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J. Biol. Chem., Vol. 278, Issue 35, 32517-32525, August 29, 2003
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Cells*




From the Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9041
Received for publication, February 3, 2003 , and in revised form, May 17, 2003.
| ABSTRACT |
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cells. Here we examine and compare signaling events that
are necessary for ERK1/2 activation by glucose and other stimuli in
cells. We find that agents that interrupt Ca2+ signaling
by a variety of mechanisms interfere with glucose- and glucagon-like peptide
(GLP-1)-stimulated ERK1/2 activity. In particular, calmodulin antagonists,
FK506, and cyclosporin, immunosuppressants that inhibit the calcium-dependent
phosphatase calcineurin, suppress ERK1/2 activation by both glucose and GLP-1.
Ca2+ signaling from intracellular stores is also
essential for ERK1/2 activation, because thapsigargin blocks ERK1/2 activation
by glucose or GLP-1. The glucose-sensitive mechanism is distinct from that
used by phorbol ester or insulin to stimulate ERK1/2 but shares common
features with that used by GLP-1. | INTRODUCTION |
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cells in the pancreatic islets of Langerhans
in mammals. It is the key hormone that promotes the utilization and storage of
glucose. Glucose, on the other hand, is the most important regulator of the
secretion and biosynthesis of insulin by
cells, creating a deceptively
simple primary loop controlling sugar metabolism. Signals from
Ca2+, inositol phospholipids, and cAMP are believed to
mediate glucose effects on
cells, but detailed knowledge of the
pathways that control
cell function is limited
(16).
Van Obberghen and co-workers
(7) were the first to show that
glucose activates the mitogen-activated protein
(MAP)1 kinases ERK1
and ERK2 in islet-derived cells. We and others have confirmed this finding
(812).
MAP kinases, also known as ERKs, are components of kinase cascades important
for transmitting extracellular information to coordinate cellular responses.
MAP kinases have been implicated in many physiological events ranging from
cellular proliferation and differentiation to cell survival
(13,
14).
Glucose over its normal physiological concentration range increases the
activity of ERK1/2 in pancreatic
cell lines and intact islets
(7,
8,
10). Glucose metabolism is
required for ERK1/2 activation
(8), as it is for insulin
secretion. Glucose regulation of ERK1/2 has been reported in adipocytes, for
example, which also have some capacity for glucose sensing
(15), but in few other cell
types. Potentiators of insulin secretion, including forskolin,glucagon-like
peptide1(GLP-1),and glucose-dependent insulinotropic polypeptide, which
promote cAMP synthesis, potentiate ERK1/2 activation, leading to the view that
ERK1/2 perform functions that depend on the glucose-sensing machinery of
cells (8,
12,
16).
Exposure of INS-1 cells to KCl induces Ca2+ uptake
and ERK activation (8).
Inclusion of EDTA or EGTA in the medium blocks activation of ERKs by glucose
in INS-1 cells and in islets. Experiments with chelators and with artificially
low glucose suggest that ERKs are activated to a small but significant extent
even at subthreshold glucose concentrations, because the activity in the
presence of chelators or at 01 mM glucose is lower than
activity at 2.83 mM glucose in the absence of chelators
(8). As confirmation that
agents that stimulate insulin secretion via an effect on
Ca2+ influx also activate ERKs, effects of the oral
hypoglycemic drugs glyburide and tolbutamide, which cause closure of the
ATP-dependent potassium channel in the
cell plasma membrane, were also
examined (8,
10). Treatment of INS-1 cells
with 10 mM glyburide or 100 mM tolbutamide for 2 h
increased immunoreactive insulin in the medium by 2-fold in the absence of
glucose and also caused a discernible increase in ERK activity. Finally,
blockers of L-type Ca2+ channels interfere with
glucose-induced ERK1/2 activation, suggesting the importance of
Ca2+ influx on this kinase pathway
(10).
Efforts to elucidate the mechanism of ERK1/2 activation have suggested a role for several signaling molecules as intermediates in the pathway. Notable among these is protein kinase C (PKC), which is implicated in one report but discounted by others (11, 17). PKC causes activation of ERK1/2 downstream of G protein-coupled receptors that act through Gq and is also involved in prolonged activation caused by some other ligands (18, 19). Likewise, glucose induces tyrosine phosphorylation, but its role in ERK1/2 activation by glucose is controversial (11, 17, 20).
