Insulin resistance is a central feature of type II diabetes and other
diseases, and may affect every tissue of the body, including the
pancreatic beta cell. Insulin signaling is mediated by a complex network
of diverging and converging pathways, with alternative proteins and
isoforms at almost every step in the process. We have previously shown
that insulin activates the transcription of its own gene by signaling
through Insulin Receptor A type (Ex11-), PI3 kinase and p70 s6 kinase.
When studying the mechanisms underlying the glucose-stimulated activation
of the glucokinase gene in pancreatic beta cells, we now demonstrate that
also here secreted insulin is a key-factor. In contrast to the insulin
gene, transcription of the glucokinase gene is promoted by signaling via
Insulin Receptor B type (Ex11+) and protein kinase B (c-Akt). These data
provide the first evidence for selectivity in insulin action via the two
isoforms of the Insulin Receptor, A type (Ex11-) and B type (Ex11+), and
reinforce the concept of the beta cell being an important target of
insulin action.