Preceding the onset of insulin-dependent diabetes mellitus, pancreatic
islets are infiltrated by macrophages secreting interleukin-1 beta, w
hich exerts cytotoxic and inhibitory actions on islet beta-cell insuli
n secretion through induction of nitric oxide (NO) synthesis. The infl
uence of the NO donor 3-morpholinosydnonimine (SIN-1) on insulin secre
tion from isolated pancreatic islets in response to various secretagog
ues was investigated. Stimulation of insulin release evoked by glucose
, phospholipase C activation with carbachol, and protein kinase C acti
vation with phorbol ester were obtunded by SIN-1, whereas the response
to adenylyl cyclase activation or K+-induced depolarization was not a
ffected. It is concluded that enzymes involved in glucose catabolism,
phospholipase C or protein kinase C, may be targeted by NO. Reversal o
f SIN-1 inhibition of glucose-stimulated insulin release by dithiothre
itol suggests that NO may inhibit insulin secretion partly by S-nitros
ylation of thiol residues in key proteins in the stimulus-secretion co
upling. These adverse effects of NO on the p-cell stimulus-secretion c
oupling may be of importance for the development of the impaired insul
in secretion characterizing diabetes mellitus.