Blood Glucose Hormones Flashcards

1
Q

what are the hormones that raise blood glucose?

A

glucagon
cortisol
catecholamines (epinephrine, norepinephrine)
growth hormone

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2
Q

What are the hormones that lower blood glucose?

A

insulin

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3
Q

what cells secrete insulin?

A

beta cells in core of pancreatic islets of langerhans

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4
Q

what cells secrete glucagon?

A

alpha cells on the edges of pancreatic islet of langerhans

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5
Q

what cells secrete somatostatin?

A

delta cells in pancreatic islet of langerhans

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6
Q

describe the structure of insulin

A

contains an alpha and beta chain held together by two S-S bridges.

A chain contains six membered ring

entire molecule except for carboxyl end of B is required for biological action

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7
Q

insulin is conserved across species

A

ok

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8
Q

describe the biosynthesis of insulin

A

synthesized in beta cells.

preproinsulin has a signal sequence cleaved off, forming proinsulin.

proinsulin is cleaved of C-peptide to form insulin

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9
Q

how do you measure endogenous insulin production

A

measure amount of C-peptide

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10
Q

describe how beta cells sense blood glucose

A

glucose is transported into beta cells via GLUT2, and glucokinase converts it into glucose-6-phosphate

this begins glucose metabolism, which increases the ATP/ADP ratio, which inhibits ATP-sensitive K channels. This depolarizes the membrane and activates voltage gated Ca channels, leading to exocytosis of insulin

leads to increase in insulin production, secretion, storage, and beta cell proliferation

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11
Q

how do amino acids affect insulin secretion?

A

esp arginine

increase insulin secretion, especially in combo w/ glucose

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12
Q

how do ketones affect insulin secretion

A

stimulate insulin release

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13
Q

why is glucose through the gut more effective than through IV

A

b/c it stimulates glucagon-like-peptide 1, which stimulates insulin release

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14
Q

what are the effects of catecholamines on insulin release?

A

depends what receptors they use

a-receptors- more common- result in inhibition of insulin release

b-receptors- less common- results in stimulation of insulin release

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15
Q

what is the effect of somatostatin release?

A

potent inhibitor of insulin and glucagon release

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16
Q

insulin degradation

A

insulin half life is only 10 minutes

kidney and liver account for 80% of degradation

17
Q

describe the insulin receptor

A

a tyrosine kinase comprised of
an alpha-beta heterodimer, the alpha portion is the binding unit and the beta unit is a transmembrane effector protein

the complex is ultimately internalized, where insulin is degraded but the receptor is recycled

18
Q

what are the actions of insulin on muscle?

A

glucose uptake- cause GLUT4 receptors to be translocated to membrane

glycogen synthesis- glycogen synthetase is inactive when phosphorylated. insulin activates a phosphatase to remove the P, and inactivates glycogen synthase kinase-3

amino acid uptake

protein synthesis

inhibits proteolysis

19
Q

what are the effects of exercise or anoxia on glucose uptake?

A

these stimuli allow for glucose uptake w/o insulin

20
Q

what are the effects of insulin in adipose tissue?

A

glucose uptake- causes GLUT4 receptors to be translocated to membrane

fat synthesis

lipoprotein lipase synthesis- breaksdown lipoproteins (chylomicrons and VLDL) for uptake into adipose

inhibits HS lipase- breaks down triglyceride inside adipose

glycogen synthesis

AA uptake and protein synthesis

21
Q

effects of insulin on liver

A

stimulates glucokinase and glycogen synthease

stimulation of phosphofructokinase, pyruvate kinase, pyruvate dehydrogenase (glycolytic rate limiting enzymes)

inhibits gluconeogenic enzymes (glucose-6-phosphatase, fructose-1,6-diphasphatase, PPCK, pyruvate carboxylase)

stimulates fatty acid synthesis

22
Q

describe GLUT2

A

the glucose transporter in the liver and pancreas, can handle a wider range of glucose concentration than GLUT4, and so transport is not limited

is not upregulated by insulin

23
Q

where does glucagon exert its effects?

A

liver

24
Q

what factors control secretion of glucagon

A

low blood sugar- primary

amino acids - esp arginine

catecholamines

sympathetic innervation

inhibited by somatostatin

25
Q

where is glucagon secreted into?

A

into portal vein

26
Q

where is glucagon degraded

A

liver- half life of 10 min

27
Q

what are glucagons effects on the liver

A

stimulation of glyconeogenesis- slower than glycogenolysis

stimulation of glycogenolysis- mediated by adenyl cyclase/cAMP/PKA

inhibition of glycogen synthetase

stimulation of hepatic lypolysis

inhibition of fatty acid synthesis

stimulation of hepatic ketogenesis

28
Q

where do catecholamines come from?

A

adrenal medulla- chromaffin granules

29
Q

describe the biosynthesis of catecholamines

A

tyrosine to L-dopa via tyrosine hydroxylase (stimulated by ACTH)

L-dopa to dopamine via A. acid decarboxylase

dopamine to norepinephrine via dopamine b-hydroxylase

norepinephrine to epinephrine via phenylethanolamine (stimulated by cortisol)

30
Q

describe catecholamine synthesis regulation

A

acute- norepinephrine inhibits tyrosine hydroxylase tonically. stimulation relieves this, and also causes release

chronic- results in de novo synthesis of tyrosine hydroxylase

31
Q

major stimulus for release of catecholamines?

A

AcH from preganglionic fibers

32
Q

describe catecholamine removal from the blood

A

short lived

  1. reuptake by storage granules
  2. COMT inactivates them (liver, blood, kidneys)

3 excretion via kidneys

33
Q

describe catecholamine receptors

A

alpha- PIP3- mobilizes calcium

beta- cAMP- major metabolic receptor- higher affinity for epinephrine

34
Q

catecholamine effects in muscle

A

simulation of glycogenolysis + lactate

inhibition of glycogen synthesis and glucose uptake

35
Q

catecholamines effects on adipose

A

stimulation of lipolysis via HSL

36
Q

catecholamines effects on liver

A

stimulation of glycogenolysis

inhibition of glucose oxidation

inhibition of glycogen synthesis

stimulation of gluconeogenesis

stimulatoin of lipolysis

37
Q

glucocorticoids effect

A

stimulates gluconeogenesis in liver

inhibits glucose uptake

promoting glycogen synthesis

stimulating lipolysis via HSL

38
Q

growth hormone effects

A

stimulation of lipolysis via HSL

early- increased glucose uptake

later- decreased glucose uptake

39
Q

somatostatin

A

decreases insulin, glucagon, GH