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The Mitochondrial Ca2+ Uniporter MCU Is Essential for Glucose-Induced ATP Increases in Pancreatic β-Cells

  • Andrei I. Tarasov,

    Affiliation Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom

  • Francesca Semplici,

    Affiliation Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom

  • Magalie A. Ravier,

    Affiliations Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom, Institut de Génomique Fonctionnelle, INSERM U661, CNRS UMR5203, Université Montpellier I et II, Montpellier, France

  • Elisa A. Bellomo,

    Affiliation Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom

  • Timothy J. Pullen,

    Affiliation Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom

  • Patrick Gilon,

    Affiliation Pole of Endocrinology, Diabetes and Nutrition, Faculty of Medicine, Université Catholique de Louvain, Brussels, Belgium

  • Israel Sekler,

    Affiliation Department of Physiology, Faculty of Health Sciences, Ben Gurion University, Beer-Sheva, Israel

  • Rosario Rizzuto,

    Affiliation Department of Biomedical Sciences, University of Padua, Padua, Italy

  • Guy A. Rutter

    Affiliation Section of Cell Biology, Division of Diabetes Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom

The Mitochondrial Ca2+ Uniporter MCU Is Essential for Glucose-Induced ATP Increases in Pancreatic β-Cells

  • Andrei I. Tarasov, 
  • Francesca Semplici, 
  • Magalie A. Ravier, 
  • Elisa A. Bellomo, 
  • Timothy J. Pullen, 
  • Patrick Gilon, 
  • Israel Sekler, 
  • Rosario Rizzuto, 
  • Guy A. Rutter


Glucose induces insulin release from pancreatic β-cells by stimulating ATP synthesis, membrane depolarisation and Ca2+ influx. As well as activating ATP-consuming processes, cytosolic Ca2+ increases may also potentiate mitochondrial ATP synthesis. Until recently, the ability to study the role of mitochondrial Ca2+ transport in glucose-stimulated insulin secretion has been hindered by the absence of suitable approaches either to suppress Ca2+ uptake into these organelles, or to examine the impact on β-cell excitability. Here, we have combined patch-clamp electrophysiology with simultaneous real-time imaging of compartmentalised changes in Ca2+ and ATP/ADP ratio in single primary mouse β-cells, using recombinant targeted (Pericam or Perceval, respectively) as well as entrapped intracellular (Fura-Red), probes. Through shRNA-mediated silencing we show that the recently-identified mitochondrial Ca2+ uniporter, MCU, is required for depolarisation-induced mitochondrial Ca2+ increases, and for a sustained increase in cytosolic ATP/ADP ratio. By contrast, silencing of the mitochondrial Na+-Ca2+ exchanger NCLX affected the kinetics of glucose-induced changes in, but not steady state values of, cytosolic ATP/ADP. Exposure to gluco-lipotoxic conditions delayed both mitochondrial Ca2+ uptake and cytosolic ATP/ADP ratio increases without affecting the expression of either gene. Mitochondrial Ca2+ accumulation, mediated by MCU and modulated by NCLX, is thus required for normal glucose sensing by pancreatic β-cells, and becomes defective in conditions mimicking the diabetic milieu.


Glucose-induced insulin secretion from pancreatic β-cells is essential to ensure the normal control of blood glucose concentrations [1]. Defects in β-cell glucose sensitivity [2], [3] as well as a decrease in β-cell mass [4] are cardinal aspects of type 2 diabetes mellitus (T2D). A key event in glucose-induced insulin release is the stimulation of mitochondrial oxidative metabolism [5], [6]. Enhanced ATP synthesis [7] results in the closure of ATP-sensitive K+ (KATP) channels [8], membrane depolarisation and Ca2+ influx via voltage-gated Ca2+ channels, which triggers insulin release [1], [9].

In most mammalian cells, mitochondrial oxidative metabolism is thought to be stimulated by Ca2+ [10], [11] through the activation of intramitochondrial dehydrogenases [12]. This stimulates the supply of reducing equivalents to the respiratory chain [13], and hence ATP synthesis [14]. The above process is thought also to be important in pancreatic β-cells [15] and recent analyses using a mitochondrial Ca2+ buffer [14] have suggested that mitochondrial Ca2+ accumulation is important for sustained insulin secretion.

The interplay between cytosolic Ca2+, mitochondrial Ca2+ and ATP synthesis has nonetheless remained enigmatic in the β-cell. In particular, Ca2+ entry into the cytosol, triggered by elevated ATP, is expected to enhance ATP hydrolysis, for example by activating granule exocytosis [16] and Ca2+ ATPases which pump the cation out of the cytosol [17]. The Ca2+-induced drop in ATP is then predicted to open KATP channels, thereby arresting Ca2+ influx [18]. In addition, Ca2+ has been suggested to induce repolarisation of the plasma membrane by opening Ca2+-activated K+ channels [19] or depolarising the mitochondrial inner membrane, which decreases the driving force for ATP synthesis by the F1Fo ATPase [20].

Until very recently, the molecular entities responsible for catalysing mitochondrial Ca2+ uptake have remained unclear in any mammalian cell type. However, two reports in 2011 identified a Ca2+-selective mitochondrial uniporter, MCU, encoded by the Ccdc109a gene [21], [22], in a complex with a Ca2+ sensing subunit MICU1 [23], as the likely Ca2+ transporting entity. Conversely, mitochondrial Ca2+ efflux was proposed to be mediated by the Na+-Ca2+ exchanger NCLX [24]. Whether these transporters catalyse mitochondrial Ca2+ transport in the β-cell, and may thus modulate insulin secretion, is currently unknown.

