Endocrinology Flashcards

1
Q

hormone

A
  • specific chemical secreted by a specific tissue
  • chemical substance produced and released by endocrine cells, carried through body in blood and exerts regulatory influence on other cells it reaches through the blood
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2
Q

endocrine control

A
  • slow and broadcast
  • must circulate to target tissues and diffuse to effective concentrations within tissues before it can elicit a response
  • released hormone into blood
  • transported to target site
  • brings about a certain effect
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3
Q

once hormone is released into blood…

A
  • it is carried to virtually all cells in the body-> only those that have a receptor molecule for hormone respond
  • some hormone signaling alters gene transcription and protein synthesis
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4
Q

half life

A
  • time required for half of a set of recently secreted hormone molecules to be removed
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5
Q

target tissues

A

express hormone receptor molecules that bind the hormone
- any processing at tissue level
- receptor distribution
- sensitivity of target cell depends on the number of functional receptor molecules that target cell expression for the hormone

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6
Q

endocrine systems best suited for…

A
  • long term resgulatory functions
  • such as maintenance of blood sugar, blood osmolarity, reproductive potential… etc.
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7
Q

endocrinology studied by:

A

1) gland removal/replacement
2) effects from overdose (hypersecretion)
3) isolate and characterize specific molecules
4) spontaneous defects
5) cloning gene
6) detailing receptors/signal transduction

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8
Q

bioassay

A

measure of a hormone in a living system by measuring its effects on the system
- ex: bioassay for androgens with chick combs
- generate standard curve
- problems: subject to variability and sensitivity

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9
Q

chemical measured

A

HPLC, gas chromatography, mass spec

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10
Q

immunological measure

A
  • RIA (Radioimmunoassay)–> develop antibody against hormone, determine percent binding, generate standard curve
  • Elise (enzyme linked immunoadsorption assay)
  • both very quantitative and sensitive
  • Problem: may not be testing only biologically active substances
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11
Q

chemical regulators

A
  • hormones
  • neurosecretions (neuro-hormones released from neurosecretory tissue (ex: ADH, epi/NE), neurotransmitters (ex: Acetycholine, epi/NE))
  • parahormones (local hormones, cytokines, H+, CO2)
  • phytohormones
  • cyclic nucleotides, 2nd messengers
  • pheremones (released outside animals for communication within species)
  • inorganics ex: Ca++
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12
Q

protein mode of action

A
  • surface receptor
  • signal transduction
  • 2nd messenger
  • transduce hormonal signal into response of target cell
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13
Q

steroid

A
  • synthesized from cholesterol
  • intracellular receptor
  • new mRNA (interacts with target cells DNA to alter gene expression)
  • lipid soluble (can diffuse through cell membrane)
  • not stockpiled in vesicles prior to secretion-> when cell is stimulated to secrete steroid hormones, they are synthesized on demand and immediately secreted through diffusion through cell membrane
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14
Q

pituitary gland

A
  • hypophysis
  • master endocrine gland
  • back of the roof of the mouth
  • 2 parts: anterior and posterior
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15
Q

posterior pituitary

A

neural from the hypothalamus

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16
Q

anterior pituitary gland

A

derived from epidermal cells in the roof of the mouth
- embryologically derived from Rathke’s Pouch
- non neuronal endocrine tissue

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17
Q

adenohypophysis

A
  • anterior lobe
  • intermediate lobe
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18
Q

neurophypopysis

A
  • intermediate lobe
  • posterior lobe
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19
Q

median eminance

A
  • forms part of the floor of the hypothalamus
  • blood system to the anterior pituitary
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20
Q

anterior pituitary hormone

A
  • STH (somatotropic hormone); growth hormone (influences growth and metabolism)
  • TSH (thyroid stimulating hormone)-> supports and maintains tissues of thyroid gland and stimulates the gland to secrete thyroid hormone
  • ACTH (adrenal corticotropic hormone)
  • Gonadotropic hormones (Gntps)-> FSH (follicle stimulating hormone) and LH(lutenizing hormone)
  • prolactin
  • lipotropin, endorphins, enkephalins
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21
Q

intermediate lobe hormone

A
  • produces one hormone
  • MSH: melanophore stimulating hormone
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22
Q

posterior pituitary hormones

A
  • ADH (antidiuretic hormone)-> vasopressin and vasotocin: limits production of urine and stimulates constriction of arterioles
  • oxytocin: causes contraction of uterus during birth and ejection of milk by mammary glands
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23
Q

when neurosecretory cells are stimulated by neurons in brain they…

A

generate action potentials that propagate from hypothalamus to axon terminal in pars nervosa-> release hormone by exocytosis-> hormone diffuses into blood

