Endocrinology 19 Flashcards

1
Q

How does Insulin affect the muscle tissue?

A

Insulin increases the uptake of glucose by muscle tissue and increases its deposition into the glycogen storage form

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2
Q

How does Insulin affect Adipose tissue?

A

It increases the uptake of glucose into fatty or adipose tissue

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3
Q

What can glucose be converted to in Adipose tissue?

A

Fatty acids or triglycerides

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4
Q

How does insulin affect the transport of glucose into the liver?

A

It doesn’t

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5
Q

How does insulin influence the liver?

A

It stimulates or inhibits various enzymes so that more glucose can be converted to glycogen

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6
Q

How does insulin affect amino acids and muscle?

A

Insulin increases the uptake of amino acids into muscle

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7
Q

What can happen once amino acids enter the muscle?

A

They can be converted into protein

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8
Q

How does insulin affect amino acids and the liver?

A

Insulin increases the uptake of amino acids into the liver

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9
Q

What is the overall role of insulin?

A

It increases the uptake of glucose into various tissues to be converted into different storage molecules

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10
Q

Which tissues can take up glucose in the absence of insulin?

A

The liver and the brain

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11
Q

What is glycogenesis?

A

Building up glycogen

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12
Q

What is glycogenolysis?

A

Breaking down glycogen

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13
Q

What is gluconeogensis?

A

The formation of glucose from non-carbohydrate substances

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14
Q

What kind of hormone is insulin?

A

A protein hormone

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15
Q

What is the insulin receptor made of?

A

2 alpha and 2 beta subunits

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16
Q

What do the intracellular portion of the insulin receptor have?

A

Tyrosine kinase activity

17
Q

How does binding of the insulin receptor to insulin affect it?

A

It activates the tyrosine kinase activity

18
Q

What happens when tyrosine kinase becomes active due to the presence of insulin and its receptor?

A

It causes changes in insulin receptor substrates which can affect transport systems, enzyme activity, gene expression

19
Q

What are the two families of transport mechanisms of glucose?

A
  • SGLTs (secondary active transport)

* GLUT (facilitated transport)

20
Q

Which transporters transport glucose through secondary active transport?

A

SGLT 1 and SGLT 2

21
Q

How do SGLT 1 and SGLT 2 work?

A

They transport glucose by secondary active transport at the same time as sodium

22
Q

Which direction does glucose move with SGLT transporters?

A

Uphill

23
Q

Which direction does glucose move with GLUT transporters?

A

Downhill

24
Q

Which GLUT is insulin sensetive?

A

GLUT 4

25
Q

Where us GLUT 1 and 2 found?

A

In the GI tract

26
Q

In which cells does insulin affect glucose transporters?

A

Muscle and adipose cells

27
Q

How does insulin cause it effects on GLUT 4?

A

It causes them to dock into the cell membrane from vesicles and allow glucose in

28
Q

Through what mechanism does Glucagon act?

A

via cAMP

29
Q

Where does glucose come from short term?

A

Glucose is readily available in blood soon after a meal is eaten

30
Q

Where does glucose come from long term?

A

The liver glycogen stores are broken down through glycogenolysis

31
Q

What does Glucagon do?

A

Increases mobilization of fuels when needed

32
Q

Where is the main site of action of glucagon?

A

The liver

33
Q

How does Glucagon affect blood glucose?

A

It increases blood glucose