Endocrinology Vol. 142, No. 4 1448-1452
Copyright © 2001 by The Endocrine Society
Cyclic Adenosine 3',5'-Monophosphate Increases Pancreatic Glucokinase Activity and Gene Expression1
Cristina Fernandez-Mejia,
Jesus Vega-Allende,
Alberto Rojas-Ochoa,
Mauricio Rodriguez-Dorantes,
Guillermo Romero-Navarro,
Franz M. Matschinsky,
Juehu Wang and
Michael S. German
Nutritional Genetics Unit (C.F.M., J.V., A.R.O.), Biomedical
Research Institute, National University of México, and School of
Chemistry, National University of Mexico (M.R.D.), México City,
C.P. 04530, México; School of Chemical-Biological Sciences
(G.R.N.), Autonomous University of Sinaloa, Culiacán, Sinaloa,
C.P. 80000, México; Hormone Research Institute, University of
California (M.S.G., J.W.), San Francisco, California 94143-0534;
and Diabetes Research Center, University of Pennsylvania Medical Center
(F.M.M.), Philadelphia, Pennsylvania 19104-6015
Address all correspondence and requests for reprints to: Dr. Cristina Fernandez-Mejia, Unidad de Genetica de la Nutricion, Instituto de Investigaciones Biomedicas Universidad Nacional Autónoma de México/Instituto Nacional de Peditría, Avenue del Iman 1, Fourth Floor, México City, C.P. 04530, México. E-mail: crisfern{at}servidor.unam.mx
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Abstract
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Comparison of the pancreatic and hepatic glucokinase gene transcripts
reveals tissue-specific control of expression and the existence of two
distinct promoters in a single glucokinase gene. The existence of
alternate promoters suggests that separate factors regulate glucokinase
transcription in the two tissues. Hepatic glucokinase expression has
been shown to be repressed by cAMP; however, in the pancreatic ß-cell
it is unlikely that cAMP represses glucokinase activity, as cAMP is
known to positively affect glucose-induced insulin secretion, a process
that in mature islets requires pancreatic glucokinase activity. In this
work we demonstrate that cAMP indeed has a stimulatory effect on
pancreatic glucokinase. The cyclic nucleotide stimulates pancreatic
glucokinase activity after 3-h incubation, and maximal effects are
observed after 6 and 12 h of treatment. Using the bDNA assay, a
sensitive signal amplification technique, we detected relative
increases in glucokinase messenger RNA levels of 40.5 ± 7.5%
after 3-h incubation with cAMP. This stimulatory effect was increased
to 106.3 ± 22% after 6-h incubation and sustained up to 12
h of incubation. Inhibition of gene transcription by actinomycin D
abolishes cAMP-induced glucokinase activity. In transfected fetal
islets, cAMP increased the activity of the -1000 bp rat glucokinase
promoter by 60 ± 6%. These data demonstrate that cAMP has a
stimulatory effect on pancreatic glucokinase gene expression and that
the nucleotide has opposite effects on pancreatic and hepatic
glucokinase, supporting the concept that glucokinase transcription in
the liver and that in the ß-cell differ.
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Introduction
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GLUCOKINASE (EC 2.7.1.1) is a
tissue-specific enzyme present in hepatocytes, pancreatic ß-cells,
and certain neuroendocrine cells of the brain and gut
(1, 2, 3, 4, 5). Glucokinase plays a key role in glucose
homeostasis, regulating insulin secretion in response to glucose in the
ß-cells (6, 7) and uptake of glucose in the liver
(8, 9). In humans, mutations in the glucokinase gene cause
maturity-onset diabetes of the youth (10) or
hyperinsulinemia (11).
Comparison of the pancreatic and hepatic glucokinase gene transcripts
reveals a tissue-specific control of their expression as well as the
existence of two distinct promoters in a single glucokinase gene
(12, 13). The existence of alternate promoters suggests
that separate factors regulate glucokinase transcription in the two
tissues. In the liver, glucokinase activity is regulated at the level
of gene transcription in response to fasting and refeeding
(14), with insulin and glucagon serving as the mediators
of this response (15, 16, 17). In contrast, in pancreatic
ß-cells, glucose levels modulate glucokinase activity (2, 18, 19), and this modulation apparently occurs through
posttranscriptional mechanisms (19). This difference might
be expected considering the different functions of these two tissues in
glucose homeostasis. In previous reports we have also demonstrated that
pancreatic glucokinase transcription and activity are regulated by
several hormones and vitamins, and that this hormonal regulation
differs in hepatic and pancreatic genes (20, 21, 22).