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24
Q

hypothalamo-hypophysial portal system

A
  • provides interface between brain and endocrine system
  • blood system from the median eminence to the anterior pituitary
  • hormones secretes by the hypothalamus are released into median eminence and carried via the protal system to the anterior pituitary
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25
Q

releasing hormones

A
  • stimulate secretion of anterior pituitary hormone
  • activate the anterior pituitary to synthesize and release a certain hormone
  • mostly small polypeptides
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26
Q

hypothalamus master organ regulates anterior and posterior pituitary

A
  • via releasing hormones (anterior pituitary)
  • via neural input (ADH, oxytocin), produced in hypothalamus, stored in posterior pituitary gland
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27
Q

CRH

A
  • corticotropin releasing hormone
  • releases ACTH
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28
Q

GH-RF

A
  • growth hormone releasing factor
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29
Q

GH-IRF

A
  • growth hormone inibitory releasing factor
  • growth hormone inhibited from being released by negative feedback
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30
Q

TRH

A
  • thyrotropin releasing hormone
  • releases TSH
  • TSH stimulates release of TH from thyroid glands
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31
Q

GNRH

A
  • gonadotropin releasing hormone
  • releases FSH/LH
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32
Q

Prl RF

A
  • prolactin releasing factor
  • releases prolactin
  • probably dopamine
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33
Q

PIRF

A
  • prolactin inhibitory releasing factor
  • inhibits prolactin
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34
Q

MSH-RF

A

releases MSH

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35
Q

MSH-IRF

A

inhibits MSH

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36
Q

control of anterior pituitary hormones

A
  • via feedback systems
  • ex: TSH
  • inc cold-> hypothalamus (TRH_ to ant pit (TSH)-> thyroid gland-> TH-> inc MR, inc heat
  • with negative feedback to ant pit and hypothalamus
  • can interpret change in environmental conditions and respond
  • hypothalamus picks up into from brain and responds accordingly
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37
Q

negative feedback

A
  • hormone causes changes in its control pathway that suppress its own secretion (stabilizes blood concentration of hormone)
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38
Q

growth hormone

A
  • produced by somatotrophin
  • half life: 20-30 minutes
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39
Q

control of GH

A
  • growth hormone, thyroid hormone, and androgens work synergistically (enhance each others effects) in the growth of young animals
  • via GH-RF and GH-IRF
    1) dec blood glucose: hypoglycemia-> inc GH release; also inc insulin levels-> inc GH-RF
    2) increased amino acids-> inc GH
    3) stress: glucocorticoids released during stress response inhibit secretion of GH from ant pit
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40
Q

GH effects on growth

A

1) bone growth: GH simulates the liver, kidney to produce somatomedin

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41
Q

somatomedin

A
  • responsible for skeletal effects
  • stimulates epiphyses (long-bone) endplate growth
  • to lay down bone at the end of the shaft os long bones
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42
Q

GH effects on metabolism

A

1) inc lipid utilization and mobilization-> inc FFA-> energy source
2) Protein anabolic effects (causes synthesis of proteins(stimulates translation), inc AA uptake)
3) Carbohydrates

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43
Q

GH and carbohydrates

A
  • inc blood glucose
  • stimulates gluconeogenesis (producing glucose via AA and lipids; reverse of glycolysis; fatty acid-> glucose production)
  • also depresses glycolysis (breakdown of glycogen); so conserves glycogen stores
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44
Q

synergistic

A

one hormone amplifies affect of another

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45
Q

GH synergistic with horomone

A

1) Thyroid hormone (GH is more effective with TH; also TH is needed for normal secretion of GH)
2) ACTH-> inc adrenal size
3) sex steroids-> inc size of accessory reproductive organs

