Biochemistry Flashcards
When was insulin discovered
1921
what organ maintains blood glucose levels (BGL)
Pancreas
Glucagon function, structure, where is it produced
29 a.a ppt
a-cells produce glucagon in response to low BGL
INCREASES BGL:
- glycogen breakdown to glucose
What is the breakdown of glycogen to glucose called?
Glycogenolysis
Insulin function and structure, where is it produced?
51 a.a ppt
B-cells produce insulin in response to high BGL
DECREASES BGL:
- stimulates all body cells (except brain cells) to take up glucose and stores it as glycogen
Stimulate glycogen synthesis
Promote storage of fuel e.g glucose, muscle growth, fat
generally anabolic - needs ATP
What is the synthesis of new glucose called?
Gluconeogenesis
where is GLUT2 found? what is its property
Pancreas B-cells, liver and gut
High Km (low affinity) glucose enters when conc. is high
How does pancreatic islet B-cells sense glucose
Glucose floods in against conc. by AT
Moves into mitochondria, produces ATP
Where does ATP produced by mitochondria go
ATP binds to K+ channel
depolarises cell
Promotes movement insulin containing vesicles to membrane surface, then secreted into blood
What two things stimulate insulin secretion
Arginine and glucose
Hyperglycaemic
excess glucose in blood, appears in urine
Nephropathy
Kidneys have:
- Decreased function
- Smaller size
- High urine protein
Retinopathy
Elevated glucose results in uncontrolled uptake in some cells (epithelial cells of blood vessels)
Gangrene amputation
Tissue death due to lack of blood supply
Type 1 Diabetes
Autoimmune
Insulin dependent
Can be caused by viral infections causing loss of B-cells
Loss of insulin production
Inject insulin for treatment
Type 2 Diabetes
Non-insulin dependent, common in older, obesity and stress
Target cells decreasing response to insulin
Describe how glucose stays in blood in relation to mitochondria in pancreas
Too much glucose in blood
Too few mitochondria and overload
Mitochondria send free radicals to protect cell by decreasing GLUT
Thus blood glucose rises
How to treat Type 2 DM
High intensity exercise
Ketone bodies
Ketone bodies and glucose are the brain’s fuel
made in liver, exported in blood to brain
Diabetics and starving people smell like Acetone (nail polish removal)
How is Acetone produced from fat
Fat metabolised by mitochondria forming Acetyl-CoA
Then rearrange to form acetone
What causes ketoacidosis? (decrease in blood pH)
Acetoacetate
B-hydroxybutyrate
In what kind of people does ketoacidosis occur
Untreated Type 1 diabetics
alcoholics
Necrosis
Cells die when ATP stores decrease
Creatine Kinase
Takes ADP adds a phosphate group from creatine phosphate and produces ATP