported for brain synaptosomes and iris smooth muscle,
among other tissues (13). The generation of IP3 in cells
not only activates the IP3Rs and mobilizes Ca2+
but also leads to IP3R down-regulation (16). Previous
reports have described the down-regulation of IP3R-I in response to
muscarinic receptor activation by carbachol (CCh) (17);
and of IP3R-I, II, and III in response to cholecystokinin (CCK),
bombesin, and pituitary adenylyl-cyclase-activating peptide
(18). The mechanisms participating in IP3R down-regulation
include IP3 binding, increased Ca2+ mobilization,
and processes that mediate the activation of a ubiquitination pathway,
targeting the IP3Rs for degradation by proteasomes.
The present study describes the effects of various stimuli on isolated
rat pancreatic islet IP3R regulation. Characterization of IP3R
down-regulation and the role of glucose metabolism in that process are
described. In addition, the functional nature of the IP3R
down-regulatory phenomenon is linked to altered
[Ca2+]i mobilization
responses and insulin secretion in isolated islets.
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Materials and Methods
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Materials
Collagenase type P was obtained from Roche Molecular Biochemicals (Indianapolis, IN). CMRL-1066 culture medium was
purchased from Life Technologies, Inc. (Grand Island, NY).
Affinity-purified antisera against the IP3R types I and II were a gift
from Dr. R. Wojcikiewicz (SUNY Health Science Center at
Syracuse, Syracuse, NY). Monoclonal antibody against IP3R-III was
obtained from Transduction Laboratories, Inc. (Lexington,
KY). Peroxidase-conjugated antirabbit and antimouse IgG secondary
antibodies were obtained from Bio-Rad Laboratories, Inc.
(Hercules, CA). N-acetyl-Leu-Leu-norleucinol (ALLN) and
carbobenzoxyl-leucinyl-leucinyl-leucinyl-H (MG-132) were from
Calbiochem (San Diego, CA). CCK fragment 2633 amide
sulfated, CCh, and BSA were obtained from Sigma
(St. Louis, MO). Immobilon-P membrane was purchased from
Millipore Corp. (Bedford, MA). Rat insulin for RIA
standard was a gift from Eli Lilly & Co. (Indianapolis,
IN). [125I]Insulin (porcine) was obtained from
NEN Life Science Products (Boston, MA). All other
chemicals were reagent grade and were obtained from commercial
sources.
Isolation and culture of rat islets
Pancreatic islets from adult male Sprague Dawley rats were
isolated using collagenase, as described previously (19).
All animal procedures were approved by the institutional animal care
and use committee. Isolated islets were cultured overnight in CMRL-1066
medium containing 5.5 mM glucose, 9% FBS, penicillin (100
U/ml), and streptomycin (100 µg/ml) in 5%
CO2-95% air, at 35 C, as described previously
(19). Cultured islets devoid of acinar tissue were placed
into fresh CMRL-1066 medium or Krebs-Ringer bicarbonate (KRB) buffer
containing 16 mM HEPES, 5.5 mM glucose, and
0.01% BSA (19) and were processed as described in the
text.
Immunoblotting
Islets were cultured and incubated as described above for
insulin release. After incubation, whole-cell islet homogenates were
prepared for immunoblotting essentially as described previously
(4). Equal amounts of protein per sample (1530 µg) for
each experiment were separated on 5% SDS-PAGE gels and transferred to
Immobilon-P membrane. Immunoblotting was carried out essentially as
described previously (4), with IP3R-I, -II, and -III
antibodies and peroxidase-conjugated secondary antibodies. Bound
antibody was localized by chemiluminescence, and the density of each
band was determined by densitometric scanning using Molecular Analyst
software (Bio-Rad Laboratories, Inc.).
