Skip to main content
Erschienen in: Diabetologia 4/2013

01.04.2013 | Article

Non-muscle myosin IIA is involved in focal adhesion and actin remodelling controlling glucose-stimulated insulin secretion

verfasst von: C. Arous, D. Rondas, P. A. Halban

Erschienen in: Diabetologia | Ausgabe 4/2013

Einloggen, um Zugang zu erhalten

Abstract

Aims/hypothesis

Actin and focal adhesion (FA) remodelling are essential for glucose-stimulated insulin secretion (GSIS). Non-muscle myosin II (NM II) isoforms have been implicated in such remodelling in other cell types, and myosin light chain kinase (MLCK) and Rho-associated coiled-coil-containing kinase (ROCK) are upstream regulators of NM II, which is known to be involved in GSIS. The aim of this work was to elucidate the implication and regulation of NM IIA and IIB in beta cell actin and FA remodelling, granule trafficking and GSIS.

Methods

Inhibitors of MLCK, ROCK and NM II were used to study NM II activity, and knockdown of NM IIA and IIB to determine isoform specificity, using sorted primary rat beta cells. Insulin was measured by radioimmunoassay. Protein phosphorylation and subcellular distribution were determined by western blot and confocal immunofluorescence. Dynamic changes were monitored by live cell imaging and total internal reflection fluorescence microscopy using MIN6B1 cells.

Results

NM II and MLCK inhibition decreased GSIS, associated with shortening of peripheral actin stress fibres, and reduced numbers of FAs and insulin granules in close proximity to the basal membrane. By contrast, ROCK inhibition increased GSIS and caused disassembly of glucose-induced central actin stress fibres, resulting in large FAs without any effect on FA number. Only glucose-induced NM IIA reorganisation was blunted by MLCK inhibition. NM IIA knockdown decreased GSIS, levels of FA proteins and glucose-induced extracellular signal-regulated kinase 1/2 phosphorylation.

