Pancreas Endocrinology And Glucose Homeostasis Flashcards
Physiology of insulin and glucagon and pathophysiology including diabetes mellitus (32 cards)
Group of cells in pancreas secreting endocrine hormones
Islets of Langerhans
Major portion of islets of Langerhans is formed by which cells
Beta cells
Alpha cells secrete
Glucagon
Alpha cells secrete
Glucagon
Beta cells secrete
Insulin and amylin
Delta cells secrete
Somatostatin
Preinsulin contain how many PP chains
3 (A,B,C)
A,B,C chains are linked by
Disulfide linkages
Binding of insulin to its receptor activates which enzyme
Tyrosine kinase
Effect of insulin on muscle during resting state w.r.t proteins
AA uptake increases
Protein synthesis increases
Protein degradation decreases
Effect of insulin on muscle with respect to potassium ions
Increases pottasium ions conc.in the cells
Effect of insulin on muscle with respect to glucose
During exercise or just after meal glucose upatke of muscle increases for energy or converting it into glycogen but in resting state very less upatke takes place
Effect of insulin on liver with respect to glucose
Gluconeogenesis and glycogenolysis decreases
While glycogen synthesis increases
Effect of insulin on liver with respect to protein
Protein synthesis increases
Effect of insulin on liver with respect to fat
Excess fat is is transported as triglycerides to the adipose tissue
Effect of insulin on adipose tissue with respect to fatty acid conversion
More and more fatty acids are converted to triglycerides and stored
Effect Of insulin on adipose tissue with respect to glucose uptake
Glucose uptake in adipose tissue increases
Effect of insulin deficiency with respect to fat metabolism
Increased lipolysis of TGs , increased cholesterol in blood stream and increase ketogenesis causing ketosis and acidosis
Important factor for insulin release is
Glucose concentration of the bloodstream
Hormones increasing the release of insulin are
Cortisol, growth hormone and estogen
Amino acids that increase insulin secretion are
Arginine and lysine
Main effects of glucagon are
Increasing glycogenolysis and gluconeogenesis in liver
Important factor for glucagon release is
Glucose concentration of blood
Somatostatin is released by
Anterior Pituitary gland and delta cells of islets of langerhans