Control of glycogen metabolism & diabetes (lecture 29) Flashcards

1
Q

what happens in the muscle during exercise?

A
high energy requirement 
glycolysis increases 
glucose uptake increase 
glycogen breakdown increases 
glycogen synthesis decreases
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2
Q

what happens in the muscle at rest?

A
low energy requirement 
glycolysis decreases 
glucose uptake decrease 
glycogen breakdown decreases 
glycogen synthesis increases
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3
Q

what happens in the liver after a meal?

A

high blood sugar
glucose release decreases
glycogen breakdown decreases
glycogen synthesis increases

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4
Q

what happens in the liver during fasting/exercise?

A

low blood sugar
glucose release increases
glycogen breakdown increases
glycogen synthesis decreases

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5
Q

what 3 hormones regulate glycogen metabolism?

A

epinephrine
glucagon
insulin

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6
Q

what does epinephrine do?

A

stimulates glycogen breakdown to fuel emergencies

glycogen breakdown increases 
glycogen synthesis decreases 
acts on muscle and liver cells 
acts via GPCRs 
initiates cAMP-dependent phosphorylation cascade
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7
Q

what do beta cells in the pancreas secrete?

A

insulin

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8
Q

what do alpha cells in the pancreas secrete?

A

glucagon

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9
Q

why are islet cells in the pancreas highly vascularised?

A

for glucose sensing

high oxygen and nutrient demand

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10
Q

what does glucagon do?

A

raises blood sugar levels

glucose release increases 
glycogen breakdown increases 
glycogen synthesis decreases 
gluconeogenesis increases 
increase in blood sugar levels
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11
Q

what does insulin do?

A

lowers blood sugar levels

glucose release decreases 
glycogen breakdown decreases 
glycogen synthesis increases 
gluconeogenesis decreases 
decrease in blood sugar levels
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12
Q

what does phosphorylation do to glycogen phosphorylase?

A

activates it

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13
Q

what does phosphorylation do to glycogen synthase?

A

inactivates it

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14
Q

how do epinephrine and glucagon act via GPCRs?

A

hormone binds
causes alpha subunit to bind GTP
activates adenyl cyclase
ATP converted to cAMP
PKA activated
• inactivates glycogen synthase a to glycogen synthase b to inhibit glycogen production
• activates phosphorylase kinase (b to a) which breaks down glycogen to glucose-1-phosphate

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15
Q

what does insulin act via?

A

receptor tyrosine kinase (RTK)

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16
Q

how does insulin act via RTK?

A

insulin binds to RTK
causes activation of insulin response substrate (IRS) by phosphorylation
activates protein kinases
inactivates glycogen synthase kinase
glycogen synthase kinase inactivates glycogen synthase

more active glycogen synthase
more glycogen synthesis

17
Q

where is GLUT1 located?

A

all mammalian tissues

18
Q

where is GLUT2 located?

A

liver and pancreatic beta cells

19
Q

where is GLUT3 located?

A

all mammalian tissues

20
Q

where is GLUT4 located?

A

muscle and fat cells

21
Q

what does GLUT2 do?

A

mediates secretion of insulin by pancreatic beta cells when blood sugar is high

insulin vesicles are stored inside the beta cells ready to be exocytosed when given the right stimulus (glucose)

22
Q

How do GLUT2 transporters causes insulin release?

A

1) glucose enters cell through GLUT2 transporter
2) glucose converted to glucose-6-phosphate
3) glucose-6-phosphate converted to pyruvate
4) ATP made closes ATP dependent K+ channels
5) causes depolarisation which causes the opening of vg Ca++ channels
6) insulin is exocytosed

23
Q

what does insulin do to GLUT4 transporters?

A

stimulates transport of GLUT4 transporters to the plasma membrane of muscle and adipose cells

24
Q

what is diabetes caused by?

A

problems with insulin signalling

25
Q

what is type 1 diabetes?

A

insulin dependent diabetes mellitus (IDDM)
absolute insulin deficiency due to beta cell destruction
usually autoimmune

treatment
• exogenous insulin injection
• pancreas/islet transplant

26
Q

what is type 2 diabetes?

A

beta cell hideaway to avoid death

reversible by diet and exercise