#31 Flashcards

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1
Q

what is the most common class of hormone?

A

peptide hormones: chains of amino acids

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2
Q

Examples of peptide hormones

A

pituitary hormones, angiotensin, insulin, glucagon, IGF-1, PTH

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3
Q

Examples of amino acid hormones

A

epinephrine, thyroid hormones

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4
Q

examples of steroid hormones

A

adrenal cortical hormones, sex hormones

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5
Q

How are steroid and thyroid hormones transported?

A

carrier proteins in the blood

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6
Q

how are peptide hormones transported?

A

directly in the blood

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7
Q

How do steroid and thyroid hormones exert their effects on the cell?

A

Bind to nuclear receptors that bind to DNA and regulate gene transcription

Response is altered protein expression that results in a response

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8
Q

How do peptide hormones and catecholamines exert their effects?

A

bind to cell surface receptors

Receptor binding triggers signal transduction pathways that activate or deactivate enzymes, open channels, etc

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9
Q

Exocrine function of the pancreas

A

digestive enzymes

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10
Q

endocrine function of the pancreas

A

insulin and glucagon and somatostatin

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11
Q

Gluconeogenisis

A

making new glucose, primarily from lactate

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12
Q

glycogenisis

A

formation of new glycogen

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13
Q

glycogenolysis

A

breakdown of glycogen

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14
Q

glucagon secretion increases

A

gluconeogenisis, glycogenolysis, lipolysys, plasma fatty acids, ketogenisis, protein degradation

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15
Q

Glucagon signaling

A

g protein linked receptor, PKA phosphorylates other proteins

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16
Q

How does glucose enter the cell?

A

requires glucose transporters

17
Q

plasma glucose increases

A

insulin secretion, glucose uptake into cells, glycogen synthesis, triglyceride synthesis, amino acid transport into cells, protein synthesis

18
Q

how is insulin released? (7 steps)

A
  1. Glucose is in high concentration outside of the cells and moves in via facilitated diffusion (glut 2)
  2. Glucose is converted to pyruvate through glycolysis
  3. Oxidative phosphorylation occurs
  4. ATP acts as a ligand and closes ATP selective K+ channels, blocking K+ movement outside of the cell
  5. BLocked K causes depolarization
  6. Depolarization opens voltage gated Ca channels
  7. Calcium triggers release of insulin by exocytosis
19
Q

Insulin mediated glucose uptake

A

insulin binds to receptor
Binds to IRS1 which eventually binds to AKT
AKT phosphorylates AS160, which then binds to 14-3-3 to innactivate it. When AS160 is active, it has a RABGAP domain that is a GTPase. When GTP binds to GLUT 4, RABGAP gtpase innactivates GLUT 4 by turning GTP to GDP. When GLUT 4 retains GDP it can bind to membrane and open

20
Q

factors controlling insulin secretion

A

blood glucose concentrations, gastrointestinal hormones, blood amino acid concentration

21
Q

why is excessive blood glucose so bad for you?

A

forms reactive oxygen species which damages pretty much everything in your body

22
Q

Diabetes mellitus

A

elevated fasting blood glucose

23
Q

type 1 diabetes

A

autoimmune destruction of B cells

Insulin deficiency

patient must take insulin

24
Q

Type II diabetes

A

90% of diabetics

insulin resistance

insulin secretion compensates for insensitivity, then deficiency occurs in the later stages

25
Q

insulin deficiency can lead to

A

polyurea, polydipsia, ketosis, muscle wasting

26
Q

ketoacidosis is primarily in type ___ diabetes

A

1

27
Q

long term diabetic complications

A

atherosclerosis, renal failure, retinopathy (blindness), neropathy, foot ulcers

28
Q

treatments for diabetes

A

regular exercise, dietary changes (complex carbs, few refined sugars, fewer simple carbs, more water)

insulin sensitizers

Dialysis, amputation,

29
Q

High fructose corn syrup

A

caused diabetes spike in 1977?

30
Q

In the study, what caused the greatest reduction in diabetes?

A

exercise and weight loss