Biochemistry of insulin Flashcards

1
Q

Where is insulin synthesised?

A

The rough endoplasmic reticulum of the pancreatic beta cell

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2
Q

What does insulin consist of?

A

Two polypeptide chains linked by disulphide bonds

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3
Q

What is the initial form of insulin synthesised?

A

Preproinsulin - contains an additional signal peptide and connecting C peptide

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4
Q

Why is human insulin used instead of pig or cow insulin despite similar peptide structure?

A

Avoids antibody formation

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5
Q

How does glucose enter the beta cell and what happens next?

A

Through GLUT2 transporter

Phosphorylated by glucokinase to glucose-6-phosphate to enter glycolysis

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6
Q

How does increased intracellular concentration of glucose in the pancreatic beta cell lead to release of insulin?

A

Glucose entering metabolism causes an increased intracellular concentration of ATP
ATP inhibits the K+/ATP channel, causing cell membrane depolarisation
This opens the voltage gated calcium channel, increasing [Ca2+]
Secretory vesicles fuse with cell membrane to release insulin

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7
Q

Why is the release of insulin biphasic?

A

There is prestored insulin ready for secretion immediately - 1st phase
There is a delay in the rest of the insulin release as time is taken to prepare more - 2nd phase

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8
Q

What are the two subunits on the KATP channels?

A

Kir6.1 - pore subunit

SUR1 - a sulphonylurea receptor, regulatory subunit

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9
Q

What is MODY?

A

Maturity onset diabetes of the young

Referred to as ‘monogenic diabetes’, this is a genetic mutation that causes defects in the beta cell function

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10
Q

What is the structure of the insulin receptor?

A

A dimeric tyrosine kinase

Has two extracellular alpha subunits and two intracellular beta subunits linked by disulphide bonds

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11
Q

How does insulin activate the catalytic activity of the receptor?

A

Binds to alpha subunits

Causes beta subunits to autophosphorylate

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12
Q

What happens after the beta subunits of the insulin receptor are autophosphorylated?

A

Insulin receptor substrates (IRS) are phosphorylated

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13
Q

What is the role of phosphorylated IRS in the uptake of glucose into cells?

A

Activates the RAS/MAPK pathway and gene expression

Activates PI3K, PKB, and glycogen synthesis

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14
Q

What does PKB do in the insulin signalling pathway?

A

Stimulates GLUT4 transportation to the membrane to allow glucose uptake

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15
Q

Where are ketone bodies formed?

A

In liver mitochondria, formed from acetyl-coA from beta-oxidation

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