In the liver glucokinase gene transcription is decreased by glucagon
through increases on cAMP (15, 17, 23). This effect is
consistent with the role of glucagon favoring gluconeogenesis and
glycogenolysis. However, in the pancreatic ß-cell it is unlikely that
cAMP represses glucokinase activity, because cAMP is known to
positively affect glucose-induced insulin secretion, a process that in
mature islets requires pancreatic glucokinase activity
(24, 25, 26). In this work we investigated the effect of cAMP
on glucokinase enzyme activity and gene expression. We chose pancreatic
fetal islets because of their high percentage of ß-cell yield, their
capacity to be transfected with the glucokinase promoter, and the
lesser amount of time required for their isolation compared with the
adult islets.
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Materials and Methods
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Fetal islet culture
Twenty-one-day-gestation fetal Wistar rat islets were isolated
as described previously (27). Briefly, pancreatic glands
obtained from four to six rats were finely minced and digested with
collagenase type D and 2 µl deoxyribonuclease I (Roche Molecular Biochemicals, Mannheim, Germany). The washed digest
was suspended in RPMI 1640 medium containing 10% FBS, 11
mM glucose, 400 U/ml penicillin, and 200 mg streptomycin
(Life Technologies, Inc., Gaithersburg, MD; supplemented
RPMI 1640 medium) and distributed equally into two 60-mm tissue culture
dishes (Costar, Cambridge, MA). Cultures were incubated
for 5 h at 37 C in a humidified atmosphere of 5%
CO2 to deplete them of fibroblasts. Islets were
then seeded into 60-mm tissue culture dishes (Costar,
Cambridge, MA) and treated either with 8-bromo-cAMP
(Sigma, St. Louis, MO) or vehicle (RPMI 1640) at the
concentrations and times indicated in the text. In experiments in which
RNA synthesis was inhibited, islets were preincubated with or without
actinomycin D1 at a concentration of 5 µg/ml for 1 h and then
treated either with 8-bromo-cAMP
(10-4
M) or vehicle (RPMI 1640) for 3 h.
Glucokinase assay
Islets from five or six pancreases, were harvested and
centrifuged at 1200 rpm. Tissue pellets were lysed in 500 µl reporter
lysis buffer (Promega Corp., Madison, WI) and vortexed,
and cell membranes were disrupted by three freeze-thaw cycles. Five
hundred microliters of GK buffer consisting of 50 mM Tris
(pH 7.6), 4 mM EDTA, 150 mM KCl, 4
mM Mg2SO4, and
2.5 mM dithiothreitol were added. The lysates were then
centrifuged at 4 C for 1 h at 35,000 x g in an
ultracentrifuge (model Optima, Beckman Coulter, Inc., Palo
Alto, CA). Supernatants were recovered, and enzymatic activity
was assayed as described previously by Walker and Parry
(28), using NAD (Sigma) as the coenzyme.
Glucose-6-phosphate dehydrogenase from Leuconostoc
mesenteroides (Sigma) was used as the coupling
enzyme. Correction for low hexokinase activity was applied by
subtracting the activity measured at 0.5 mM
glucose from the activity measured at 100 mM
glucose. Protein concentrations were determined by Bradford assay
(29).
Messenger RNA (mRNA) analysis
Glucokinase and actin mRNA were quantified using branched DNA
(bDNA) technology in a 96-microwell format as previously described for
quantification of insulin pre-RNA and glucokinase (21, 30). All components, including buffers and DNA reagents, were
obtained from Chiron Corp. (Emeryville, CA). RNA was
extracted by either TRIzol (Life Technologies, Inc.) or
cell lysis with 400 µl extraction buffer [78 mM HEPES
(pH 8.0), 12.5 mM EDTA (pH 8.0), 6.27 mM LiCl,
1.6 lithium lauryl sulfate, proteinase K (1 mg/ml), single stranded DNA
(19 µg/ml), 7.8% formamide, 0.05% sodium azide, and 0.05% Proclin
300]. RNA samples were mixed with 200 µl extraction buffer along
with proteinase K and glucokinase capture and label probes, loaded in
the microwell plate, sealed with an adhesive-backed mylar plate sealer
(Microtiter Plate Sealer, Flow Laboratory, Rockville, MD), and
incubated overnight at 63 C in a plate heater to capture the targeted
nucleic acids to the oligonucleotide-modified microwell surface. After
cooling at room temperature for 10 min, cells were washed twice with
wash A (Chiron Corp.). Fifty microliters of branched DNA
(bDNA) amplifier solution containing the bDNA amplifier probe at 1
pmol/ml in amplifier diluent (Chiron Corp.) were added and
hybridized at 53 C for 30 min. After cooling and washing as described
above, 50 µl of a mixture containing alkaline phosphatase-conjugated
label probes (2 pmol/ml) in label diluent (Chiron Corp.)
were added and hybridized at 53 C for 15 min. The plate was cooled and
washed twice in buffer A as described above and then washed three times
with wash solution B (Chiron Corp., Emeryville, CA).