In this study we have examined regulation of ERK1/2 by several
extracellular cues, including glucose, GLP-1, and insulin. Our goals were to
determine to what extent these agents shared common mechanisms for ERK1/2
activation and to begin to define essential components of the pathways. Our
studies reveal that glucose and GLP-1 converge on a common mechanism for
ERK1/2 regulation that is distinct from that used by insulin. The mechanism we
propose has significant differences from those previously suggested to control
ERK1/2 in
cells; we find a dependence on the natural release of
Ca2+ from intracellular stores and a sensitivity to
inhibition by immunosuppressants that block the calmodulin-regulated
phosphatase calcineurin.
| EXPERIMENTAL PROCEDURES |
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CellsINS-1 cells, either from early passages or subclones
selected for increased glucose-stimulated insulin secretion kindly provided by
Chris Newgard (6), were grown
in RPMI 1640 medium containing 10% fetal bovine serum, 0.5 mM
Hepes, pH 7.4, 10.2 mM L-glutamine, 50 mM
sodium pyruvate, and 2.5 mM
-mercaptoethanol
(25). Cells that were
6080% confluent were preincubated for 12 h in
Krebs-Ringer-bicarbonate-Hepes (KRBH) with 0 or 2 mM glucose prior
to treatment. In the indicated experiments, the cells were infected with
recombinant adenoviruses at multiplicities of infection of 10100 for 1
h, 24 or 48 h prior to cell treatment. After treatment with the agents
indicated in figure legends, the medium was removed, and the cells were washed
with cold phosphate-buffered saline and harvested in 0.2 ml of cold lysis
buffer (50 mM Hepes, pH 7.5, 0.15 M NaCl, 1% Triton
X-100, 0.2 mg/ml phenylmethylsulfonyl fluoride, 0.1 M NaF, 2
mM Na3VO4, 10 mg/ml aprotinin, 5 µg/ml
pepstatin A, 5 mg/ml leupeptin
(7)). After 20 min on ice, the
supernatants were collected following centrifugation for 1030 min at
14,000 rpm in an Eppendorf microcentrifuge and were stored at 80
°C.
Measurement of ERK1/2 ActivityEqual amounts of
lysate proteins (2040 µg) were resolved in 10% polyacrylamide gels
in sodium dodecyl sulfate and subjected to electrophoresis. The proteins were
transferred to nitrocellulose at 700 mA for 1.5 h at 4 °C. The membranes
were incubated in 5% nonfat milk, 0.05% Tween-Tris-buffered saline (TBS) for 1
h, then in 1:3000 anti-phospho-ERK1/2 antibody (BioSource or Sigma) in 1%
nonfat milk, 1% bovine serum albumin, 0.05% Tween-TBS for 2 h, and finally in
1:5000 anti-rabbit IgG in 1% nonfat milk, 1% bovine serum albumin, 0.05%
Tween-TBS for 1 h at room temperature. The membranes were washed twice in
0.05% Tween-TBS and twice in TBS. After detection of phosphorylated ERK1/2
bands (43 and 41 kDa, respectively) by enhanced chemiluminescence and
autoradiography, the membranes were stripped in 62.5 mM Tris-HCl,
pH 6.7, 100 mM
-mercaptoethanol, and 2% SDS for 30 min at 60
°C, rinsed with 0.05% Tween-TBS, and immunoblotted as above with 1:5000
Y691 anti-ERK1/2 rabbit polyclonal antibody
(26).
| RESULTS |
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Tyrosine kinases often participate in ERK1/2 activation, and glucose has
been reported to induce tyrosine phosphorylation in
cells
(15,
20). We examined the potential
roles of two tyrosine kinases, Src and PYK2, in inducing ERK1/2 activation. We
found no evidence of glucose-induced changes in tyrosine phosphorylation of
PYK2 in INS-1 cells (data not shown), suggesting that it is not involved. Src
inhibitors including PP2 (27)
caused a partial but significant reduction in ERK1/2 phosphorylation in
response to glucose (Fig.
1D), suggesting a role for a Src-like kinase.
