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P. Rorsman, L. Elaisson, E. Renström, S. Barg, and S. Göpel are in the Department of Physiological Sciences, Division of Molecular and Cellular Physiology, Lund University, Sölvegatan 19, S-223 62 Lund, Sweden. J. Gromada is at Islet Cell Physiology, Building 1KS18, Novo Nordisk A/S, DK-2880 Bagsvaerd, Denmark.
Glucose-stimulated insulin secretion consists of a transient first phase followed by a sustained second phase. Diabetes (type II) is associated with abnormalities in this release pattern. Here we review the evidence that biphasic insulin secretion reflects exocytosis of two functional subsets of secretory granules and the implications for diabetes.
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