A pulsatile mode of insulin secretion accounts for approximately seventy percent of total insulin secreted during fasting: direct in vivo measurements by two newly validated independent methods. Porksen, Niels, Stephen Munn, Jeffery Steers, Stephen Vore, Johannes Veldhuis, Peter Butler. Endocrine Research Unit, and Division of Transplant Surgery, Mayo Clinic, Rochester, MN, 55905; Department of Medicine and NSF Center for Biological Timing, Charlottesville, VA, 22908; Department of Comparative Medicine, East Carolina School of Medicine, Greenville, NC, 27858
APStracts 2:0096E, 1995.
The purpose of the present study was to determine the contributions of discrete insulin secretory bursts versus basal insulin release to total insulin secretion in vivo. Quantification of the partitioning of pulsatile and basal insulin secretion is complicated by physiological delivery of these pulses into the portal vein and the absence of validated methods of measuring the rates of pulsatile and basal insulin secretion in vivo. We therefore (a) developed a canine model with chronically implanted portal vein catheters, (b) validated an established deconvolution technique as well as a novel direct catheterization technique (Clustcath) for measurement of pulsatile and non-pulsatile insulin secretion rates in this model, and (c) applied these methods to study insulin secretion in the overnight -fasted dog in vivo to determine the contribution of pulsatile versus basal insulin secretion to total rates of endogenous insulin secretion. Rates of total, pulsatile, and non-pulsatile endogenous insulin secretion measured by Clustcath closely parallel those measured by deconvolution analysis (54+/-15 vs 51+/-11, 38+/-12 vs 36+/-11 and 16+/-4 vs 14+/-4 pmol/min). Both Clustcath and deconvolution indicated that the majority of insulin was secreted as pulses (70+/-6 and 66+/-7%, respectively). These data infer that any process that selectively decreases the pulsatile component of insulin secretion (e.g., diabetes mellitus) will likely have a major impact on total insulin secretion.

Received 14 February 1995; accepted in final form 27 March 1995.
APS Manuscript Number E63-5.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on  9 May 1995.