Pancreas & insulin Flashcards

1
Q

Aantomy of pancreas & how it develoops!

A

Largest Gland in body!

develops embryologically as an outgrowth of the foregut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the contents and structure of the pancreas

& functions of the pancreas

A

2 functions:

• ~ 1% endocrine tissue, 99% exocrine tissue

Exocrine: (acinar cells)

  • produces digestive enzymes secreted directly into duodenum which forms the bulk of the gland
  • Alkaline secretions through pancreatic duct into the duodenum

Endocrine: (Islets of Langerhans)

  • hormone production
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe what each endocrine cell of the pancreas secretes.

A

Delta “dogs”>> dont care about aplha or beta.. they inhibit humans in general (universal inhbitor of hormones) ;P

  1. Beta (β)-cells >> insulin
  2. Alpha (α)-cells >> Glucagon
  3. Delta (d)-cells >> somatostatin
  4. PP (pancreatic polypeptide) cells>> PP
  5. e cells>> Ghrelin
  6. G cells >> gastrin
  7. VIP (vasoactive intestinal peptide)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what do beta cells secrete?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

• Major cell types in islets of langerhans?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many disulphide bonds are present in a molecule of the hormone insulin?

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Insulin structure (prcoess)

A

THe signal part “Pre” = ensures thes newly synthesizd protein enters the costernsl space of the ER

C-chain= connecting chain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

insuling strucutre

(final)

A

polypeptide (A and B chains) interlinked by disulfide bonds!

  • (additional intra-chain disulfide bond w/in the A chain)*
  • Insulin is a big peptide with an alpha helix structure*
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Synthesis of insulin (in the cell) and importance of C peptide

A

signal peptide is removed once it enter the ER, the remained prp-insulin folds and disulfide bonds form btw Cystine residues.

pro-insulin > Golgi & C-chain is cleaved off!

the final storage vesciles have equal amount of Cpeptides to insulin.

this makes the C peptide a good marker for measuring endogenous insulin release!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how is insulin stored?

A

it is stored in the B-cell storage granules as crystalline- ZINC insulin molecules!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how is insulin secreted?

A

glucose comes and attaches to GLUT 2 , it flips and glucose is released inside the cell (against its concentration gradient),

Glucose is converted to G-6-P by Glucokinase!, the phosphate group is so charged that it cannot pass through the membrane >> Glucose is now trapped!

More ATP produced from the metabolism of glucose results in inhibition of the ATP-sesnsitve potassium channels (KATP channels). >>Less positively charged potassium leaving the cell through K+ ATP channels results in depolarisation of the plasma membrane (i.e. makes the resting membrane potential less negative).

This depolarisation is sensed by voltage activated Ca+ channels which open allowing calcium to flow down its electrochemical gradient into the cell.

It is this influx of calcium ions into the β cell that activates the insulin containing vesicles causing them to fuse with the plasma membrane and release insulin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what controls insulin secretion?

what stimulates its secretion?

what inhibits it?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

actions of insulin

A

(favours storage)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

1/2 life of insulin?

A

5 mins there is no carrier (cuz theyre water soluble)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

insulin recepter strucutre!

A

tyrosine kinase

17
Q

which cells have GLUT 2 transporters?

A
18
Q

describe the K-atp cahnnels and their role in secreting insulin.

A

when ATP-K+ channels r closed>> no K+ leaves>> membranes become depolarised >>(-50mv)

another thing occurs….

Ca+ channels sense the change in voltage and the sensitive Ca+ channels open! and ca+ comes in! (bc ca is higher outside remeber?)

they’ll go and stimulate the vescies and release insulin bara!!

19
Q

if someone is glucokinase deficient, what happens?

A

they cannot secrete the insulin effectively!

this will lead to diabetes mellitus type 2 due to dysfunction of glucokinase!>> insulin isnt secreted from B cell!

**********

but this type of diabetes occurs in young ppl!

(remember type 2 ususlaly occurs in elderly)

MODY

(Maturitiy onset diabetes melliutis of young ppl)

20
Q

which drugs can inhibit the Atp -voltage gated K+ channels? why r they used

A

sulphonyl Ureas!

tolbutamiode

glycomide!

Meglitinides!

to treat diabetes type 2, blocks K+ channels > memebrane is more easily depolarized, more Ca2+ comes in>> more insulin released!….YAAAAY

21
Q

what r the natural antidiabetic hormones?

A

Incretins!

22
Q

what r the main target tissues for insulin?

A

-liver, skeletal msucle and adipose tissue!

23
Q

normal glucose amounts in body?

after a meal?

renal threshold?

A

Normally 3.3-6 mmol/L

After a meal 7-8 mmol/L

Renal threshold 10 mmol/L

  • Pregnancy renal threshold↓
  • Elderly renal threshold↑
24
Q

As C-peptide is released with insulin in equimolar amounts, i

ts level in plasma is a useful marker of endogenous insulin release.

Measurement of plasma C-peptide levels in patients receiving insulin can be used to monitor any endogenous insulin secretion.

A
25
Q

structure of Glucagon? secreted by what cells?

actions?

A

Alpha cells

opposite of INSULIN!

No disulphide bridges: =flexible structure

The major actions of glucagon are:

  •  Increase glycogenolysis and decrease glycogenesis in liver.
  •  Increase gluconeogenesis in liver.
  •  Increase ketogenesis in liver.
  •  Increase lipolysis in adipose tissue.
26
Q

what triggers GLucagon release?]

what inhibits it?

A

triggered>> a decrease in blood Glucose concentration!

inhibited>> by insulin and an increase in Blood glucose concentration

27
Q

Mechanism of action of GLucagon (which recepter type)?

A

G-protein coupled recepter

28
Q

Diagnosis of Diabetes mellitus

A

Diagnosis basis of venous plasma glucose concentration:

normal range 3.3-6mmol/L plasma glucose

fasting ≥ 7.0mM

random ≥ 11.1mM

29
Q

just review

A
30
Q
A
31
Q
A
32
Q
A
33
Q

Which term is used to describe the excretion of glucose in urine?

A

Glucosuria (sometimes called glycosuria)

34
Q

which GLUT transporter is in the brain?

A

GLUT 3