Calmodulin Is the Calcium-dependent Effector Required for Stimulation
of ERK1/2 by Glucose in INS-1 CellsWe previously showed
that extracellular Ca2+ was required for
glucose-dependent ERK1/2 activation
(8). Thus, we evaluated the
effects of inhibitors that block calcium-dependent signaling molecules. First,
we tested PKC inhibitors (27)
because PKC is required in several systems for ERK1/2 activation, and it has
been suggested that this is also the case in
cells
(11,
28). None of the inhibitors
tested, including bis-indoylmaleimide (GF109203X), blocked glucose-induced
ERK1/2 activity (Fig.
2A), although phorbol ester-stimulated activity was
blocked (not shown). On the other hand, W7, a calmodulin antagonist, was a
very effective inhibitor of ERK1/2 activation by glucose
(Fig. 2B).
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To probe the site of action of calmodulin, we tested the involvement of two
important calmodulin targets, Ca2+ and
calmodulin-dependent protein kinases (CaMKs) and the calmodulin-dependent
phosphatase calcineurin (27,
29,
30). CaMKII and calcineurin
have both been linked to insulin secretion from
cells
(3138).
Not only did the CaMK inhibitors KN62 and KN93, which inhibit interaction of
the kinases with calmodulin, both suppress glucose-dependent ERK1/2 activation
(Fig. 2C), the
immunosuppressant FK506, a calcineurin inhibitor, also prevented ERK1/2
activation by glucose (Fig.
2D).
To determine the specificity of action of FK506, we examined the effects of other immunosuppressants. Supporting an involvement of calcineurin, cyclosporin A and FK520, both of which are also calcineurin inhibitors, prevented ERK1/2 activation by glucose (Fig. 3A and not shown). In contrast, the immunosuppressant rapamycin, which targets mammalian target of rapamycin (mTOR) not calcineurin, had no effect on glucose-induced ERK1/2 activity (Fig. 3B). Expression of myocyte-enriched calcineurin-interacting protein, a calcineurin inhibitory protein (39), also prevented ERK1/2 activation by glucose (Fig. 3C), providing an independent line of evidence implicating calcineurin in ERK1/2 activation by glucose. To determine whether calcineurin inhibitors influence activation of ERK1/2 in other systems, HEK293 cells were treated with epidermal growth factor or NaCl to stimulate ERK1/2 activity in the presence or absence of cyclosporin A (Fig. 3D). The calcineurin inhibitor had no effect on ERK1/2 activity induced by either stimulus in 293 cells.
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The Calmodulin/Calcineurin-dependent Mechanism Is Not Common to All Agents That Stimulate ERK1/2 in INS-1 Cells Because we had clear evidence that calmodulin/calcineurin were required for ERK1/2 activation by glucose, we wished to determine whether other agents that activate ERK1/2 also employ a mechanism dependent on these factors. We examined the potential involvement of calmodulin/calcineurin in ERK1/2 activation by phorbol ester, which has not generally been found to use these signal transducers (Fig. 4A). Consistent with an independent mechanism of action, phorbol ester-stimulated activity was not affected by calcineurin inhibitors.
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Hormones that stimulate adenylyl cyclase including GLP-1 (Fig. 4, B and C) and PACAP (not shown) activate ERK1/2 (Refs. 12, 16, and 40 and this study). Although the extent of activation was usually less than with either glucose or forskolin, increased ERK1/2 phosphorylation was detected within 25 min and persisted for at least 10 min with either GLP-1 or PACAP. The effect on kinase activity was greater if 2 mM glucose was present in the medium. Activation of ERK1/2 by GLP-1 was sensitive to inhibition by W7 but like glucose largely insensitive to wortmannin (Fig. 4B). Although activity stimulated by forskolin alone was apparently less sensitive to the phosphatase inhibitors (Fig. 2B and not shown), activity stimulated by glucose plus GLP-1 or glucose plus forskolin was blocked by FK506 (Fig. 4C). In each of these cases, rapamycin did not reduce ERK1/2 activity.
Because insulin stimulates ERK1/2 in many tissues and the agents above that
trigger ERK1/2 also enhance insulin secretion, we wished to determine whether
induction of ERK1/2 activity by insulin in
cells uses a
calmodulin/calcineurin-dependent mechanism and is involved in their activation
by glucose. Insulin and IGF-1 (not shown) stimulated ERK1/2 in INS-1 cells,
but to a much reduced extent compared with glucose
(Fig. 4D).