Insulin release
After an overnight culture, isolated islets were suspended in
fresh CMRL-1066 and cultured for 2 h, in the absence or presence
of CCh and MG-132, as indicated in the text. The islets were
distributed at 10 islets/sample, washed, and resuspended in KRB buffer
(19) and were incubated at 37 C, under an atmosphere of
95% O2-5% CO2, in a
shaking water bath. After 60 min, the KRB buffer was replaced with
fresh buffer, and an aliquot of buffer was removed for determination of
time-zero insulin levels. After a 60-min incubation, in the presence or
absence of a stimulus as indicated in the text, an aliquot of buffer
was removed for determination of insulin release. Insulin release
values are minus time-zero insulin values. Insulin levels were
quantitated by RIA using rat insulin as standard.
Islet [Ca2+]i measurements
Islets were cultured and incubated as described above for
insulin release. For the measurement of
[Ca2+]i, islets were
loaded with Fura-2/AM (1 µM), for 30 min at room
temperature, in KRB buffer (pH 7.4) containing (mM): NaCl
(115), KCl (5), NaHCO3 (24),
CaCl2 (2.5), MgCl2 (1),
HEPES (50), D-glucose (5.5), and 0.1% BSA. The islets were
then washed and incubated for 1 h in KRB buffer, at room
temperature, to allow hydrolysis of the ester. For
Ca2+-free KRB buffer, CaCl2
was omitted, and EGTA (0.1 mM) was added. A coverslip
containing Fura-2-loaded cells was mounted in a cell chamber (Bioptechs
FCS2; Bioptechs Inc., Butler, PA) on the stage of an inverted
microscope. A ratio-based microscopic fluorescent spectrophotometer
(Photon Technology International Inc., South Brunswick, NJ) was used to
excite the dye at 340/380 nm alternatively at 2-Hz sampling rate.
Fluorescence of Fura-2/AM-loaded islets was measured at 35 C by
perifusing KRB buffer at a flow rate of 0.34 ml/min. The vol of the
fluid in the cell chamber was 0.1 ml. Excitation wavelengths were
obtained using 340 nm and 380 nm excitation filters, and the emission
spectrum was obtained using a 510-nm filter. Two image pairs were
acquired every second. Changes of
[Ca2+]i, in one islet per
coverslip, were recorded for 50 min per experiment. Basal
[Ca2+]i was recorded with
5.5 mM glucose for 10 min; and increases in
[Ca2+]i, after glucose
stimulation (16.5 mM) in the absence or presence of
Ca2+ in KRB buffer, were recorded for 20 min.
Statistical analysis
Values are the mean ± SE. Significant
differences between treatment groups were determined by one-way ANOVA,
with post hoc analysis, using Students-Newman-Keuls
multiple-comparison test. P < 0.05 was accepted as
significant.
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Results
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Regulation of IP3R levels
IP3R levels in isolated rat pancreatic islets were investigated in
response to CCh and CCK stimulation. After a 2-h stimulation with CCh,
IP3R-I, -II, and -III protein levels were significantly reduced (Fig. 1
, A and B). IP3R-I was down-regulated by
22% below basal levels, whereas IP3R-II and -III were reduced by more
than 60%. After stimulating islets for 2 h with CCK, there were
significant decreases in the levels of IP3R-I, -II, and -III similar to
the effects observed in the presence of CCh (Fig. 1
). The effect of CCh
was concentration- and time-dependent (Fig. 2
, A and B). A concentration of CCh as
low as 10-6 M
caused a decrease of approximately 40% in IP3R-II levels, and higher
concentrations of CCh evoked further decrements in IP3R-II levels (Fig. 2A
). IP3R-II levels declined rapidly within 2 h after CCh
stimulation, and levels remained depressed for up to 6 h after the
onset of stimulation (Fig. 2B
). Similar results were observed for
IP3R-III responses to CCh stimulation (data not shown).

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Figure 1. IP3R isoform regulation in rat isolated islets.
