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Relationships between insulin release and taste

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Abstract

Tasting sweet food elicits insulin release prior to increasing plasma glucose levels, known as cephalic phase insulin release (CPIR). The characteristic of CPIR is that plasma insulin secretion occurs before the rise of the plasma glucose level. In this experiment, we examined whether taste stimuli placed on the tongue could induce CPIR. We used female Wistar rats and five basic taste stimuli: sucrose (sweet), sodium chloride (salty), HCl (sour), quinine (bitter) or monosodium glutamate (umami). Rats reliably exhibited CPIR to sucrose. Sodium chloride, HCl, quinine, or monosodium glutamate did not elicit CPIR. The non-nutritive sweetener saccharine elicited CPIR. However, starch, which is nutritive but non-sweet, did not elicit CPIR although rats showed a strong preference for starch which is a source of glucose. In addition, we studied whether CPIR was related to taste receptor cell activity. We carried out the experiment in rats with bilaterally cut chorda tympani nerves, one of the gustatory nerves. After sectioning, CPIR was not observed for sweet stimulation. From these results, we conclude that sweetness information conducted by thistaste nerve provides essential information for eliciting CPIR.
Biomedical Research 28 (2) 79-83, 2007
Relationships
between
insulin release
and
taste
Kazuyuki
Tonosaki1,
Yasunori
How1,
Yasutake
Shimizu2
and
Keiichi
Tonosaki1
1
Department
of
Oral
Physiology,
School
of
Dentistry,
Meikai
University,
Saitama
350-0283
and
2
Department
of
Veterinary
Physiology,
Faculty of Agriculture, Gifu University, Gifu, Japan
(Received
13
December
2006; and accepted26
January
2007)
ABSTRACT
Tasting sweet food elicits insulin release prior to increasing plasma glucose levels, known as ce
phalic phase insulin release (CPIR). The characteristic
of
CPIR is that plasma insulin secretion oc
curs before the rise of the plasma glucose level. In this experiment, we examined whether taste
stimuli placed on the tongue could induce CPIR. We used female Wistar rats and five basic taste
stimuli: sucrose (sweet), sodium chloride (salty),
HC1
(sour), quinine (bitter) or monosodium glu-
tamate (umami). Rats reliably exhibited CPIR to sucrose. Sodium chloride,
HC1,
quinine, or
monosodium glutamate did not elicit CPIR. The non-nutritive sweetener saccharine elicited CPIR.
However, starch, which is nutritive but non-sweet, did not elicit CPIR although rats showed a
strong preference for starch which is a source
of
glucose. In addition, we studied whether CPIR
was related to taste receptor cell activity. We carried out the experiment in rats with bilaterally cut
chorda tympani nerves, one
of
the gustatory nerves. After sectioning, CPIR was not observed for
sweet stimulation. From these results, we conclude that sweetness information conducted by this
taste nerve provides essential information for eliciting CPIR.
Taste
sensations
have
been
classified
into
five
sub-
modalities: sweet, salty, sour, bitter, and umami,
which typically represent particular categories
of
stimuli. Sweetness is represented by carbohydrates,
sourness by spoilage materials, salt by minerals, bit
terness by toxic substances, and the umami by ami
no acids. On the basis
of
these signals, animals
discriminate
between
nutrient
and
toxic
substances.
The sense
of
taste involves not only responding to
foods and transmitting the chemical information
of
the food to the central nervous system but also set
ting up appropriate caloric intake action and taste
related reflexes (3, 4). For example, strong sourness
increases secretional saliva (4, 6, 9) which helps to
Address correspondence to: Dr. Keiichi Tonosaki
Department
of
Oral Physiology, School
of
Dentistry,
Meikai University, 1-1 Keyakidai, Sakatoshi, Saitama-
ken, Japan 350-0283
Tel (Fax): +81-49-279-2770
E-mail: tonosaki@dent.meikai.ac.jp
prepare for smooth digestion and absorption of food
before
it
reaches
the
stomach.
