04a: Pancreas Flashcards

1
Q

Body’s fuel sources. List them and star the largest/most efficient.

A
  1. Fat*
  2. CHO (Glycogen)
  3. Protein
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F: Most tissues possess enzymatic apparatus to form free glucose from glycogen.

A

False - really only liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F: Protein synthesis from AA occurs in all tissues.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Most AA released during protein breakdown are used for:

A

Gluconeogenesis (via liver)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

T/F: Brain normally uses more Kcal/day than muscle.

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

T/F: Following meal, fuels used by muscle and liver vary, depending on meal’s composition.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F: During fed state, insulin and glucagon mediate many of the anabolic processes throughout the body.

A

True, but glucagon ONLY for processes in liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Fed CHO state: what’s the liver doing with the glucose?

A
  1. E

2. Glycogen, protein, TAG synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fed CHO state: what’s the muscle doing with the glucose?

A
  1. E

2. Glycogen, protein synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Fed CHO state: what’s the adipose doing with the glucose?

A
  1. E

2. TAG, protein synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Fed protein state: the meal stimulates (insulin/glucagon) production and blood glucose levels (rise/fall/don’t change)

A

Both;

Glucagon prevents blood glucose from falling (due to insulin) since meal doesn’t have CHO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F: Brain gets no new E after a pure protein meal.

A

False - via gluconeogenesis in liver (from AA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

T/F: Muscle FA uptake increases during post-absorptive state.

A

True - taken from lipolysis; used for fuel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

T/F: In brief starvation (3 days), muscle glycogen stores are deplete, but liver’s are not.

A

False - both deplete!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Muscle during brief starvation (3 days) (increases/decreases) use of FA for fuel. It also has increasing dependence on (X) fuel source from liver.

A

Decreases;

X = ketone bodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In (brief/prolonged) starvation, muscle switches from (X) to (Y) utilization. (X) needs to be conserved for:

A

Prolonged;
X = ketone bodies
Y = FA

Brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Exercising muscle: initially, (circulating/local)

(X) used as fuel. Then, switch to (circulating/local) (Y).

A

Local;
X = glycogen and TAG
Circulating
Y = FA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

T/F: During severe exercise, muscles become increasingly dependent on FA.

A

False - glucose (more glucose-dependent fibers are recruited)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Exercise: the muscle’s recovery involves accelerated repletion of (X). Why is this high priority?

A

X = glycogen

So muscle is ready for any renewed demands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Exercise: during recovery, the muscle has enhanced sensitivity to which hormone? Why is this important?

A

Insulin (further promotes glucose uptake/glycogen formation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Most, (X)%, of the pancreatic islet is composed of (A/B/D) cells, producing (Y).

A

X = 60
B
Y = insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

(A/B/D) cells are primarily found in the center of the pancreatic islet. And (A/B/D) cells around the periphery. Which direction does blood flow?

A

B (insulin-secreting);
A (glucagon-secreting);

From center outwards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T/F: Blood flow through islet of Langerhans allows paracrine control of insulin by A (glucagon) cells.

A

False - vice versa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

mRNA for insulin is translated initially into (X). Where does (X) go?

