Insulin & Glucagon Flashcards

(32 cards)

1
Q

When you think of insulin and glucagon what is important?

A

Substrate levels (very sensitive to what you are being exposed to, i.e. eating)

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2
Q

What hormones are mediated through neural signals instead of what you are eating?

A

Epinephrine and norepinephrine

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3
Q

What are the 4 major tissues for insulin/glucagon?

A

1) Liver (gluconeogenesis, FA synthesis, making of VLDLs, glycolysis)
2) Adipose
3) Muscle
4) Brain

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4
Q

What is the most important hormone coordinating use of fuels and where is it made?

A

Insulin; pancreas (beta cells of Islets of Langerhans)

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5
Q

What is the most powerful anabolic hormone?

A

Insulin

-Stimulates making of glycogen, TAGs and proteins

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6
Q

How many chains does insulin have? How are they linked?

A

2 chains; A chain and B chain attached by critical disulfide bond

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7
Q

What does the preproinsulin contain that proinsulin does not?

A

Signal sequence (guides the protein into the ER where it will be cut out)

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8
Q

Where does proinsulin go?

A

Golgi apparatus -> C-peptide will be cut -> final product (A + B) -> insulin ready to go just waiting for secretion

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9
Q

What increases secretion of insulin?

A

Glucose (#1 signal), AAs, and GI peptide hormones

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10
Q

What is the secretion of insulin by pancreatic beta cells closely coordinated with?

A

Glucagon by alpha cells

-Insulin goes up, glucagon goes down

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11
Q

How will a muscle cell know that you are releasing insulin from your pancreas?

A

Insulin surface receptor, i.e. receptor tyrosine kinase (RTK)

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12
Q

What happens once the insulin activates RTK?

A

Internal phosphorylation: tyrosine residues of beta subunit are auto-phosphorylated -> phosphorylates other proteins (insulin receptor substrate-IRS)

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13
Q

What does phosphorylated IRS promote in muscle and adipose cells?

A

Upregulation of GLUT-4 (glucose uptake)

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14
Q

What does phosphorylated IRS promote in liver and muscle cells?

A

Glycogen synthesis and protein synthesis

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15
Q

What does phosphorylated IRS promote in liver cells?

A

Fat synthesis

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16
Q

What does phosphorylated IRS downregulate in liver cells?

A

Gluconeogenesis and glycogenolysis

17
Q

What does phosphorylated IRS downregulate in adipose cells?

A

Lipolysis

-Inhibits HSL and activates lipoprotein lipase

18
Q

Where is active transport INSENSITIVE to insulin?

A

Epithelia of intestine
Renal tubules
Choroid plexus

19
Q

Where is facilitated diffusion INSENSITIVE to insulin?

A
Erythrocytes
Leukocytes
Lens of eye
Cornea
Liver
Brain
20
Q

Where is facilitated transport SENSITIVE to insulin?

A

Skeletal/cardiac muscle

Adipose tissue

21
Q

What does insulin downregulate?

A

Glycogenolysis
Gluconeogenesis
Ketogenesis
Lipolysis

22
Q

What does glucagon/ephinephrine upregulate?

A

Glycogenolysis
Gluconeogenesis
Ketogenesis (FA oxidation)
Lipolysis

23
Q

What is glucagon known as?

A

Counterregulatory hormone (opposes insulin)

24
Q

What does glucagon do?

A

Maintain blood [glucose] by activation of hepatic glycogenolysis/gluconeogenesis

25
What is glucagon secretion stimulated by?
Low blood glucose, some AAs and catecholamines
26
What cells make and release glucagon?
Alpha cells in pancreas
27
What does glucagon bind to?
Glucagon G protein-coupled receptor (heptahelical)
28
What does glucagon activate?
``` Adenylyl cyclase (2nd messenger) -> cAMP -Glucagon is 1st messenger ```
29
What does cAMP activate?
Protein kinase A -> catalytic subunits are activated -> phosphorylation cascade
30
Where are glucagon receptors for glycogenolysis/gluconeogenesis/FA oxidation/ ketogenesis/uptake of AAs?
Liver cells (NOT MUSCLE!!!)
31
What 2 things does glucagon downregulate in the liver?
Glycogenesis and FA synthesis
32
When blood glucose gets below or equal to 40 mg/dl what happens?
Hypoglycemia | -Very bad -> CNS sx (confusion, aberrant behavior, coma)