In the present study, we have sought to explore (a) the molecular mechanisms responsible for Ca2+ transfer across the mitochondrial membrane in β-cells and (b) the impact of these changes on cytosolic ATP dynamics and electrical excitability. To these ends, we have deployed a recently-developed, molecularly-addressed GFP-based recombinant probe for mitochondrial Ca2+ ([Ca2+]mit), 2mt8RP [25], alongside a trappable cytosolic Ca2+ probe (Fura Red) allowing us to image [Ca2+]cyt simultaneously with [Ca2+]mit in individual primary mouse β-cells. These measurements have been combined with perforated patch electrophysiology to allow plasma membrane potential (Vm) to be recorded or controlled without perturbing cellular composition or metabolism [26]. Critically, this approach permits the ready and rapid control of [Ca2+]cyt via voltage-gated Ca2+ channels [27] and thus an analysis of the interplay between [Ca2+]cyt and [Ca2+]mit in real time. In parallel, the novel ATP sensor Perceval [28], based on the bacterial regulatory protein, GlnK1, has been used to monitor the cytosolic ATP/ADP ratio ([ATP/ADP]cyt). These combined approaches have allowed us to characterise the roles of MCU and NCLX as regulators of mitochondrial ATP synthesis in the β-cell.


Glucose induces a monophasic increase in cytosolic Ca2+ but a biphasic increase in cytosolic ATP/ADP ratio

We sought first to determine whether increases in [Ca2+]cyt and/or [Ca2+]mit might influence glucose-induced increases in [ATP/ADP]cyt. The latter parameter was therefore imaged in single mouse β-cells expressing the GFP-based probe Perceval [28], which was chiefly localised to the cytosol as expected (Suppl. Fig. S1A). Changes measured with this probe were shown to be unrelated to small alterations in cytosolic pH, and thus largely to reflect [ATP/ADP]cyt (Suppl. Fig. S2A). [Ca2+]cyt was imaged simultaneously in the same cell using the trappable cytosolic/nuclear probe Fura-Red (Suppl. Fig. S1A) whilst Vm was monitored using patch-clamp in current-clamp mode [3].

β-Cells maintained at low (3 mM) glucose exhibited a resting Vm of −68±1 mV (n = 30, from 12 separate islet preparations; point i in Fig. 1A). An increase in glucose concentration to 17 mM led to a rapid elevation in [ATP/ADP]cyt (Fig. 1A, point ii) and an increase in input resistance, followed by depolarisation of the plasma membrane and a [Ca2+]cyt rise, as expected. This was closely followed by a drop in [ATP/ADP]cyt (Fig. 1A, iii). The 33±4% drop (“trough” in Fig. 1B) was, however, transient and [ATP/ADP]cyt quickly recovered and displayed a steady further increase (Fig. 1A, iv). The increase was not associated with any significant decrease in [Ca2+]cyt, and thus was not likely to reflect a lowering demand for Ca2+ extrusion or other ATP-consuming processes. Furthermore, setting Vm to −70mV via the patch pipette, thus closing voltage-gated Ca2+ channels, led to a prompt decrease in [Ca2+]cyt (Fig. 1A, v). The application of the mitochondrial uncoupler carbonyl cyanide 4-(trifluoromethoxy)phenylhydrazone (FCCP) resulted in an abrupt decrease of [ATP/ADP]cyt, as expected (Fig. 1A, vi), and an elevation of [Ca2+]cyt, presumably due to a compromise in Ca2+ pumping across the plasma and ER membranes.

Figure 1. Glucose induces a biphasic increase in cytosolic ATP/ADP ratio.

A: The effects of high (17mM) glucose on [ATP/ADP]cyt (reported with Perceval), [Ca2+]cyt (Fura-Red) and Vm were measured in a single β-cell (representative of n = 30 cells). The voltage down-strokes were elicited by 10 ms 10 pA current injections applied every 20 s to monitor the input resistance which increased upon the elevation of [ATP/ADP]cyt. Inset: Pseudo-colour images of the patched cell cluster presenting pixel-to-pixel ratios at the time points indicated by arrows (i–vi). ROI is indicated with red oval. Note that a cell expressing high levels of Perceval (just below the ROI) was deliberately excluded from analysis. B: Characteristic times and amplitudes of glucose-induced [ATP/ADP]cyt increase in β-cells (Fig. 1A; n = 30). The data were normalised to the width of the range of [ATP/ADP]cyt change (ΔFmax), measured as the difference in Perceval fluorescence between the peak point at 17 mM glucose and the point corresponding to application of 2 µM FCCP. Depolarisation and onset of electrical activity was taken as zero of the time axis. The change in [ATP/ADP]cyt (ΔF/ΔFmax) at each point is significant vs every other point (p<0.01, Wilcoxon's paired test).

Combining data from multiple experiments (n = 30 single cells, Fig. 1B) we were able to observe that high glucose induced an [ATP/ADP]cyt elevation in β-cells in two distinct phases (Fig. 1B). A rapid first phase preceded membrane depolarisation and electrical activity, whilst a slower second phase resulted in a larger increase of [ATP/ADP]cyt (Fig. 1B). These changes contrasted with the essentially monophasic (albeit oscillatory) increases in [Ca2+]cyt (Fig. 1A).