Interestingly, activation of ERK1/2 by insulin was not blocked by wortmannin
(lower panel), which inhibits phosphatidylinositol 3-kinase, a major
mediator of insulin action
(41), although activation of
Akt was inhibited (not shown). Wortmannin also had little effect on
glucose-stimulated ERK1/2 activity (Fig.
4B). Stimulation of ERK1/2 by insulin, in contrast to
glucose, was not reduced by W7 or cyclosporin A
(Fig. 4D). These
findings suggest that glucose and insulin use distinct mechanisms to trigger
ERK1/2.
Source of Ca2+ Required for Glucose-dependent ERK1/2 ActivationCa2+ was shown to be required in the earliest studies of this response (7, 8). To explore this requirement further, we first depolarized cells by exposing them to 25 mM KCl (Fig. 5A). KCl caused a rapid but transient increase in ERK1/2 activity, which had returned to control values by 10 min; glucose activated ERK1/2 more following a 30-min incubation in the presence of KCl than in its absence (not shown). Like activation by glucose, activation of ERK1/2 by KCl was blocked by calcineurin inhibitors (Fig. 5A).
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We next examined the source of calcium required for ERK1/2 activation. Nifedipine, a blocker of L-type voltage-gated Ca2+ channels (42), partially blocked glucose stimulation of ERK1/2 (Fig. 5B), as was reported (11, 12). Similar results were observed with the related blockers nisoldipine and nitrendipine (not shown). Under no condition was a complete blockade produced with these agents. Diazoxide is a thiazide, which maintains ATP-sensitive potassium channels in the open state, and is used therapeutically to inhibit insulin release from insulin-secreting tumors. This agent at millimolar concentrations blocked glucose activation of ERK1/2 (Fig. 5C); high micromolar diazoxide caused a modest reduction in ERK1/2 activity (not shown). These results indicate that Ca2+ influx is important for ERK1/2 activation.
The Ca2+ that is necessary to trigger the kinase cascade could be that resulting from the influx of extracellular Ca2+ or that released from intracellular stores. To determine the impact of the release of Ca2+ from intracellular stores on activation of ERK1/2 by glucose, cells were pretreated with 1 mM thapsigargin for 15 min, a time sufficient for this ATPase inhibitor to exhaust the intracellular Ca2+ pool (43). Thapsigargin itself did not increase ERK1/2 activity following 5, 10, or 15 min of exposure (not shown). However, activation of ERK1/2 by glucose was completely blocked by thapsigargin (Fig. 6A), suggesting that glucose causes release of intracellular Ca2+ to promote ERK1/2 activation. To compare the effects of glucose to membrane depolarization induced by KCl, we determined whether the effects of KCl were also blocked by thapsigargin. Thapsigargin significantly reduced but did not completely block ERK1/2 activation by KCl (Fig. 6B), consistent with the idea that the Ca2+ that activates ERK1/2 is the intracellular pool. For comparison, we also examined the effects of thapsigargin on stimulation of ERK1/2 by insulin (Fig. 4D) and GLP-1 (Fig. 6C). No blockade of insulin-increased ERK1/2 activity was detected, but GLP-1-induced activity was inhibited.
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Ca2+ influx can induce the release of this pool through ryanodine receptors, and glucose-induced production of inositol trisphosphate (IP3) may activate IP3 receptors (4448). Thus, we tested dantrolene and 2-aminoethoxy-diphenyl borate, inhibitors of Ca2+ release mediated by ryanodine and IP3 receptors, respectively (49, 50), to seek independent evidence that intracellular stores are required (Fig. 6D). Both blocked ERK1/2 activation by glucose.
| DISCUSSION |
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cells. The effects of GLP-1 and PACAP, although also very rapid, are
short-lived. In comparison, ERK1/2 activation by forskolin is slower but
prolonged, perhaps because of actions independent of its ability to increase
cAMP or to the much greater accumulation of cAMP it elicits than GLP-1.
