Exam 7 Flashcards
What are the actions of insulin?
STOPS:
- Gluconeogenesis
- Glycogenolysis
- Lipolysis
- Ketogenesis
- Proteolysis
Go:
-Glucose uptake in muscle
-Glycolysis
-Glycogen synthesis
-Protein Synthesis
Uptake of Ions specially K+, PO4
How does Insulin affect carbohydrates metabolism?
Decrease blood glucose by helping glucose leave blood and limiting the raise in blood glucose
Increases glucose transport and adipose into muscle
Promotes gycogen formation in liver and muscle
Aids GLUCOKINASE: phosphorylation of glucose
Inhibits gluconeogenesis and glycogenolysis
Actions of Insulin in Lipids metabolism
Overall, Inhibits mobilization and oxidation of FA
Inhibits Ketogenesis
Ketogenesis: breakdown of FA in liver, during fasting produces Ketoacidosis.
Promotes FFA storage as Triglycerides. LIPOPROTEIN LIPASE-Storage of triglycerides
Inhibits uptake of FFA in muscles, in favor of glucose uptake in muscles
Inhibits Lipolysis: HORMONE SENSITIVE LIPASE
The effects of protein are overall cataolic or anarobic?
ANABOLIC
Decreases blood AA
Increases AA and protein uptake by tissues
Increases protein synthesis
Inhibits protein degradation
What are the other actions of insulin?
Increases activity of Na/K ATPase pump = Uptake of K+ into cells
Promotes Phosphate, Mg++ uptake into cells
Decreases appatite via the SATIETY CENTER in HYPOTHALAMUS
What happens when there is an excess of insulin in the blood/body?
Causes HYPOGLACEMIA
Cortisol release is stimulated to increase appetite
What or how does Insulin Resistance occur?
When blood insulin remains high (over-produced) and the cells fail to respond normally. This is a defensive mechanism during illness to protect brain’s glucose supply.
Resistance can occur due to receptors alterations, decreased affinity or number of receptors.
Post-receptor changes in the intracellular action of insulin.
How do Hormones cause insulin resistance?
Cortisol, GH, Thyroid hormones, Epinephrine, Estrogen/Progesterone:
Epi: antagonizes insulin and stimulates the release of glucagon, thus increasing blood glucose
Progesterone: during pregnancy favors the transfer of nutrients to fetus.
How does obesity cause insulin resistance?
Type II diabetes
Impared insulin signaling
Decrease GLUT4 expression in adipose and muscle tissue or it can be normal, but Decrease Transport of clucose occurs due to TRANSLOCATION/DOCKING of GLUT4 into plasma membrane.
How does liver or kidney failure cause insulin resistance?
Sepsis and Insulin Antibodies?
Defect in kidney results in defect of Post reception pathway and possible decrease in GLUT4 in skeletal muscle.
Sepsis: Insulin signaling defect with infection. Stress causes hypoglacemia, release of glucose.
Insulin antibodies affect the normal effects of insulin
Characteristics of Diabetes Mellitus type 1 and type 2
Type 1: insulin defficiency due to destruction of pancreatic Beta cells, autoimmune issue usually
Type 2: Insulin resistance: can be associated with down-regulation of insulin receptors in muscle and adipose tissues or issues with insulin signaling.
What is Insulinoma?
Excessive production of insulin by Beta cells in the pancreas
What are the results of lack of insulin or lack of insulin action?
Hyperglacemia due to decrease in hepatic output: Type 2 diabetes and decreased glucose uptake by cells. Cell starvation
Increase in glycogenic AAs liver keeps making it
Increase glucagon release because carbohydrate ingestion does not suppress it
Blood Hyperosmolality: glucose draws water and doesn’t leave
Osmotic diuresis in kedney: beyond threshold ~300 mOsm/L, glucose excess in urine and water follows.
Hyperlipidemia: Increased oxydation of fat, Fat accumulation in liver, Increase Ketoacidosis.
Increase glycolysis and Increase Lipid uptake
Peripheral tissue catabolism: Muscle wasting and weight loss
Increase gluconeogenesis and Decrease AA uptake by cells
Glucagon
What cells secret it?
What stimulates its release?
What inhibits its release?
