systems to cells Flashcards

diabetes

1
Q

describe the make up of ATP

A

Adenine- two ring structure attached to ribose sugar.
adenine and ribose sugar are attached to adenosine. which is attached to tri (3) phosphate groups.

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2
Q

difference between hypoglycaemia and hyperglycaemia?

A

hypo- low blood glucose
hyper- high blood glucose

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3
Q

what is gluconeogenesis?

A

metabolic pathway that results in the generation of glucose from non carbohydrate substrate of lactate or amino acid-
reverses glycolysis.
insulin turns this off and glucagon turns this on.

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4
Q

explain the reaction involved in the breakdown and synthesis of glycogen

A

when blood sugars rise. insulin is secreted from pancreatic beta cells.
glucose is converted to glucose-6-phosphate by hexokinase. this is reversed by glucose-6- phosphatase.

Then it’s converted to glucose-1- phosphate by phosphoglucomutase. this is a reversible reaction by the same enzyme.

Then it is stored as glycogen by glycogen synthase. by protein phosphatase 1. when blood sugar drops glycogen is converted back to glucose-1-phosphate by glycogen phosphorylase. THIS REACTION IS IRREVERSIBLE!.
goes back through pathway until it is Brocken down into glucose.
regulated by turning on/ off the enzymes.

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4
Q

explain different ways enzymes are regulated (turned on/off) by kinase/ phosphatase system
-two main classes of kinase

A

phosphorylation- involves covalent addition of phosphate from ATP by kinases.
dephosphorylation- removal of phosphate by phophatases.

two main classes of kinase- those that phosphorylate tyrosine residues and serine/ threonine residues.

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5
Q

how glucagon degrades glycogen?

A

cAMP is a secondary messenger synthesised from ATP which activates protein kinase A (PKA).
PKA phosphorylates glycogen synthase (turning it off)
PKA phosphorylates glycogen phosphorylase (turning it on).
glycolysis is tuned off

glucagon causes phosphorylation of both enzymes
insulin causes dephosphorlyation of both enzymes

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6
Q

how insulin promotes glycogen synthesis

A

insulin switches on protein phosphatase 1 by AKT. which dephosphorylates glycogen phosphorylase, leading to turned on glycogen synthase. = glycogen
glycolysis is turned on

insulin causes dephospho rylation of both enzymes

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7
Q

what is the rate determining step?

A

the slowest step in a reaction, as the energy requirement is larger.
also seen as the irreversible steps eg glycogen synthase and glycogen phosphorylase.

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8
Q

what part of the pancreas secretes hormones
and what cells does the pancreas contain?

A

islets of langerhans

  • a and b cells
    -delta cells
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9
Q

translation of preproinsulin
-where is preproinsulin translated
-what and where does it move to to form proinsulin.
-where is insulin formed
-what enzymes cleave proinsulin in insulin

A

1) preproinsulin translated on ribosomes in cytosol: proporinsulin has signal peptide at the N terminus guiding into the ER.
2) the signal peptide is cleaved off in ER which results in proinsulin. folding only happens in the ER.
3) proinsulin held stable due to disulphide bonds forming.
4) proinsulin moved to Golgi and packaged into secretory vehicles.
only have biologically active insulin in nature secretory vehicles after c peptide is released.
5) proinsulin is cleaved into insulin and c-peptide by enzymes PC 1/3 and PC2.

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10
Q

what is regulated exocytosis?

A

release of controlled hormones from vesicles at a specific signal eg
release of insulin in response to glucose levels. and GLUT-4 taking up excess glucose by activation of AKT

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11
Q

how glucose gets from outside beta cell to inside beta cell?

A

GLUT-2 transporter. (low affinity/high KM)

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12
Q

the two glucose sensors in beta cells?

A

GLUT 2
glucokinase

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13
Q

what triggers insulin release in beta cells?

