Endocrine Pancreas Flashcards

1
Q

4 types of cells producing hormones

A

alpha cells- glucagon
beta cells- insulin
delta cells- somatostatin
F cells- pancreatic polypeptide

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2
Q

insulin

A

polypeptide hormone produced by beta cells in response to hyperglycemia

it is synthesized as a larger molecule inside of the golgi apparatus and packaged into secretory granules awaiting secretion

protein consisting of 2 chains, alpha and beta, that are connected by 2 disulfide bridges

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3
Q

insulin synthesis and secretion

A
  1. messenger RNA on the ribosomes of the ER binds amino acids into a peptide chain called a preprohormone. the chain is directed into the ER lumen by a signal sequence of amino acids
  2. enzymes in the ER chop off the signal sequence, creating an inactive prohormone
  3. the prohormone passes from the ER through the golgi apparatus
  4. secretory vesicles containing enzymes and prohormone bud off the golgi. the enzymes chop the prohormone into one or more active peptides plus additional peptide fragments
  5. the secretory vesicle releases its contents by exocytosis into the extracellular space
  6. the hormone moves into the circulation for transport to its target
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4
Q

differences in amino acid sequences between species

A

cattle, sheep, horses, dogs, and whales differ only in positions 8,9, and 10 of the alpha chain

porcine insulin differs from human insulin by one amino acid

bovine insulin differs from cat insulin by one amino acid

porcine and canine insulin are exactly the same

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5
Q

factors affecting insulin secretion

A

stimuli: Gi hormones such as gastrin, secretin, GIP, glucagon, acetylcholine
inhibitors: somatostatin, epinephrine, norepinephrine

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6
Q

how is insulin released from beta cells?

A

beta cells have a glucose transporter, GLUT2, in the membrane surface

this allows glucose to diffuse freely into the cell

extracellular fluid glucose concentration directly affects glucose concentration inside of the beta cell

an increase in blood glucose concentration leads to insulin secretion and synthesis

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7
Q

insulin secretion follows biphasic kinetics

A

acute phase: involves the release of preformed insulin

chronic phase: involves the synthesis of protein

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8
Q

how does insulin act on target cells?

A

after release, insulin binds to a specific membrane receptor on target tissues

RECEPTOR TYROSINE KINASE

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9
Q

which tissues have insulin receptors?

A

liver, muscle, fat

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10
Q

physiological action of insulin

A

the net effect of insulin is to lower blood concentration of glucose, fatty acids, and amino acids

promoting intracellular conversion of glycogen, triglycerides, and proteins to their storage forms

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11
Q

insulin action on muscle and fat

A

insulin facilitates glucose entry into cells by increasing the number of specific glucose transporters in the cell membranes

GLUT4 is the only insulin sensitive transporter

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12
Q

insulin action on muscle

A

smooth, striated, and cardiac muscle

stimulates glycogen synthesis enzymes- promoting storage of glucose molecules in the form of glycogen

promotes the use of glucose as a fuel source- reduces fatty acid oxidation, in the absence of insulin, muscle relies on more fatty acids as a fuel source

enhances amino acid uptake which promotes muscle growth

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13
Q

insulin action on adipose tissue

A

glucose provided to adipocytes promotes: glycerol formation and glycogen synthesis

insulin inhibits lipolysis and promotes adipose deposition

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14
Q

insulin action on liver

A

promotes fatty acid synthesis in hepatocytes

stimulates incorporation of those fatty acids and triglycerides into lipoprotein bound vesicles such as VLDL for transport to adipocytes

insulin stimulates glycogen synthesis, decreases gluconeogenesis and glycogenolysis

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15
Q

insulin inactivation

A

is metabolized mainly by the liver and kidneys

specific enzymes reduce the disulfide bonds

chains are subjected to protease activity- reduce them to peptides and amino acids

half life is about 10 minutes

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16
Q

counterregulatory hormones

A

epinephrine
glucagon
cortisol
growth hormone

17
Q

glucagon

A

polypeptide hormone produced by the alpha cells

close relationship with insulin

considerable homology between species

synthesized in the same way as insulin and released by exocytosis

half life of 5 minutes

18
Q

physiological action of glucagon

A

opposite of insulin

main effects centered in the liver and greatly enhance the availability of glucose to the other organs of the body

decrease glycogen synthesis
breakdown of liver glycogen
increase liver gluconeogenesis

19
Q

glucagon synthesis

A

stimulated by decreased glucose concentration

works with insulin to maintain blood glucose concentration

is high during insulin deficiency- insulin is required for glucose uptake in alpha cells

it is not an opposite hormone in true carnivores: protein ingestion stimulates both insulin and glucagon release. insulin released in response to increased amino acid levels lowers glucose concentration. glucagon counteracts this through increased hepatic gluconeogenesis

20
Q

pancreatic somatostatin

A

produced by delta cells in the same way as other protein hormones

inhibitory actions: decreases motility and secretory activity of the GI tract. inhibits secretion of all endocrine cell types of the islet of langerhand. glucagon is more affected than insulin

21
Q

pancreatic polypeptide

A

produced by F or PP cells

secretion is stimulated by GI hormones, vagal stimulation, and protein ingestion

inhibition occurs through somatostatin

effects are directed toward the GI tract

increased gut motility and gastric emptying

inhibits secretion of pancreatic enzymes and the contraction of the gallbladder

22
Q

insulin deficiency

A

lack or deficiency of insulin produces a syndrome called diabetes mellitus

can be absolute or relative

absolute- type 1
relative- type 2

23
Q

what does insulin deficiency cause?

A

lipolysis of storage fat and release of FFA

protein depletion and increased plasma amino acids

24
Q

type 1 diabetes

A

characterized by permanent hypoinsulinemia

absolute deficiency. no increase in endogenous insulin after stimulation. absolute necessity for exogenous insulin to maintain control of glycemia. avoid ketoacidosis and survive

common in dogs

25
Q

potential factors involved in the etiopathogenesis of type 1 diabetes

A
genetics
immune mediated insulitis
pancreatitis
obesity
concurrent hormonal disease
drugs
infection
concurrent illness
hyperlipidemia
26
Q

cataracts in diabetic dogs

A

most common long term complication

related with altered osmotic relationships in the lens induced by accumulation of sorbitol and galactitol, which are potent hydrophilic agents causing influx of water, which causes swelling and rupture of the lens fibers

27
Q

type 2 diabetes

A

characterized by the resistance to the metabolic effects of insulin

relative deficiency- combination of impaired insulin action in the liver, muscle, adipose tissue, and beta cell failure

most common in cats

28
Q

potential factors involved in the etiopathogenesis of type 2 diabetes

A
islet amyloidosis
obesity
pancreatitis
concurrent hormonal disease
drugs
infection
concurrent illness
genetic
hyperlipidemia
immune mediated insulinitis
29
Q

islet of langerhans amyloidosis

A

amylin is a polypeptide produced and secreted by beta cells together with insulin secretion. it increases satiety, decreases gastric emptying and reduces glucagon production

only humans and cats have the amyloidogenic amino acid structure with the potential to form amyloid deposits within the islets

when amylin aggregates, it formed the amyloid. deposition is toxic to beta cells and leads to dysfunction

30
Q

common causes of insulin resistance in cats

A
glucocorticoids
progestines
acromegaly
cushings
obesity
infection
pancreatitis
gingivitis
hyperthyroidism
renal failure
IBD
31
Q

can clinical remission occur in cats with type 2 diabetes

A

yes, but not if caused by amyloidosis

32
Q

diabetic neuropathy in cats

A

most common chronic complication

hyperglycemia leads to nerve injury

pathogenesis not completely understood