Conclusions/interpretation

Our data indicate that MLCK–NM IIA may modulate translocation of secretory granules, resulting in enhanced insulin secretion through actin and FA remodelling, and regulation of FA protein levels.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Kahn SE, Zraika S, Utzschneider KM, Hull RL (2009) The beta cell lesion in type 2 diabetes: there has to be a primary functional abnormality. Diabetologia 52:1003–1012PubMedCrossRef Kahn SE, Zraika S, Utzschneider KM, Hull RL (2009) The beta cell lesion in type 2 diabetes: there has to be a primary functional abnormality. Diabetologia 52:1003–1012PubMedCrossRef
2.
Zurück zum Zitat Rondas D, Tomas A, Halban PA (2011) FA remodeling is crucial for glucose-stimulated insulin secretion and involves activation of FA kinase and paxillin. Diabetes 60:1146–1157PubMedCrossRef Rondas D, Tomas A, Halban PA (2011) FA remodeling is crucial for glucose-stimulated insulin secretion and involves activation of FA kinase and paxillin. Diabetes 60:1146–1157PubMedCrossRef
3.
Zurück zum Zitat Rondas D, Tomas A, Soto-Ribeiro M, Wehrle-Haller B, Halban PA (2012) Novel mechanistic link between FA remodeling and glucose-stimulated insulin secretion. J Biol Chem 287:2423–2436PubMedCrossRef Rondas D, Tomas A, Soto-Ribeiro M, Wehrle-Haller B, Halban PA (2012) Novel mechanistic link between FA remodeling and glucose-stimulated insulin secretion. J Biol Chem 287:2423–2436PubMedCrossRef
4.
Zurück zum Zitat Tomas A, Yermen B, Min L, Pessin JE, Halban PA (2006) Regulation of pancreatic beta-cell insulin secretion by actin cytoskeleton remodelling: role of gelsolin and cooperation with the MAPK signalling pathway. J Cell Sci 119:2156–2167PubMedCrossRef Tomas A, Yermen B, Min L, Pessin JE, Halban PA (2006) Regulation of pancreatic beta-cell insulin secretion by actin cytoskeleton remodelling: role of gelsolin and cooperation with the MAPK signalling pathway. J Cell Sci 119:2156–2167PubMedCrossRef
5.
Zurück zum Zitat Thurmond DC, Gonelle-Gispert C, Furukawa M, Halban PA, Pessin JE (2003) Glucose-stimulated insulin secretion is coupled to the interaction of actin with the t-SNARE (target membrane soluble N-ethylmaleimide-sensitive factor attachment protein receptor protein) complex. Mol Endocrinol 17:732–742PubMedCrossRef Thurmond DC, Gonelle-Gispert C, Furukawa M, Halban PA, Pessin JE (2003) Glucose-stimulated insulin secretion is coupled to the interaction of actin with the t-SNARE (target membrane soluble N-ethylmaleimide-sensitive factor attachment protein receptor protein) complex. Mol Endocrinol 17:732–742PubMedCrossRef
6.
Zurück zum Zitat Cai EP, Casimir M, Schroer SA et al (2012) In vivo role of FA kinase in regulating pancreatic beta-cell mass and function through insulin signaling, actin dynamics, and granule trafficking. Diabetes 61:1708–1718PubMedCrossRef Cai EP, Casimir M, Schroer SA et al (2012) In vivo role of FA kinase in regulating pancreatic beta-cell mass and function through insulin signaling, actin dynamics, and granule trafficking. Diabetes 61:1708–1718PubMedCrossRef
7.
Zurück zum Zitat Vicente-Manzanares M, Ma X, Adelstein RS, Horwitz AR (2009) Non-muscle myosin II takes centre stage in cell adhesion and migration. Nat Rev Mol Cell Biol 10:778–790PubMedCrossRef Vicente-Manzanares M, Ma X, Adelstein RS, Horwitz AR (2009) Non-muscle myosin II takes centre stage in cell adhesion and migration. Nat Rev Mol Cell Biol 10:778–790PubMedCrossRef
8.
Zurück zum Zitat Vicente-Manzanares M, Zareno J, Whitmore L, Choi CK, Horwitz AF (2007) Regulation of protrusion, adhesion dynamics, and polarity by myosins IIA and IIB in migrating cells. J Cell Biol 176:573–580PubMedCrossRef Vicente-Manzanares M, Zareno J, Whitmore L, Choi CK, Horwitz AF (2007) Regulation of protrusion, adhesion dynamics, and polarity by myosins IIA and IIB in migrating cells. J Cell Biol 176:573–580PubMedCrossRef
9.