Secreted by alpha cells in the pancreas
Synthesized as preproglucagon untils its release
Sequence is identical in all species
Stimulation: Hypoglacemia, Protein, and AA intake/ingestion
Fasting, Stress (specially infection), Intense excercise, CCK (CHOLECYTOKININ is released when protein and fat is ingested)
Inhibition: Glucose, Insulin, SOMATOSTATIN
Actions of Glucagon
Pathophysiology
G-protein/cAMP
Opposite of Insulin actions
Mobilizes energy, Increases glycogenolysis, gluconeogenesis, lipolysis, ketoacid formation
Little to no effect on glucose utilization by peripheral tissues.
Pathophysiology
Tumor of Alpha cells Glucagonoma
Results in Diabetes Mellitus and Necrolytic Migratory Erythma (blisters, swelling and pressure in areas of body)
Hyperglucagonemia/diabetes mellitus with infection
Glucagon:Insulin ratio increases
Where is Somatostatin secreted?
Delta cells of pancreas, Hypothalamus, and GI cells
SS-28: GI tract
SS-14: Pancreas and Hypothalamus
Stimulated by all nutrients
Inhibits Insulin, Glucagon, GI Hormones, GI motility, enzymes, gastric acid secretion.
AAs are needed for liver to perform gluconeogenesis
Adipose tissue as an Endocrine organ
Leptin and Adiponectin
Leptin
Inhibits appetite by inhibiting Neuropeptide Y
Increase BMR
Leptin resistance may contribute to Obesity
Adinonectin
Improves insulin sensitivity
High adinonectin = low risk of Type II diabetes
Low adinonectin = obesity and diabetes in cats by increasing TYROSINE PHOSPHORYLATION in insulin receptor in skeletal muscle
What are the processes and regulatory systems that depend on calcium and phosphorus?
Vitamin D
Parathyroid Hormone
Calcitonin
Neurotransmission, learning, memory, muscle contraction, mitosis, mobility, secretion, fertilization, blood clotting, structure of bones and teeth.
Intestine: absorbs
Kidney: Reabsorption
Skeleton: Reservoir
Skin: Makes it
Liver: Makes it
What is they biologically active form of calcium?
Where is the highest concentration?
What cells are involved in calcium homeostasis?
Highest: Extracellular
50% Ionidized (active) free form. The rest bound in albumin, complex anions.
10% complexed in other forms
Phosphate bicarbonate
Intracellular: lowest concentration
Cytosolic Ca++ can be increased as needed- fine balance control. Concentration depends on membrane permeability and motility. Intracellular storage.
The endocrine cell receptors are involved in Ca++ homeostasis
Endoplasmatic Reticulum: Calcium Channels, Na/Ca exchanger.
Hypercalcemia & Hypocalcemia
What causes alterations in the forms of Calcium in plasma?
Increase in plasma Ca concentration
Constipation, polyuria, polydipsia, lethargy, coma, death.
Hypocalcemia: decrease in plasma Ca++.
Twitching, cramping of skeletal muscle. Seizures, sensory and motor neurons highly excitable due to Lower threshold for excitation. Lower ECF Ca++
Numbness/tingling (paresthesia) seizures.
- Changes in plasma protein concentration
- Changes in complex anion concentration
- Acid-base disturbances
- Changes in HCO3 cuases changes in Calcium
- Lactation, Renal failure, Vitamin D disorders.
Acedemia and Alkalemia
What is the difference in Albumin-bound-calcium in each state?
Acedemia: More H in the blood
- High concentration of Ionized Ca++ (free form), so less is bound to Albumin
Alkalemia: Less H in the blood
-Low concentration of Ionized Ca++ bound to Albumin.
Calcium Homeostesis
What role do kidneys, intestines, parathyroid, and vitamin D have on this?
Bone is constantly remodeled to that Ca can be released into the blood or absorbed from blood.
Intestine absorbs Ca, the amount is regulated by Vitamin D.
Kidneys reabsorbed Ca and this is regulated by the PTH calcitonin
Calcitonin
Calcitonin works to control calcium and potassium levels. It does this by inhibiting the activity of the osteoclasts, the cells that break down bone. When the osteoclasts break down bone tissue, the calcium enters the bloodstream.