It is
also
known
that
taste stimuli can produce insulin secretion via the p
cell of the pancreas (1-3, 6). The characteristic of
cephalic phase insulin release (CPIR) is that plasma
insulin secretion occurs before the rise
of
the plas
ma glucose level. The typical characteristic of CPIR
is that plasma insulin is secreted within 2 min after
oral sensory stimulation, peaks at 4 min, and returns
to baseline within
8-10
min after stimulation (4, 6,
14-18). Although many CPIR related experiments
have been conducted using multiple animal species,
including human, the functional role
of
CPIR is not
clearly known (1, 3, 6-10). In CPIR research, food
substances are typically placed in the oral cavity. In
many cases, more attention is paid to "food compo
sition"
than to
"food
taste" (6, 7, 13).
There
is no
report that examines the effect
of
the 5 submodali-
ties
of
taste on CPIR systematically. It is important
to clarify this relationship between qualities
of
tastes
and CPIR. The purpose of this study is to clarify the
80
characteristics of taste specificity of CPIR using the
rat.
MATERIALS
AND
METHODS
Animals.
Male
Wistar
rats
weighting
120-220
g
were housed in plastic cages at
22±1°C
with a
12: 12h
light:
dark cycle(lighton 07 : 00-19 : 00 h).
They were given free access to laboratory chow
(LABO MR Sttock, Nihon-Nosan, Yokohama, Ja
pan) and water.
Taste solutions. Taste stimuli were sucrose (1.0 M,
sweetness), acetic acid (CH3COOH, 0.1 M, sour
ness),
salt
(NaCl, 0.5 M,
salty
taste),
quinine
hydrochloride (QHCl, 0.01 M, bitterness), sodium
glutamate (MSG, 0.2 M, umami), saccharin
(0.01
M),
and starch (5%, Merck KgaA, Germany). Each
chemical
was
dissolved
in
distilled
water.
Neural recordingprocedure. After the rat was suffi
ciently anesthetized with pentobarbital administra
tion (40 mg/kg, i.p.), the trachea was cannulated.
The rat was fixed in a supine position in a head
folder, and the chorda tympani (CT) nerve was ex
posed and cut near its entry into the tympanic bulla.
For
whole nerve recording, the entire nerve was
placed on a bipolar silver wire electrode. The elec
trophysiological recording method as well as the
methods
for
chemical
stimulation
of
the
taste
cells
have been previously described (12). Each chemical
solution was applied to the tongue for 20 s. Solu
tions
were
delivered
at
a
flow
rate
of
0.5
mL/s.
In-
terstimulus intervals were at least 1 min, during
which time the tongue was rinsed with distilled wa
ter.
Behavioral analysis (two bottle preference tests).
Rats were first trained to drink at equal rates from
two bottles
of
distilled water. After training, distilled
water was kept in one bottle while a test solution
was placed in the other. The position
of
the bottle
was switched every 24 h, and the intake volume was
measured every 24 h for 3 days. During the experi
ment, each rat was kept in an individual plastic cage
and
fed
solid
food
ad
lib.
The bilateral sectioning
of
chorda
tympani
nerve
(CT).
Six rats were subjected to surgery for bilateral
sectioning
of
the CT. Rats were anesthetized by i.p.
injection
of
pentobarbital (40 mg/kg). Each animal
was secured with a head holder in a prone position
and an incision was made along the mandible tip.
K.
Tonosaki
et
al.
Then both CT nerves were exposed and bilateral CT
nerves were sectioned. After each operation, the
wound was closed with autoclips and the animal
was returned to its cage for recovery.
Cardiac and oral catheter surgeries. After rats
reached a surgical level
of
anesthesia (pentobarbital,
40 mg/kg, i.p.), cardiac catheterization (0.5 mm in
side diameter, 1.0 mm outer diameter) for blood col
lection was inserted from the right external jugular
vein to the right atrium. The catheter exited and ex
posed about 3.0 cm from the parietal region through
a hypodermic. Simultaneously, the catheter for the
taste stimulation (0.5 mm inside diameter, 1.0 mm
outer diameter) was implanted into the oral cavity
through the right cheek and exited and exposed
about 3.0 cm from the parietal region through a hy
podermic. After each operation, the animal was re
turned to its cage for recovery.
Samples and
measurements.