Islets were cultured, in the absence (basal) or presence of CCh (0.5
mM) or CCK (0.1 µM), for 2 h. A, Islet
homogenates were analyzed by Western blotting for IP3R- I, -II, or
-III, as indicated. Equal amounts of protein (15 µg) were loaded per
lane. B, Western blot densitometric analyses of IP3R isoforms expressed
as percent of basal values. Values are the mean ± SE
for 311 independent determinations. Significant differences from
basal were determined by one-way ANOVA and multiple-comparison test for
each type. , P < 0.05; *, P
< 0.02; , P < 0.001 vs. basal.
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Figure 2. CCh-induced changes in IP3R-II levels in isolated
islets. A, Islets were cultured, in the absence (basal) or presence of
CCh, at the concentrations indicated, for 2 h. B, CCh-induced
time-dependent IP3R-II down-regulation in isolated islets. Islets were
incubated, in the absence (time-zero) or presence of CCh (0.5
mM), for the times indicated. Islet homogenates were
immunoblotted with anti-IP3R-II and subjected to densitometric
analysis. Values are the percent change from basal or time-zero islets.
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Effects of proteasomal inhibitors on IP3R levels and insulin
secretion responses to CCh
IP3R responses to CCh were investigated in the presence of the
proteasomal inhibitors MG-132 and ALLN. Islets were preincubated with
MG-132 (50 µM) or ALLN (50 µM) for 1 h
before the addition of CCh. Both MG-132 and ALLN completely blocked the
down-regulatory effects of CCh on IP3R-II and -III (Fig. 3A
). In a preliminary study, 50
µM MG-132 was more effective than 10 µM at
reversing the effects of CCh (data not shown). In addition, IP3R-II in
islets treated with CCh and MG-132 showed an increase in IP3R levels
above basal (Fig. 3A
). Neither MG-132 nor ALLN alone had an effect on
IP3R levels (Fig. 3
, A and B).

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Figure 3. Effects of MG-132 and ALLN on CCh-induced changes
in IP3R-II (A) and IP3R-III (B) protein expression. Rat islets cultured
at 5.5 mM glucose were preincubated in the absence (basal)
or presence of MG-132 (50 µM) and ALLN (50
µM) for 1 h, before incubation for an additional
2 h in the absence or presence CCh (0.5 mM), as
indicated. Values are the mean ± SE for three
independent determinations. Significant differences between groups were
determined by one-way ANOVA and a multiple-comparison test. *,
P < 0.01 vs. basal.
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It has been previously reported that prolonged stimulation with CCh
diminishes the glucose-induced insulin secretory responses of rat
islets (20). In isolated islets in static incubation, a
submaximal secretory concentration of glucose (10 mM)
stimulated insulin secretion by 11-fold (Fig. 4
). CCh-pretreated islets, stimulated
with glucose (10 mM), demonstrated the inhibitory effect of
the cholinergic agonist, with insulin secretion reduced approximately
65%, compared with glucose-stimulated control islets (Fig. 4
). When
islets were pretreated with MG-132 before CCh treatment, the secretory
response to glucose stimulation was significantly higher than in
similarly treated islets in the absence of the proteasomal inhibitor
(Fig. 4
). There was no significant difference (P >
0.05) between islet insulin secretion in the presence of glucose
(10 mM) plus MG-132 vs. glucose (10
mM) plus CCh plus MG-132. Neither MG-132 nor CCh,
alone or in combination, had any effect on basal insulin secretion
(Fig. 4
).

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Figure 4. Effects of CCh and MG-132 on glucose-stimulated
insulin release. Islets at 5.5 mM glucose (basal) were
precultured in the absence or presence of MG-132 (50 µM)
for 1 h, followed by an additional 2 h of culture in the
absence or presence of CCh (0.5 mM). Then, the islets were
washed, and incubated in the absence or presence of glucose (10
mM), as indicated. Insulin release was determined after
1 h. Insulin release values are the mean ± SE
for seven or eight independent determinations. Significant differences
between groups were determined by one-way ANOVA and multiple-comparison
test. *, P < 0.001 vs. basal.
