Difference in the potentiating effect of adenosine triphosphate and α,β‐methylene ATP on the biphasic insulin response to glucose

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Abstract
1 The effects of exogenous adenine nucleotides and structural analogues on the biphasic insulin response to an increase of glucose concentration in the physiological range (from 4.2 to 8.3 mm) were studied in the isolated perfused rat pancreas. Purinoceptor agonists were added either simultaneously or 15 min before increasing glucose. 2 ATP and ADP at 16.5 μm were ineffective per se in the presence of the non stimulatory glucose concentration (4.2 mm) but markedly potentiated the biphasic insulin response to glucose rise in both experimental protocols. 3 Two more stable analogues of ATP and ADP (adenylylimidodiphosphate and α,β-methylene ADP (α,β-MeADP)) at 16.5 μm behaved like the natural compounds: they were ineffective at a glucose concentration of 4.2 mm and potentiated both phases of insulin response to glucose rise. 4 α,β-MeATP added simultaneously with the high glucose concentration, markedly potentiated the first phase of insulin response to glucose rise but did not potentiate the second one. When α,β-MeATP infusion began 15 min before glucose rise, the biphasic response to glucose was not potentiated, in contrast to what occurred with ATP. 5 In the presence of α,β-MeATP, the ATP potentiating effect was unaffected. 6 It is concluded that ATP and ADP, via activation of β cell P2y purinoceptors, potentiates the biphasic insulin response to an increase of glucose concentration. On the other hand, α,β-MeATP did not behave like natural and other structural analogues of ATP and ADP: this difference appears not to be the consequence of desensitization of β cell P2y purinoceptors by α,β-MeATP.