Insulin counter-regulatory hormones Flashcards

1
Q

What are the key properties of glucagon?

A

29 amino acid peptide

made by alpha cells in islets of langerhans in the pancreas

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2
Q

How is glucagon formed?

A

preproglucagon -> proglucagon -> glucagon

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3
Q

In what conditions are glucagon secreted?

A

low blood glucose levels
increase amino acid levels (arginine and alanine)
exercise

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4
Q

What is the glucagon receptor like?

A

7 fold transmembrane GPCR receptor

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5
Q

How does glucagon signalling work?

A

glucagon binds to the GPCR receptor -> activates cAMP -> protein kinase A activation -> phosphorylates phosphorylase kinase -> glycogen phosphorylase converts glycogen to glucose-6-phosphate

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6
Q

What are the effects of glucagon?

A
glycogenolysis
amino acid uptake
gluconeogenesis
glycolysis inhibited (PFK1 inhibited)
lipolysis (HSL activation)
ketogenesis
beta oxidation of fatty acids (CPT-1 activation)
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7
Q

What happens in prolonged fasting?

A

oxaloacetate replaces amino acids for gluconeogenesis

formation of acetoacetate (ketone) inhibited by glucagon so don’t get excess cholesterol or TGA

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8
Q

What are the adrenocortical hormones?

A

Steroid hormones - mineralocorticoids, glucocorticoids, androgens

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9
Q

What are the main examples of catecholamines?

A

Epinephrine (adrenaline), norepinephrine (noradrenaline) and dopamine

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10
Q

Where are catecholamines and glucocorticoids made?

A
  • adrenal gland medulla (catecholamines)

- adrenal cortex (glucocorticoids)

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11
Q

What is the function of catecholamines?

A

Released during stress/hypoglycaemia
ST: increase glucose and lipid levels
Inhibit insulin secretion, glycogenolysis, glucagon secretion, lipolysis

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12
Q

What is the function of glucocorticoids?

A

Steroid hormone

LT: protein and lipid use

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13
Q

What is ACTH, what does it do?

A

Glucocorticoid
released in anterior pituitary gland causing cortisol secretion which maintains bp and inflammation and:
Allows gluconeogenesis, inhibits glucose uptake, allows muscle proteolysis -> muscle wasting, allows lipolysis

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14
Q

Where are growth hormones found and what do they do?

A

In adipose tissue -> lipolysis, decreased glucose uptake, decreased lipogenesis
In skeletal muscle -> decreased glucose uptake, increased lipoprotein lipase activity
Liver -> increased VLDL secretion, HDL and LDL production and secretion

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15
Q

What is the function of thyroid hormones?

A

increase metabolic rate
increase mitochondrial number and activity = increased ATP synthesis
Glucose uptake, glycolysis, gluconeogenesis, insulin secretion
lipids mobilised from adipose so increased fatty acid concentration

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16
Q

What do incretins do?

A

GLP1 increases insulin secretion
slows gastric emptying = satiety
increased B cell function + differentiation