The role of cAMP in the inhibitory effect of epinephrine on insulin secretion was studied by comparing the dose-response relationships of the effects of epinephrine on insulin release and [3H]cAMP content in rat pancreatic islets prelabeled with [2-3H]adenine and stimulated by various agents in vitro.

Glucagon-stimulated insulin release and increased [3H]cAMP in islets were inhibited in a parallel dosedependent fashion by epinephrine. In contrast, glucosestimulated insulin release was more sensitve to inhibition by epinephrine than was glucose-induced [3H]- cAMP accumulation. Thus, 3 × 10-8 M epinephrine produced 50% inhibition of the insulin release stimulated by 26.7 tnM glucose, whereas 10-6 M epinephrine was required to produce 50% inhibition of the [3H]cAMP response to glucose. In contrast to the inhibitory effects of a high concentration of epinephrine (10-6 M) on glucagon and glucose-stimulated increases in islet [3H]cAMP, this concentration of epinephrine did not decrease the increased [3H]cAMP levels in islets incubated with either the phosphodiesterase inhibitor, 3- isobutyl-1-methylxanthine (IBMX, 1.0 mM) or the adenylate cyclase stimulator, cholera toxin (10 μg/ml). Phentolamine (10-5 M) abolished the inhibitory effects of 10-6 M epinephrine on both the [3H]cAMP and the insulin response to glucose.

The data suggest that epinephrine inhibits glucoseinduced insulin release by a dual α-adrenergic action: 1) at low concentrations, epinephrine may inhibit insulin release by a mechanism (s) distinct from the adenylate cyclase-cAMP system; and 2) at high concentrations, epinephrine may further inhibit insulin release by interfering with the ability of glucose to increase cAMP in the pancreatic B cell rather than by any direct effect on adenylate cyclase. (Endocrinology102: 1733, 1978)

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