Primary cilia as platforms for islet neurotransmitter signaling
Authors:
- 26 May 2026
- journal article
- review article
- Published by The Endocrine Society in Endocrinology
- Vol. 167 (7)
Abstract
Pancreatic islets maintain glucose homeostasis through the coordinated secretion of hormones and, notably, neurotransmitters. While islet innervation has long been recognized as essential for development and function, the source of these neuromodulators is variable and so is their signaling. Islet α and β cells express a broad repertoire of receptors for neurotransmitters such as acetylcholine, glutamate, GABA, and catecholamines. Emerging evidence reveals an additional layer of regulatory complexity, as a subset of these receptors localize to the primary cilium, a sensory organelle that functions as a specialized signaling hub. Disruption of primary cilia on β cells impairs glucose homeostasis in mice, and human ciliopathies commonly feature metabolic dysfunction. In this review, we synthesize recent findings on neurotransmitter signaling within the islet, with a focus on pathways that converge on the primary cilium. We discuss how compartmentalized signaling via cilia-enriched receptors represents a new dimension of islet cell regulation and offer a perspective on how targeting these ciliary pathways may provide future research directions for modulating α- and β-cell function in diabetes.Keywords
Funding Information
- National Institutes of Health (R01DK138974)
- National Institutes of Health (R01DK140365)
- Yale University DRC T32 training grant (DK007058-51)
This publication has 97 references indexed in Scilit:
- Intrinsic heterogeneity of primary cilia revealed through spatial proteomicsCell, 2025
- β‐Adrenergic Blockers Increase cAMP and Stimulate Insulin Secretion Through a PKA/RYR2/TRPM5 Pathway in Pancreatic β‐Cells In VitroPharmacology Research & Perspectives, 2025
- Molecular basis of opioid receptor signalingCell, 2023
- The influence of glucagon on postprandial hyperglycaemia in children 5 years after onset of type 1 diabetesDiabetologia, 2014
- Sympathetic Innervation during Development Is Necessary for Pancreatic Islet Architecture and Functional MaturationCell Reports, 2013
- Norepinephrine: A Neuromodulator That Boosts the Function of Multiple Cell Types to Optimize CNS PerformanceNeurochemical Research, 2012
- Glutamate: a truly functional amino acidAmino Acids, 2012
- Effects of α2- and β-adrenergic agonism on glucagon secretion from perfused pancreata of normal and streptozocin-induced diabetic ratsMetabolism, 1993
- Localization of β-endorphin in rabbit pancreatic isletsMolecular and Cellular Neuroscience, 1992
- Effect of enkephalins and morphine on insulin secretion from isolated rat isletsDiabetologia, 1980