A

glucose phosphorylation in beta cells uses low affinity/ high KM enzyme glucokinase (same as hexokinase but only in beta cells)
-therefore converts glucose to glucose 6 phosphate results in glycolysis and the rise of ATP.
- as ATP increases, it closes ATP sensitive potassium channels. results in the depolarisation of cell membrane. = inside becomes more positive
depolarisation opens calcium channels allowing calcium influx
-triggering fusion of insulin containing secretory vesicles=
insulin exocytosis= release of insulin to glucose levels

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14
Q

meaning of a high KM?

A

enzyme is more active at a higher glucose concentration

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15
Q

structure and function of insulin receptor?

A

structure- a2b2 polypeptide
held together by. disulphide bonds. contains 2 alpha subunits at insulin binding site outside cell membrane.
contains 2 beta subunits inside membrane.

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16
Q

how does insulin exert its effect on target tissue?
-enzyme tyrosine kinase
-auto-phosphorylation
-signalling protein IRS-1
-protein SH2
-enzyme AKT

A

1) when insulin binds to alpha subunits they go through conformational change which activates intrinsic tyrosine kinase activity in betas subunits.
2) the activated beta subunits phosphorylate tyrosine residues on themselves called (AUTOPHOSPHORYLATION) enhancing kinase activity.
2) kinase can phosphorylate several intracellular signalling proteins such as (IRS-1).
3) IRS-1 are phosphorylated on tyrosine residues. these phosphorylated sites serve as docking points for proteins such as (SH2 domains). - bind phosphotyrosine residues in specificity pocket.
4) THIS ACTIVATES THE ENZYME ‘AKT’. which is essential for insulin signalling by phosphorylating target proteins.

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17
Q

how insulin stimulates glucose uptake in fat and muscle cells?

A

GLUT-4 transporter (muscle, heart and fat)
insulin present-
activated AKT by binding of insulin receptors traffics GLUT-4 to cell surface - to take us excess glucose.= regulated exocytosis.
no insulin- GLUT-4 is stored in specialised vehicles in cytoplasm of adipose and muscle cells.

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18
Q

2 functions of AKT enzyme in fat cells and liver?

A

fat cells-
activates GLUT-4 trafficking to the cell surface to take up excess glucose

liver-
phosphorylates and activates protein phosphatase 1 (which promotes glycogen storage by activated glycogen synthase- and turns off glycogen phosphorylase.

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19
Q

how gene expression and sub cellular changes are activated by insulin signalling?
- function of IRS-1
-activation of LXR
- expression of SREBP 1
- two genes it turns on

A

when insulin binds to its receptor it activates protein IRS-1, which influences activity of transcription factors and gene expression.

1) activates LXR transcription factor (in liver&fat cells)
2) LXR in fat cells drives expression of SREBP1 transcription factor
3) SREBP 1 turns fat storage on, by turning on two genes
1) fatty acid synthase
2) acetyl co A carboxylase

20
Q

how gene mapping strategies can be used to identify affected chromosomal domains?

A

gene mapping using STRs,
STRs are microsatelites

21
Q

what approach should be used to link a gene to a phenotype for innapproaite aggression?

A

candidate gene approach

22
Q

4 examples of single gene conditions?

A

cystic fibrosis and sickle cell,
hemochromatosis, and Tay-Sachs

23
Q

what is a haplotype?

A

set of DNA variants along a single chromosome that tends to be inherited together.

24
Q

GWAS analyses are likely to shed light on genetic factors contributing to which of the following conditions?

A

prostate cancer

25
Q

PKC and
oxidative stress influences in causing diabetes?

A

PKC= as blood glucose increases, DAG synthesis increases. which leads to an activation of PKC pathway (damages kidney and nerves)

Oxidative stress= leads to an increased production of reactive oxygen species (ROS) which leads to endothelial dysfunction. this can result in insulin resistance and damage pancreatic beta cells.

26
Q

blood sugar levels response to no exercise and some.