Osteoclast: bone reabsorbing cells Clast:collapsing
Osteoblast: bone forming cells Blast: building
Phosphate metabolism
Components of ATP, DNA, Lipids, Cofactors, RNA, bone
It regulated through urinary secretion
It is stored in Muscle
The percentage absorbed from diet is fairly constant
Balances many Cations and it is important for buffering and Magnesium absorption.
Magnesium metabolism
Necessary for Neuromuscular transmission
Cofactor in enzyme reactions
Dietary Mg absorbed by gut is enhanced by Vitamin D
Excreted in Urine
Parathyroid Hormone
Chief Cells and Oxyphil Cells
- Regulates plasma Ca and Phosphate
- PTH stimulates bone resorption. Increases kidney reabsoprtion Ca and Phosphate Excretion in Urine.
- P receptor acts when high Ca is present in blood, then degradation of PTH ganules and inhibits its release (PTH)
Phosphate high in blood, then PTH secretion Increases via P receptor
PTH also stimulates synthesis of Vitamin D
Chief cells:
Oxyphil cells: not present until puberty and decrease with aging
Stimulation and Inhibition of PTH
Stimulation: Decreased calcium (Bone resorption and calcium reabsorption in Kidney)
Increased Blood phosphate (Phosphate excretion in urine)
Decreased Mag
Inhitition: Vitamin D negative feedback (calcium absorption in SI) Decrease PTH release
Increased blood calcium
Action of PTH
Receptor Pathway
Binds to plasma membrane receptors and activates G-proteins/cAMP pathway
Bone: Increases bone resorption to relase Ca and Phosphate into blood
Kidney: Stimulates calcium reabsorption DCT, while it inhibits Phosphate reabsorption in PCT causing excretion of Phosphate
Increases Mg reabsorption and stimulates synthesis of vitamin D in kidneys
Intestine: Increases Ca absoprtion via vitamin D
Hyper and Hypoparathyrodism
Hyperparathyroidism: Tumors or hyperplasia
Primary Form
Cs: Increased PTH and hypercalcemia, Hypophosphotemia, Renal calculi, Bone pain/Fractions
Secondary Form
Hypocalcemia, Increased Phosphate in blood, increases in PTH, may result from renal failure or increased dietary phosphate
Decreased blood Ca = Increased PTH
Hypothyroidism
Caused by accidental removal of gland, Autoimmune destruction, Idopathic
Cs: Decreaed PTH, Hypocalcemia, Hyperphosphatemia
Calcitonin synthesis and Role
Parafollicular cells of Thyroid Gland synthesize calcitonin
Decreases blood Ca and Phosphate by:
- Inhibiting bone resorption
- Increases urinary P excretion
- Inhibits renal reabsorption of Ca
Stimulation:
Increase blood Ca
Vitamin D (via feedback)
Ingested food, Ca absorbed in SI, so don’t need to release it or reabsorb it from kidney
Role and Vitamin D synthesis
Required for bone formation and Increases Ca absorption from GI tract
Hormone synthesized and Vitamin from diet
Skin: synthesizes precursor 7-dehydrocholesterol
After absorption from GIT goes to liver and it is converted to 25-hydroxycholecalciferol
Kidney: most converted to 1,25-dihydrohycholecalciferol
Intermediate and active forms circulate bound to protein carriers
Vitamin D actions
Fat-Soluble, so it can be stored in adipose and liver
-Toxicity results in hypercalcemia, renal failure, elevated phosphate
Metabolism: excreted in bile
Most Actions occur in the intestine
- Stimulate Ca absorption via calbindin
- Stimulates Mg absorption and phosphate absorption
Weakly stimulates Ca and P reabsorption in Kidney
Vitamin D and Ca absorption Intestines
Effects of vitamin D deficiency
Active
-Intake Low, via transcellular process (dominates)
Passive
(no assistance needed)
-Intake High, paracellular (dominates)
Acts through cytosolic receptor and increas es production of CALBINDIN
Calbindin binds Ca inside the cells and fascilitates transport to bsolateral membrane
Other effects of Vitamin D
Stimulates bone resorption in the prescence of PTH
Increases Ca transport and uptake by SR in skeletal muscle cells
Decreases PTH synthesis feedback effect
Deficiency = muscle weakness, abnormal contractions, Ricketts in young, Ostomalecia in older animals, Cardiac disfunction
Melatonin and Eicosanoids
What is the major role of melatonin?