Cytosolic Ca2+ influx is essential for the second phase of cytosolic ATP/ADP ratio increase

To dissect the dependence of the observed ATP increases on cytosolic Ca2+ increases prompted by depolarisation in response to glucose, we measured the changes in [ATP/ADP]cyt in response to the sugar while keeping the cell hyperpolarised (Vm =  −70mV) using the patch pipette in voltage-clamp mode (as in point v, Fig. 1A). This prevented extracellular Ca2+ from entering the cytosol even at high extracellular glucose.

An increase in glucose from 3 mM to 17 mM resulted in a rapid elevation of [ATP/ADP]cyt, followed by a saturation of the [ATP/ADP]cyt level (ii, Fig. 2). Notably, in the absence of Ca2+ influx, neither a trough, nor an increase in [ATP/ADP]cyt (see e.g. points iii and iv in Fig. 1A) were observed, suggesting that Ca2+ influx is involved in the latter changes. To test this possibility, we imposed forced changes in [Ca2+]cyt with a train of 10 depolarisations (as given in Suppl. Fig. S2B) and then setting Vm back to −70mV (as indicated in the Vm trace in Fig. 2). The depolarisations triggered rapid and transient [Ca2+]cyt elevation which, in turn, resulted in a transient drop in [ATP/ADP]cyt (iii, Fig. 2) Remarkably, [ATP/ADP]cyt started recovering while the depolarisation train was still being applied, at high [Ca2+]cyt, and this trend continued after Vm had been re-set to −70mV and [Ca2+]cyt had decreased (iv, Fig. 2). These experiments indicate that the biphasic behaviour of [ATP/ADP]cyt response to glucose is caused by the increase in [Ca2+]cyt which results in a transient drop in [ATP/ADP]cyt followed by its recovery. The two phases of the glucose-induced increase in [ATP/ADP]cyt can therefore be classified as Ca2+-independent (the one that precedes) and Ca2+-dependent (the one that follows) Ca2+ entry.

Figure 2. Ca2+ entry into the cytosol is essential for the biphasic increase of cytosolic ATP/ADP.

The effect of high glucose on [ATP/ADP]cyt and [Ca2+]cyt was measured in a single β-cell voltage-clamped at −70 mV (representative of n = 12 cells). Small voltage steps (+5/−10 mV) were applied every second to measure the slow whole-cell current, Im. Inset: dynamics of [ATP/ADP]cyt and Im during the indicated range corresponding to the first stage of ATP elevation.

We next sought to determine whether the apparent increases in cytosolic ATP/ADP ratio reported with Perceval were associated with the closure of ATP-sensitive K+ channels, as expected. This seemed an important question since fluctuations in “global” cytosolic ATP/ADP differ in some circumstances from those immediately beneath the plasma membrane, as recorded with a targeted luciferase-based probe [7]. The electrophysiological configuration used here allowed us to address this point as follows.

While keeping the cell hyperpolarised, at −70mV (Fig. 2), we applied small pulses between −65 and −80 mV, to monitor slow whole-cell current, Im. These pulses were too small to trigger any voltage-gated Ca2+ conductance and therefore had no effect on Ca2+ entry. The addition of 17 mM glucose decreased Im during the Ca2+-independent phase of [ATP/ADP]cyt increase (Fig. 2, inset), most likely due to the inhibition of KATP channels, the main providers of the β-cell conductance (Gm) [29]. Gm thus was found to decrease from the initial value of 0.43±0.09 nS/pF to 0.09±0.02 nS/pF (n = 12) during the Ca2+-independent phase. A strong and significant correlation (Pearson's r =  −0.84±0.05, p<0.05, n = 12) between the elevation of [ATP/ADP]cyt as recorded with Perceval, and the closure of KATP changes as measured above, (Suppl. Fig. S2C) indicated that the optical measurements with the GFP-based probe provided a useful guide to [ATP/ADP]cyt changes in the physiologically-relevant domain beneath the plasma membrane. Interestingly, half-maximal inhibition of Gm coincided with the increase of [ATP/ADP]cyt of 20±8% (n = 12, Suppl. Fig. S2C), while earlier data [29] suggest that half-maximal Gm is likely to be reached at around 28±4% of the [ATP/ADP]cyt increase. Thus, the increase in [ATP/ADP]cyt was reported with a 32±21 s delay after the drop in Gm measured using patch-clamp. This small delay may reflect the propagation of the glucose-induced ATP increase from the sub-membrane compartment to the bulk cytosol [7], [30].

Glucose induces a sequential increase in [Ca2+]cyt and [Ca2+]mit

We next explored the possibility that the uptake of Ca2+ by mitochondria may be related to the second phase of [ATP/ADP]cyt increase, as suggested by earlier experiments in β-cell populations [14]. To explore the temporal relationship between increases in [Ca2+]cyt and [Ca2+]mit in single β-cells after stimulation with glucose, we used a mitochondrial matrix-targeted fluorescent Ca2+ probe, 2mt8RP [25] (Fig. 3A; Supp. Fig. S1B). At 3 mM glucose, the plasma membrane was hyperpolarised as expected (Vm =  −68±1 mV, n = 22) and [Ca2+]cyt and [Ca2+]mit were stable (Fig. 3B, point i). Exposure to 17 mM glucose led to an increase in [Ca2+]cyt (Fig. 3B, ii) which was followed later by an increase in [Ca2+]mit, presumably reflecting Ca2+ uniporter-mediated uptake (Fig. 3B, iii). [Ca2+]cyt and [Ca2+]mit reached their maximal amplitudes 47±6 s and 134±25 s, respectively, after the onset of glucose-induced electrical activity (Fig. 3C).