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46
Q

Panhypopituitarism

A
  • insufficient secretion of pituitary hormones
  • GH, TSH, ACTH, GNTP… all anterior pituitary hormones are secreted at low amounts
  • not proper growth of long bones
  • no GNTP-> no sexual maturity
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47
Q

hyposecretion of only GH

A

sexually mature, but dwarfs

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48
Q

GH is in proper levels but somatomedin is low

A
  • metabolic effects aren’t mediated by somatomedin so these are normal
49
Q

African pigmies

A
  • GH and somatomedin are normal, but tissues won’t respond
  • ex: binding sites are not there (generates dwarfism)
50
Q

hyposecretion of TH

A
  • cretinism
  • mental disorder
  • nothing to do with GH, but growth is also limited
51
Q

hypersecretion of GH

A

gigantism

52
Q

thyroid

A
  • thyroid gland is hooked to the trachea on either side, bilobed
  • arranged in follicles: layer of secretory epithelia surrounded by and open space-> colloid
  • in lower vert, the thyroid tissue isn’t compacted into 1 gland, its scattered
  • thyroid tissue made up of a number of follicles containing a single layer of cells, surrounding an open space: colloid witch is filled with proteinaceous material
53
Q

thyroglobulin

A
  • large protein
  • fluid in this follicle space contains thyroglobulin where TH is bound to until secreted
  • TH is synthesized and bound to thyroglobulin at the apical surface between secretory epithelium and lumen of colloid
  • T3-T4 is stores in colloid
  • when needed: retrieval by endocytosis and T3 and T4 cleaved and released into the blood
54
Q

synthesis of TH

A

1) active uptake of I- (iodide) from the interfollicular region into the secretion cells
2) basic structural unit-> AA tyrosine with iodine
- secretory cell synthesizes thyroglobulin

55
Q

iodine

A
  • iodine is an essential nutrient for vertebrate animals because thyroid hormone includes atoms of iodine in its chemical structure
  • tyrosine residues become iodinated on the thyroglobulin
  • with one I= 3 monoiodotyrosine (MIT)
  • with two I= diiodotyrosine (DIT)
  • couping: DIT + DIT-> T4 thyroxine *form of TH); removal of one iodine or MIT-> T3 (more active; conversion occurs at target cell)
56
Q

thyroid hormones

A
  • T4 and T3
  • in the blood: small hormones, easily filtered through the kidney
  • usually bound to large proteins, albumins and globulins in the blood transport them (specifically TBG= thyroid binding globulin)
  • only T3 and T4 are active
  • T3 has greater activity than T4 at the cell level
  • at the cell level: T4-> T3
  • TH has a very long half life (couple of days)
57
Q

control of TH synthesis

A
  • TSH stimulates (from ant pit)
    A) I- uptake
    B) iodination of tyrosine
    C) stimulates proteolytic enzymes which cleave T4 from thyroglobin
    D) stimulates proliferation of follicular cell growth and number
  • via cAMP
58
Q

control of TSH release

A
  • TRH from hypothalamus
  • negative feedback of TH (at hypothalamus and anterior pituitary)
  • cold will stimulate TRH
  • large mean
  • possibly also low blood glucose-> GH and TSH
59
Q

permissive

A

presence of one hormone is required for the other hormone to exert its full effect on target tissue

60
Q

metabolic effects of TH

A
  • inc Basal metabolic rates (BMR)
  • assessed via O2 consumption (inc oxygen consumption)
  • calorigenic action of TH (generates heat)
  • inc O2 consumption- oxidative phosphorylation process for O2 uptake and energy production (more heat produced during this)
61
Q

thyroid hormone effects on non shivering thermogenesis

A
  • in birds and mammals for heat production
  • via activating ATPases; dec in ATP-> net outcome an inc in MR and inc heat production
  • normal cell gradients: within cell high K+/low Na+; outside cell opposite
  • active transport will use ATP for these pumps (ions will correct action of pump via moving down gradients, so process is ultimately producing heat and not affecting gradient)
62
Q