Where is it produced and synthesized from?
What supresses melatonin release?
where is the photic information transmitted and processed?
Major role in sleep and wakefullness
Produced by the Pineal Gland and synthesized from Tryptophan (N-acetyl-5methoxytryptamine) with SEROTONIN as the intermediate.
Blue light supresses melatonin release.
Photic information from the RETINA is processed/recieved in the HYPOTHALAMUS and SNC via Supra-Chiasmatic Nucleus, then to Pineal Gland
Regulation of Melatonin
What stimulates and inhibits secretion of melatonin?
What is is related to?
Stimulated by darkness.
It is related to the length of the night
Retinal photoreceptors release norepinephrine which activates beta-adrenergic receptors in the pineal gland. Seratonin is converted into Melatonin by darkness stimulation
Inhibited by light
Retinal photoreceptors become hyperpolrized, which inhibits norepinephrine release.
Blind people can still have ligth-induced sdupression of melatonin
Circadian Rythm of melatonin secretion
What is it controlled by?
When does secretion begins and peaks?
Controlled by endogenous pacemaker in the supra-chiasmatic nucleus
Environmental lightining alters timing of the circadian rythm
- Day-night cycles can modify the rythm
- Brief pulses of light can supress release of melatonin
Secretion usually begins at DUSK and pekas between 2-4 am
Shifts in melatonin secretion after flights across time zones and in night-shift workers
Tryptophan-seratoning-melatonin
Actions of Melatonin and Receptors
Activates Receptors MT1 & MT2
Regulates/Affects
- Sleep
- Circadian rythm
- Mood
- Sexual maturation and reproduction
- May have anti-inflamatory effects on immune system
- May have beneficial effects on cancer (removing pineal gland enhances tumor growth)
- Aging (decreases with age) may reduce cell damage by reducing free radicals
Biological functions and SAD
SAD: Seasonal affective disorder
- Abnormal circadian rythms involved in mood disorders
- Bright light therapy can decrease SAD
Sexual maturation and reproduction
Hours of light/darkness associated with reproductive activity
May affect sex steroid synthesis and modulate ovarian function
Horses seasonal estrous cycle. Spring decreases melatonin, which allows GnRH to increase and stimulate progesterone synthesis. Supressing melatonin in mares with light, babies born in January
Decrease melatonin in puberty leads to increase in GnRH
How is Melatonin used in VetMed?
Treatment for Alopecia X in dogs
-May decrease GnRH, which decreases FSH/LH effects on adrenal androgen precursors
Tx for anxiety and seizure activity
Short-term side effects are minimal
-Sedation and incoordination
Eicosanoids
What are the two major pathways for synthesis?
Group of signaling molecules synthesized by oxidation of 20-carbon essential fatty acids (EFA)
Arachidonic acid and Eicosapentaenoic acid
- Omega-3 EFAs from Eicosapentaenoic acid LESS-inflamatory
- Omega-6 from arachidonic acid PRO-inflamatory
Omega-3 diet reduces inflamation
Balance between each type determines actions
Derivation of Eicosanoids
Omega-3 FAs: yields eicosapentanoic acid (5 double bonds) # 3,5
Omega-6 FAs: yields arachidionic acid (4 double bonds) # 2,4
- Prostanoids with 2 double bonds
- Leukotrienes with 4 bonds
Nomenclature for Eicosanoids
- 2 letter abbreviation = PG
- One A-C sequence letter = PGE
- Subscript indicating the # of double bonds = PGE2
Prostaglandins A-I differ in subtituents on the cyclopentane ring
- PGAs are alpha and beta-unsaturated ketones
- PGEs are Beta-hydroxyl ketones
- PGFs are 1,3-diols
EPA Cascade (eicosapentaenoic acid)
Formed from Omega-3 EFAs
Forms mostly prostanoids
Major function is to dampen inflammatory effects of arachidonic acid prostanoids
Less inflamatory pathway
Arachidonic acid (AA) Cascade
Formed from Omega-6 FAs
- Prostanoids: Prostaglandins (PG), Prostacyclins (PGI), Thromboxanes (TX), Major effects
- Leukotrienes (LT)
- Lipoxins (LX): stimulate inflammatory responses, modulate pain and fever, reproductive functions, INHIBIT GASTRIC ACID SECRETION (usually paracrine local action), Blood pressure regulation, Platelet activation/inhibition
Synthesis of Arachidonic Acid
Dietary precursors:
- Linoleic Acid (18 carbon EFA)
- Gamma linoleic acid
- Cats can’t convert linoleic acid to arachidonic acid due to low Delta-6-desaturase enzyme
Phospholipase A releases arachidonic acid from phospholipids in cell membrane
-Arachnidonic acid is oxydated by
*Cyclooxygenase (COX1, COX2) to make prostanoids
*Lipooxygenase (5LOX) to make leukotrienes
Major actions of prostanoids derived from Arachidonic Acid
-Local hormones with autocrine or paracrine action. Short half-life (seconds to minutes). Mediated by specific receptors. Mediate inflammation (except lipoxins)
PGE2,Smooth muscle contraction, bronchoconstriction, heat, fever.