A

X = pre-proinsulin

Targeted (via pre- sequence) to ER

25
Proinsulin is generated from (X) upon (Y) modification in which location?
``` X = pre-proinsulin Y = cleavage (of pre- sequence) ``` ER
26
Pro-insulin structure: contains (X) chains of insulin, (as well as/except for) (Y).
X = A and B As well as (in the middle); Y = C-peptide
27
Proinsulin becomes insulin upon (X) modification. The (Y) chains of insulin are linked by (Z).
``` X = proteolytic cleavage (of C-peptide) Y = A and B Z = disulfide bridges ```
28
Though it has no bio function, (X) is useful for measuring insulin secretion when (Y) are present.
``` X = C-peptide (released in 1:1 ratio with insulin) Y = Ab against insulin (ie. Type I dm) ```
29
There's greater insulin production following (oral/IV) glucose intake. This is due to the effect of (X), which originate from (Y).
Oral; X = incretins (GLIP/GIP) Y = endocrine cells in small bowel epithelium
30
Catecholamines (stimulate/inhibit) insulin secretion.
Depends on receptor! | Alpha (inhibits insulin) dominates; but beta receptors stimulate insulin secretion
31
Somatostatin (stimulates/inhibits) insulin secretion and (stimulates/inhibits) glucagon secretion.
Inhibits both
32
ACh (stimulates/inhibits) insulin secretion.
Stimulates
33
Serotonin (stimulates/inhibits) insulin secretion.
Inhibits
34
Prostaglandin E (stimulates/inhibits) insulin secretion.
Inhibits
35
Insulin secretion: high glucose extracellularly leads to its increase in (X) cell via entering through (Y) channel/ATPase/transporter.
``` X = Beta Y = GLUT-2 transporter ```
36
Insulin secretion: Beta cell increase in glucose leads to (increase/decrease) (X) ratio, which (opens/closes) (Y).
Increase; X = ATP/ADP Closes Y = ATP-sensitive K channel
37
Insulin secretion: membrane (de/re/hyper)-polarizes due to (opening/closing) of (X). This leads to (opening/closing) of (Y) followed by (Z).
``` Depolarizes; Closing; X = ATP-sensitive K channel; Opening Y = Ca channel Z = exocytosis of insulin granules ```
38
Insulin receptor is a (cytoplasmic/membrane) (X) protein with which subunit(s)?
Membrane; X = RTK (transmembrane glycoprotein) 2 A and 2 B
39
T/F: Both insulin and its receptor have subunits linked by disulfide bridges.
True
40
Insulin receptor is mutated and can't bind insulin. Which domain/subunit has gone awry?
Alpha
41
(A/B) subunit of insulin receptor is trans-membrane protein that has role in (X) function.
B; | X = signal transduction
42
Following auto-phosphorylation of insulin receptor, phosphorylation of (X) proteins begins insulin cascade.
X = docking (IRS-1/2) IRS = insulin-receptor substrates
43
The main mechanism for insulin clearance is:
Receptor-mediated endocytosis
44
Glucose utilization by (X) tissues is determined, in large part, by that rate of transportation into cells.
X = muscle and adipose (GLUT-4 transporter)
45
T/F: Glucose uptake into cell is rate-limiting step for its metabolism in all tissue.
False - not those with GLUT-2 receptors (ie. liver, beta-cells)
46
GLUT (2/4) is a low affinity, (high/low) capacity transporter.
GLUT-2; | High capacity
47
Insulin (increases/decreases) K movement into cells. The mechanism behind this is an (increase/decrease) in (X) activity.
Increases; Increase; X = Na/K ATPase
48
Treating Type I diabetic with insulin: must be done with care to prevent (hyper/hypo)-kalemia.
Hypokalemia (insulin increases K uptake into cells)
49
Three main factors stimulating glucagon secretion.
1. Falling glucose levels 2. Sympathetics 3. Increase in free AA
50
Glucagon has most of its effects in which tissue type?
Liver!!
51
T/F: Most (80-90%) of glucagon is removed from blood on its first pass through the liver.
True
52
T/F: Glucagon has no direct effect on glucose uptake by muscle.
True
53
"Three polys" indicative of (X) disease. List them.
X = diabetes mellitus 1. Polyuria 2. Polydipsia 3. Polyphagia
54
T/F: In diabetes mellitus, both glucose and ketones appear in urine.
True
55
Seriously affected, untreated type II DM: (hyper/hypo)-glycemia with (X) symptom can result in (ketotic/nonketotic) syndrome. This leads to coma and death.
Hyperglycemia; X = dehydration Nonketotic
56
Type II DM: usually (low/high) likelihood of ketoacidosis because...
Low; Small amount of insulin activity is sufficient to dampen ketone formation
57
The classic "three pathys" of (X) disease. List them.
X = long-term DM 1. Neuropathy 2. Retinopathy 3. Nephropathy
58
T/F: More than half of all diabetics have some form of neuropathies.
True