LRRC8 channel complexes counterbalance KATP channels to mediate swell-secretion coupling in mouse pancreatic β cells

Tarek Mohamed Abd El-Aziz, Washington University School of Medicine in St. Louis
Chen Kang, Washington University School of Medicine in St. Louis
Litao Xie, Washington University School of Medicine in St. Louis
John D. Tranter, Washington University School of Medicine in St. Louis
Sumit Patel, Washington University School of Medicine in St. Louis
Rahul Chadda, Washington University School of Medicine in St. Louis
Maria S. Remedi, Washington University School of Medicine in St. Louis
Rajan Sah, Washington University School of Medicine in St. Louis

Abstract

Insulin secretion from pancreatic β cells is initiated by membrane potential depolarization, followed by activation of voltage-gated Ca2+ channels to trigger Ca2+-mediated insulin vesicle fusion with the β cell plasma membrane. Here, we show that β cell swelling associated with glucose metabolism was sensed by LRRC8 channel complexes and contributed to insulin secretion. Hypertonic perfusate (360-380 mOsm) dose dependently impaired glucose-stimulated insulin secretion by counteracting β cell swelling. Hypotonic perfusate alone, independent of glucose stimulation or KATP channel closure, was sufficient to increase β cell intracellular Ca2+ and trigger insulin secretion. Inhibition of sodium-potassium-chloride cotransporter-1 with bumetanide, which diminished the intracellular Cl- concentration in β cells and consequently reduced Cl- efflux via LRRC8 channel complexes, also significantly reduced hypotonic-stimulated insulin secretion. Finally, stimulation of insulin secretion by the glucokinase activator GKA50, which is known to induce β cell swelling, was entirely suppressed in β cell-targeted Lrrc8a KO islets. These data support a model wherein the LRRC8 channel complex senses β cell swelling triggered by glucose metabolism and regulates β cell insulin secretion through activation of LRRC8-mediated Cl- efflux.