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Modulatory events in IP3R down-regulation
In addition to cholinergic and CCK receptor-mediated increases in
inositol phosphates, glucose also stimulates phospholipase C and
increases IP3 levels in islets (21, 22). However, when
islets were stimulated with a maximal secretagogic concentration of
glucose (20 mM), there was no change in IP3R-II or -III
levels, compared with basal (Fig. 5
, A
and B). When glucose-stimulated islets were challenged with CCh, there
was significant protection of IP3R-II and-III against the
down-regulatory effects of CCh (Fig. 5
, A and B). Similarly, when
islets were treated with
-ketoisocaproic acid (KIC), a leucine
metabolite that increases mitochondrial ATP generation, IP3R-II and
-III levels were completely protected against the down-regulatory
effects of CCh (Fig. 5
, A and B). In contrast, 2-deoxyglucose (which is
transported and phosphorylated, but not metabolized, by islet cells)
and 3-O-methyl glucose (which is also not metabolized) failed to have
any effect on CCh-induced IP3R down-regulation (Fig. 5
, A and B).

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Figure 5. Antagonism of CCh effects on IP3Rs. A, IP3R-II
level; B, IP3R-III level. Islets were cultured at 5.5 mM
glucose, in the absence or presence of glucose (G; 20 mM
final), CCh (0.5 mM), nimodipine (NIM; 1 µM),
KIC (10 mM), tolbutamide (TOL; 0.5 mM),
2-deoxyglucose (DOG; 20 mM), 3-O-methyl-glucose (OMG; 20
mM), as indicated, for 2 h. NIM was added, 10 min
before other additions. Values are the mean ± SE for
four to seven independent determinations. Significant differences
between groups were determined by one-way ANOVA and a
multiple-comparison test. *, P < 0.05
vs. basal; , P < 0.05
vs. CCh.
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One of the major mechanisms mediating glucose effects on insulin
secretion in ß-cells is depolarization-dependent
Ca2+ influx through voltage-dependent
Ca2+ channels (VDCC). When CCh-pretreated islets
were cultured with nimodipine, a VDCC blocker, the protective effects
of glucose on IP3R down-regulation were completely inhibited (Fig. 5
, A
and B). However, nimodipine alone failed to have any significant effect
on the CCh response (data not shown). In contrast, the sulfonylurea
tolbutamide significantly increased IP3R-II and -III levels in the
presence of CCh, compared with islets treated with CCh alone (Fig. 5A
and B).
Effects of proteasomal inhibition on Ca2+
mobilization
To determine the effects of CCh on Ca2+
mobilization responses, islets were loaded with the fluorescent
Ca2+ indicator Fura-2/AM. Perifusion of the
islets with Ca2+-free KRB medium containing 16.5
mM glucose resulted in a small, but significant, increase
in peak [Ca2+]i above
basal (Fig. 6A
and Table 1
). In islets pretreated with CCh, a
subsequent stimulation with glucose did not significantly increase
[Ca2+]i above basal (Fig. 6B
and Table 1
). However, in CCh- and MG-132-pretreated islets, the
glucose-stimulated increase in
[Ca2+]i, to 29 ±
5% above basal, was significantly higher (P < 0.01)
than the response observed for glucose-stimulated
[Ca2+]i in the absence of
MG-132 (3 ± 5%) (Fig. 6C
and Table 1
).

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Figure 6. Effects of CCh on glucose-induced Ca
2+ mobilization under Ca2+-free conditions.
Islets were cultured in the absence (A and B) or presence of MG-132 (50
µM) (C) for 1 h, before culture in the absence (A)
or presence of CCh (0.5 mM) (B and C) for 2 h. Islets
were loaded with Fura-2/AM and perifused at 35 C in KRB buffer
containing 2.5 mM Ca2+. Islets were stimulated
with glucose (16.5 mM) and KCl (35 mM), as
indicated by the solid horizontal bars. Perifusion was
with Ca 2+-free KRB buffer containing 100 µM
EGTA (open horizontal bar), followed by perifusion with
Ca2+-containing (2.5 mM CaCl2)
buffer (hatched horizontal bar). The glucose
stimulations are representative of three independent determinations.
