Glucose Regulation in the Peripheral Tissues Flashcards
EFFECT OF INSULIN IN THE PERIPHERY
primary insulin target tissues are where
skeletal muscle, liver, and adipose tissue
role of the pancreas
what does insulin secrete/produce
digestive enzymes
produces primary messengers (hormones)
EFFECT OF INSULIN IN THE PERIPHERY
primary insulin target tissues are skeletal muscle, liver, and adipose tissue, in which the hormone modulates _______ of intracellular proteins
phosphorylation (within minutes)
EFFECT OF INSULIN IN THE PERIPHERY
primary insulin target tissues are skeletal muscle, liver, and adipose tissue, in which the hormone modulates phosphorylation of intracellular proteins(within minutes) and affects gene transcription and protein synthesis (timeframe?)
hours
PKB is activated following a cascade from what
insulin binding
when insulin activates PKB, what protein is activated
mTOR
insulin activates PKB through a series of _____ events
phosphorylation
PKB promotes glucose uptake by cells through _________ of GLUT4 transporters to the cell membrane
translocation
by enhancing GLUT4 translocation, PKB promotes increased ________ _____ by cells
increased glucose uptake
PKB promotes _____ synthesis in the liver and muscle, contributing to glucose storage
glycogen
what are the effects of insulin on muscle?
insulin promotes uptake of glucose by muscle for immediate use during exercise or storage as glucagon
how does insulin influence the liver
insulin stimulates the uptake of glucose by the liver, ->storage as glycogen
insulin inhibits glycogen phosphorylase, activates glycogen synthase, and prevents glucose synthesis
excess glucose in converted to fatty acids under the influence of insuiln
what role does insulin play in adipose tissue
insulin ______ the uptake of glucose by adipose tissue, facilitating its conversion to _____ for fat production
promotes
glycerol
what role does insulin play in adipose tissue
insulin ______ lipolysis which is the breakdown of ______ in adipose tissue
inhibits
triglycerides
MUSCLE’S ROLE IN GLUCOSE UPTAKE
What percentage of whole-body insulin-stimulated glucose uptake is accounted for by skeletal muscle
skeletal muscle accounts for 60-70% of whole-body insulin-stimulated glucose uptake
SIGNIFICANCE OF MUSCLE IN INSULIN RESISTANCE
why is muscle considered a major site of insulin in obesity and T2DM
muscle is a significant site of insulin resistance, making it a therapeutic target especially in obesity and T2DM
EFFECTS OF MUSCLE SPECIFIC INSULIN RECEPTOR KO
What were the consequence of muscle-specific KO of the insulin receptor (IR) mice
muscle specific knockout of IR led to increased fat mass, elevated serum triglyceride levels, and muscle insulin resistance in mice -> no significant effects on global glucose tolerance
impaired glucose uptake in IRS1 and IRS2 mice
what happens to glucose uptake in mice lacking both IRS1 and IRS2 in skeletal and cardiac muscle
mice lackibg both IRS1 and IRS2 in skeletal and cardiac muscle experience impaired glucose uptake, although without hyperglycaemia and hyperinsulineamia
REGULATION OF HGP BY INSULIN AND GLUCAGON
how does insulin regulate HGP in relation to glucagon
insulin regulates HGP by inhibiting glucagon secretion from pancreatic alpha cells
INSULIN’S EFFECT ON HEPATIC GLUCOSE PRODUCTION
how does insulinsuppress hepatic glucose prodcution
Insulin suppresses HGP by inhibiting gluconeogenic enzymes and activating glycolytic and fatty acid synthetic enzymes, resulting in the switch from fatty acid oxidation to synthesis