Taste stimulation and
blood collection were performed under non-anesthe
sia and non-restraint using customary methods. Taste
solutions (1.0 mL) were given for 45 s into the oral
cavity via the oral catheter. After a 12-h fast, blood
samples were obtained from the cardiac catheter at
-5, -1,
1, 3, 5, 7, 9, 11
and
15
min
after taste
stim
ulation. Plasma glucose levels were determined by
the glucose oxidase method (Glucose B-test, Wako
Pure Pharmaceutical, Osaka, Japan). Plasma insulin
concentrations were
determined
by ELISA kits
(Morinaga, Yokohama, Japan).
Statistical analysis. All values are presented as
means ± SE. Statistical significance
was
examined
by an
ANOVA,
with post hoc testing by means of
Duncan's multiple range test. Comparisons between
groups were made by Student's t-test. In all tests,
p < 0.05 was accepted as significant.
RESULTS
Chorda
tympani
(CT)
nerve responses and water in
take
for
five fundamental taste solutions
The tongue was rinsed with distilled water. Gustato
ry CT nerve responses for various taste stimulations
are shown in Fig. 1. 1.0 M sucrose, 0.1 M acetic
acid, 0.5 M NaCl, 0.01 M QHCl and 0.2 M MSG
elicited robust CT responses (12).
In Fig. 2, rats distinguished each taste solution
from distilled water. Rats preferred sucrose solutions
(27.8 ±5.5 mL/day, n = 4) but avoided other solu
tions (acetic acid: 1.1
±0.7
mL/day, n = 4; NaCl:
Insulin
release
and
taste
JX
sucrose
1 M
QHCl
0.01
M
81
Fig. 1 Typical
examples
of integrated
chorda
tympani
nerve
responses
to
sucrose,
acetic acid (CH,COOH). sodium chlo
ride (NaCl), quinine hydrochloride (QHCl)
and
monosodium
glutamate
(MSG).
o
I
i
+>
c
H
a
o
•H
-p
H
O
w
40
30
20
10
I
J
§L
IJ
Distilled
water
fH test solution
ita.
i.
sucrose
CH,COOH
NaCl
QHCl
MSG
1 M
0.1
M
0.5
M
0.01
M
0.2
M
Fig. 2 Oral intake of taste solutions and
distilled
water during 24 h preference tests (n = 4). The open columns are the dis
tilled water intake ratios,
and
the
hatched
columns
are
the
taste
stimulus solution intake ratios
(mean
± SD).
2.2
±0.8
mL/day. n = 4: QHCl: 0.7 ± 0.7 mL/day,
n = 4; MSG: 7.5 ± 2.5 mL/day, n = 4). The water in
take
of
a rat was 25.1 ± 1.7 mL/day.
Fivefundamental taste solutions and
CPIR
In Fig. 3A, 3 min after the sucrose stimulation, there
was a 3 to 4 times increase in plasma insulin con
centration compared to levels prior to stimulation
(before stimulation 3.0
±0.7
ng/mL and after 3 min
12.4
±4.5
ng/mL, n = 5). The rise
of
the plasma in
sulin
concentration
was
transient,
and
declined
with
in 7 min. In Fig. 3B. the change
of
the plasma
glucose level after sucrose stimulation is plotted.
The
transient
increase
in
insulin
secretion
was
ob
served before the rise
of
the glucose level (before
stimulation 88.5 ± 8.5 mg/dL. 3 min after stimula
tion 99.3 ± 8.5 mg/dL, n = 6, 5 min after stimulation
112.2±
6.5
mg/dL.
n = 6.
11
min
after
stimulation
142.8 + 12.5 mg/dL. n = 6). Thus CPIR was induced
by the sucrose stimulation of the tongue. Table 1
presents the results of plasma insulin concentrations
and plasma glucose concentrations for acetic acid.
NaCl, QHCl and MSG. No significant changes were
observed.
Sweetness
and
CPIR
In presenting the 5 fundamental tastes, only sucrose
elicited
CPIR.
However,
sucrose
has
two
character
istics:
sweet
and
nutritive.
Next,
we
tested
whether
'sweet' or 'nutritive' could elicit CPIR. Testing with
the
non-nutritive
sweetener
saccharine
did
elicit
CPIR (Fig. 4A and B). However, the non-sweetener
nutritive starch did not elicit CPIR (Fig. 5A and B).
