12 Pancreas Flashcards
Where is insulin produced
β-cells of pancreas
What is the precursor to the active form of insulin
proinsulin
What are the two chains of insulin
Alpha chain and beta chain linked by disulfide bonds
C-peptide is cut out of the proinsulin molecule but also secreted
Is insulin similar across species
Yes; highly conserved
What fragment of the proinsulin molecule is used to monitor endogenous insulin secretion post-injection
C-peptide fragment
Why is the C molecule useful
released in equimolar amounts with insulin
Is a ‘record’ of endogenous secretion
Is a way of measuring endogenous insulin levels
What are the actions of insulin?
Glucose metabolism
1) facilitates glucose uptake by most tissues
- exceptions: RBCs, most of the brain, intestinal mucosa, lens of the eye, kidney tubules
2) facilitates glucose storage as glycogen
3) lowers blood glucose
4) fat metabolism
5) protein metabolism
6) mineral metabolism
What does insulin do to blood glucose levels? How?
lowers blood glucose by:
- transports glucose into cells by carrier-mediated facilitated diffusion
- converts glucose to glycogen in liver
- converts glucose to TGs in adipose
- inhibits gluconeogenesis in liver
What is glucose converted into in the liver
glycogen
What is glucose converted to in adipose tissue
Triglycerides
What does insulin do to the liver
inhibits gluconeogenesis
What does insulin do to fat metabolisim
inhibits hormone-sensitive lipase (decreases lipolysis)
Promote fat deposition
Triglyceride synthesis
What does insulin do to protein metabolism
Increase AA transport into cells
Increase protein synthesis
Synergizes with GH
What does insulin do to mineral metabolism
transports K+ into cells
Is insulin anabolic or catabolic
anabolic (builds things up)
How is glucose metabolism maintained when blood glucose is high (hyperglycemia)
Increase glucose > increase insulin secretion > glucose cellular uptake (in muscle, fat)
decrease endogenous production of glucose > increased utilization of glucose (muscle & adipose cells) AND increased storage of glucose (in liver a glycogen), fat and aa arriving in the blood from GI tract
What are three major consequences of Insulin deprivation on CHO metabolisim
Glycosuria
Polyuria
Polydypsia
What are some consequences of insulin deprivation on fatty acid metabolism
lipolysis stimulated > formation of acetoacetic acid > formation of ketone bodies >
Ketoaciduria
Ketoacidosis: fruity breath > COMA > DEATH
What 3 conditions release insulin
High glucose
High AA
High FFA