TH affects metabolic processes via…

A
  • oxidative phosphorylation and active transport pumps
  • active transport pumps increased activity
  • inc new mRNA for ATPase
63
Q

effect of TH on carbohydrate metabolism

effect on glucose

A
  • inc glucose uptake across the intestine
  • inc glycogenolysis (breakdown of glycogen)
  • TH stimulates use of glucose by cells via increase MR (dec blood glucose)
  • net effect overall= inc in blood glucose even though glucose is used when MR is inc
64
Q

TH effect on lipids

A

dec cholesterol levels

65
Q

TH effect on growth and development

A
  • effect on proteins: protein anabolic hormone
  • promote protein synthesis and associated growth
  • synergistic with GH
  • need combo of TH and GH for proper growth
  • all vertebrates need TH for growth and differentiation (esp for gonadal development and neural development)
  • with cretinism- no TH present myelin sheath on nerves doesn’t develop-> mental retardation, deafness, defects of muscular coordination
66
Q

hypothyroidism

A

problem with body temp regulation (harder to warm up, especially along extremities)
- TH inc concentration of nerve growth factor
- needed for dendritogenesis and regeneration of sympathetic neurons

67
Q

effects of TH on amphibian development

A
  • TH necessary for metamorphosis
  • tadpole in H20 environment *gills/tail)-> adult in land based (lungs)
  • hyposecretion or no TH-> no adult, large tadpole
  • young tadpoles-> inject TH-> small frogs
  • a number of physiological and morphological changes associated with metamorphosis
  • associated with development of median eminence in hypothalamus (promotes triggering of ant pit hormone (TSH) via TRH)
68
Q

juvenizing hormone

A
  • prolactin has a juvenizing effect
  • inhibit metamorphosis
  • PRL-IRF (dopamine) is released to dec prolactin levels so metamorphosis can take place
  • TH promotes the development of median eminence i hypothalamus-> allows releasing factors-> ant pit-> inc TSH-> TH
  • build up of TH puts metamorphic changes in sequence
69
Q

cardiac output and TH

A
  • TH stimulates cardiac output by increasing HR and force of contraction
  • inc TH-> inc body temp-> heat dissipation mechanism-> peripheral vasodilation-> dec BP-> stimulates CO
70
Q

TH effect on H2O and solute balance

A
  • attributed to inc in GFR due to inc CO
  • in fish: TH is key to osomoregulation (active transport of ions across gills
  • stimulation of Na+/K+ pumps and Cl- cells
71
Q

TH effects on integument

A
  • low TH-> yields deficiency in hair growth, feathers
72
Q

TH effect on adult mammals

A
  • TH in concert with prolactin
  • regulation memmary gland development
  • TH needed for ductal system of mammary gland
73
Q

hyposecretion of TH

A
    • goiter results of I- deficiency
  • without TH= no neg feedback so inc in TSH-> stimulates thyroid hypertrophy
  • myxedema= build up of fluid under skin
  • low TH symptoms= low MR, blood sugar, slow reflexes, electrolyte imbalance and poor cold tolerance
74
Q

goiter

A
  • enlargement of thyroid gland in neck that results when blood concentration of thyroid hormone is too low
  • TH exerts neg feedback on neurosecretory cells that secrete TRH (stimulates secretion of TSH by cells in ant pit)
  • low iodine= high TRH secretion-> stimulates thyroid gland-> thyroid gland grows bigger over time in low iodine environment
75
Q

hypersecretion of TH

A
  • Graves disease- thyrotoxicosis
  • inc MR, hyperglycemia
  • inc in protein catabolism since MR rate high-> generates neg nitrogen balance
  • inc in CO= inc BP and GFR
  • jittery
76
Q

comparative viewpoint of TH

A
  • homeotherms= TH role calorogenic= inc in MR and body temp
  • lower vert and homeotherms= development, growth effects, and osmoregulatory
77
Q

insulin

A

hormone involved in managing glucose in short-term fluctuations of nutrient availability
- favors storage of nutrients-> uptake of glucose, fatty acids, and amino acids

