Blood Glucose Hormones Flashcards
what are the hormones that raise blood glucose?
glucagon
cortisol
catecholamines (epinephrine, norepinephrine)
growth hormone
What are the hormones that lower blood glucose?
insulin
what cells secrete insulin?
beta cells in core of pancreatic islets of langerhans
what cells secrete glucagon?
alpha cells on the edges of pancreatic islet of langerhans
what cells secrete somatostatin?
delta cells in pancreatic islet of langerhans
describe the structure of insulin
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
insulin is conserved across species
ok
describe the biosynthesis of insulin
synthesized in beta cells.
preproinsulin has a signal sequence cleaved off, forming proinsulin.
proinsulin is cleaved of C-peptide to form insulin
how do you measure endogenous insulin production
measure amount of C-peptide
describe how beta cells sense blood glucose
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
how do amino acids affect insulin secretion?
esp arginine
increase insulin secretion, especially in combo w/ glucose
how do ketones affect insulin secretion
stimulate insulin release
why is glucose through the gut more effective than through IV
b/c it stimulates glucagon-like-peptide 1, which stimulates insulin release
what are the effects of catecholamines on insulin release?
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
what is the effect of somatostatin release?
potent inhibitor of insulin and glucagon release