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LRRC8 channel complexes counterbalance KATP channels to mediate swell-secretion coupling in mouse pancreatic β cells
Tarek Mohamed Abd El-Aziz, … , Maria S. Remedi, Rajan Sah
Tarek Mohamed Abd El-Aziz, … , Maria S. Remedi, Rajan Sah
Published April 29, 2025
Citation Information: JCI Insight. 2025;10(11):e188020. https://doi.org/10.1172/jci.insight.188020.
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Research Article Cell biology Metabolism

LRRC8 channel complexes counterbalance KATP channels to mediate swell-secretion coupling in mouse pancreatic β cells

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Abstract

Insulin secretion from pancreatic β cells is initiated by membrane potential depolarization, followed by activation of voltage-gated Ca2+ channels to trigger Ca2+-mediated insulin vesicle fusion with the β cell plasma membrane. Here, we show that β cell swelling associated with glucose metabolism was sensed by LRRC8 channel complexes and contributed to insulin secretion. Hypertonic perfusate (360–380 mOsm) dose dependently impaired glucose-stimulated insulin secretion by counteracting β cell swelling. Hypotonic perfusate alone, independent of glucose stimulation or KATP channel closure, was sufficient to increase β cell intracellular Ca2+ and trigger insulin secretion. Inhibition of sodium-potassium-chloride cotransporter-1 with bumetanide, which diminished the intracellular Cl– concentration in β cells and consequently reduced Cl– efflux via LRRC8 channel complexes, also significantly reduced hypotonic-stimulated insulin secretion. Finally, stimulation of insulin secretion by the glucokinase activator GKA50, which is known to induce β cell swelling, was entirely suppressed in β cell–targeted Lrrc8a KO islets. These data support a model wherein the LRRC8 channel complex senses β cell swelling triggered by glucose metabolism and regulates β cell insulin secretion through activation of LRRC8-mediated Cl– efflux.

Authors

Tarek Mohamed Abd El-Aziz, Chen Kang, Litao Xie, John D. Tranter, Sumit Patel, Rahul Chadda, Maria S. Remedi, Rajan Sah

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Figure 6

Hypotonic swelling induces insulin secretion in β cells independently of KATP channel closure.

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Hypotonic swelling induces insulin secretion in β cells independently of...
(A) Glucose-stimulated insulin secretion (16.7 mM) from islets isolated from WT (n = 3–4) and KATP GOF (n = 3–4) mice. Insulin secretion is represented as a percentage of the total insulin content. (B) Mean (%) insulin secretion from islets isolated from WT and KATP GOF mice in response to 1 mM glucose (48 min), 16.7 mM glucose (60 min), and 40 mM KCl (88 min). (C) Mean AUC for the percentage of insulin secretion during both first-phase and second-phase (50–74 min) responses to glucose (16.7 mM) stimulation. (D) Hypotonicity-induced insulin secretion (210 mOsm) from islets isolated from WT (n = 3–4) and KATP GOF (n = 3–4) mice. Insulin secretion is represented as a percentage of the total insulin content. (E) Mean (%) insulin secretion from islets isolated from WT and KATP GOF mice in response to isotonic solution (48 min), hypotonic solution (60 min), and 40 mM KCl (88 min). (F) Mean AUC for the percentage of insulin secretion during both first-phase and second-phase (50–74 min) responses to hypotonic (210 mOsm) solution. Data are represented as mean ± SEM. Statistical significance was evaluated using either a 2-tailed unpaired Student’s t test (for normally distributed data) or the Mann-Whitney test (for nonparametric comparisons) (**P < 0.01).

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