A

low levels of physical activity can lead to a hyperglycaemic state which can result in glucose toxicity and endothelial dysfunction due to enhanced PKC activity and oxidative stress.
physical activity manages blood sugar by increasing ATP consumption and carb usage. resulting in euglucemia (normal blood sugar range)

27
Q

blood sugar levels response to resistance training and muscle mass

A

muscle contraction increases the movement of GLUT 4 transporters to the cell membrane surface (for up to 24 hours) - which means insulin mediated effects last longer eg insulin sensitivity.
more muscle mass= more glucose delivery and storage by enhanced insulin affect

28
Q

negative effects on high intensity exercise on blood glucose levels?

A

temporary post exercise hyperglycaemia - addition of glucongenesis. body dumps a load of glucose for energy.

29
Q

what is starch and glucose made up of?

A

starch- polysaccharide of amylose and amylopectin (more easily digested)

glucose- monosaccaride

30
Q

how a keto diet influences diabetes and the risks of this?
-what is the dominant substrate

A

T2D= improves insulin sensitivity
T1D= hypoglycaemia

risk- changes dominant substrate to fat, thereby the liver converts fatty acids in ketones. which leads to ketoacidosis (severe lack of insulin in the body)

31
Q

at rest, what is the preferred substrate for ATP generation?

A

free fatty acids

32
Q

what affect does phosphorylation have on enzyme activity?

A
  • phosphates are negative so when added to an enzyme they attract positive amino acids
    -they also allow for conformational change allowing for the enzyme activation.
33
Q

what are two ways enzymes activity can be controlled?

A

1) phosphorylation
2) allosteric interactions with other molecules

34
Q

how are type 1 and type 2 diabetes caused by B cells?

A

type 1- 10%.
pancreatic beta cell destruction

type 2- 90%
insulin resistent
pancreatic beta cell dysfunction

35
Q

how does genetics and ethnicity influence diabetes?

A

half south asian, African, black people with develop type 2 diabetes in the UK

36
Q

mouse models for diabetes.
-single gene mutation in
leptin hormone

A

leptin is the hormone that makes us feel full.
mutation causes no leptin which causes obesity in mouse

37
Q

how bears large calorie intake does not influence them to go develop T2D

A

bears can turn on/ off insulin resistance to maintain blood sugar. insulin and glucose levels remain stable all year

38
Q

how migratory birds (hummingbirds) remain healthy with a high sugar diet

A

-accumulation of large fat deposits.
-the birds are obese prior to migration

39
Q

how is AKT activated and what type of protein is it?

A

key enzyme activated by insulin.
its a protein kinase B which is a serine/ threonine kinase

40
Q

what are the two innapropriate aggression genes in x chromosomal region.
-what are there functions
-which of these mutated genes was found in the family

A

1)MOXA
2) MOXB
function- calms fight/ flight response.
mutation in family= MOXA

41
Q

what animals were used to model MOXA mutations

A

-mice
(MOXA = undetectable)
(MOXB= norma)
-monkeys

42
Q

most traits involve multiple genes. true or false?

A

true

43
Q

what is a risk factor for multiple sclerosis?

A

vitamin D deficiency

44
Q

what is the consequence of over expression of HER2

A

breast cancer.

45
Q

If the incretin GLP-1 was to last longer in the bloodstream (have a greater stability), how would this affect the body

A

There would be a faster/ longer lasting decrease in blood sugar level as more insulin would be produced from the beta cells of the pancreas.

46
Q

What does the first and second pocket of SH2 recognise in the tyrosine kinase receptor of insulin?

A

The SH2 domain upper pocket binds to the negative phosphate of the receptor and the bottom pocket binds hydrophobic isoleucine side chain. This bottom pocket is what confers specificity.

47
Q

true or false?
1)inulin inhibits lipolysis (very fast)

2) insulin inhibits lipid droplet formation in all cells

A

1) true

2) False=
insulin inhibits lipid droplet formation ONLY in fat cells