Imidazolines are regarded as a pharmacological group of insulin secretagogues with one uniform mechanism of action, namely
closure of ATP-dependent K
+ channels (K
ATP channels) and, in consequence, depolarization of the plasma membrane, Ca
2+ influx and stimulation of secretion. This assumption was investigated by measuring insulin secretion from perifused pancreatic
islets in response to three imidazoline compounds and comparing the characteristics of secretion with changes in membrane
potential and cytosolic Ca
2+ concentration [Ca
2+]
i of single β-cells. Phentolamine (32 µM) stimulated insulin secretion from perifused mouse islets in the presence of stimulatory
(10 mM and 30 mM) and substimulatory (5 mM) glucose concentrations and even in the absence of glucose. Idazoxan in concentrations
up to 500 µM was virtually ineffective in the presence of 5 mM glucose. At 10 mM glucose, there was a moderate but significant
increase of secretion by idazoxan, 20 µM being nearly as effective as 100 µM. The effect of phentolamine was of slow onset
and irreversible in the time frame of the experiments, while the effect of idazoxan was of fast onset and reversible. Alinidine
also stimulated secretion in the presence of 10 mM glucose with fast and reversible kinetics, but in contrast to idazoxan,
100 µM was clearly more effective than 20 µM. These heterogeneous characteristics of secretion were reflected by changes of
[Ca
2+]
i: the increase of [Ca
2+]
i by phentolamine was slow and only partially reversible, whereas idazoxan led to a smaller, but faster and reversible response.
The increase of [Ca
2+]
i by phentolamine and idazoxan was abolished by the Ca
2+ channel blocker D 600. Surprisingly, all three compounds depolarized the β-cell plasma membrane from a resting potential
of –71 mV to about –36 mV. Again, the effect of phentolamine was slow and that of idazoxan and alinidine fast. Thus, the characteristics
of phentolamine-induced secretion appear to be attributable to the consequences of K
ATP channel closure. It is unclear, however, why all three test compounds achieved the same degree of depolarization in spite
of their known different efficiency to close K
ATP channels. Apparently, there are additional mechanisms involved in the action of idazoxan and alinidine, which may contribute
to the obvious differences in the characteristics of secretion.
Key words Imidazoline compounds - Insulin secretion - Cytosolic calcium concentration - Plasma membrane - potential - Pancreatic β-cells
Received: 2 October 1998 / Accepted: 21 December 1998