The
effect
of
bilateral sectioning CT nerve
Finally,
we
studied
whether
CPIR
was
related
to
82
Table
1Plasma insulin and glucose levels in
rats
K.
Tonosaki
et
at.
before
3
minutes
5
minutes
7
minutes
11
minutes
n
Acetic
acid
sour
Insulin (ng/mL)
Glucose (mg/dL)
Insulin
Glucose
2.5
±0.2
98.5
±
6.0
2.4
±
0.5
93.5
±
0.2
2.3
±
0.2
92.5
±
7.5
2.5
±
0.5
92.5
±
7.0
2.5
±
0.5
92.5
±
7.0
6
5
NaCl
salty
3.9
±1.5
111.3
±4.5
3.4
±1.1
110.5
±4.0
3.4
± 1.1
111.3
±4.5
3.4
±1.5
110.5
±4.0
3.4
±1.5
110.5
±4.0
5
5
QHCl
bitter
Insulin
Glucose
3.5
±1.2
98.6
±4.5
2.9
±1.0
98.0
±4.5
3.5
±
1.0
101.0
±2.0
3.5
±1.0
101.0
±2.0
3.5
±1.0
105.0
±3.0
5
5
MSG
umami
Insulin
Glucose
2.5
±0.8
103.5
±4.5
2.5
±
0.8
103.5
±4.5
2.5
±1.0
105.5
±5.0
2.5
±1.0
105.5
±5.0
2.5
±1.5
108.5
±7.0
5
5
The values are indicated at I min before and 3, 5, 7,
11
min after taste stimulation, n: sample numbers. Data are means ± SE.
B
sucrose
Fig. 3 Effect of administration of
sucrose
on
plasma
insu
lin levels (n = 5) (A)
and
plasma
glucose
levels (n = 6) (B)
(mean±SD).
Arrows indicate
the
beginning of
the
taste
stimulation.
Significant
difference
between
conditions:
"P
<
0.01
and
*P
<
0.05.
j/Hfrrrf+M
B
aI
J*
>•
»»
fi
-4
i
o
Jm
ta
5 0 5 10 IS
Time
(min)
starch
-5 0 5 [0 15
Time
(min)
Fig. 5 Effect of administration of starch on plasma insulin
levels (n = 5) (A)
and
plasma
glucose
levels (n = 5) (B)
(mean ± SD). Arrows indicate the beginning of the
taste
stimulation.
Significant
difference
between
conditions:
"P<0.01.
taste receptor cell activity. Experiments were carried
out in rats with bilaterally cut CT nerves, one
of
the
gustatory nerves. After sectioning, CPIR was not
observed
for
sweet
stimulation.
The
results
are
shown in Fig. 6A and B.
DISCUSSION
Five fundamental tastes, sweet, sour, salty, bitter and
umami, were examined in order to clarify the rela
20
.5 10
^fH
-i—*
B
ISO.
8 «o
5
saccharin
-t-*-«-t^«
0 5 10 IS
Time
(min)
Fig. 4 Effect of administration of
saccharine
on
plasma
in
sulin levels (n = 5) (A)
and
plasma
glucose
levels (n = 5) (B)
(mean±SD).
Arrows indicate
the
beginning of
the
taste
stimulation.
Significant
difference
between
conditions:
*P
<
0.05.
B
ISO
J 0 J 10 IS 5 0 5 10 IS
Time
(min)
Time
(min)
sucrose
(CT:CUT)
Fig. 6 Effect of administration of
sucrose
on
plasma
insu
lin levels (n = 6) (A)
and
plasma glucose levels (n = 6) (B)
with bilaterality sectioned the chorda tympani (CT)
nerves
(mean ± SD). An arrow indicates the beginning of the
taste
stimulation.
Significant
difference
between
conditions:
"P
<
0.01
and
*P
<
0.05.
tionship between cephalic phase insulin release
(CPIR) and taste quality since there are no previous
reports examining the relationships between CPIR
and these stimuli. In our experiments, the tongue
was
rinsed
with
distilled
water
and
the
taste
cells
were adapted to distilled water. Sucrose, acetic acid,
NaCl,
QHCl,
MSG
and
saccharin elicited robust CT
responses
(12).
