Endothelins (ETs) are potent vasoconstrictive peptides released from the en
dothelium and other tissues, which act on target cells by receptorial calci
um-mediated mechanisms. ET-1 levels are increased in diabetes, and observat
ions suggest the involvement of ETs in the pathogenesis of diabetic angiopa
thy. However, it is not possible to exclude that ETs might also influence i
nsulin secretion or function. In vivo infusion of ET-1 in rats induces hypo
glycaemia and hyperinsulinemia and in vitro incubation with ET-1 stimulates
insulin release by mouse islets. Therefore, ETs might be involved in a cir
culus vitiosus, resulting in hyperinsulinemia and diabetic angiopathy. The
purpose of our study was to verify the effect of ET-1 on rat islets, in bot
h the presence and absence of physiological glucose concentration. Moreover
, we tested the effect of another isoform of endothelins, ET-3, and verifie
d the involvement of extracellular calcium in such events. Islets were incu
bated with increasing ET-1 or ET-3, with or without glucose 5.6 mM. Other s
amples were prepared using calcium-free medium. Incubation in medium contai
ning ET-1 and ET-3, in the presence of glucose and calcium, induced an incr
ease in insulin release. When ET-1 and ET-3 were incubated without glucose
and calcium, insulin release was not modified. Our studies demonstrate that
: 1) ET-3, like ET-1, stimulates insulin release by rat isolated islets; 2)
direct insulin stimulating effect on islets of both ET-1 and ET-3 is evide
nt with physiological glucose concentrations and is calcium mediated. These
results support the hypothesis of ET involvement in the regulation of insu
lin secretion. (C) 2000, Editrice Kurtis.