Finally, 50 µl chemiluminescent substrate (Lumiphos 530), an
enzyme-triggered dioxetane substrate for alkaline phosphatase, were
added, and the plate was incubated at 37 C for 25 min. Light emission
was measured in a luminometer at 37 C. Each sample was assayed in
triplicate and standardized to actin mRNA.
Plasmid constructs
The construction of pFOXCAT1 has been described previously
(31). The rat ß-cell glucokinase 1000 promoter extends
from -1000 to +14 bp and was a gift from M. Magnuson (Vanderbilt
University, Nashville, TN) (32). The simian virus
40-luciferase pGL3-Control vector (Promega Corp.) was
donated by Dr. E. Garrido (National Polytechnique Institute) and
Dr. F. López-Casillas (National University of México,
México City, México).
Fetal islet transfection
Experiments were performed as previously described by German
et al. (33); briefly, 21-day-gestation fetal
Wistar rat islets were isolated and digested for 5 min with collagenase
type P and 2 µl deoxyribonuclease I (Roche). After
3 h of plating to deplete fibroblasts, islets were recovered and
dispersed with 0.05% trypsin and 0.53 mM EDTA
(Life Technologies, Inc.). Dispersed islets were incubated
at 37 C in a humidified atmosphere of 5% CO2
after 3 h of plating to deplete culture of fibroblasts,
then cells were harvested by rinsing the plates, pelleted, washed twice
in room temperature PBS, resuspended in 0.8 ml PBS with 25 µg double
cesium-purified plasmid DNA, and electroporated with a discharge of 175
V and 2000 µfarad in a BTX electroporation system model 600 (San
Diego, CA). In cotransfection experiments 12.5 µg simian virus
40-luciferase vector were also added. The transfected cells were grown
in supplemented RPMI containing 11 mM glucose
with 8-bromo-cAMP (10-4
M) or vehicle (RPMI 1640) for approximately
48 h before harvesting and protein extraction. Chloramphenicol
acetyltransferase (CAT) TLC was performed using 25 µg protein, and to
generate enough CAT product, the sample was incubated for 3 h. CAT
signals were analyzed using a PhosphorImager 425 (Molecular Dynamics, Inc., Costa Mesa, CA) or were counted in a
scintillation counter (Minamaxi-ß Tri-carb, United Technologies,
Packard, Meriden, CT). A commercial kit was used to measure luciferase
activity (Promega Corp.).
Statistics
Data are presented as the mean ± SE.
Individual comparisons were evaluated by Students paired two-tailed
t test. Multiple comparisons were evaluated using one-way
ANOVA. The significance level chosen was P < 0.05.
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Results
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cAMP effect on glucokinase activity
We investigated the effects of different concentrations of cAMP on
glucokinase activity in islets isolated from 21-day fetal rats. As
shown in Fig. 1
, 24-h incubation with
cAMP concentrations as low as
10-5 M
increased glucokinase activity significantly by 22 ± 4.8%
(P < 0.05), and a cAMP concentration of
10-4
M produced a maximal increase (176.9 ±
6.6%). No further increase was achieved by a concentration of
10-3
M. In the same experimental model we assessed the
time course of cAMP effect. As shown in Fig. 2
, a cAMP concentration of
10-4
M increased glucokinase activity significantly
(50.3 ± 20.2%; P < 0.05) after 3-h incubation.
Greater increases of 116.5 ± 40% and 140.6 ± 17% were
observed at 6 and 12 h of treatment, respectively. After 24-h
incubation, the stimulatory effect of the cyclic nucleotide was only
76.9 ± 6.6%. A similar positive effect of cAMP on glucokinase
activity was observed in both cultured adult islets and in RIN-m5F
insulinoma cells (data not shown).

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Figure 1. Effects of different concentrations of cAMP on
glucokinase activity in primary cultures of fetal islets. Islets from
21-day-gestation fetal Wistar rats were obtained by collagenase
digestion as described in Materials and Methods and were
cultured for 24 h in the absence or presence of the designated
concentrations of 8-bromo-cAMP. Each bar represents the
mean percentage ± SE of glucokinase activity of six
independent experiments (control glucokinase activity, 97.5 ± 12
pmol/h·islet). Significance was assessed by one-way ANOVA. The
significance level chosen was P < 0.05.