Zurück zum Zitat Pasapera AM, Schneider IC, Rericha E, Schlaepfer DD, Waterman CM (2010) Myosin II activity regulates vinculin recruitment to FAs through FAK-mediated paxillin phosphorylation. J Cell Biol 188:877–890PubMedCrossRef Pasapera AM, Schneider IC, Rericha E, Schlaepfer DD, Waterman CM (2010) Myosin II activity regulates vinculin recruitment to FAs through FAK-mediated paxillin phosphorylation. J Cell Biol 188:877–890PubMedCrossRef
10.
Zurück zum Zitat Bhat P, Thorn P (2009) Myosin 2 maintains an open exocytic fusion pore in secretory epithelial cells. Mol Biol Cell 20:1795–1803PubMedCrossRef Bhat P, Thorn P (2009) Myosin 2 maintains an open exocytic fusion pore in secretory epithelial cells. Mol Biol Cell 20:1795–1803PubMedCrossRef
11.
Zurück zum Zitat Masedunskas A, Sramkova M, Parente L et al (2011) Role for the actomyosin complex in regulated exocytosis revealed by intravital microscopy. Proc Natl Acad Sci U S A 108:13552–13557PubMedCrossRef Masedunskas A, Sramkova M, Parente L et al (2011) Role for the actomyosin complex in regulated exocytosis revealed by intravital microscopy. Proc Natl Acad Sci U S A 108:13552–13557PubMedCrossRef
12.
Zurück zum Zitat MacDonald MJ, Chang CM, Kowluru A (1985) Activation of pancreatic islet myosin ATPase by ATP and actin. Biochem Med 33:362–366PubMedCrossRef MacDonald MJ, Chang CM, Kowluru A (1985) Activation of pancreatic islet myosin ATPase by ATP and actin. Biochem Med 33:362–366PubMedCrossRef
13.
Zurück zum Zitat Wilson JR, Ludowyke RI, Biden TJ (2001) A redistribution of actin and myosin IIA accompanies Ca(2+)-dependent insulin secretion. FEBS Lett 492:101–106PubMedCrossRef Wilson JR, Ludowyke RI, Biden TJ (2001) A redistribution of actin and myosin IIA accompanies Ca(2+)-dependent insulin secretion. FEBS Lett 492:101–106PubMedCrossRef
14.
Zurück zum Zitat Kolega J (1998) Cytoplasmic dynamics of myosin IIA and IIB: spatial 'sorting' of isoforms in locomoting cells. J Cell Sci 111(Pt 15):2085–2095PubMed Kolega J (1998) Cytoplasmic dynamics of myosin IIA and IIB: spatial 'sorting' of isoforms in locomoting cells. J Cell Sci 111(Pt 15):2085–2095PubMed
15.
Zurück zum Zitat Bao J, Ma X, Liu C, Adelstein RS (2007) Replacement of nonmuscle myosin II-B with II-A rescues brain but not cardiac defects in mice. J Biol Chem 282:22102–22111PubMedCrossRef Bao J, Ma X, Liu C, Adelstein RS (2007) Replacement of nonmuscle myosin II-B with II-A rescues brain but not cardiac defects in mice. J Biol Chem 282:22102–22111PubMedCrossRef
16.
Zurück zum Zitat Kovacs M, Wang F, Hu A, Zhang Y, Sellers JR (2003) Functional divergence of human cytoplasmic myosin II: kinetic characterization of the non-muscle IIA isoform. J Biol Chem 278:38132–38140PubMedCrossRef Kovacs M, Wang F, Hu A, Zhang Y, Sellers JR (2003) Functional divergence of human cytoplasmic myosin II: kinetic characterization of the non-muscle IIA isoform. J Biol Chem 278:38132–38140PubMedCrossRef
17.
Zurück zum Zitat Du M, Wang G, Ismail TM et al (2012) S100P dissociates myosin IIA filaments and FA sites to reduce cell adhesion and enhance cell migration. J Biol Chem 287:15330–15344PubMedCrossRef Du M, Wang G, Ismail TM et al (2012) S100P dissociates myosin IIA filaments and FA sites to reduce cell adhesion and enhance cell migration. J Biol Chem 287:15330–15344PubMedCrossRef
18.
Zurück zum Zitat Giannone G, Dubin-Thaler BJ, Rossier O et al (2007) Lamellipodial actin mechanically links myosin activity with adhesion-site formation. Cell 128:561–575PubMedCrossRef Giannone G, Dubin-Thaler BJ, Rossier O et al (2007) Lamellipodial actin mechanically links myosin activity with adhesion-site formation. Cell 128:561–575PubMedCrossRef
19.
Zurück zum Zitat Conti MA, Even-Ram S, Liu C, Yamada KM, Adelstein RS (2004) Defects in cell adhesion and the visceral endoderm following ablation of nonmuscle myosin heavy chain II-A in mice. J Biol Chem 279:41263–41266PubMedCrossRef Conti MA, Even-Ram S, Liu C, Yamada KM, Adelstein RS (2004) Defects in cell adhesion and the visceral endoderm following ablation of nonmuscle myosin heavy chain II-A in mice. J Biol Chem 279:41263–41266PubMedCrossRef