Figure 3. Mitochondrial [Ca2+] follows the increase in cytosolic [Ca2+] with a delay.

A: Colocalisation of 2mt8RP and Mitotracker Orange in a β-cell, 24 h post infection. B: The effect of 17 mM glucose on Vm, [Ca2+]cyt (Fura-Red) and [Ca2+]mit (2mt8RP) in a single pancreatic β-cell (representative of n = 10 cells). Inset: Pseudo-colour images of the patched cell cluster presenting pixel-to-pixel ratios at the time points indicated by arrows (i – iii). ROI is indicated with red oval. C: Mean times of maximal increase for [Ca2+]cyt and [Ca2+]mit in pancreatic β-cells, in response to 17 mM glucose (n = 10 cells). The times are calculated from the moment of the arrival of the first action potential. *Differences are statistically significant (p<0.01).

MCU mediates mitochondrial Ca2+ increases and the second phase of glucose-induced [ATP/ADP]cyt increases

In experiments using an identical configuration to those above, the maximal rate of [ATP/ADP]cyt decrease was observed 106±22 s after the first action potential (between points ii and iii in Fig. 1A). This observation, and those described for the time course of mitochondrial Ca2+ increases (Fig. 3B, C), are thus consistent with the possibility that mitochondrial Ca2+ accumulation (and hence an activation of oxidative metabolism) plays a role in the regulation of the [ATP/ADP]cyt increase that follows an initial and small Ca2+-induced drop. To test this possibility directly we therefore reduced the expression of the recently-identified mitochondrial Ca2+ uniporter, MCU [21], [22], in β-cells by >80% (as assessed by qRT-PCR, not shown) using a lentivirally-delivered shRNA (Fig. 4). Silencing of MCU caused a substantial impairment of apparent Ca2+ entry into mitochondria, whilst the imposed cytosolic Ca2+ increases were unaffected (Fig. 4A, B). Importantly, this manipulation also resulted in an alteration of the glucose-induced [ATP/ADP]cyt changes (Fig. 5A, B). Thus, MCU silencing had no effect on the first phase of the glucose-induced [ATP/ADP]cyt increase, the rise of [Ca2+]cyt or subsequent electrical spiking (Fig. 5A). However, the second (Ca2+-dependent) phase of the [ATP/ADP]cyt increase, i.e. the [ATP/ADP]cyt recovery, was significantly impaired in the β-cells where MCU expression was reduced (Fig. 5A, B).

Figure 4. MCU silencing impairs mitochondrial Ca2+ increases.

Pancreatic β-cells were infected with lentiviruses encoding nonsense (“control”) or anti-MCU (“MCU”) shRNA for 72 h. A: [Ca2+]cyt (Fura-Red) and [Ca2+]mit (2mt8RP) increases were measured in response to 10 depolarising bursts, applied at 4 min−1 by patch pipette (representative traces for n = 12, control, and n = 10, MCU cells). B: Mean ratios of maximal increases in [Ca2+]mit to the respective increases in [Ca2+]cyt (Δ[Ca2+]mit/Δ[Ca2+]cyt) measured in control and MCU β-cells.

Figure 5. MCU silencing impairs the Ca2+-dependent phase of glucose-induced ATP increase. A

: Glucose-induced changes in Vm, [Ca2+]cyt and [ATP/ADP]cyt were measured in current clamp, using Fura-Red and Perceval, respectively (representative for n = 8, control, and n = 10, MCUcells). B: Mean magnitudes of the second phase of [ATP/ADP]cyt increase measured in control and MCU β-cells. The data were normalised to the width of the range of [ATP/ADP]cyt change (ΔFmax), measured as the difference in Perceval fluorescence between the peak point at 17 mM glucose and the point corresponding to application of 2 µM FCCP. C: Changes in ΔΨm measured as mitochondrial TMRE fluorescence, in response to the increase of glucose from 3 to 17 mM, in control and MCU β-cells. The data are expressed as (F-FFCCP)/(F0-FFCCP), where F0 and FFCCP represent TMRE fluorescence intensity in 3 mM glucose and 2 µM FCCP, respectively. *Differences are statistically significant, p<0.01.

To determine whether MCU knock-down might affect mitochondrial membrane potential (Ψm) independently of a Ca2+ increase, we explored the glucose-induced changes in this parameter prior to [Ca2+]cyt elevation using tetramethyl rhodamine, ethyl ester (TMRE). The resting Ψm (measured as −127±4 mV in control vs −133±5 mV in MCU cells) and the kinetics of the glucose-induced change (Fig. 5C) were not affected by the knock-down of MCU.

NCLX modulates mitochondrial Ca2+ changes

Pharmacological inhibition of mitochondrial Na+-Ca2+ exchange has been reported to elevate the basal ATP levels in INS-1 cells and primary rat islets [31]. However, the agent used (CGP37157) was likely to affect cellular Ca2+ homeostasis by targeting plasma membrane voltage-gated Ca2+ channels, as reported by Luciani et al [32]. NCLX was recently identified as an essential component of the mitochondrial Na+-Ca2+ exchanger [24], responsible for Ca2+ efflux from mitochondria, thereby providing an opportunity for a specific inhibition of Ca2+ efflux from mitochondria through RNA interference. In the present study, silencing of NCLX significantly potentiated depolarisation-induced increases in [Ca2+]mit (Fig. 6A, B). NCLX silencing also slightly accelerated the onset of the first phase of the [ATP/ADP]cyt response to glucose (Fig. 6C, D), but had no significant effect on the amplitude of the [ATP/ADP]cyt changes (Fig. 6C, E).

