The secretory, biosynthetic and cationic effects of a novel insulinotropic agent with an imidazoline structure, 2-(N-phenyl-indoyl)imidazole hydrochloride (RX 871024) was investigated in rat pancreatic islets. In the 1.0–10-μmrange, this agent augmented, in a concentration-related manner, the release of insulin from islets incubated at intermediate concentrations ofd-glucose (4.0–7.0 mm), this enhancing action fading out at both lower a nd higherd-glucose levels. When the concentration of RX 871024 was raised to 1.0 mm, severe inhibition of glucose-stimulated insulin output was observed. The imidazole derivative (10 μm) failed to enhance glucose-stimulated biosynthetic activity in islets exposed tol-[4-3H]phenylalanine; a modest inhibition of the islet peptide tritiation was even recorded at 4.0 mmd-glucose. The positive insulinotropic action of RX 871024 (10 μm) coincided with a decrease in45Ca net uptake, unchanged outflow of86Rb and stimulation of45Ca efflux from prelabelled islets, the latter effect being only partially suppressed in the absence of extracellular Ca2+. These findings suggest a multifactorial mode of action of RX 871024 in islet cells, with emphasis on both an apparent stimulation of Ca2+influx and, independently of this effect, an intracellular redistribution of the divalent cation. The imidazole compound is proposed, therefore, to display suitable attributes to bypass site-specific defects ofd-glucose metabolism in the B-cell of non-insulin-dependent diabetic patients.
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