20.
Zurück zum Zitat Sandquist JC, Swenson KI, Demali KA, Burridge K, Means AR (2006) Rho kinase differentially regulates phosphorylation of nonmuscle myosin II isoforms A and B during cell rounding and migration. J Biol Chem 281:35873–35883PubMedCrossRef Sandquist JC, Swenson KI, Demali KA, Burridge K, Means AR (2006) Rho kinase differentially regulates phosphorylation of nonmuscle myosin II isoforms A and B during cell rounding and migration. J Biol Chem 281:35873–35883PubMedCrossRef
21.
Zurück zum Zitat Bao J, Jana SS, Adelstein RS (2005) Vertebrate nonmuscle myosin II isoforms rescue small interfering RNA-induced defects in COS-7 cell cytokinesis. J Biol Chem 280:19594–19599PubMedCrossRef Bao J, Jana SS, Adelstein RS (2005) Vertebrate nonmuscle myosin II isoforms rescue small interfering RNA-induced defects in COS-7 cell cytokinesis. J Biol Chem 280:19594–19599PubMedCrossRef
22.
Zurück zum Zitat Lo CM, Buxton DB, Chua GC, Dembo M, Adelstein RS, Wang YL (2004) Nonmuscle myosin IIb is involved in the guidance of fibroblast migration. Mol Biol Cell 15:982–989PubMedCrossRef Lo CM, Buxton DB, Chua GC, Dembo M, Adelstein RS, Wang YL (2004) Nonmuscle myosin IIb is involved in the guidance of fibroblast migration. Mol Biol Cell 15:982–989PubMedCrossRef
23.
Zurück zum Zitat Webb DJ, Donais K, Whitmore LA et al (2004) FAK-Src signalling through paxillin, ERK and MLCK regulates adhesion disassembly. Nat Cell Biol 6:154–161PubMedCrossRef Webb DJ, Donais K, Whitmore LA et al (2004) FAK-Src signalling through paxillin, ERK and MLCK regulates adhesion disassembly. Nat Cell Biol 6:154–161PubMedCrossRef
24.
Zurück zum Zitat Hammar E, Tomas A, Bosco D, Halban PA (2009) Role of the Rho-ROCK (Rho-associated kinase) signaling pathway in the regulation of pancreatic beta-cell function. Endocrinology 150:2072–2079PubMedCrossRef Hammar E, Tomas A, Bosco D, Halban PA (2009) Role of the Rho-ROCK (Rho-associated kinase) signaling pathway in the regulation of pancreatic beta-cell function. Endocrinology 150:2072–2079PubMedCrossRef
25.
Zurück zum Zitat Yu W, Niwa T, Fukasawa T et al (2000) Synergism of protein kinase A, protein kinase C, and myosin light-chain kinase in the secretory cascade of the pancreatic beta-cell. Diabetes 49:945–952PubMedCrossRef Yu W, Niwa T, Fukasawa T et al (2000) Synergism of protein kinase A, protein kinase C, and myosin light-chain kinase in the secretory cascade of the pancreatic beta-cell. Diabetes 49:945–952PubMedCrossRef
26.
Zurück zum Zitat Wilson JR, Biden TJ, Ludowyke RI (1999) Increases in phosphorylation of the myosin II heavy chain, but not regulatory light chains, correlate with insulin secretion in rat pancreatic islets and RINm5F cells. Diabetes 48:2383–2389PubMedCrossRef Wilson JR, Biden TJ, Ludowyke RI (1999) Increases in phosphorylation of the myosin II heavy chain, but not regulatory light chains, correlate with insulin secretion in rat pancreatic islets and RINm5F cells. Diabetes 48:2383–2389PubMedCrossRef
27.
Zurück zum Zitat Katoh K, Kano Y, Amano M, Kaibuchi K, Fujiwara K (2001) Stress fiber organization regulated by MLCK and Rho-kinase in cultured human fibroblasts. Am J Physiol Cell Physiol 280:C1669–C1679PubMed Katoh K, Kano Y, Amano M, Kaibuchi K, Fujiwara K (2001) Stress fiber organization regulated by MLCK and Rho-kinase in cultured human fibroblasts. Am J Physiol Cell Physiol 280:C1669–C1679PubMed
28.
Zurück zum Zitat Bosco D, Gonelle-Gispert C, Wollheim CB, Halban PA, Rouiller DG (2001) Increased intracellular calcium is required for spreading of rat islet beta-cells on extracellular matrix. Diabetes 50:1039–1046PubMedCrossRef Bosco D, Gonelle-Gispert C, Wollheim CB, Halban PA, Rouiller DG (2001) Increased intracellular calcium is required for spreading of rat islet beta-cells on extracellular matrix. Diabetes 50:1039–1046PubMedCrossRef
