The Endocrine Pancreas 2 (Insulin and Glucagon) Flashcards

1
Q

What factors can increase insulin secretion?

A
Increased blood glucose concentration
Presence of food within the gut 
Presence of certain hormones 
Vagal nerve activity
Glucagon
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2
Q

What is insulin’s function?

A

To lower blood glucose

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3
Q

Where is insulin secreted from?

A

The pancreas

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4
Q

What is a Katp channel?

A

Specific potassium ion channel found on B-cells which is sensitive to the concentration of ATP within the cell

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5
Q

Through what channel does insulin enter on a B-cell?

A

GLUT transporter

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6
Q

What does an increase in glucose uptake of a B-cell cause?

A

Increases metabolism and thus increases the concentration of ATP via glycolysis and the critic acid cycle.

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7
Q

An increase in B-cell [ATP] within cells causes what?

A

The closure of the Katp channel

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8
Q

Closure of the Katp channel on B-cells leads to what?

A

Increase in intracellular potassium concentration leading to the depolarisation of the cell and thus voltage gated calcium channels open, triggering the release of insulin form the vesicles via exocytosis.

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9
Q

What second messenger does insulin then initiate on cell membranes?

A

Tyrosine kinase

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10
Q

What does insulin do to proteins?

A

Phosphorylates them

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11
Q

Where can you find GLUT-4 transporters?

A

In the cytoplasm of unstimulated muscle and adipose tissues

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12
Q

What is the function of GLUT-4 when stimulated?

A

Migrates to the cell membrane via exocytosis, to allow the uptake of glucose in muscle and fat cells.

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13
Q

Is the activation of GLUT-4 insulin dependant?

A

Yes, need insulin to bind to initiate the signal transduction cascade

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14
Q

Do most tissues require insulin to take up glucose?

A

No only fat and muscle, however this does make up around 60% of body weight

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15
Q

What is GLUT-1’s function? (and GLUT-3’s)

A

Required for basal glucose uptake by many cells such as brain, kidneys and RBC’s

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16
Q

Which transporter is required by beta-cells of the pancreas and liver to take up glucose?

17
Q

Are GLUT-2 transporters insulin dependant or independant? What is the consequence of this?

A

Insulin indépendant, therefore glucose enters down the concentration gradient

18
Q

When insulin binds to its receptor on a liver cell what is the outcome of the signal cascade?

A

Hexokinase is activated which lowers the intracellular glucose concentration by converting it to GGP. This maintain the glucose concentration gradient

19
Q

Describe the 5 anabolic or inhibiting catabolic process of of insulin

A
  1. Increases glycogen synthesis
  2. Increases amino acid uptake
  3. Increases protein synthesis
  4. Increases lipogenesis and inhibits lipolysis
  5. Inhibits the enzymes of gluconeogenesis
20
Q

Give 2 non-anabolic effects of insulin

A

Permissive effect on growth hormone

Promotes potassium ion entry into cells by stimulating Na+/K+ ATPase

21
Q

How does insulin bring about changes in cell metabolism?

A

Binds to receptor
Phosphorylates insulin-receptor substrates
Initiates second messier pathways, altering protein synthesis and existing proteins such as GLUT 4 to alter tenspot activity
Also up or down regulates enzymes which leads to a change in the metabolism of the cell

22
Q

What is the half life of insulin?

23
Q

Where is insulin degraded?

A

Liver and kidneys

24
Q

What 2 enzymes are responsible for insulin degradation?

A

Insulin protease - breakdowns the remnants of insulin after it has been used in metabolic processes
Insulinase - breakdown free insulin in the plasma

25
What stimuli inhibit the secretion of insulin?
Low blood glucose Somatostatin Sympathetic alpha effects Stress eg hypoxia
26
Vagal nerve stimulation of insulin has what consequence for type 1 diabetics?
You will not see as great an increase in IV glucose from injected glucose compared to the same dose taken orally.
27
What is glucagon and what produces it?
Linear peptide hormone produced by alpha-cells of the pancreatic islets
28
What is the primary action of glucagon?
To raise blood glucose
29
What is glucagon's half life?
5-10 minutes
30
What type of receptor are glucagon receptors?
G-protein coupled linked to adenylate cyclase cAMP system
31
What happens when glucagon receptors are activated?
Phosphorylate liver enzymes causing: 1. Increased glyconeolysis 2. Increased gluconeogenesis Formation of ketones from fatty acids - lipolysis
32
What are stimuli for the release of glucagon?
``` Low blood glucose Amino acid presence in a high protein meal to stabilise [BG] and prevent hypoglycaemia Sympathetic innervation and epinephrine Cortisol Stress - exercise and infection ```
33
What stimuli inhibit release of glucagon?
Free fatty acids Insulin Somatostatin
34
What is somatostatin and what is its activity?
Peptide hormone secreted by B-cells of the pancreas | Inhibit the activity of the GI tract
35
What effect does somatostatin have on insulin and glucose?
Surprises their release
36
What is somatostatin otherwise known as?
GHIH
37
What is the effect of exercise on [BG]?
Glucose entry is increased even in the absence of insulin , increases the number of GLUT4 transporters to maintain blood glucose