PGI2vasodilation, inhibits platelet aggregation.
TAX2 Vasoconstriction, stimulates platelet aggregation.
Inhibiting prostanoid formation
NSAIDs
Non-steriodal anti-inflammatory drugs.
- Decrease inflammation, redness, swealling, heat.
- Inhibit COX1, COX2: Aspirin, Carprofen, Fluxinin, Phenylbutazone, Ibuprofen, naproxen
- NSAIDs that inhibit only COX2: Less side effects, Firocoxib, deracoxib, Melaxicam, Piroxicam, Celecoxib.
Reproductive events after fertilization
First Trimester:
- Migration of primordial germ cells from yolk sac
- Sex cords develop in gonad, paramesonephric ducts develop
- Sex evident from structures
- Begening of development of male ducts and testes or Development of female ducts and ovaries
Second Trimester:
- Development of male ducts and testes or Development of female ducts and ovaries
- Formation of braod ligament
Bull and Ram 6. Testicular descent
Third trimester:
- Testicular descent
Boar & human earlier
Colt Later in the 3rd trimester
What is an Embryo?
What is a Fetus?
Embryo: An organis in the early stages of development
Placentation has not yet taken place
Generally this embryo has not acquired an anatomical form that is readily recognizable in apperance as member of a specific species
Fetus: Potential offspring within the uterus that is generally recognizable as a member of a given species
Marked by development of placentation and organogenesis
What are the Primary Embryonic Layers? Embryology
How does the embryo start?
The embryo starts as a mass of cells that eventually form cell layers and it will differentiate into embryo and proper and placenta
Endoderm Digestive system, lungs, endocrine system
Mesoderm Muscle, skeleton, Cardiovascular, Reproductive System
- Gonads (testicles and ovaries)
- Uterus, Cervix, cranial vagina
- Epididymis, ductus deferencs
- Accessory sex glands
Ectoderm Nervous system, Skin, Hair.
Reproductive tract:
- Vagina and Vestibule
- Penis and clitoris
Embryology and placentation
What is blastocyst?
What is the Inner Cell Mass (ICM) and Trophoblast?
What do the Trophoblastic cells eventually give rise to?
What is the Chorion?
The embryo is called blasstocyst when a cavity is recognazible
The ICM and trophoblast corresponds to the two distinct cellular populations that result from the embryo becoming partitioned.
Tight junctions: found in the outer cells
Gap Junctions: found in the inner cells
Trophoblast = Chorion
The Chorion: will become the fetal component of the placenta
What are the four steps to be achieved before the embryo can attach to the uterus?
What is SYNGAMY?
What is an ootid?
What is a Zygote?
What is a Blastomere?
What is a Morula?
What is a Blastocyst?
What is a hatching Blastocyst?
- Development within the confines of ZONA PELLUCIDA
- Hatching of the BLASTOCYST from zona pellucida
- Maternal recognition of pregnancy
- Formation of extraembryonic membranes
Syngamy: fusion of the male and female PRONUCLEI
OOTID: cell name when a female and male pronuclei can be observed
-It is one of the largest cells and has subsequent cell divisions within the cinfines of the zona pellucida
Zygote: Single-celled embryo that undergoes mitotic divisions called CLEAVAGE DIVISIONS
First cleavage division: generates two-celled embryo, which are called Blastomeres
Morula: After the eight-celled embryo stage the ball of cells fromed is called Morula
Early blastocyst: after the morula continues to divide a blastocyst is formed.