29.
Zurück zum Zitat Lilla V, Webb G, Rickenbach K et al (2003) Differential gene expression in well-regulated and dysregulated pancreatic beta-cell (MIN6) sublines. Endocrinology 144:1368–1379PubMedCrossRef Lilla V, Webb G, Rickenbach K et al (2003) Differential gene expression in well-regulated and dysregulated pancreatic beta-cell (MIN6) sublines. Endocrinology 144:1368–1379PubMedCrossRef
30.
Zurück zum Zitat Bosco D, Meda P, Halban PA, Rouiller DG (2000) Importance of cell-matrix interactions in rat islet beta-cell secretion in vitro: role of alpha6beta1 integrin. Diabetes 49:233–243PubMedCrossRef Bosco D, Meda P, Halban PA, Rouiller DG (2000) Importance of cell-matrix interactions in rat islet beta-cell secretion in vitro: role of alpha6beta1 integrin. Diabetes 49:233–243PubMedCrossRef
31.
Zurück zum Zitat Kovacs M, Toth J, Hetenyi C, Malnasi-Csizmadia A, Sellers JR (2004) Mechanism of blebbistatin inhibition of myosin II. J Biol Chem 279:35557–35563PubMedCrossRef Kovacs M, Toth J, Hetenyi C, Malnasi-Csizmadia A, Sellers JR (2004) Mechanism of blebbistatin inhibition of myosin II. J Biol Chem 279:35557–35563PubMedCrossRef
32.
Zurück zum Zitat Totsukawa G, Wu Y, Sasaki Y et al (2004) Distinct roles of MLCK and ROCK in the regulation of membrane protrusions and FA dynamics during cell migration of fibroblasts. J Cell Biol 164:427–439PubMedCrossRef Totsukawa G, Wu Y, Sasaki Y et al (2004) Distinct roles of MLCK and ROCK in the regulation of membrane protrusions and FA dynamics during cell migration of fibroblasts. J Cell Biol 164:427–439PubMedCrossRef
33.
Zurück zum Zitat Tsuboi T, Rutter GA (2003) Multiple forms of ‘kiss-and-run’ exocytosis revealed by evanescent wave microscopy. Curr Biol 13:563–567PubMedCrossRef Tsuboi T, Rutter GA (2003) Multiple forms of ‘kiss-and-run’ exocytosis revealed by evanescent wave microscopy. Curr Biol 13:563–567PubMedCrossRef
34.
Zurück zum Zitat McGough A, Pope B, Chiu W, Weeds A (1997) Cofilin changes the twist of F-actin: implications for actin filament dynamics and cellular function. J Cell Biol 138:771–781PubMedCrossRef McGough A, Pope B, Chiu W, Weeds A (1997) Cofilin changes the twist of F-actin: implications for actin filament dynamics and cellular function. J Cell Biol 138:771–781PubMedCrossRef
35.
Zurück zum Zitat Dugina V, Zwaenepoel I, Gabbiani G, Clement S, Chaponnier C (2009) Beta and gamma-cytoplasmic actins display distinct distribution and functional diversity. J Cell Sci 122:2980–2988PubMedCrossRef Dugina V, Zwaenepoel I, Gabbiani G, Clement S, Chaponnier C (2009) Beta and gamma-cytoplasmic actins display distinct distribution and functional diversity. J Cell Sci 122:2980–2988PubMedCrossRef
36.
Zurück zum Zitat Arold ST (2011) How FA kinase achieves regulation by linking ligand binding, localization and action. Curr Opin Struct Biol 21:808–813PubMedCrossRef Arold ST (2011) How FA kinase achieves regulation by linking ligand binding, localization and action. Curr Opin Struct Biol 21:808–813PubMedCrossRef
37.
Zurück zum Zitat Kuo JC, Han X, Hsiao CT, Yates JR 3rd, Waterman CM (2011) Analysis of the myosin-II-responsive FA proteome reveals a role for beta-Pix in negative regulation of FA maturation. Nat Cell Biol 13:383–393PubMedCrossRef Kuo JC, Han X, Hsiao CT, Yates JR 3rd, Waterman CM (2011) Analysis of the myosin-II-responsive FA proteome reveals a role for beta-Pix in negative regulation of FA maturation. Nat Cell Biol 13:383–393PubMedCrossRef
38.
Zurück zum Zitat Iida Y, Senda T, Matsukawa Y et al (1997) Myosin light-chain phosphorylation controls insulin secretion at a proximal step in the secretory cascade. Am J Physiol 273:E782–E789PubMed Iida Y, Senda T, Matsukawa Y et al (1997) Myosin light-chain phosphorylation controls insulin secretion at a proximal step in the secretory cascade. Am J Physiol 273:E782–E789PubMed
39.