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Figure 2. Time-course effect of cAMP on glucokinase activity
in primary cultures of islets. Islets from 21-day-gestation fetal
Wistar rats were obtained by collagenase digestion as described in
Materials and Methods and cultured for the indicated periods of time in
either the absence or presence of 10-4
M 8-bromo-cAMP. Each bar represents the mean
percentage ± SE of glucokinase activity of three to
six independent experiments (control glucokinase activity, 102.5
± 22 pmol/h·islet). Significance was assessed by one-way ANOVA. *,
P 0.05.
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cAMP effect on glucokinase mRNA levels
We determined whether the stimulatory effect of cAMP on
glucokinase activity was related to an increase in glucokinase gene
expression. Because glucokinase mRNA levels are low, we adapted the
bDNA assay, a sensitive signal amplification technique (21, 30), to measure glucokinase mRNA levels. Each sample was
standardized to actin, a constitutive mRNA that was not modified by the
treatment. A cAMP concentration of
10-4 M for
3 h produced a relative increase of 40.5 ± 7.5% in
glucokinase RNA levels; this stimulatory effect was increased to
106.3 ± 22% at 6 h of incubation and was sustained up to
12 h of incubation with the nucleotide (103 ± 15%). The
effect was reduced to 41 ± 7.2% at 24 h (Fig. 3
).

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Figure 3. Effect of cAMP on glucokinase mRNA levels.
Glucokinase mRNA was quantified using bDNA technology. Islets from
21-day-gestation fetal Wistar rats were cultured for the indicated
periods of time in either the absence or presence of
10-4 M 8-bromo-cAMP. Each sample
was standardized to actin, a constitutive gene that was not modified by
the treatment (3 h, 101.13 ± 12%; 6 h, 99.7 ± 18%;
12 h, 87.3 ± 15.3%; 24 h, 86.2 ± 2.2%). Data
are expressed as relative to those measured in cells without treatment.
Each value represents the mean ± SE of three to five
independent experiments. Significance was assessed by one-way ANOVA. *,
P 0.05.
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To determine whether the rapid increase in glucokinase activity in
response to cAMP was related to the increase observed in its mRNA
levels, we analyzed glucokinase activity in islets in which gene
transcription was inhibited by actinomycin D. As shown in Fig. 4
, the increase in glucokinase activity
was prevented by the inhibitor. Microscopic analysis showed that the
treatment with actinomycin did not affect the viability of the islets
(data not shown).

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Figure 4. Effect of actinomycin-inhibited transcription on
glucokinase activity. Islets from 21-day-gestation fetal Wistar rats
were preincubated with or without actinomycin D at a concentration of 5
µg/ml for 1 h, then treated either with 8-bromo-cAMP
(10-4 M) or vehicle (RPMI
1640) for 3 h. Left panel, Islets treated with
actinomycin; Right panel, Islets without actinomycin.
Each value represents the mean ± SE of four
experiments.
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Effect of cAMP on glucokinase promoter activity
A construct containing -1000 kb of pancreatic glucokinase
promoter driving the CAT reporter gene was transfected into primary
cultures of fetal islets. Treatment with
10-3 M cAMP
for 48 h increases glucokinase promoter activity by 60 ± 6%
(Fig. 5
). cAMP has no effect on the empty
pFOX-CAT1 vector containing no promoter upstream of the CAT reporter
gene. In cotransfection studies with a vector containing luciferase
gene to correct for transfection efficiency, similar cAMP effects were
observed (pFOX-CAT, 1.5 ± 10.5%; -1000 kb, 76.5 ± 10%;
n = 2).

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Figure 5. Effect of cAMP on glucokinase promoter activity.
Fetal islets were transfected with pFOXCAT1 containing -1000 to +14 bp
of rat ß-cell glucokinase promoter (A) or with the empty vector
pFOXCAT1 (B). The cells were then incubated in medium in the presence
or absence of 8-bromo-cAMP (10-4
M) for approximately 48 h. CAT activity was then
assayed in 25 µg protein of the cell extracts and expressed relative
to that measured in cells incubated without treatment. Each value
represents the mean ± SE of three experiments.
Significance was assessed by Students unpaired two-tailed
t test. *, P 0.05.
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Discussion
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In the present study we demonstrate that cAMP stimulates
pancreatic glucokinase gene expression and glucokinase enzyme activity.