78
Q

balance glucose in blood

A
  • insulin from beta cells in pancreas promotes uptake of glucose from blood
  • glucagon is secreted by alpha cells and opposes action of insulin (stimulates release of glucose and fatty acids in blood)
79
Q

pancreatic tissue with endocrine function

A
  • islets of langerhans
  • own vascularization
  • alpha, D, F, and beta cells-> all products released into blood
80
Q

beta cells

A

produce insulin
- during digestion (inc concentration of glucose and AA in blood), beta cells secrete insulin

81
Q

D cells

A

produce somatostatin (growth hormone inhibitory releasing hormone)

82
Q

alpha cells

A

produce glucagons

83
Q

F cells

A

produce pancreatic polypeptide

84
Q

insulin from beta cells and glucagon from alpha cells are…

A
  • antagonistic hormones
  • concerned with storage versus utilization of glucose
  • with inc in blood glucose= inc insulin, dec glucagon
  • with dec blood glucose= dec in insulin, increase in glucagon
85
Q

dec insulin concentration in blood=

A

shift to mobilization of nutrients from stores (breakdown of glycogen and lipids)
negative feedback

86
Q

hypoglycemic factor

A
  • insulin is the only hypoglycemic factor
  • increase glucose uptake by cells, decrease blood glucose
87
Q

hyperglycemic factor

A
  • glucagon
88
Q

glucagon and GH

A
  • stimulate release od insulin
    1) directly act on beta cells
    2) increase blood glucose
89
Q

GH and glucocorticoids

A
  • GH and glucocorticoids act synergistically with epi to enhance epi’s effect on lipid breakdown
  • background levels of glucocorticoids are essential to preventing levels of blood glucose from plummeting during fasting/stressors
90
Q

glucocorticoids

A

stimulate glucose fromation and are required for glucagon and epinephrine to exert their effects

91
Q

insulin is a product of…

A

proinsulin= alpha chain= 1-21 residues
- beta chain= 30 residues
- connecting peptides- residues 31-63

92
Q

proinsulin precursor

A
  • pre-proinsulin
  • “pre” gets cleaved off before pro-insulin folds onto itself
93
Q

synthesis of proinsulin

A
  • occurs on rough ER-> transferred to golgi-> by 60 min, insulin granules associated with microtubules
94
Q

primary effects of insulin

A

1) cause cell uptake of glucose
- inc cellular uptake of glucose by most tissues (neural tissue is an exception)
- inc permeability of cell to glucose
- facilitates co-transport of glucose into cell
- dec blood glucose
2) inhibits lipase enzymes in adipose tissue (inhibits breakdown of lipids): dec lipid mobilization, secondary effect: imc lipogenesis due to glucose in cell
3) insulin stimulates amino acid uptake in cells-> stimulating protein synthesis (will inhibit gluconeogenesis by AA
4) insulin increases K+ uptake

95
Q

secondary effects once glucose is within cells

A
  • insulin stimulates glucose utilization within cell
  • increases glycogen synthesis for storage (glycogenesis)
  • inc glucose oxidation; ie: phosphorylation and breakdown (glycolysis)
  • both use up cell glucose and draws more glucose into cell
96
Q

insulin studies

A
  • often studied with drug (alloxan) that specifically destroys beta cells
  • no insulin production= hyposecretion of insulin= diabetes mellitus
  • causes hyperglycemia (results from decreased glucose entry into cell and blood glucose levels high but cell glucose levels low and decreased lipogenesis
97
Q

how does the cell compensate for low blood glucose

A
  • going to affect carbohydrate and lipid metabolism to promote gluconeogenesis (breakdown of lipids and carbs and protein)
  • inc FFA and AA
  • excess blood glucose= spills over into urine (glycosuria)= high urine osmolarity= lots of water and ion loss via urine= greater thirst (polydipsia)
98
Q

diabetes mellitus

A
  • disorder of beta cells or target cells not responsive to insulin
  • if it bets cells: insulin dependent diabetes
  • if its target cells: non-insulin dependent diabetes
99
Q

diabetes insipitus

A

hyposecretion of ADH= high urine production

100
Q

high blood glucose effects…

A
  • cells like retina, lens of eye, red blood cells, and other neural tissue which don’t rely on insulin for glucose have excess glucose
  • glucose metabolized into sorbitol won’t diffuse out-> high cell osmolarity causes excess H2O uptake in these cells and electrolyte problems-> blindness, cataracts, numbness
101
Q

since cell glucose is low in most cells (diabetes)