Zurück zum Zitat Wilson JR, Ludowyke RI, Biden TJ (1998) Nutrient stimulation results in a rapid Ca2+-dependent threonine phosphorylation of myosin heavy chain in rat pancreatic islets and RINm5F cells. J Biol Chem 273:22729–22737PubMedCrossRef Wilson JR, Ludowyke RI, Biden TJ (1998) Nutrient stimulation results in a rapid Ca2+-dependent threonine phosphorylation of myosin heavy chain in rat pancreatic islets and RINm5F cells. J Biol Chem 273:22729–22737PubMedCrossRef
40.
Zurück zum Zitat Bond LM, Brandstaetter H, Sellers JR, Kendrick-Jones J, Buss F (2011) Myosin motor proteins are involved in the final stages of the secretory pathways. Biochem Soc Trans 39:1115–1119PubMedCrossRef Bond LM, Brandstaetter H, Sellers JR, Kendrick-Jones J, Buss F (2011) Myosin motor proteins are involved in the final stages of the secretory pathways. Biochem Soc Trans 39:1115–1119PubMedCrossRef
41.
Zurück zum Zitat Varadi A, Tsuboi T, Rutter GA (2005) Myosin Va transports dense core secretory vesicles in pancreatic MIN6 beta-cells. Mol Biol Cell 16:2670–2680PubMedCrossRef Varadi A, Tsuboi T, Rutter GA (2005) Myosin Va transports dense core secretory vesicles in pancreatic MIN6 beta-cells. Mol Biol Cell 16:2670–2680PubMedCrossRef
42.
Zurück zum Zitat Vitale ML, Seward EP, Trifaro JM (1995) Chromaffin cell cortical actin network dynamics control the size of the release-ready vesicle pool and the initial rate of exocytosis. Neuron 14:353–363PubMedCrossRef Vitale ML, Seward EP, Trifaro JM (1995) Chromaffin cell cortical actin network dynamics control the size of the release-ready vesicle pool and the initial rate of exocytosis. Neuron 14:353–363PubMedCrossRef
43.
Zurück zum Zitat Hao M, Li X, Rizzo MA, Rocheleau JV, Dawant BM, Piston DW (2005) Regulation of two insulin granule populations within the reserve pool by distinct calcium sources. J Cell Sci 118:5873–5884PubMedCrossRef Hao M, Li X, Rizzo MA, Rocheleau JV, Dawant BM, Piston DW (2005) Regulation of two insulin granule populations within the reserve pool by distinct calcium sources. J Cell Sci 118:5873–5884PubMedCrossRef
44.
Zurück zum Zitat Butler PC, Meier JJ, Butler AE, Bhushan A (2007) The replication of beta cells in normal physiology, in disease and for therapy. Nat Clin Pract Endocrinol Metabol 3:758–768CrossRef Butler PC, Meier JJ, Butler AE, Bhushan A (2007) The replication of beta cells in normal physiology, in disease and for therapy. Nat Clin Pract Endocrinol Metabol 3:758–768CrossRef
45.
Zurück zum Zitat Talchai C, Xuan S, Lin HV, Sussel L, Accili D (2012) Pancreatic beta cell dedifferentiation as a mechanism of diabetic beta cell failure. Cell 150:1223–1234PubMedCrossRef Talchai C, Xuan S, Lin HV, Sussel L, Accili D (2012) Pancreatic beta cell dedifferentiation as a mechanism of diabetic beta cell failure. Cell 150:1223–1234PubMedCrossRef
46.
Zurück zum Zitat Kaimoto T, Yasuda O, Ohishi M et al (2010) Nifedipine inhibits vascular smooth muscle cell dedifferentiation via downregulation of Akt signaling. Hypertension 56:247–252PubMedCrossRef Kaimoto T, Yasuda O, Ohishi M et al (2010) Nifedipine inhibits vascular smooth muscle cell dedifferentiation via downregulation of Akt signaling. Hypertension 56:247–252PubMedCrossRef
47.
Zurück zum Zitat Engler AJ, Sen S, Sweeney HL, Discher DE (2006) Matrix elasticity directs stem cell lineage specification. Cell 126:677–689PubMedCrossRef Engler AJ, Sen S, Sweeney HL, Discher DE (2006) Matrix elasticity directs stem cell lineage specification. Cell 126:677–689PubMedCrossRef
Metadaten
Titel
Non-muscle myosin IIA is involved in focal adhesion and actin remodelling controlling glucose-stimulated insulin secretion
verfasst von
C. Arous
D. Rondas
P. A. Halban
Publikationsdatum
01.04.2013
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 4/2013
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-012-2800-1

Weitere Artikel der Ausgabe 4/2013

Diabetologia 4/2013 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.