This stimulatory effect of cAMP on pancreatic glucokinase is in
contrast to the repressive effect of cAMP on hepatic glucokinase
(15, 17, 23). This difference is in agreement with the
different roles of cAMP in these two tissues. In the liver, cAMP
mediates the effects of glucagon, which stimulates glucose production
by the liver and therefore opposes the glucose catabolic pathways
involving glucokinase. In contrast, in the ß-cell cAMP increases
insulin secretion, a process that in mature islets is dependent on
glucokinase.
The effect of cAMP on glucokinase is observed within 3 h of
incubation with cAMP and peaks around 12 h. The facts that the
rapid effect of cAMP on pancreatic glucokinase activity was paralleled
by an increase in glucokinase mRNA levels, and that inhibition of mRNA
synthesis by actinomycin suppresses the stimulatory effect of cAMP on
glucokinase activity suggest that cAMP exerts its effect through the
stimulation of pancreatic glucokinase gene expression. The positive
effect of cAMP on glucokinase activity and mRNA levels was also
observed in adult islets and in RINm5F (data not shown). The similar
response of cAMP in fetal and adult islets is in agreement with
previous observations (21, 34), indicating that
glucokinase responds in a similar manner to different agents in fetal
and in adult islets. Our results contrast with a previous report of
Hinata et al. (35) that cAMP concentrations of
5 x 10-3
M decreased pancreatic glucokinase mRNA levels.
These researchers, however, did not analyze other concentrations of the
nucleotide and did not analyze the effect on glucokinase enzymatic
activity or promoter activity.
We also demonstrated the ability of cAMP to activate the -1000 kb
ß-cell glucokinase promoter, providing further evidence that cAMP
affects pancreatic glucokinase gene transcription. However, we could
not identify any cAMP response element consensus sequence on the -1000
kb ß cell glucokinase promoter. Further studies will be required to
determine the precise mechanisms that mediate the cAMP effect on the
pancreatic glucokinase promoter.
We and others have previously demonstrated that glucokinase isoenzymes
are regulated differently in the pancreatic ß-cell and the liver
(2, 19, 20), supporting the concept that alternate
promoters and first exons confer differential isoenzyme regulation. In
the pancreatic ß-cell, glucose acts as a positive regulator of
glucokinase enzyme activity (2). Posttranscriptional
regulation has been invoked to explain glucose induction of glucokinase
in the ß-cell (19). In the liver, insulin, not glucose,
is the positive stimulus for glucokinase activity and gene
transcription (2, 15, 16, 17). Previously (20) we
have shown that, in contrast to the stimulatory effect of thyroid
hormone (T3) on hepatic glucokinase
(36, 37, 38), the activity of pancreatic glucokinase is not
affected by T3 despite the negative effect of
T3 on glucokinase mRNA levels. The development of
the enzyme in the islet and that in the liver also differ. In the
pancreatic ß-cell, glucokinase is already present during fetal life
(34), whereas in the liver glucokinase appears 2 weeks
after birth (39, 40). The repression of glucokinase gene
transcription in response to glucagon via cAMP is an essential feature
of hepatic glucokinase regulation (15, 17, 23), but in
this work we demonstrate that cAMP produces an increase in pancreatic
glucokinase activity and expression.
Several studies have investigated the mechanisms by which an increase
in cAMP potentiates glucose-induced insulin secretion. Increased rates
of phosphorylation of ion channels in the ß-cell membrane via
cAMP-dependent protein kinase A may be a mechanism leading to increased
ß-cell sensitivity to primary stimuli (41, 42, 43, 44). In
addition, cAMP has been shown to promote insulin release by an action
distal to the regulatory steps of the secretory machinery
(44, 45, 46). It appears, however, that increases in
glucokinase gene expression also may contribute to the potentiation of
glucose-induced insulin secretion induced by the cyclic nucleotide.
Further studies will be required to determine the relative contribution
of increased glucokinase activity to the overall effects of cAMP on
insulin secretion.
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Acknowledgments
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We are indebted to Dr. M. Magnuson (Vanderbilt University) for
the glucokinase promoter plasmid. We are grateful to M.
S. Gabriela Cabrera-Valladares for teaching the isolation of islets. We
thank Lidia Martinez-Perez for the islet transfection experiments. We
also thank Dr. Maria Eugenia Torres and Dr. Martha Robles for their
helpful discussions.
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Footnotes
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1 This work was supported by Grant DGAPA IN210894, Grant UC Mexus (to
C.F.-M. and M.S.G.), and NIH Grant RO1-DK-48281 (to M.S.G.). 
Received September 13, 2000.
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