The
characteristic
of
CPIR
is that
plasma insulin secretion (plasma insulin release) oc-
Insulin
release
and
taste
curs within 2 min after oral sensory stimulation, that
is, the transient increase in insulin secretion
was
ob
served before the rise
of
the plasma glucose level.
From
our
results, it is
clear
that
CPIR
was
elicited
only by sucrose stimulation, a sweet stimulus (2, 3,
16). Since sucrose has two characteristics, sweet and
nutritive, it is important to clarify which characteris
tic
is
related
to
CPIR.
We
tested
both
saccharin
and
starch:
the
artificial
sweetener
saccharin
is
sweet
but
not
nutritive
and
starch
is
nutritive
but
not
sweet.
The
non-nutritive
sweetener
saccharine
did
elicit
CPIR
whereas
the
non-sweetener
nutritive
starch
did
not. It has been reported that the rats show a strong
preference for starch which is a source
of
glucose,
but starch did not elicit CT responses (8, 10, 11).
From the results, it became clear that
CPIR
pecu
liarly appeared for sucrose, and it was proven that it
is important that CPIR is elicited by sweet, not by
nutritive
stimuli.
Next
we
studied
whether
CPIR
was related to taste receptor cell activity. We carried
out the experiment in rats with bilaterally cut CT
nerves, one
of
the gustatory nerves. After section
ing, CPIR was not observed for sucrose stimulation.
From
these
results,
we
conclude
that
sweetness
in
formation conducted by this taste nerve provides es
sential information for eliciting CPIR.
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... Ninomiya et al (89) reported that the amplitude of a CPIR to 0.125% saccharin decreased across repeated tests; the authors interpreted this as potential evidence of extinction, but it is not entirely clear how the response was conditioned in the first place. Tonosaki et al. (97) found that along with sucrose, saccharin was an effective stimulus for a CPIR. However, the order of stimulus testing was unclear and if sucrose were tested first, then it seems possible that the saccharininduced insulin release was a conditioned response. ...
Article
The cephalic phase insulin response (CPIR) is classically defined as a head receptor-induced early release of insulin during eating that precedes a postabsorptive rise in blood glucose. Here we discuss; 1) the various stimuli that elicit the CPIR and the sensory signaling pathways (sensory limb) involved; 2) the efferent pathways that control the various endocrine events associated with eating (motor limb); and 3) what is known about the central integrative processes linking the sensory and motor limbs. In doing so, we 4) identify open questions and problems with respect to the CPIR in general. Specifically, we consider test conditions that allow, or may not allow, the stimulus to reach the potentially relevant taste receptors and to trigger a CPIR. The possible significance of sweetness and palatability as crucial stimulus features and whether conditioning plays a role for the CPIR are also discussed. Moreover, we ponder the utility of the strict classical CPIR definition based on what is known about the effects of vagal motor neuron activation and thereby acetylcholine on the beta cells, together with the difficulties of the accurate assessment of insulin release. Finally, we weigh the evidence of the physiological and clinical relevance of the cephalic contribution to the release of insulin that occurs during and after a meal. These points are critical for the interpretation of the existing data, and they support a sharper focus on the role of head receptors in the overall insulin response to eating rather than relying solely on the classical CPIR definition.
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The oral detection of sugars relies on two types of receptor systems. The first is the G-protein-coupled receptor TAS1R2/TAS1R3. When activated, this receptor triggers a downstream signaling cascade involving gustducin, phospholipase Cβ2 (PLCβ2), and transient receptor potential channel M5 (TRPM5). The second type of receptor is the glucose transporter. When glucose enters the cell via this transporter, it is metabolized to produce ATP. This ATP inhibits the opening of KATP channels, leading to cell depolarization. Beside these receptor systems, sweet-sensitive taste cells have mechanisms to regulate their sensitivity to sweet substances based on internal and external states of the body. Sweet taste receptors are not limited to the oral cavity; they are also present in extraoral organs such as the gastrointestinal tract, pancreas, and brain. These extraoral sweet receptors are involved in various functions, including glucose absorption, insulin release, sugar preference, and food intake, contributing to the maintenance of energy homeostasis. Additionally, sweet receptors may have unique roles in certain organs like the trachea and bone. This review summarizes past and recent studies on sweet receptor systems, exploring the molecular mechanisms and physiological functions of sweet (sugar) detection in both oral and extraoral organs.