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In another series of experiments, islets were perifused with
Ca2+-containing medium to determine whether the
CCh response could be quantitated under physiological conditions.
Glucose and KCl stimulation evoked significant increases in peak
[Ca2+]i, which were
higher than those observed in the absence of extracellular
Ca2+ (Fig. 7A
and
Table 1
). When islets were pretreated with CCh for 2 h, the
glucose (16.5 mM)-stimulated increase in peak
[Ca2+]i, to 28 ±
3% above basal, was significantly lower than that observed for control
islets (58 ± 3% above basal), whereas KCl-stimulated peak
[Ca2+]i reached 90
± 15% above basal and was not significantly different from the
response in control islets (Fig. 7B
and Table 1
). When islets were
pretreated with both CCh and MG-132, the glucose (16.5
mM)-stimulated peak
[Ca2+]i of 51 ± 6%
above basal was significantly (P < 0.05) higher than
in the absence of MG-132 and not significantly different from the
glucose response in control islets (Fig. 7C
and Table 1
); the
KCl-stimulated peak
[Ca2+]i (81 ± 13%
above basal) in these treated islets was not significantly different
from the response in control islets (Table 1
). When islets were treated
only with MG-132 (50 µM), the
[Ca2+]i response to
glucose or KCl was not different from untreated islets (data not
shown).

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Figure 7. Effects of CCh on glucose-induced Ca2+
mobilization in Ca 2+-containing buffer. Islets
were cultured in the absence (A and B) or presence of MG-132 (50
µM) (C) for 1 h, before culture in the absence (A)
or presence of CCh (0.5 mM) (B and C) for 2 h. Islets
were loaded with Fura-2/AM and perifused at 35 C in KRB buffer
containing 2.5 mM Ca2+. Islets were perifused
in KRB buffer containing 2.5 mM Ca2+ and
stimulated with glucose (16.5 mM), followed by KCl (35
mM), as indicated by the horizontal bars.
The glucose stimulations are representative of four independent
determinations.
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Discussion
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IP3 production is increased in pancreatic islets and other tissues
in response to receptor agonists acting through a
Gq protein-coupled receptor-activating
phosphoinositidase C (1). Both CCh and CCK activate
receptors coupled to the production of IP3. Between 0.1 mM
and 1 mM CCh has been reported to evoke maximal IP3
production in rat islets (21), and 0.5 mM CCh
was selected for use in the present studies. Among the CCh-responsive
muscarinic receptor subtypes, only m1, m3, and m5 stimulate IP3
production, and m1 and m3 (but not m2) receptor subtypes have been
shown to down-regulate IP3Rs (17). In islets and ß-cell
lines, m1 and m3 receptor subtypes are functionally expressed
(23, 24, 25). The binding of IP3 to IP3Rs activates the
receptor ion channel; and Ca2+ stored in the
endoplasmic reticulum, and perhaps in other subcellular organelles,
enters the cytoplasm. It has been reported that the binding of IP3 to
its receptors and mobilization of Ca2+ are
required for initiating events that lead to down-regulation in the
expression level of IP3R subtypes specifically (17, 26, 27, 28, 29, 30). In the rat pancreatic islet and insulinoma cell lines,
IP3R isoforms I, II, and III have been identified and characterized for
regulation in response to short-term and long-term glucose stimulation
(3, 4). In islets, the regulation of IP3R-I, of -II, and
of -III are independent. Whereas IP3R-I showed little response to
glucose, short-term exposure to a glucose stimulus increased the mRNA
and protein levels for IP3R-III, and long-term glucose stimulation
increased IP3R-II mRNA and protein but decreased IP3R-III mRNA and
protein levels.
