TY - JOUR T1 - Modulation of Ionic Channels and Insulin Secretion by Drugs and Hormones in Pancreatic Beta Cells JF - Molecular Pharmacology JO - Mol Pharmacol SP - 341 LP - 357 DO - 10.1124/mol.116.103861 VL - 90 IS - 3 AU - Myrian Velasco AU - Carlos Manlio Díaz-García AU - Carlos Larqué AU - Marcia Hiriart Y1 - 2016/09/01 UR - http://molpharm.aspetjournals.org/content/90/3/341.abstract N2 - Pancreatic beta cells, unique cells that secrete insulin in response to an increase in glucose levels, play a significant role in glucose homeostasis. Glucose-stimulated insulin secretion (GSIS) in pancreatic beta cells has been extensively explored. In this mechanism, glucose enters the cells and subsequently the metabolic cycle. During this process, the ATP/ADP ratio increases, leading to ATP-sensitive potassium (KATP) channel closure, which initiates depolarization that is also dependent on the activity of TRP nonselective ion channels. Depolarization leads to the opening of voltage-gated Na+ channels (Nav) and subsequently voltage-dependent Ca2+ channels (Cav). The increase in intracellular Ca2+ triggers the exocytosis of insulin-containing vesicles. Thus, electrical activity of pancreatic beta cells plays a central role in GSIS. Moreover, many growth factors, incretins, neurotransmitters, and hormones can modulate GSIS, and the channels that participate in GSIS are highly regulated. In this review, we focus on the principal ionic channels (KATP, Nav, and Cav channels) involved in GSIS and how classic and new proteins, hormones, and drugs regulate it. Moreover, we also discuss advances on how metabolic disorders such as metabolic syndrome and diabetes mellitus change channel activity leading to changes in insulin secretion. ER -