Pancreas Flashcards

1
Q

What is leptin

A

A hormone released by fat stores which depresses feeding activity

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2
Q

What is the normal range of blood glucose

A

4.6-6.3mM (80-120mg/dl)

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3
Q

What do alpha cells produce

A

Glucagon

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4
Q

what do Beta cells prduce

A

Insulin

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5
Q

What do gamme cells prduce

A

Somatostatin

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6
Q

What do F cells produce

A

pancreatic polypeptide

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7
Q

What stimulates insulin secretion

A

Glucose and amino acids

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8
Q

What often happens to excess protein

A

Stored as fat

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9
Q

What receptor type does insulin bind to

A

Tyrosine kinase

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10
Q

Where are GLUT-1 receptors typically found

A

Brain, kidney and red blood cells

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11
Q

Where are GLUT-2 receptors typically found

A

B-cells of pancreas and liver

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12
Q

What important ion channel plays a big role in insulin release

A

K+ atp channel

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13
Q

Where are GLUT-3 receptors typically found

A

Widespread

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14
Q

What enzymes does insulin activate/inhibit to alter glycogen stores

A

Activate - glycogen synthase

Inhibit - glycogen phosphorylase

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15
Q

What does insulin do in the liver?

A

inhibits gluconeogenesis

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16
Q

What are the stimuli for insulin release

A
Increased BG
Increased AA
Glucagon  (say why) 
Incretin hormone (gastrin, CCK, GLP-1, GIP) 
Vagal nerve activity
17
Q

What inhibits insulin release

A

Low BG
Somatostatin
Sympathetic effects
Stress (hypoxia)

18
Q

Half life of insulin and where is it degraded

A

5 mins

liver and kidneys

19
Q

What destroys the insulin receptors

A

Insulin protease

20
Q

What glucose receptors does the liver have

A

Glut-2

21
Q

Does insulin effect the glucose uptake by the liver

A

Yes - it enhances it but the tissue does not need it

22
Q

What are the glucose counter-regulatory hormones

A

Glucagon
epinephrine
cortisol
growth hormone

23
Q

What are the receptors for glucagon

A

Adenylate cyclase (g protein)

24
Q

What are the 3 big effects fo glucagon

A

Increased glycogenolysis
Increased gluconeogensis
Formation of ketones

25
Q

What effects does high levels of AA have on glucagon and why

A

increases it because if it didn’t then the insulin released because of the high AA content would take all the glucose aswell and the person would become hypoglycaemic

26
Q

What are the stimulus that increases glucagon release

A
Low BG
High AA
sympathetic innervation and epinephrine
Cortisol
Stress (exercise/infection) 
Parasymphathetic (but less than insulin)
27
Q

what are stimuli that inhibit glucagon release

A

High glucose
FFA ketones
Somatostatin and Insulin

28
Q

What does epinephrine promote

A

Muscle glycogenolysis
Liver glycogenolysis
gluconeogenesis
lipolysis

29
Q

What does cortisol promote

A

gluconeogenesis (using AA from protein catabolism)
Inhibition of glucose uptake
lipolysis
protein catabolism

30
Q

What does GH promote

A

Gluconeogenesis
inhibition of glucose uptake
Lipolysis

31
Q

What is the main pancreatic function of somatostatin

A

Slows down absorption of nutrients to prevent exaggerated peaks in plasma concentrations

32
Q

What effect does somatostatin have on glucagon and insulin

A

Strongly suppresses them