Endocrine Pancreas and Hormones Flashcards

1
Q

Where is insulin secreted from

A

B cells

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2
Q

Where is glucagon secreted from

A

A cells

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3
Q

Where is somatostatin secreted from

A

D cells

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4
Q

What is insulin made of

A

A chain of 21 amino acids
B chain of 30 amino acids

2 disulphide bonds between the chains
And one intrasulfide bone on the A chain

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5
Q

What is insulin initially when made

A

Proinsulin (contains a C peptide as well which has no biological activity)

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6
Q

How is insulin made

A

1) insulin gene transcription and translation
2) goes to RER
3) proproinsulin synthesis. These send signal sequences which indicates that it needs further processing
4) Proinsulin transfer to Golgi
5) proinsulin turns to insulin by cleavage of C peptide
6) precipitation of insulin with zinc ions. 2 zinc ions: 6 insulin. This makes insulin stored densely. Insulin is stored like this
7) exocytosis (involves Ca2+ and ATP)

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7
Q

How is proinsulin turned to insulin (name the enzymes and their actions)

A

1) Proconvertase 1 cleaves at aa 32,33
2) Proconvertase 2 cleaves at 65,66
3) Carboxypeptide H removes 31,32. Also removes 64 and 65 of C peptide

PC1- gives us an insulin molecule with an additional 2 amino acids on the B chain
PC2-gives rise to the C peptide which is free from the insulin molecule at a length of 33aa
CarboxyH- removes extra amino acids on B chain and gives rise to the full insulin molecule

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8
Q

What is the ratio of insulin and C peptide packaged in secretory granule

A

1:1

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9
Q

when is insulin released and why

A

1) When blood glucose >5mM
- Increase in glucose metabolism inside islet B cell. Leads to a rise in ATP:ADP ratio. This ratio closes the ATP-sensitive K+ channels. Closure of these channels leads to accumulation of positive K+ inside islet B cells. Increase in positive charge leads to membrane depolarisation which leads to opening of voltage gated Ca2+ channels. Allows extracellular ca2+ to move inside B cell which leads to increased exocytosis and stimulated insulin release

2) Amino acids and fatty acids

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10
Q

What are potentiators of insulin release

A

Gut hormones (GLP-1, GIP) (incretins)

Glucagon (paracrine communication)

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11
Q

What is the neural control of insulin release

A

ISlet B cells are stimulated by:

Sympathetic: B-adrenoceptors increase insulin release. A2-adrenoceptors decrease insulin release

Parasympathetic: muscarinic receptors increase insulin release

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12
Q

What does stimulation of sympathetic nervous system predominantly do to insulin secretion

A

More inhibition than stimulation because there are more a2 adrenoceptors on B cells

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13
Q

What does insulin do in body

A

Promote growth and development

Promote cellular uptake of K+ via Na+-K+ ATPase pump

Promote uptake and utilisation of glucose in skeletal muscle and adipose
(anabolic). Increases rate of synthesis and storage of energy reserves (glycogen and fats) and of protein

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14
Q

Effects of insulin on muscle

A

Increased glucose uptake via GLUT4

increased protein synthesis

Decrease protein breakdown

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15
Q

Effects of insulin on adipose tissue

A

Increased glucose uptake via GLUT4

Increased lipogenesis

Decreased lipolysis

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16
Q

Effects of insulin on liver

A

Increased glycogen synthesis

Inhibition of glycogen breakdown

Decrease gluconeogenesis

17
Q

What is the overall effect of insulin

A

Reduce blood glucose (mediated by insulin receptor called tyrosine kinase receptor)

18
Q

What is release of glucagon stimulated by

A
  • Low blood glucose <3.5mM
  • Para and sympathetic nervous systems
  • Amino acids
19
Q

What is release of glucagon inhibited by

A

High blood glucose, insulin (paracrine influences) and somatostatin (paracrine influences)

20
Q

MAin actions of glucagon

A

Raise blood glucose by:

  • Stimulate hepatic glycogenolysis
  • Stimulate hepatic gluconeogenesis
  • Stimulate lipolysis
21
Q

What is the role of somatostatin

A

Inhibits both glucagon and insulin secretion bu a paracrine mechanism

22
Q

What happens when glucose levels get too low

A

Increased:

  • Glucagon
  • Adrenaline
  • Growth hormone
  • Cortisol

(do this by glycogenolysis and gluconeogenesis)

23
Q

What hormone has a role when there is severe hypoglycaemia

A

Adrenaline

24
Q

What hormones have a role when there is prolonged hypoglycaemia

A

Cortisol

Growth hormone

25
Q

What is diabetes mellitus

A

Chronic hyperglycaemia