Because drugs that block GLP-1 are variably effective in blocking forskolin,
forskolin may bypass some otherwise essential steps, thereby forcing a
cAMP-dependent pathway that does not normally occur in pancreatic
cells
in response to hormones that produce cAMP as a second messenger. Our results
further suggest that glucose and GLP-1 converge on a common mechanism of
action. In contrast, insulin is generally a weaker ERK1/2 stimulus and clearly
regulates ERK1/2 through a different mechanism. Agents that block glucose- and
GLP-1-induced ERK1/2 activity, including calmodulin antagonists and
thapsigargin, are ineffective in blocking induction of kinase activity by
insulin. Glucose-induced secretion of insulin does not require the release of
intracellular Ca2+ stores
(51,
52). In addition, FK506
appears to have little effect on insulin secretion within the first few hours
of exposure (34,
5355),
although it inhibits glucose-stimulated ERK1/2 activation. These observations
further support the idea that the control of ERK1/2 activity exerted by
glucose has little to do with the autocrine action of insulin on these
cells.
The terminal components of the signaling pathway implicated by the use of
interfering mutants include several of the usual suspects. Most clear, MEK1
activity is required; pharmacological inhibitors as well as an inhibitory
mutant of MEK1 block ERK1/2 activation, consistent with the finding that MEK1
but not MEK2 is responsive to glucose
(9). A small G protein, most
likely Ras, is also required, based on the inhibitory effects of a
dominant-interfering Ras mutant and of an N-terminal fragment of Raf1, which
is thought to act by sequestering activated Ras, preventing it from binding to
endogenous Raf proteins. The work of Bos and co-workers
(56) suggests that Rap cannot
directly activate Raf, despite the fact that the Rap effector domain can bind
to Raf. The inhibitory effect of the Src inhibitor PP2 suggests that a Src
family or other tyrosine kinase leads to stimulation of Ras. Glucose-induced
tyrosine phosphorylation has been documented in pancreatic
cells
(20). In contrast to previous
reports, we find no evidence for a role of conventional isoforms of PKC, which
might act upstream of Ras (11,
17). Furthermore, phorbol
ester stimulation of ERK1/2 is insensitive to inhibition by the
immunosuppressants that completely block the action of glucose on the
kinases.
Less clear is the MAP kinase kinase kinase involved in ERK1/2 activation. Kinase-dead MEK1 would probably interfere with any relevant MAP kinase kinase kinase, and the inhibitory N-terminal Raf fragment that contains the Ras-binding domain most likely blocks the pathway by targeting Ras, not a Raf family member. In numerous experiments we have found inconsistent activation of Raf-1 and even less evidence for B-Raf activation by glucose in INS-1 cells. However, our findings do not yet convince us that glucose or GLP-1 employs a Raf-independent mechanism, as was recently suggested (12). This is not the only setting in which Raf activity has not been well correlated with ERK1/2 activation (57). Aside from the difficulties of the assay itself, two possibilities seem worthy of consideration. First, cAMP may suppress phosphatase activity that normally inactivates MEK1, and second, cAMP may enhance the formation of Raf1-MEK1 complexes. In either case the efficiency of MEK1 activation would be increased, despite minimal Raf activation.
Two conclusions about mechanism are straightforward from our findings.
First, the essential mediator of ERK1/2 activation by glucose and GLP-1 is
Ca2+. Inhibiting Ca2+ signaling
prevents ERK1/2 activation by either type of agent. Epac2, a cAMP-dependent
guanine nucleotide exchange factor for Ras family small GTPases
(58,
59), is present in pancreatic
cells and may mediate the actions of cAMP, perhaps directly on Ras.
However, our findings suggest that if this factor is involved, it likely acts
upstream not downstream of Ca2+; this conclusion is
consistent with a report from Holz and co-workers
(59), who suggest that Epac2
activates Ca2+ release in
cells through effects
on the related small G protein Rap. Second, an important source of
Ca2+ for glucose activation of ERK1/2 is the
intracellular storage compartment. By blocking a Ca2+
ATPase, thapsigargin depletes Ca2+ from this pool.
Furthermore, dantrolene blocks calcium-induced release from this pool. The
impaired release of Ca2+ from the storage compartment
completely prevents ERK1/2 activation by glucose or GLP-1, strongly suggesting
that the intracellular release of Ca2+ is an essential
part of the mechanism of ERK1/2 activation by these agents.
