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Sammanfattning

Somatostatin secretion from pancreatic δ-cells inhibits nearby α- and β-cells, and tunes the body’s glycemic setpoint. The role of δ-cells in diabetes remains unclear, in part due to the difficulty separating intrinsic regulation from intra-islet paracrine effects. Here we compared the function of isolated δ-cells of cadaveric non-diabetic and type-2 diabetic donors, by single cell TIRF-microscopy and electrophysiology. Elevated glucose stimulated exocytosis of somatostatin, which was further amplified by glucagon, exendin-4, or forskolin, independent of diabetic status. GABA enhanced exocytosis and electrical activity, while insulin had no effect. Adrenaline and somatostatin strongly inhibited δ-cell activity, leading to autocrine feedback inhibition of somatostatin exocytosis. In type-2 diabetes, δ-cell inhibition by somatostatin and adrenaline was lost, together with a marked reduction in somatostatin receptor (SSTR2) surface expression. We further show that resistance to somatostatin leads to hyperactive δ-cells in type-2 diabetes, and propose that this mechanism contributes to defective blood glucose control.

Nyckelord

Somatostatin; exocytosis; δ-cells; type-2 diabetes; resistance; insulin; glucagon; human islets; TIRF; patch-clamp

Publicerad i

Utgivare: bioRxiv

SLU författare

UKÄ forskningsämne

Endokrinologi och diabetes
Cell- och molekylärbiologi

Publikationens identifierare

  • DOI: https://doi.org/10.64898/2025.12.12.693197

Permanent länk till denna sida (URI)

https://res.slu.se/id/publ/146287