The present study represents another aspect of IP3R regulation in
pancreatic islets (that of down-regulation by phosphoinositidase
activating agents). Both CCh and CCK increased the down-regulation of
islet IP3Rs. Both CCh and CCK down-regulated each of the three subtypes
of IP3R, but IP3R-I to a lesser degree than IP3R-II and -III. CCK has
been reported to be more potent than CCh at down-regulating each of the
IP3R subtypes in AR42J cells, a response correlated with persistent
IP3 generation (18). However, CCh (1 mM) also
caused ubiquitination, and presumably downregulation by
proteasomal mechanisms, of IP3R-I and -III in the ß-cell line INS-1
(that, unlike rat islets, does not express IP3R-II) (18).
Interestingly, the time course of CCh-induced IP3R-II and -III
down-regulation in the present study showed an initial rapid decline in
receptor levels, which remained at reduced levels over several hours.
This suggests that some persistent stimulation event targets the IP3Rs
for degradation and that new receptor synthesis does not rapidly
reverse the effect.
Proteasomal inhibition by MG-132 or ALLN prevented the down-regulatory
response to CCh on IP3Rs in islets. ALLN, a peptide inhibitor of
calpain and other cysteine proteases (31) as well as the
proteasome (32, 33, 34), has been previously demonstrated to
inhibit IP3R down-regulation (30, 35). It has been
proposed that calpain is activated by local increases in
Ca2+ mobilization in cells and can specifically
degrade IP3Rs (30). Previous studies have shown that
ligand binding of IP3Rs and Ca2+ mobilization
mediates the ubiquitination of IP3Rs and their targeting for
degradation by the proteasomal pathway (18). Protein
kinase C (PKC) activation does not mediate this process. The
degradation of IP3R-I is expected in conjunction with IP3R-II and -III
down-regulation, because it has been reported that the type II and III
receptors, primarily in association with type I, are susceptible to
ubiquitination.
Other cellular stimuli were also investigated for effects on IP3R
levels. In a previous study, we reported that short-term glucose
stimulation resulted in an increase in IP3R-III protein levels in
freshly isolated islets (4). In the present study, islets
were cultured overnight, before glucose stimulation, to allow all
adherent acinar tissue to dissociate from the islets, and it was
apparent that there was no significant change in IP3R-III levels in
these cultured islets in response to glucose. Thus, overnight culture
of islets seems to alter glucose responsivity of the IP3R pathway.
However, there was an interaction between CCh and glucose in these
islets, because the reduction in IP3R-II and -III levels in response to
CCh was largely inhibited by the presence of a glucose stimulus. KIC
evoked a protective response similar to that of glucose. Two glucose
analogs, 2-deoxyglucose and 3-O-methyl glucose, which are not
metabolized to produce energy in islets, failed to affect the
down-regulatory response to CCh, suggesting that increased carbohydrate
metabolism, in some way, protects the IP3R from proteasomal
degradation. One of the major mechanisms mediating glucose and KIC
effects on the ß-cell is stimulation of the citric acid cycle,
increasing ATP levels in the ß-cell and closing ATP-sensitive
K+ channels, thus inducing depolarization of the
cell and opening VDCC for Ca2+ influx
(36). The protective effect of glucose on CCh-induced
down-regulation of IP3Rs was completely overcome with the blockade of
VDCC by nimodipine, providing evidence for the importance of
Ca2+ influx mediating the protective effects of
glucose and presumably KIC on IP3Rs. Further support for this
hypothesis comes from the islet response to tolbutamide.
Sulfonylureas bind to and block ATP-sensitive
K+-channels, depolarize the ß-cell, and promote
Ca2+ influx through VDCC. The protective response
to tolbutamide, in preventing the down-regulation of IP3Rs in the
presence of CCh, is likely to also be mediated by increased
[Ca2+]i. It is not known
how increased [Ca2+]i
antagonizes the CChinduced IP3R down-regulatory effects, but
increased [Ca2+]i might
increase calmodulin binding to IP3R-I, which reportedly inhibits
IP3-induced Ca2+ mobilization (37).
