case 6 - insulin and glucagon Flashcards

1
Q

where is insulin produced

A

by the beta cells in the pancreas

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2
Q

what is insulin responsible for

A

for regulating the movement of glucose from the blood into the cells

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3
Q

how is it released into the bloodstream

A

in an endocrine fashion

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4
Q

what is the structure of insulin

A

consists of two polypeptide chains, an A chain and a B chain, covalently linked by two inter-chain disulfide bridges. there is a third, intra-chain disulfide bridge

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5
Q

what is the first step in the synthesis of insulin

A

the insulin mRNA is translated as a single chain precursor called preproinsulin. there is then removal of its signal peptide at the N-terminus during insertion at the endoplasmic reticulum

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6
Q

what does this generate

A

proinsulin

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7
Q

what happens in the endoplasmic reticulum

A

the endopeptidases excise a connecting peptide (C - peptide) between the A and B chains. this breaks the single chain into two strands that are help together by disulfide bridgess.

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8
Q

what does this generate

A

the mature form of insulin

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9
Q

what happens to the eqimolar amounts of insulin and free c-peptide

A

they are packaged in the golgi apparatus into storage vesicles which accumulate in the cytoplasm

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10
Q

what is the stimulation for insulin release

A

a rise in glucose levels in the extra cellular fluid

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11
Q

glucose is transported into the beta cells via what channels

A

by facilitated diffusion through GLUT2 channels

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12
Q

what does a rise in glucose concentration in ECF cause

A

causes a rise in glucose concentration in beta cells.

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13
Q

what does this lead to

A

this leads to membrane depolarisation of ATP sensitive K+ channels, opening Ca2+ channels

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14
Q

what does this trigger

A

an influx of calcium

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15
Q

what is the two stage process by which an increase in intracellular Ca2+ triggers insulin release

A

Margination: the process by which insulin storage vesicles move to the cell surface.

Exocytosis: This is fusion of the vesicle membrane with the plasma membrane, with release of the vesicle’s entire contents

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16
Q

what are the 2 phases of insulin secretion

A

Pulsatile release (rapid onset): Short term blood glucose control: clearing absorbed nutrients from the blood following a meal.

Protracted release (longer): Long term insulin release for glucose uptake e.g. for cell growth, cell division, stimulating protein synthesis and DNA replication.

17
Q

what does insulin bind to

A

a highly specific insulin receptor on cell surfaces

the receptor is a dimer

18
Q

what 2 subunits is the insulin receptor made up of

A

one alpha chain - exterior of cell membrane
one beta chain - spans cell membrane in a single segment

19
Q

what are these two chains connected by

A

a single disulphide bond

20
Q

what happens once insulin is detected

A

the alpha chains move together and fold around the insulin

21
Q

what does this do

A

this moves the beta chains together making them an active tyrosine kinase

22
Q

what does the active tyrosine kinase initiate

A

initiates a phosphorylation cascade which results in an increase of GLUT4 expression - a protein channel to allow glucose uptake. the result is an increase in glucose uptake by cells

23
Q

overall, what can insulin be considered as

A

the anabolic or building hormone - it assists processes that build compounds for storage and decrease processes that break down those storage reserves

24
Q

what stimulates insulin secretion

A

GI tract hormones
acetylcholiine

25
Q

what inhibits insulin secretion

A

adrenaline
noradrenaline

26
Q

what is glucagon

A

the hormone that opposes insulin, so it acts to raise blood glucose levels

27
Q

what is it produced by and what kind of hormone is it

A

it is a peptide hormone, produced by the alpha cells of the pancreas

28
Q

what is the structure of glucagon

A

a single chain polypeptide and has no disulphide bridges, making it incredibly flexible

29
Q

what is the synthesis of glucagon

A

a precursor molecule, proglucagon, undergoes post-translational processing to become a biologically active glucagon

30
Q

how is glucagon secreted

A

secreted by alpha cells in the islets of Langerhans in the tail of the pancreas.

31
Q

what is detected by alpha cells and what does this lead to

A

low glucose levels in the blood are detected by alpha cells, stimulating the release of glucagon.

Like insulin, this undergoes margination and exocytosis to be released.

32
Q

what is the mechanism of action of glucagon

A

glucagon binds to a specific receptor in the membrane, a G protein coupled receptor

33
Q

what does this activate

A

this activates adenylate cyclase which increases cAMP intracellularly.

34
Q

what does this increase in cAMP lead to

A

activates protein kinase A, which phosphorylates and activates a number of important enzymes in target cell

35
Q

what are the overall affects of glucagon

A

Increased glycogenolysis
Decreased glycogenesis
Increased gluconeogenesis
Increased ketogenesis
It also increases lipolysis in adipose tissue.

36
Q

what stimulates glucagon secretion

A

adrenaline
noradrenaline

37
Q

what inhibits glucagon secretion

A

GI tract hormones
acetylcholine