A

it stimulates the need to increase glucose levels= increased gluconeogenesis from metabolism of proteins and lipids= protein catabolism

102
Q

effects of protein catabolism

A
  • generates negative nitrate balance
  • N2 being excreted and AA breakdown faster than synthesis
  • insulin uptake of AA is removed
103
Q

effects on lipids (diabetes)

A
  • effects lipids via increased lipase-> inc FFA froms ketone bodies-> dec pH-> metabolic acidosis-> attempt to correct via inc respiration rates
104
Q

effect on K+ (diabetes)

A
  • without insulin, blood K+ is high but cell K+ is low (K+ stores lost in urine)
105
Q

vascular and cardiac problems caused by low insulin

A

increased water loss at kidney= dec BP= triggers systems to inc CO

106
Q

respiration effects (diabetes)

A

from metabolic acidosis: ins RR= inc CO2 loss

107
Q

renal effects (diabetes)

A

dec H2O retention, high K+ loss

108
Q

juvenile diabetes

A

Type I= hyposecretion of insulin= defect beta cells

109
Q

maturity onset diabetes

A
  • Type II
  • middle age people tissues aren’t receptive to insulin
110
Q

insulin mode of action

A
  • through surface receptor and tyrosine kinase
  • receptor has 2 alpha and 2 beta chain bonded by a disulfide bridge subunits
111
Q

hypersecretion of insulin

A

(Insulin shock)-> hypoglycemia
- normal remedy is to eat more often
- major effect of hypersecretion of insulin is on neural tissue since it doesn’t store glycogen
- low blood glucose will cause dizziness

112
Q

glucagon

A
  • works with insulin to ensure stable levels of glucose in blood
  • hyperglycemic effect
  • released from alpha cells of pancreas
  • related structurally to secretin, GIP, and VIP
  • can also be produced by some cells along GI tract
  • main stimuli for release= low levels of glucose in blood
  • glucagon inc production of glucose and its release into blood
  • inhibits lipid synthesis and stimulates adipose cells to break down triacylglycerides into FAs and glycerol and release into blood
113
Q

glucagon stimulates…

A
  • inc in blood glucose
  • stimulates hepatic(Liver breaks down glycogen and releases glucose into blood)) production and secretion of glucose
    through glycogenolysis and gluconeogenesis (new glucose formed from non carb sources)
  • stimulates ketone bodies from fatty acids (ketogenesis)
  • as BG levels rise, glucagon secretion dec by negative feedback
114
Q

insulin-glucagon relations on a daily basis

A
  • levels of each depend on diet
  • with food consumption= stimulates insulin release= promotes glucose uptake and storage= dec blood glucose= stimulates glucagon release= glycogenolysis= inc blood glucose
  • stomach has stretch reflex which will stimulate insulin release
  • some GI hormones will trigger insulin release
115
Q

high protein diet

A
  • trigger more glucagon release
  • after high protein meal, both insulin and glucagon rise
  • rise of insulin promotes incorporation of absorbed AA into body proteins
  • inc glucagon because high protein provides little glucose-> ensures glucose output from liver glycogen stores even in high insulin levels
116
Q

sensitivity to insulin or glucagon will depend on diet

A
  • carnivores are typically more sensitive to insulin (need to store carbs and protein)
  • herbivores typically more sensitive to glucagon (use other things besides glucose as a carbon source)
  • birds and reptiles more sensitive to glucagon than insulin
  • amphibians are more sensitive to insulin
  • invertebrates have hypoglycemic and hyperglycemic factors
117
Q

hormone that dec blood glucose

A

insulin

118
Q

hormone that inc blood glucose

A

glucagon, epi, thyroid hormone, glucocorticoids, GH

119
Q

epinephrine and BG

A
  • epinephrine stimulates alpha cells to secrete glucagon and inhibits beta cells from secreting insulin