Because IP3-induced Ca2+ mobilization from
endoplasmic reticulum stores is required for IP3R down-regulation
(17), a Ca2+-suppressed
Ca2+ release phenomenon may antagonize IP3R
down-regulation in ß-cells. It has also been reported that blockade
of L-type Ca2+ channels in A7r5 cells induced
IP3R-I down-regulation (29), suggesting that, in these
cells too, Ca2+ influx inhibits IP3R degradation.
Alternatively, increased Ca2+-influx may alter
phosphorylation of IP3R by various protein kinases
(38, 39, 40) and alter IP3R activity and down-regulation.
Because CCh has been reported to desensitize the islet to further
stimulation by glucose or other agonists (20, 41), the
role of proteasomal activation in this process was investigated.
Pretreatment of islets with CCh for 2 h markedly diminished the
subsequent insulin secretory response to glucose. However, when MG-132
was present during the CCh challenge, a subsequent stimulation by
glucose showed that insulin release was maintained close to control
levels, suggesting that a proteasome activation event mediated, in
part, the effects of CCh on islets. CCh, in addition to increasing IP3
levels as a result of phosphoinositidase C stimulation, also increases
diacylglycerol levels and activates PKC. It is not likely that PKC
modulated IP3R levels, because it has been previously reported that
activation of PKC with phorbol ester does not down-regulate IP3R levels
(27, 28).
The effect of CCh on IP3R levels was also investigated for correlation
with Ca2+ mobilization in islet cells. Muscarinic
receptor types 1 and 3, expressed in pancreatic ß-cells, are
functionally linked to phosphoinositidase C that is associated with
stimulation of insulin secretion (25). Moreover,
acetylcholine, in the absence of extracellular
Ca2+, has been reported to trigger an increase in
[Ca2+]i mobilization
(42). In the present study, the effects of CCh
pretreatment on glucose-induced Ca2+ mobilization
were investigated to determine whether down-regulation of IP3Rs
correlated with changes in
[Ca2+]i. In the absence
of extracellular Ca2+, it was observed that
glucose stimulation increased islet
[Ca2+]i but that
pretreatment with CCh completely prevented glucose stimulation. The
inclusion of the proteasomal inhibitor MG-132, during the CCh
pretreatment of islets, protected the glucose response, suggesting that
it was not depletion of
[Ca2+]i pools that
mitigated glucose stimulation. Under more physiological conditions,
with islets in the presence of extracellular
Ca2+, glucose-induced elevations in
[Ca2+]i were also
inhibited by pretreatment with CCh, and again the inhibition of the
proteasomal pathway augmented the response to glucose stimulation.
These data suggest that there is a correlation between inhibition of
the IP3R down-regulation and
[Ca2+]i mobilization in
response to glucose. We have not ruled out the possibility that other
proteins may also be down-regulated by the proteasomal pathway during
CCh pretreatment and may affect the islet response to glucose.
In summary, the well-known reduction in glucose-stimulated insulin
secretion by pretreatment with CCh has been correlated to
down-regulation of the IP3Rs and to diminished glucose-responsive islet
cell Ca2+ mobilization. Proteasomal degradation
of IP3Rs seems to mediate the muscarinic receptor-induced
down-regulatory phenomenon in islets. These data support the conclusion
that IP3R regulation plays a role in long-term effects of muscarinic
receptor and CCK-receptor stimulation in ß-cells.
 |
Footnotes
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1 This work was supported by grants from the National Institutes of
Health (DK-25705) and American Diabetes Association (to S.G.L.). 
2 Recipient of a fellowship from the Juvenile Diabetes Foundation
International. 
Received October 19, 2000.
 |
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