lecture 23 redone Flashcards

1
Q

insulin is secreted in conditions of

A

high blood glucose

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2
Q

insulin lowers

A

blood glucose

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3
Q

glucagon is secreted in conditions of

A

low blood glucose

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4
Q

glucagon increases

A

blood glucose

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5
Q

the cells in the islet of langerhans have a dense capillary network so they can

A

detect the blood levels and can release the hormones very quickly

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6
Q

regulators of insulin release

A

glucose, amino acids, neural input, gut hormones (GLP1, GIP), adrenaline

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7
Q

regulators of glucagon release

A

glucose, insulin, amino acids, gut hormones

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8
Q

insulin production
pre-proinsulin cleaved into

A

pro insulin in the RER

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9
Q

proinsulin is cleave into

A

insulin and C-peptide in the golgi

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10
Q

disulphide bonds form and the residues 31 and 65 are cleaved to separate the

A

c-peptide and the insulin

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11
Q

insulin is stored in a

A

hexatrimeric form with zinc in the middle

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12
Q

insulin is composed of A and B chains connected by

A

disulphide bridges

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13
Q

what can you use c peptide for

A

to test the concentration as its not degraded and diagnose type 1 diabetes for example as c peptide levels would be low

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14
Q

beta cells have a glucose transporter.
inside the cell glucose is converted to

A

glucose 6-P

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15
Q

what is glucose converted to glucose 6-P by

A

glucokinase

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16
Q

glucose 6-P turns to pyruvate due to

A

glycolysis

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17
Q

pyruvate enters the mitochondria and undergoes

A

krebs cycle and ETC

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18
Q

ETC releases ATP.
when there are low levels of glucose not much ATP is released causing what channel to stay open

A

K-ATP channel

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19
Q

therefore potassium ions still move out the cell and membrane potential remains at

A

-60mV

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20
Q

what channel stays shut

A

voltage gated calcium channel, therfore not calcium enters the cell and no insulin in released

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21
Q

whne blood glucose levels are high, glucokinase is more active, more ATP is released causing

A

potassium ATP channel to close

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22
Q

this causes the membrane to depolarise and when membrane potential is -40mV the

A

calcium channels open, high cytoplasmic calcium, high insulin secretion

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23
Q

insulin in muscle
in reponse to insulin the muscle takes up glocose and converts it to

A

glycogen or oxidises it as a source of energy

24
Q

insulin in adipose tissue
in reposne the adipose tissue takes up glocose and converts it to

A

fat

25
Q

insulin in the liver
liver extracts about 1/3rd of glucose and comverts it to

A

glycogen

26
Q

surplus of glucose and amino acids are converted to

A

lipids that can be taken up by adipose cells

27
Q

when liver stores are full
krebs cycle only gets as far as

A

citrate

28
Q

citrate comes out the mitochondria and cirtrate is converted to

A

acetyl CoA

29
Q

acetyl coA is converted to

A

malonyl CoA

30
Q

malonyl CoA is converted to

A

FA

31
Q

FA is conjoined with glycerol to make

A

triglycerides

32
Q

triglycerides are turned into

A

VLDL and secreted into the blood

33
Q

fasting state response in muscles
proteins converted to

A

amino acids and released into blood stream

34
Q

fasting state response in adipose
triglycerides to FA and glycerol and release

A

FA into blood stream which muscles can use

35
Q

fasting state response in liver glucagon signals to liver to convert glycogen to glucose and release.
tells liver to convert aa release by muscle to glucose. this is knows as

A

gluconeogenesis - uses other substrate to make glucose

36
Q

liver can take up _______ to convert to energy for itself

A

fatty acids

37
Q

liver can convert FA to

A

ketone bodies

38
Q

ketone bodies can fuel the

A

brain

39
Q

FA cant fuel the brain as they cant cross the

A

blood brain barrier

40
Q

during fasting glucose is produced by

A

glycogenolysis and glyconeogenesis

41
Q

when insulin binds to muscle cell it causes translocation of?

A

GLUT4 to the membrane

42
Q

insulin tells the muscle to increase the formation of glycogen by activating what

A

glycogen synthase

43
Q

adipose also have the GLUT4 transporter
insulin increases the FA synthesis and increases transcription of key enzymes such as

A

fatty acid synthase and acetyl CoA carboxylase

44
Q

insulin switches of enzymes that

A

switch triglycerides back to FA (hormone sensitive lipase)

45
Q

glucose transporter in the liver

A

GLUT2

46
Q

insulin increases the transcription of

A

glucokinase

47
Q

insulin also stimulates conversion to glucogen by activating

A

gylcogen synthase

48
Q

inhibits activtity of

A

glycogen phosphorylase

49
Q

insulin switches off PEPCK and glucose 6-P phosphatase

A

theyre used in conversion back to glucose (gluconeogenic enzymes)

50
Q

when glycogen synthase is phosphorylated its

A

inactive

51
Q

when its dephosphorylated its

A

active

52
Q

insulin (in liver and muscle) activates protein phosphatase 1

A

this removes phosphate groups and activates glycogen synthase

53
Q

glycogen phosphorylase takes glycogen to G1P then back to glucose

A

when glycogen phosphorylase is phosphorylated its active

54
Q

insulin causes dephosphorylation of glycogen phosphorylase

A

making it inactive

55
Q

glucagon can increase the activity of an enzyme that phosphorylates glycogen phosphorylase

A

glycogen phosphorylase