Figure 6. Effect of the NCLX silencing on [Ca2+]cyt and [Ca2+]mit dynamics.

Pancreatic β-cells were infected with lentiviruses delivering nonsense shRNA (“control”) or shRNA against NCLX (“NCLX-“) for 36–48 h. A: [Ca2+]cyt and [Ca2+]mit increases in response to 5 depolarising bursts applied at 4 min−1 were measured using Fura-Red and 2mt8RP, respectively. B: Mean increases in [Ca2+]mit induced by a single depolarising burst or by exposure to 17 mM glucose, related to the respective increases in [Ca2+]cyt (Δ[Ca2+]mit/Δ[Ca2+]cyt). C: Glucose-induced changes in [ATP/ADP]cyt were measured using Perceval (representative for n = 9 control and n = 9 NCLX cells). D: Times of half-maximal increase in [ATP/ADP]cyt in response to 17 mM glucose, in control and NCLX cells. E: Mean magnitudes of the second phase of [ATP/ADP]cyt increase measured in control and NCLX β-cells. The data were normalised to the width of the range of [ATP/ADP]cyt change (ΔFmax), measured as the difference in Perceval fluorescence between the peak point at 17 mM glucose and the point corresponding to application of 2 µM FCCP. Differences vs respective NCLX data are significant with p<0.05 (*) or p<0.01 (**).

Chronic glucolipotoxicity inhibits mitochondrial Ca2+ increases and delays [ATP/ADP]cyt recovery

Previous studies [33] have indicated that the structure and localisation of mitochondria are altered in β-cell dysfunction, including glucolipotoxicity, i.e. exposure to high levels of free fatty acids (FFA) and glucose. Importantly, glucose-induced ATP increases in the β-cell are impaired in this model of T2D [34]. We therefore sought to determine whether these changes were also associated with defective mitochondrial Ca2+ increases or altered expression of mitochondrial Ca2+ transporters.

To this end, we cultured primary mouse β-cells under glucolipotoxic conditions (“FFA+” cells) and studied the impact on the dynamics of [Ca2+]cyt and [Ca2+]mit in response to Vm manipulation. FFA+ cells displayed slower dynamics of [Ca2+]mit increase (Fig. 7A, B). This resulted in a slower onset of the second phase of glucose-induced ATP increase (Fig. 8A, B) in FFA+ β-cells. This effect was not likely to be caused by changes in resting Ψm (−135±4 mV in control vs −137±4 mV in FFA+ cells) or the kinetics of the glucose-induced change in Ψm (Fig. 8C). We also failed to observe any significant change of either MCU or NCLX mRNA levels under these conditions (Fig. 8D). The expression of the transcription factor pancreatic duodenum homeobox-1 (Pdx1), in contrast, was significantly reduced by the chronic glucolipotoxicity, in line with earlier observations [35].

Figure 7. Chronic exposure to high-glucose and high-FFA medium impairs Ca2+ entry into mitochondria.

β-Cells were pre-cultured in FFA-free medium containing 11 mM glucose (“control”) or medium containing 17 mM glucose and 0.5 mM palmitate (“FFA+”) for 48–72 h. A: The cells were voltage-clamped at −70 mV and five depolarising bursts were applied at 4 min−1, as indicated in Vm trace (above). [Ca2+]cyt and [Ca2+]mit were monitored with Fura-Red and 2mt8RP, respectively. B: Peak [Ca2+]mit induced by a single burst related to the respective peak [Ca2+]cyt (Δ[Ca2+]mit/Δ[Ca2+]cyt), measured in control (blue columns, n = 10) and FFA+ (white columns, n = 9) cells. *Differences are significant with p<0.05 (*) or p<0.01 (**).

Figure 8. Chronic glucolipotoxicity slows down the second phase of glucose-induced ATP elevation. A

: Glucose-induced changes in [ATP/ADP]cyt and [Ca2+]cyt were monitored in control (above) and FFA+ (below) cells using Perceval and Fura-Red. B: Mean time of saturation of the second phase of [ATP/ADP]cyt increase in control (blue columns, n = 16) and FFA+ (white columns, n = 13) cells. C: Changes in ΔΨm measured as mitochondrial TMRE fluorescence, in response to the increase of glucose from 3 to 17 mM, in control and FFA+ β-cells. The data are expressed as (F-FFCCP)/(F0-FFCCP), where F0 and FFCCP represent TMRE fluorescence intensity in 3 mM glucose and 2 µM FCCP, respectively. D: Normalised MCU (Ccdc109a), NCLX (Slc24a6) and Pdx1 (Pdx1) mRNA expression levels for control and FFA+ cells. *Differences are significant (p<0.05).


