Pancreatic endocrinology Flashcards
What cells release glucagon?
alpha cells of islet of Langerhans
What cells release insulin?
beta cells of islet of Langerhans
Glucose associated with a meal triggers the release of ______ and reduces the level of _______.
Glucose associated with a meal triggers the release of insulin and reduces the level of glucagon.
What effect does increased plasma insulin have on muscle cells?
- increase glucose uptake and utilization
- net glycogen synthesis
- net amino acid uptake
- net protein synthesis
What effect does increased plasma insulin have on adipocytes?
- increase glucose uptake and utilization
- net triglyceride synthesis
What effect does increased plasma insulin have on hepatocytes?
- increase glucose uptake
- net glycogen synthesis
- net triglyceride synthesis
- no ketone synthesis
What effect does decreased plasma insulin have on muscle cells?
- decrease glucose uptake and utilization
- net glycogen catabolism
- net protein catabolism
- net amino acid release
- fatty acid uptake and utilization
What effect does decreased plasma insulin have on adipocytes?
- decrease glucose uptake and utilization
- net triglyceride catabolism and release of glycerol and fatty acids
What effect does decreased plasma insulin have on hepatocytes?
- increase glucose release due to net glycogen catabolism and gluconeogenesis
- increase ketone synthesis and release
Name three other messengers that influence insulin release besides glucose, and their effect (stimulate, inhibit).
CCK, ACh: stimulate
Somatostatin, epi: inhibit
Glucagon, GIP: stimulate
What is the trigger for glucagon release?
drop in plasma glucose
Where does glucagon have its effect?
liver
What effect does increased plasma glucagon have on the liver?
- increase glycogenolysis (glycogen breakdown)
- increase gluconeogenesis
- increase ketone synthesis
The brain can utilize fatty acids as an energy source.
T/F
FALSE. Brain highly prefers glucose; can use ketones if necessary. NOT fatty acids.
How does increased plasma glucose lead to insulin release?
- glucose enters beta cell via GLUT2 transporter
- that glucose is used to create ATP
- increased level of ATP causes a potassium channel to close
- closure of potassium channel causes membrane to become more positive
- voltage-gated calcium channel opens
- influx of calcium causes insulin granules to merge with cell membrane, and insulin is released