Pancreatic endocrinology Flashcards

1
Q

What cells release glucagon?

A

alpha cells of islet of Langerhans

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2
Q

What cells release insulin?

A

beta cells of islet of Langerhans

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3
Q

Glucose associated with a meal triggers the release of ______ and reduces the level of _______.

A

Glucose associated with a meal triggers the release of insulin and reduces the level of glucagon.

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4
Q

What effect does increased plasma insulin have on muscle cells?

A
  1. increase glucose uptake and utilization
  2. net glycogen synthesis
  3. net amino acid uptake
  4. net protein synthesis
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5
Q

What effect does increased plasma insulin have on adipocytes?

A
  1. increase glucose uptake and utilization
  2. net triglyceride synthesis
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6
Q

What effect does increased plasma insulin have on hepatocytes?

A
  1. increase glucose uptake
  2. net glycogen synthesis
  3. net triglyceride synthesis
  4. no ketone synthesis
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7
Q

What effect does decreased plasma insulin have on muscle cells?

A
  1. decrease glucose uptake and utilization
  2. net glycogen catabolism
  3. net protein catabolism
  4. net amino acid release
  5. fatty acid uptake and utilization
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8
Q

What effect does decreased plasma insulin have on adipocytes?

A
  1. decrease glucose uptake and utilization
  2. net triglyceride catabolism and release of glycerol and fatty acids
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9
Q

What effect does decreased plasma insulin have on hepatocytes?

A
  1. increase glucose release due to net glycogen catabolism and gluconeogenesis
  2. increase ketone synthesis and release
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10
Q

Name three other messengers that influence insulin release besides glucose, and their effect (stimulate, inhibit).

A

CCK, ACh: stimulate

Somatostatin, epi: inhibit

Glucagon, GIP: stimulate

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11
Q

What is the trigger for glucagon release?

A

drop in plasma glucose

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12
Q

Where does glucagon have its effect?

A

liver

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13
Q

What effect does increased plasma glucagon have on the liver?

A
  1. increase glycogenolysis (glycogen breakdown)
  2. increase gluconeogenesis
  3. increase ketone synthesis
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14
Q

The brain can utilize fatty acids as an energy source.

T/F

A

FALSE. Brain highly prefers glucose; can use ketones if necessary. NOT fatty acids.

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15
Q

How does increased plasma glucose lead to insulin release?

A
  1. glucose enters beta cell via GLUT2 transporter
  2. that glucose is used to create ATP
  3. increased level of ATP causes a potassium channel to close
  4. closure of potassium channel causes membrane to become more positive
  5. voltage-gated calcium channel opens
  6. influx of calcium causes insulin granules to merge with cell membrane, and insulin is released
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16
Q

Formation of glucose by the liver (& kidneys) from pyruvate, lactate, glycerol, & amino acids is called what?

A

gluconeogenesis

17
Q

What effect does decreased plasma glucose have on the adrenal medulla?

A

triggers epinephrine secretion

18
Q

What effect does increased plasma epinephrine have on skeletal muscle?

A

increase glycogenolysis

19
Q

What effect does increased plasma epinephrine have on hepatocytes?

A
  1. increase glycogenolysis
  2. increase gluconeogenesis
20
Q

What effect does increased plasma epinephrine have on adipocytes?

A

increase lipolysis

21
Q

What is the net result of increased plasma epinephrine?

A
  1. increased plasma glucose
  2. increased plasma fatty acids
  3. increased plasma glycerol
22
Q

What is the net result of increased plasma glucagon?

A
  1. increased plasma glucose
  2. increased plasma ketones
23
Q

What effect does increased plasma amino acids have on pancreatic islet beta cells?

A

increased insulin secretion

24
Q

How is cortisol important for the postabsorptive state?

A

basal concentrations are permissive for stimulation of gluconeogenesis and lipolysis in the postabsorptive state

25
Q

What is the net result of increased plasma cortisol?

A

increased plasma concentrations of:

amino acids

glucose free

fatty acids

26
Q

What are the hormones that oppose the actions of insulin?

A

glucagon

epinephrine

cortisol

growth hormone

27
Q

How is it determined how much leptin to release?

A

Released in proportion to the amount of fat contained in adipose tissue

28
Q

What is the effect of leptin?

A
  1. acts on hypothalamus to reduce food intake by inhibiting the release of neuropeptide Y (NPY)
  2. increases metabolic rate
29
Q

Insulin and leptin are not transported across the blood-brain barrier.

T/F

A

FALSE. Both are transported across the BBB.

30
Q

Where is ghrelin released?

A

Ghrelin is a peptide synthesized and released by endocrine cells in the fundus of stomach

31
Q

What is the effect of ghrelin?

A

In the arcuate nucleus of the hypothalamus, Ghrelin activates NPY neurons. NPY release stimulates eating!