Multiparametric analysis of glucose signalling in single primary β-cells

We dissect here the role of mitochondrial Ca2+ transport in the stimulation of single primary pancreatic β-cells with glucose using a combined imaging and electrophysiology approach. This has allowed us to monitor or manipulate up to four key parameters simultaneously in the same individual cell. Earlier studies in these cells combined the use of a microelectrode [36] or patch-clamp [37] with [Ca2+] measurements to report a close association of [Ca2+]cyt and Vm signals during glucose-induced depolarisation. Furthermore, the control of Vm using perforated-patch was shown to be a very efficient means of rapid and precise control of [Ca2+]cyt [19], [38]. The latter strategy provided a powerful tool here to explore the inter-relationships between Ca2+ changes in discrete compartments and with the control of ATP synthesis. Thus, a key technical advantage over earlier studies [14] has been the ability to resolve the exact sequence in which signalling events occurred within the same individual cell. Moreover, possible artefacts resulting from the progressive recruitment of cells within a population were also excluded.

These studies also represent the first use of the novel ATP/ADP probe Perceval [28] in an excitable cell, and provide significant advances over the previous use of less sensitive luciferase-based reporters [7], [39]. Although the affinity of Perceval for ATP is relatively high, competition with ADP lowers its sensitivity to a range appropriate for the β-cell cytosol (∼1 mM ATP at 3 mM glucose) [7], [29]. Importantly, pH changes appeared not to interfere with the probe (Suppl. Fig. S2A).

MCU mediates mitochondrial Ca2+ uptake and enhanced ATP synthesis in pancreatic β-cells

We demonstrate here firstly that both cytosolic and mitochondrial Ca2+ increases are essential for the sustained (second) phase of [ATP/ADP]cyt increase in response to high glucose. Interestingly, we show (Fig. 2) that a transient imposed increase in [Ca2+]cyt is sufficient to lead to a progressive and sustained increase in [ATP/ADP]cyt. This finding is consistent with the possibility that mitochondrial uptake of Ca2+ in response to high glucose (which is slow compared to increases in cytosolic Ca2+; Fig. 3B, C) may then allow a sustained activation (i.e. “plasticity” or “memory”) of oxidative metabolism [39], [40].

Recent studies [21], [22], have provided convincing evidence for a role of MCU in mitochondrial transport in mammalian fibroblasts. However, no evidence currently exists demonstrating a role for this protein in this process in a more differentiated cell type. We report here firstly that MCU is critical for mitochondrial Ca2+ accumulation in pancreatic β-cells in response to depolarisation-induced Ca2+ increases. Likewise, we show that the Na+-Ca2+ exchanger NCLX [24] regulates [Ca2+]mit increases and may thus be involved in regulating the responses to glucose, consistent with earlier findings using the pharmacological inhibitor CGP37157 [31]. Specifically, NCLX silencing affected the kinetics of the glucose-induced ATP/ADP changes but had no significant effect on the steady-state ATP/ADP level. Although the mechanisms underlying this unexpected observation are presently unclear, they may involve glucose-dependent changes in cytosolic [Na+] (unpublished observation of I.S.). Future studies are required to address this question and the role of NCLX in the β-cell.

Overall, our data support a two-phase model (Fig. 9), in which an initial increase in cytosolic [ATP/ADP] (first phase) occurs independently of any increase in cytosolic (or mitochondrial) Ca2+ concentration. In the second phase, the elevation of cytosolic Ca2+ concentration leads to a gradual increase in mitochondrial Ca2+ (Fig. 3B). This, in turn, is likely to activate intramitochondrial dehydrogenases [10] (and perhaps other mitochondrial enzymes) [41], stimulating respiratory chain activity and hence mitochondrial ATP production. In line with this view, the initial rapid glucose-induced increase in [ATP/ADP]cyt (first phase) was not affected by the MCU silencing whereas the second phase of [ATP/ADP]cyt increase was essentially eliminated.

Figure 9. Proposed scheme of interplay between Ca2+, ATP and Vm in the β-cell.

The oxidation of glucose that enters the β-cell hyperpolarises the mitochondrial membrane (ΔΨm) thereby leading to the elevation of cytosolic ATP/ADP ratio, closing of KATP channels, depolarisation of the plasma membrane (Vm) and Ca2+ entry. Elevated cytosolic [Ca2+] triggers a number of ATP-dependent processes including insulin secretion and Ca2+ removal into the ER and extracellular medium. By entering mitochondria via MCU, Ca2+ potentiates oxidative metabolism to counter-balance ATP expenditure. Ca2+ exits mitochondria via NCLX.

A recent study [14] also described biphasic increases in cytosolic ATP/ADP in β-cell populations in response to glucose, and indicated that mitochondrial Ca2+ accumulation may be essential for increases in cytosolic ATP/ADP in response to the sugar. However, this earlier study relied on the over-expression in the mitochondrial matrix of a high affinity (and high capacity) calcium-binding protein, S100G. Whether the presence of this protein within the mitochondrial matrix may interfere with normal mitochondrial function (for example by leading to a decrease in mitochondrial pH as a result of Ca2+ binding) is unclear.

A role for MCU in the regulation of β-cell excitability and insulin secretion?

Mitochondrial Ca2+ accumulation, catalysed by MCU, is revealed here to be essential for the second phase of glucose-induced ATP synthesis by glucose. What may be the consequences for electrical activity and insulin secretion? Increases in ATP are believed to be involved in both “KATP-dependent” and “KATP-independent” regulation of exocytosis by glucose [16], [42]. Importantly, we obtained no evidence for a role for mitochondrial Ca2+ accumulation in the regulation of plasma membrane electrical activity (Fig. 5) suggesting that an involvement of mitochondrial Ca2+ in the regulation of insulin secretion, as implied by earlier studies [14], is likely to involve the latter (KATP-independent) action on secretory granule movement or fusion, perhaps powered by ATP increases [43]. Further studies, using larger cell populations, will be necessary to explore the impact of MCU on phasic insulin secretion.

