Metabolism Effects Of Glucagon And Insulin Flashcards

1
Q

Fed state vs fasting state

A

Fed state

  • priorities are to maintain blood glucose levels and replenish lost glycogen and lipid/protein stores
  • timing = 2-6 hrs after ingestion of a meal
  • plasma = increased glucose/AA and TAGs
  • pancreas increases insulin levels and decreases glucagon
  • tissues increase synthesis of glycogen/TAGs and proteins

Fasting state

  • priorities are to maintain blood glucose levels for brain and RBCs also mobilize FAs from adipose tissue and ketone bodies from liver for other tissues
  • timing = >6-12 hrs after ingestion
  • plasma = decreased glucose/AAs and TAGs
  • pancreas increases glucagon levels but decreases insulin levels
  • tissues degrade glucose/TAG and proteins
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2
Q

How does the insulin, glucagon and glucose levels correlate after a meal

A

1) immediately after a meal -> 60min
- glucose and insulin go up
- glucagon goes down

2) 60 -> 120 min
- glucose and insulin peak at 60 min and start to steadily decrease
- glucagon stays low and plateaus at 90min

3) 120 -> 240 min
- glucose and insulin continue to decrease and plateaus after 4hrs
- glucagon starts to increase around 4hrs after a meal

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3
Q

What catecholamine promotes glucagon production?

A

Epinephrine

- it shares the same metabolic effects as well

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4
Q

Carb metabolism regulation in liver in the presence of glucagon

A

1) high glucagon/insulin ratio causes elevated cAMP and increased levels of PKA in the liver

2) increased PKA activity favors phosphorylated form of PFK-2/FBP-2
- phosphorylated PFK-2 = inactive
- phosphorylated FBP-2 = active

3) active FBP-2 increases gluconeogenesis and glycogenolysis in the liver by converting F-2,6 BP into F6P which promotes gluconeogenesis
- decreases levels of F-2,6 BP
- increases levels of F6P )casues decreased inhibition of FBP-1 enzyme = Gluconeogenesis

4) increased levels of PKA also causes a build up of PEP which can be used in the gluconeogenesis pathway

all of this occurs in the cytosol of the liver cells

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5
Q

What are the inhibitors of glucagon

A

Hyperglycemia

Somatostatin

Insulin

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6
Q

Transscriptional regulation in liver based on insulin and glucagon levels

A

Insulin

  • increases the following three enzymes in the glycolysis pathway
    1) glucokinase
    2) PFK
    3) Pyruvate kinase
  • leads to build up of pyruvate via glycolysis**

Glucagon

  • decreases the same three enzymes
  • leads to a build up of PEP, F6P and glucose
  • leads to a Build up of glucose with gluconeogenesis**
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7
Q

Hormonal regulation of glycogen enzymes

A

1) glycogen phosphorylase
- activated by epinephrine and glucagon (epinephrine more in muscle, glucagon more in liver)
- inhibited by insulin

2) glycogen synthase
- activated by insulin
- Inhibited by glucagon and epinephrine (epinephrine more in muscle, glucagon more in liver)

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8
Q

When is glucagon produced and degraded in muscles?

A

Synthesis = at rest

Degradation = during exercise

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9
Q

Signaling pathway for glucagon in liver cells

A

Binds to extracellular receptor Gs proteins and induces increased cAMP/AC
- requires epinephrine co-bound to B-adrenergic cells at the same time

Increased levels of cAMP causes cAMP-dependent protein kinase A to be upregulated which promotes phosphylation of glycogen phosphorylase kinase B (inactive) to phosphorylase kinase A (active)

Active Phosphorylase kinase A is used to degrade glycogen as well as inactivate glycogen synthase**

**insulin can inhibit two different areas of the cascade (both require insulin up-regulating protein phosphatase 1 enzymes)
- promotes glycogen phosphorylase kinase A -> B
- promotes cAMP-dependent protein kinase A -> B
(B is the inhibited form)

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10
Q

What are three lipolysis enzymes used in lipid metabolism

A

all three are upregulated by glucagon and epinephrine via cAMP levels and PKA activity

1) adipose triglyceride lipase (ATGL)

2) hormone-sensitive lipase (HSL)
- directly stimulated by glucagon**

3) monoglyceride lipase (MGL)

Each of these take a fatty acid of Triacylglycerol on lipid droplets and put it into the blood

this occurs in the fasting stat

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11
Q

Protein metabolism regulation with respect to high insulin/glucagon ratio

A

Activates AKT which inhibits TSC1/2 enzymes which activate Rheb-GTP enzymes.

End goal is to upregulate mTOR complex which induces translation and transcription of proteins and leads to increased protein synthesis

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12
Q

Glucagon in the liver on protein metabolism

A

Promotes AA uptake in the liver and upregulates expression of urea cycle and gluconeogenesis enzymes to catabolize the AAs into

  • urea + energy (2 ATP)
  • glucose
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13
Q

What are considered the counter regulatory hormones to insulin

A

Glucagon

Epinephrine and norepinephrine

Glucocorticoid

Growth hormone

Thyroid hormone

Somatostatin

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14
Q

Overall effects of insulin and glucagon on liver, adipocytes and skeletal muscles

A

Insulin

1) liver:
- uptakes glucose and amino acids.
- Produces LVDL particles

2) Skeletal muscles:
- uptakes glucose and amino acids
- produces glycogen and protiens

3) Adipocytes:
- uptakes glucose and VLDL from liver
- produces TAGs (fat synthesis)
- prevents degradation

Glucagon

1) liver
- promotes uptake of AAs
- catabllizes AAs and glycogen into glucose and secretes it out
- prevents FA production in liver
- promotes ketogenesis

2) Adipocytes
- promotes breakdown of TAGs into FAs (tissue lipolysis and secretes them into blood

3) skeletal muscle = no effects**

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15
Q

Catecholamine metabolic effects

A

Suppresses insulin secretion

Mobilizes glucagon secretion from a-cells

Promotes:

  • lipolysis in adipose cells = free FAs and glycerol
  • glycogenolysis in muscles and generates pyruvate and lactate
  • glycogenolysis in liver to produce glucose
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16
Q

Glucocorticoid metabolic effects

A

Promotes almost all the same as epinephrine EXCEPT
- promotes glycogen storage in liver
- increases protein degradation in muscle cells**
(growth hormone is the opposite)**