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Clinical use of olanzapine frequently causes severe hyperglycemia as an adverse effect. In this study, we elucidated mechanisms by which olanzapine reduced insulin secretion using the hamster pancreatic β-cell line HIT-T15. Reverse transcriptional-PCR analysis revealed expression of dopamine (D
, D
and D
), serotonin (5-HT
, 5-HT
, 5-HT
, and 5-HT
), and histamine (H
and H
) receptors in HIT-T15 cells. Olanzapine decreased insulin secretion from HIT-T15 cells at clinically relevant concentrations (64-160 nM). A dopamine D
agonist, D
antagonist, and D
antagonist suppressed insulin secretion, whereas a D
antagonist and D
agonist increased it. A serotonin 5-HT
agonist slightly increased insulin secretion, while a 5-HT
antagonist slightly decreased it. Other agonists and antagonists for serotonin receptors did not affect insulin secretion. A histamine H
agonist increased insulin secretion, whereas an H
antagonist and H
agonist suppressed it. Our results suggest that dopamine (D
, D
and D
), serotonin (5-HT
and 5-HT
), and histamine (H
and H
) receptors, which are expressed on pancreatic β-cells, directly modulate insulin secretion from pancreatic β-cells. Thus, olanzapine may induce hyperglycemia in clinical settings by suppressing insulin secretion from pancreatic β-cells through inhibition of dopamine D
, serotonin 5-HT
and 5-HT
, and histamine H
receptors.