A role for mitochondrial Ca2+ transport in β-cell glucolipotoxicity?

We show here that glucolipotoxic conditions impair Ca2+ transport into mitochondria (Fig. 7) and the second phase of glucose-induced ATP/ADP increases (Fig. 8). The expression of both MCU and NCLX was unaltered under these conditions (Fig. 8D), in line with previous studies in models of diet-induced β-cell dysfunction in rodents [44]. It is therefore likely that changes in the intracellular distribution of mitochondria induced by the diabetic milieu [33] are involved in this impairment in mitochondrial Ca2+ transport. These changes in mitochondrial architecture, and hence localisation at sites of Ca2+ entry into the cytosol [45], may consequently interfere with mitochondrial Ca2+ transport and ATP production.


We show here that mitochondrial Ca2+ uptake in the excitable β-cell is mediated by MCU and modulated by NCLX. Changes in Ca2+ in the mitochondrial matrix are shown to be critical for increases in cytosolic ATP/ADP ratio, and may thus be required for glucose-stimulated insulin secretion [14]. Manipulation of MCU activity, in particular, may thus provide potential strategies to improve defective insulin secretion in some forms of diabetes.

Materials and Methods

Islet isolation and culture

Female CD1 mice were sacrificed by cervical dislocation as approved by the United Kingdom Home Office (HO) Animal Scientific Procedures Act, 1986 and designated as “Schedule 1” procedure. Animals were maintained under HO Licence PPL 70/7349 (Holder Dr I Leclerc), which received local ethical committee approval, and all participants received approved local training at Imperial College. Pancreatic islets were isolated by collagenase digestion [46], pre-cultured for 5 h in RMPI-1640 medium, containing 11 mM glucose, 10% FCS, 100 U penicillin, 100 μg streptomycin, at 37°C, 5%CO2, infected with an appropriate adenovirus encoding cDNA for the required probe, split into single β-cells and plated on glass coverslips. The cells were then cultured for >24 h in absolute humidity for 2–4 days and assayed as described below. Glass-attached single cells or 2-3-cell clusters displayed an infection efficiency of ∼90%. β-Cells were identified morphologically and according to their electrophysiological characteristics (membrane capacitance, Vm, KATP current, lack of Na+ current, response to glucose).

Chronic glucolipotoxicity was modelled by culturing the cells in medium containing 0.5 mM Na+-palmitate and 17 mM glucose for 72 h. Palmitate was prepared as a 150 mM stock in ethanol; the working solution also contained 0.67% fatty-acid free BSA (Sigma). Control medium contained, respectively, 0.67% FFA-free BSA and 0.17% ethanol.

MCU was silenced in primary β-cells by 24h incubation with shRNA-bearing lentiviral particles (sc-142052-V, Santa-Cruz Biotechnology), at 1×106 infectious units/ml. Cells infected with the GFP+ control particles (sc-108084) at the same titre displayed a multiplicity of infection of two, 36 hours after infection. Particles delivering non-target shRNA (sc-108080) were used as a negative control.

Molecular biology and generation of adenoviruses

cDNA encoding Perceval [28] was excised from pGW1CMV-Perceval plasmid (kindly provided by Prof Gary Yellen, Yale University) by restriction first with EcoRI, then extension using T4 DNA-polymerase and finally by restriction with HindIII to liberate the insert. The HindIII/blunt insert was cloned into pShuttleCMV previously digested with EcoRV and HindIII.

cDNA encoding 2mt8-ratiometric pericam (2mt8RP) was kindly provided by Prof Tullio Pozzan (University of Padua). “Mt8” refers to the first 36 amino acids of subunit VIII of human cytochrome c oxidase (COX) while the targeting efficiency was improved by using two tandem repeats of the addressing sequence [25]. Adenoviral particles were produced as in [47].

Gene expression measurement by qRT-PCR

RNA was purified from islet samples using Trizol. RNA was quantified by Nanodrop spectrophotometer then reverse transcribed using a High Capacity cDNA Reverse Transcription kit (Applied Biosystems). mRNA abundance was quantified by qPCR using Sybr Green PCR Master Mix (Applied Biosystems) on a 7500 Fast Real-time PCR machine. Expression of each gene was normalised to cyclophilin A (Ppia), and FFA treatment effect as fold change with 95% confidence intervals was calculated using the ΔΔCT method on 7500 Software (Applied Biosystems, v2.0.5).

