Block 3Lecture 33 Flashcards
what are the 2 critical stages of regulation for glucose by skeletal muscle
- vascular delivery of blood glucose
2. transmembrane transport of glucose
what is glucose metabolism based on
energetic needs and endocrine status
how does skeletal muscle receive blood
via systemic circulation
how the tissue receives blood depends on what?
- cardiac output
- vascular resistance
- capillary density
what is vascular resistance
degree of vasodilation in vascular bed supplying tissue
what is capillary density
number of capillary contacts to the skeletal muscle
what happens in insulin mediated dilation
insulin acts on endothelial cells in arteries to activate eNOS causing synthesis of NO which causes relaxation of cells and vasodilation to promote glucose delivery to skeletal muscle
what mechanisms does insulin mediated dilation use
increased capillary recruitment and greater capillary surface area
where are insulin receptors located in myocytes
in the sarcolemmal membrane
what is the main glucose transporter under insulin-mediated conditions
GLUT4
what type of receptor is the insulin receptor
a receptor tyrosine kinase, a major type of catalytic receptor
describe the structure of the insulin receptor
- it is a heterotetramer
- consists of 2 extracellular a-subunits that bind the hormone
- and 2 transmembrane beta subunits that have tyrosine kinase domains on the cytosolic side
what are the a and beta subunits joined by in the insulin receptor
sulfhydryl bonds
where does insulin bind on the insulin receptor
the cysteine rich domains of the a subunits thereby enhancing tyrosine kinase activity of the beta subunits
What is a primary substrate for activated insulin receptor tyrosine kinase
insulin receptor substance (IRS)