Given that both glucose and cAMP cause release of intracellular Ca2+ from this pool, perhaps via ryanodine receptors (2, 44, 59, 60), Ca2+-stimulated Ca2+ release may be the key process on which these agents converge. Inhibition of glucose stimulation of ERK1/2 by dantrolene supports this conclusion. However, 2-aminoethoxy-diphenyl borate also blocks glucose activation. This inhibitor also reportedly interferes with Ca2+ entry (61); thus, we can only speculate that the IP3 receptor is also involved in this process. These Ca2+ release receptors are reportedly regulated by calcineurin, suggesting that the requirement for calcineurin in activating ERK1/2 may come from its effects on Ca2+ release (37, 38). If this is correct, calcineurin may be viewed as a gatekeeper rather than acting directly as a participant, in ERK1/2 activation. Some evidence suggests that the Ca2+ release pool may be linked directly to the plasma membrane (62). This juxtaposition may facilitate compartmentalized signaling from receptor and channel complexes; if so, that may account for the rapid effects of GLP-1 and PACAP relative to forskolin.
Inhibitor studies have implicated CaMKII, which is known to be activated by
glucose in
cells (31).
It may act downstream of the release of intracellular
Ca2+ stores, as suggested below. The CaMKII inhibitors
have been reported to influence not only other CaMKs but also
Ca2+ channels
(63); thus, the inhibition we
observed may have been caused by effects on Ca2+
signaling that is not mediated by CaMKs at all. This remains to be
determined.
Because so many glucose-stimulated components have been implicated in multiple ways by inhibitor studies, it has been difficult to define the signaling pathway leading to stimulation of ERK1/2. We can envision two scenarios that might account for the apparent complexity of our findings. One possibility is that ERK1/2 act as a coincidence monitor in this system in that more than one type of signal must be triggered for activation of the cascade by glucose; for example, based on the comments above, calcineurin might provide the coincident signal. A second scenario is that the kinases are activated by a complex but linear series of events that have not been previously defined for this pathway.
For future investigation and with the many caveats discussed above, we propose the following pathway (Fig. 7), which incorporates all of the signaling molecules implicated by our inhibitor studies. Glucose metabolism is coupled to Ca2+ influx, which causes Ca2+ release from intracellular stores, through ryanodine and perhaps also IP3 receptors (44). GLP-1 through cAMP also induces Ca2+ release via Epac2 from intracellular stores (2, 59, 64). The actions of GLP-1 and glucose converge at this Ca2+ release step, and potentiation of the response may occur as a consequence of the mechanisms by which each agent works on Ca2+ release. Depending on calcineurin activity, Ca2+ release will occur or be prevented. Release of intracellular Ca2+ in a discrete location is coupled to activation of a CaM kinase family member. The CaM kinase then employs a tyrosine kinase (e.g. epidermal growth factor receptors (65, 66)) to activate the Ras/ERK1/2 cascade. We are currently devising experiments to test the key steps in this pathway.
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ERK1/2 are most frequently implicated in cell proliferation programs.
Nevertheless, they are highly expressed in terminally differentiated cells
including neurons (67). They
play a role in long term potentiation and in synaptic modulation, providing a
means of storing signaling information on a longer time scale than individual
action potentials
(6871).
Their actions in
cells may be analogous in that they offer a means of
integrating the complex and ever changing nutrient and hormonal signals that
acutely control insulin secretion to ensure that
cells maintain their
secretory capacity.
| FOOTNOTES |
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In partial fulfillment of the requirements for the Ph.D. at the University
of Texas Southwestern Medical Center. ![]()
Supported by a National Institutes of Health postdoctoral fellowship. ![]()
¶ Supported by a mentor-based postdoctoral fellowship from the American
Diabetes Foundation. ![]()
|| Supported by a Merck-UNCF fellowship. Mary Kay Inc., Global Research and
Development, Dallas, TX 75247. ![]()
** Present address: Biomedical Sciences, Singapore Economic Development Board,
Singapore. ![]()

To whom correspondence should be addressed: Dept. of Pharmacology, 5323 Harry
Hines Blvd., Dallas, TX 75390-9041. E-mail:
mcobb{at}mednet.swmed.edu.
1 The abbreviations used are: MAP, mitogen-activated protein; ERK,
extracellular signal-regulated kinase; GLP-1, glucagon-like peptide 1; PKC,
protein kinase C; PACAP, pituitary adenylyl cyclase-activating peptide; KRBH,
Krebs-Ringer-bicarbonate-Hepes; TBS, Tris-buffered saline; MEK, MAP kinase/ERK
kinase; CaMK, calmodulin-dependent protein kinase; IP3, inositol
trisphosphate. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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