Pancreas Flashcards

(32 cards)

1
Q

What is leptin

A

A hormone released by fat stores which depresses feeding activity

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2
Q

What is the normal range of blood glucose

A

4.6-6.3mM (80-120mg/dl)

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3
Q

What do alpha cells produce

A

Glucagon

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4
Q

what do Beta cells prduce

A

Insulin

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5
Q

What do gamme cells prduce

A

Somatostatin

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6
Q

What do F cells produce

A

pancreatic polypeptide

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7
Q

What stimulates insulin secretion

A

Glucose and amino acids

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8
Q

What often happens to excess protein

A

Stored as fat

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9
Q

What receptor type does insulin bind to

A

Tyrosine kinase

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10
Q

Where are GLUT-1 receptors typically found

A

Brain, kidney and red blood cells

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11
Q

Where are GLUT-2 receptors typically found

A

B-cells of pancreas and liver

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12
Q

What important ion channel plays a big role in insulin release

A

K+ atp channel

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13
Q

Where are GLUT-3 receptors typically found

A

Widespread

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14
Q

What enzymes does insulin activate/inhibit to alter glycogen stores

A

Activate - glycogen synthase

Inhibit - glycogen phosphorylase

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15
Q

What does insulin do in the liver?

A

inhibits gluconeogenesis

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16
Q

What are the stimuli for insulin release

A
Increased BG
Increased AA
Glucagon  (say why) 
Incretin hormone (gastrin, CCK, GLP-1, GIP) 
Vagal nerve activity
17
Q

What inhibits insulin release

A

Low BG
Somatostatin
Sympathetic effects
Stress (hypoxia)

18
Q

Half life of insulin and where is it degraded

A

5 mins

liver and kidneys

19
Q

What destroys the insulin receptors

A

Insulin protease

20
Q

What glucose receptors does the liver have

21
Q

Does insulin effect the glucose uptake by the liver

A

Yes - it enhances it but the tissue does not need it

22
Q

What are the glucose counter-regulatory hormones

A

Glucagon
epinephrine
cortisol
growth hormone

23
Q

What are the receptors for glucagon

A

Adenylate cyclase (g protein)

24
Q

What are the 3 big effects fo glucagon

A

Increased glycogenolysis
Increased gluconeogensis
Formation of ketones

25
What effects does high levels of AA have on glucagon and why
increases it because if it didn't then the insulin released because of the high AA content would take all the glucose aswell and the person would become hypoglycaemic
26
What are the stimulus that increases glucagon release
``` Low BG High AA sympathetic innervation and epinephrine Cortisol Stress (exercise/infection) Parasymphathetic (but less than insulin) ```
27
what are stimuli that inhibit glucagon release
High glucose FFA ketones Somatostatin and Insulin
28
What does epinephrine promote
Muscle glycogenolysis Liver glycogenolysis gluconeogenesis lipolysis
29
What does cortisol promote
gluconeogenesis (using AA from protein catabolism) Inhibition of glucose uptake lipolysis protein catabolism
30
What does GH promote
Gluconeogenesis inhibition of glucose uptake Lipolysis
31
What is the main pancreatic function of somatostatin
Slows down absorption of nutrients to prevent exaggerated peaks in plasma concentrations
32
What effect does somatostatin have on glucagon and insulin
Strongly suppresses them