Single cell epifluorescence imaging

Simultaneous imaging of [Ca2+] in mitochondria and the cytosol was performed using the mitochondrial pericam 2mt8RP, and Fura-Red (Invitrogen) respectively. 2mt8RP, Fura-Red and Indo-1 were used at single excitation and emission wavelengths. Either dye was dissolved in DMSO (4mM) containing 4% F127-Pluronic. Cells were loaded with Fura-Red by incubation with 4μM of the dye in the extracellular solution for 30 min. Imaging experiments were performed on an Olympus IX-71 microscope with UPlanFL N ×40 magnification objective. For acquisition, an F-View-II camera and MT-20 excitation system equipped with a Hg/Xe arc lamp were used, under control of CelÎR software (Olympus). Excitation/emission wavelengths were (nm): 410/535 (2mt8RP), 490/630 (Fura-Red), 490/535 (Perceval). Images were acquired at a frequency of 0.2 Hz with typical excitation times of 10 ms. The acquisition of the fluorescence and electrophysiological data was synchronized using TTL pulses. Imaging data was background-subtracted, analysed and presented as F/F0 (Perceval) and F0/F (Fura-Red, 2mt8RP). Whole cells were selected as regions of interest (ROI) to minimize the effect of the cell drift. For cell clusters, only the patched cell was included in the ROI. Every [Ca2+] recording was subjected to the dynamic range control by applying, at the end of the trace, solutions containing 10 μM ionomycin: “Ca2+-free” (0.5 mM EGTA), “Ca2+-max” (5 mM Ca2+). For the [ATP/ADP]cyt recordings the dynamic range was controlled by high glucose (maximum after >30 min of exposure) and 2µM carbonyl cyanide 4-(trifluoromethoxy)phenylhydrazone (FCCP; minimum).

Measurements of TMRE fluorescence

Cells were loaded with 7 nM TMRE for 60min at 3 mM glucose. Confocal imaging was performed in bath solution (see below) initially containing 3mM glucose, using a Zeiss microscope fitted with a Plan Apochromat x63 n. a. 1.4 oil immersion objective and equipped with Yokogawa CSU22 spinning disk module. The TMRE fluorescence signal was excited at 563 nm using a solid-state laser. Emission at 600 nm was registered using Hamamatsu ImagEM EM-CCD camera. The calculations of Ψm were done on the basis of the ratio of mitochondrial and cytosolic fluorescence, as was outlined in [48].


Electrophysiological recordings and stimulation were done in whole-cell perforated-patch configuration, using an EPC9 patch-clamp amplifier controlled by Pulse acquisition software (HEKA Elektronik). The pipette tip was dipped into pipette solution, and then back-filled with the same solution containing 0.17 mg/ml amphotericin B. Series resistance and cell capacitance were compensated automatically by the acquisition software. Recordings, triggered by the TTL pulse, were started in current-clamp mode, and the depolarization of the plasma membrane was monitored simultaneously with [Ca2+] and [ATP/ADP]cyt, in response to a glucose step from 3 to 17 mM. To monitor the input resistance, the protocol included 10-ms injections of repolarising 10-pA current applied every 20s. The parameters of the current injections were chosen to minimise their effect on the glucose-induced electrical activity. To control Vm and impose electrical stimulations, the mode was periodically switched to voltage-clamp [49]. Vm was held at the value of −70 mV, with 0.5 Hz +5/−10 mV pulses to monitor the KATP conductance (see Suppl. Fig. S2B). The electrical stimulation was deemed to mimic the naturally occurring bursts of action potentials and comprised of 5-s depolarization trains to −30 mV containing 25 ramps of 100 ms to 0 mV and back (Suppl. Fig. S2B). Data were filtered at 1 kHz, and digitised at 2 kHz. Gm was normalized to cell capacitance to account for cell size.

Experimental solutions

The pipette solution contained (mM): 76 K2SO4, 10 NaCl, 10 KCl, 1 MgCl2, 5 HEPES (pH7.35 with KOH). The extracellular bath solution, referred in text as “EC” contained (mM): 120 NaCl, 4.8 KCl, 24 NaHCO3 (saturated with CO2), 0.5 Na2HPO4, 5 HEPES (pH 7.4 with NaOH), 2.5 CaCl2, 1.2 MgCl2. All experiments were conducted at 32–33°C and the bath solution was perifused continuously.

Data analysis

Imaging data was analysed using CelÎR (Olympus) and ImageJ (Wayne Rasband, NIMH). The simultaneous recordings were combined together and analysed using Igor Pro (Wavemetrics). The results are presented as mean±SEM. Mann-Whitney U-test and Wilcoxon's paired test were used to assess the statistical significance of the differences between the independent and dependent samples, respectively.

Supporting Information

Figure S1.

Expression patterns of Perceval and 2mt8RP. A: A two-cell pancreatic β-cell cluster was infected with Perceval (48 h, λex = 490 nm, λem = 535 nm) and incubated with Fura-Red (30 min, λex = 490 nm, λem = 630 nm). B: A three-cell pancreatic β-cell cluster was infected with 2mt8RP (48 h, λex = 490 nm, λem = 535 nm) and loaded with Fura-Red (30 min, λex = 490 nm, λem = 630 nm).


Figure S2.

Imaging ATP dynamics in single β-cells. Effects of pH, analysis of kinetics. A: Comparison of the effects of glucose and pH on the Perceval fluorescence. 17 mM glucose was applied to the cell, followed by 140 mM K+ plus 10 μM nigericin solutions of the indicated pH. B: Schematic of the depolarisation protocol (single burst). C: The first phase of glucose-induced [ATP/ADP]cyt increase and the decrease in Gm were closely associated in time. Gm was calculated from Im traces (Fig. 2B, inset). The pairs of signals (n = 12) were normalised by the range of change during the first phase of ATP elevation.



We thank Profs. G Yellen (Yale), R.M Denton and P.J. Cullen (Bristol) for useful discussion.

Author Contributions

Conceived and designed the experiments: GAR AIT. Performed the experiments: AIT FS MAR EAB TJP. Analyzed the data: AIT GAR. Contributed reagents/materials/analysis tools: PG RR IS. Wrote the paper: AIT GAR. Proofread the manuscript: TJP.


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