MCB Lecture 17 The Post-Prandial state Flashcards

0
Q

What does F-F-F bring about?

Compare the muscles and the liver

A

Muscles: glycolysis, glycogenolysis

Liver: glycogenolysis, gluconeogenesis

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1
Q

What is the Fright-Flight-Fright response? Where does it target?

A

This is enacted in times of stress
Fright: adrenaline released
Flight, fight: glycogenolysis, gluconeogenesis

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2
Q

How does glycogenolysis activation differ in the liver and the muscles?

A

It’s the same

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3
Q

What are the differences between adrenaline pathways in muscle and liver? (2)

A
  1. In the muscles, pyruvate kinase is not deactivated (because it doesn’t have the Serine residue
  2. Adrenaline signals to neurons causing muscle contraction and phosphorylase kinase activation
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4
Q

Describe how neuronal signalling is affected in the FFF response

A
Neurons release ACh onto ACh receptor
Ca2+ released from ER
Calciul causes muscle contraction
Calcium activates Phosphorylase kinase
Glycogen phosphorylase is activates
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5
Q

Describe the steps in the synthesis of Insulin

A

Preproinsulin

Proinsulin
Signal sequence removed
Disulfide bridges form between A-B and intra chain on A

Insulin
C peptide removed

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6
Q

Give an overview of the insulin signal-transduction pathway

A
  1. Insulin binds to the insulin receptor (a tyrosine kinase)
  2. Tyrosine kinase phosphorylates IRS-1
  3. Phosphorylated IRS-1 activates PI-3K
  4. PI-3K catalyses PIP2 -> PIP3
  5. PIP3 activates PKB
    6a. PKB upregulates GLUT4 placement in muscle and fat cells
    6b. PKB deactivates GSK3, which can now no longer deactivate Glycogen synthase
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7
Q

What is the receptor in the insulin signal-transduction pathway?

What type of receptor is it?

A

Insulin receptor

Tyrosine kinase

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8
Q

Describe what the receptor in the insulin signal-transduction pathway does

A

It phosphorylates IRS-1

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9
Q

What are the targets of PIP3 ? (3)

A
  1. Glycogen synthase
  2. GLUT4
  3. Glycogen phosphorylase inhibited
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10
Q

How is the MAPK pathway implicated in the post Prandial state?

A

After we have eaten, protein synthesis is upregulated by MAPK

Insulin signals to muscle and liver cells
IRS-1 is activated and activates Grb-2, which then continues on with the MAPK pathway, activating transcription of genes

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11
Q

What does PIP3 stand for?

A

Phosphatidyl inositol tri-phosphate

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12
Q

Where are PIP2 and PIP3?

A

In the cell membrane

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13
Q

Describe GLUT4 deposition in muscle and fat cells

A

Insulin triggers the deposition of GLUT4 in the membrane of muscle and fat cells so that glucose may be taken up from the blood.

PIP3 activates a protein that leads to deposition of GLUT4

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14
Q

Wat diseases are associated with insulin?

A

Diabetes mellitus

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15
Q

What is the incidence of diabetes in Australia?

A

4.3% and rising

16
Q

What are the two types of diabetes?

A

Type I: autoimmune destruction of B cells that secrete insulin

Type II: prevalent in obese people, may be genetic. Caused by diet as well

17
Q

What are the symptoms of diabetes?

A

Dizziness
Blackouts
Lethargy

18
Q

What are the biochemical symptoms of diabetes?

A

Elevated blood glucose during fasting (above 7 mM)

19
Q

How is diabetes treated?

A

Synthetic insulin post-Prandially in Type I

Change of diet, weight loss and exercise can reverse type II

20
Q

How can diabetes be diagnosed?

A

Oral tolerance test of glucose

Give a person glucose, and monitor glucose concentration in blood

Normal: 7-8 mM
Impaired glucose tolerance: 8-11
Diabetes: more than 11

21
Q

What type of molecule is insulin

A

It is a peptide hormone

22
Q

From where is insulin released?

Under what conditions will it be released?

A

It is synthesised by the beta cells in the pancreas

It is release when there is high blood glucose concentration (above 7 mM)