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The taste preference thresholds of adult female rats for polysaccharide (Polycose), maltose, and sucrose were compared. The nondeprived animals were given 24-hr two-bottle preference tests (saccharide solution vs. water) and, starting at 0.008%, the saccharide concentration was increased daily. The rats first preferred the Polycose solution to water at 0.01% (0.0001 M), the maltose solution to water at 0.09% (0.0025 M), and the sucrose solution to water at 0.09% (0.0026 M). Thus, on a molar basis the rats' Polycose threshold was 25 to 26 times lower than their maltose and sucrose threshold. It was postulated that the low taste threshold for polysaccharides allows the rat to detect starch which, unlike sugar, is very low in solubility.
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The taste preferences of adult female rats for solutions of five different carbohydrates were evaluated using brief (3-min) two-bottle preference tests. At the lowest concentration tested (0.03 molar) the order of preference was Polycose greater than maltose greater than sucrose greater than glucose = fructose. Whereas at the highest concentrations tested (0.5 or 1.0 molar) the preference order was sucrose greater than maltose greater than or equal to Polycose greater than glucose greater than fructose. Thus, at low concentrations starch-derived polysaccharides (Polycose) are more palatable to rats than are sugars. These findings are consistent with the hypothesis that rats have separate taste receptors for sugars and for starch-derived polysaccharides. The fact that maltose is the most preferred sugar at low concentrations is attributed to its stimulation of "polysaccharide" taste receptors.
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After sham-feeding of glucose, conscious trained dogs bearing double-barrelled fistulas of the oesophagus or of the stomach do not show any blood sugar increase. Nevertheless their IRI-levels in the peripheral venous blood increased considerably. This increase consists of two peaks of short duration between the 5th and the 10th as well as the 15th and the 25th min. Such IRI-peaks oceured also after sham-feeding of tap water, but to a smaller extent. Their temporal order corresponds to the early IRI-peaks after oral glucose administration in intact animals, but before the blood glucose increase which was observed by us previously. After the application of glucose into the oral opening of the oesophageal fistula the first IRI-peak does not occur, the second and the third peaks appeared to the same extent. A feed-forward of insulin secretion induced by oral ingestion is suggested. It may be interpreted within the scope of the "entero-insular axis" of the mechanism of insulin secretion.
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The occurrence of a reflex insulin discharge at the beginning of a meal, and its possible influence on intake were studied in 7 normal weight humans. Each subject was tested twice under three standard meal conditions. The evolutions of insulinemia and glycemia were recorded over an 84 min observation period, starting 2 min before food presentation. Blood was drawn continuously from an antecubital vein, and collected in 1-min samples for the first 30 min, and then in 3-min samples. The average glycemia curve was stable until some 18-20 min after meal onset. By contrast, a significant rise in plasma insulin appeared as early as the 4th min after meal onset and it is hypothesized to be preabsorptive, of cephalic and/or gastric origin. However, inter-test variations were large even in the same person. Schematically, three types of early insulin responses were observed: high and/or sustained rise, moderate and/or short increase, moderate decrease in plasma insulin. The shape of the early insulin response was not related to any meal characteristic. The potential biological and behavioral significance of the early insulin release is discussed.
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The ability of saccharin, in comparison with glucose and tap water, to elicit glycemia-independent neurally mediated insulin secretion was investigated in chronically catheterized, freely moving rats. Plasma glucose and insulin concentrations were measured continuously from venous blood with a sampling resolution of one per minute. In normal rats, 1 ml of 0.15% saccharin caused a significant rapid rise in peripheral plasma insulin levels lasting up to 5 min, without significant changes in glycemia. Tap water alone also induced a transient elevation in insulinemia but was much smaller than the saccharin-induced response. In streptozotocin diabetic rats bearing intrahepatic, presumably denervated islet isografts, these rapid insulin responses to oral saccharin and tap water stimulation were completely abolished, whereas the early insulin response to intravenous glucose was decreased by only about 30%. These results are consistent with the concept of gustatory and other oral sensory signals acting as triggers for neurally mediated insulin release.