Blastocyst consists of:
- ICM: inner cell mass
- Blastocoele: cavity
- Trophoblast: single layer of cells
Hatching blastocyst: grows in zona pellucida and free floats within the uterus
What do the extraembryonic of the preattachment embryo consists of ?
- Yolk Sac: from primitive endoderm. Feeds the embryo until placentation
- Chorion: from Trophoblast, primitive endoderm, and mesoderm
- Amnion: filled with fluid and serves to hydrolically protect the embryo
- Allantois: comes out of the hindgut joins and fuses with chorion to become Allanto-Chorion
1. Trophoblast cell is the placenta
2. Blastocoel
3. Inner cell mass: become fetus
Origen of the Pituitary Gland
Posterior Lobe: Neurohypophysis
- Contains axons and nerve terminals of neurons from hypothalamus
- Formed from a diverticulum from floor of brain = infundibulum
Anterior lobe: Stomodeal Ectoderm Adrenohypophysis
- Tissue from the root of the mouth
- Glandular epethilieal cells produce GLYCOPROTEIN hormones
- Formed from an evagination from the oral cavity = Rathke’s Pouch
What happens to Rathke’s pouch?
Stalk of Rathke’s pouch regresses and separates from Stomodeal Ectoderm
-It becomes closely associated with cells of INFUNDIBULUM
Adrenohypophysis loses attachment to mouth
What hormones are released by the anterior and posterior pituitary gland?
Where are posterior pituitary hormones released into?
Hormones released into circulation require a larger exogenous amount to be effective than locally released hormones
Anterior:
- ACTH: adrenocorticotropic hormone
- TSH Thyroid stimulating hormone
- Gonadotropins FSH, LH
- GH Growth Hormone
- Prolactin PRL
Posterior: Deposited directly into circulation, Hypothalamic hypophyseal Portal System
- ADH Antidiuretic hormone
- Oxcytocin
Sexual Differentiation
(Involves specific substances)
Sex differentiation: process… group of unspecified cells develop into a functional recognizable group of cells (ex: male and female reproductive tracts)
Sex Determination: A system that determines the sexual characteristics.. GENES, ALLELES or Hormonal parameters. Ex: vulva, penis
Karyotype: This describes the chromosomal complement of an organism, X, Y
Dog: 78 XX (female), 78 XY (male)
Phenotype: observed characteristics that depend on the genotype and affected by the environment
Chimera: produced by the fusion of two different zygotes
Mosaic: an individual with two different cell lines that originated from the same individual
SExual differentiation 3 Stages
- Chromosomal Sex (Karyotype): determined at fertilization , XX or XY
- Gonadal Sex: Sry gene induces testes formation
- Phenotypic sex: determined by substances produced in the male testes to cause regresssion on the female tract
Sexually indifferent Stage
Microanatomy of Sexually indifferent Stage
Primordial germ cells: (primary undifferentiated stem cells that will differentiate toward gametes)
- Originate in the yolk sac
- Migrate trough the hindgut to the undifferentiated gonad within the dorsal body wall (a.k.a genital or gonadal ridge)
Pronephros Primitive Kidney
Mesonephros male (female regress)
Metanephros functional kidney
Mesonephric ducts (Wolffian ducts) male (female regress)
Paramesonephric ducts (Mullerian ducts) Female (male regress)
Primitive sex cord
Primitive germ cells
Sex Determination Male Key Players
Initially, Testis determining Factor (TDF) and Sex Determining Region-Y (SRY) causes production of TESTOSTERONE
- Antimullerian Homrnone secreted by Sertoli Cells (AMH) causes degeneration of the paramesonephric duct
- Dihydrotestosterone causes development of penis
Sex Determination female Key Players
XY chromosomes with Sex Determining Region-Y and Testis determining factor
- No SRY protein
- Ovaries develop
- No Anti-Mullerian Hormone
- Paramesonephric ducts become the oviducts, uterus, cervix, and part of the vagina
- Complete female tract