Test 3: lecture 9 Flashcards

1
Q

endocrine function of pancrease

A

by the islets of langerhans

beta cells produce- insulin and amylin

aplha cells produce glucagon

delta cells produce somatostain

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2
Q

beta cells produce-___

alpha cells produce ___

delta cells produce ___

A

insulin and amylin

glucagon

somatostain

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3
Q

delta cells produce ___ which ___

A

somatostatin

inhibit alpha and beta cells- inhibits insulin and glucagon

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4
Q

insulin is made of ___

A

small peptide hormone

two chains connected by disulfide bond

made by beta cells in the islet of langerhans in the pancreas

made as precursor preproinsulin

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5
Q

what is the precursor of insulin

A

preproinsulin

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6
Q

how does preproinsulin become insulin

A

signal peptide cleaved to form proinsulin

GH → IGF-1 (somatomedin C)

c- protein degradation by insulinase in the liver → insulin

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7
Q

C protein of proinsulin is similar to

A

GH → IGF-1 (somatomedin C)

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8
Q

formation of insulin receptor

A

2 alpha 2 beta subunits

binding of insulin causes Beta subunit to be phosphorylated and becomes a kinase that will phosphorylate other enzymes

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9
Q

binding of insulin to insulin receptor causes

A

glucose transport, protein synthesis, fat synthesis, glucose synthesis, growth and gene expression

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10
Q

where are GLUT4

A

insulin-dependent tissues (muscle and adipose tissues).

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11
Q

where kind of GLUT are in insulin independent tissues

A

GLUT 1,2,3,5

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12
Q

what kind of GLUT are Beta cell glucose sensor

A

GLUT2

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13
Q

when insulin bind to the receptor it causes GLUT4

A

to move from golgi to the plasma membrane

stimulates glucose uptake

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14
Q

uptake of monosaccharides

A

insulin independent

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15
Q

metabolic effects of insulin

A

Profound effects on metabolism of carbohydrate, fat and protein.

Promote storage of glucose as glycogen

Promote protein synthesis and storage

Promote fat synthesis and storage

Insulin is associated with “energy abundance”.

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16
Q

___ increases protein and fat synthesis and storage

A

insulin

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17
Q

insulin promotes storage of ___ as ____

A

glucose

glycogen

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18
Q

insulin causes the increased uptake, storage and use of glucose by most tissues:

A

liver, muscle and adipose tissue

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19
Q

Lack of insulin causes ___

A

hyperglycemia (high blood sugar)

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20
Q

what enzymes are stimulated by insulin

A

glucokinase

glycogen synthase

glycogenesis → formation of glycogen from glucose

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21
Q

why cant glucose be stored in the liver

A

too much osmotic pressure

needs to be stored as glycogen

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22
Q

if there is excess glucose where is it stored

A

first in the liver as glycogen

then in the muscles as glycogen

then converted into fatty acids (triglyceral) and stored in the liver

23
Q

effect of insulin on fat metabolism

A

promotes fat synthesis and storage

Insulin increases utilization of glucose by most tissues - fat sparer.

Insulin promotes fat synthesis in the liver.

Insulin promotes fat storage in the adipose cells.

24
Q

how to form fat synthesis in the liver

A

glucose → triglyceride in liver then lipoprotein lipase → fatty acids which can be taken into cells and converted back into triglycerides for storage

25
Insulin activates ___ in the capillary walls of adipose tissue to release fatty acids.
*lipoprotein lipase*
26
Insulin promotes glucose transport into fat cells --\> a-glycerophosphate --\> ___ portion of fats.
glycerol
27
insulin \_\_\_*hormone-sensitive triglyceride lipase* in adipose cells.
inhibits
28
insulin deficiency causes
*increase hormone-sensitive lipase* --\> lipolysis of triglycerides and release of free fatty acids. increase conversion of fatty acids into cholesterol and phospholipids in the liver. Excessive usage of fat causes ketosis and acidosis. Fatty acids --\> acetyl Co-A --\> acetoacetic acid --\> acetone and b-hydroxybutyric acid.
29
insulin deficiency causes ___ *hormone-sensitive lipase* --\> lipolysis of triglycerides and release of free \_\_\_
increase fatty acids.
30
insulin deficiency causes ___ conversion of fatty acids into cholesterol and phospholipids in the \_\_\_.
increased liver
31
insulin deficiency causes excessive usage of fat causes \_\_\_
ketosis and acidosis. glucose can't be used so body uses fat for energy
32
insulin deficiency increases the metabolic use of \_\_\_
fats use fats instead of glucose for energy
33
what happens if you remove pancreas
profound effect on fatty acid metabolism
34
how does insulin effect protein metabolism
Insulin **promotes protein synthesis and storage** increases transport of amino acids into the cells. increases transcription and translation. decreases protein catabolism. decreases gluconeogenesis in the liver. **Insulin deficiency causes protein depletion and increased plasma amino acids.** **Insulin and growth hormone function synergistically to promote growth.**
35
insulin will cause the ___ of protein catabolism and gluconeogenesis in the liver.
decrease
36
insulin will cause the ___ transport of amino acids into the cells and the ___ transcription and translation.
increased increased
37
Insulin \_\_\_causes protein depletion and increased plasma amino acids.
deficiency causes weight loss
38
both ___ and ___ are required for growth
GH and insulin to allow uptake of all 20 amino acids into the cells
39
what are some stimulators of insulin secretion
Increased blood glucose Increased blood free fatty acids Increased blood amino acids Insulin resistance; obesity Cortisol Growth hormone
40
what are some inhibitors of insulin secretion
Decreased blood glucose Fasting Somatostatin Catecholamines
41
catecholamines and somatostatin will cause \_\_\_
inhibit of insulin secretion somatostatin (IGF-1)
42
\_\_\_ is secreted by alpha cells in the islets of langerhan and stimulate ___ and \_\_\_
glucagon ## Footnote increase breakdown of glycogen in the liver (glycogenolysis) increase gluconeogenesis in the liver. (making glucose)
43
precursor for glucagon can also turn into \_\_\_
preproglucagon ## Footnote **other peptides in the GI**
44
stimulators of glucagon secretion
Decreased blood glucose Increased blood amino acid Exercise
45
inhibition of glucagon secretion
Increased blood glucose Somatostatin (Islet delta cells)
46
how is blood glucose regulated
insulin tries to lower BG glucagon tries to increase BG
47
Severe ___ stimulates sympathetic system to release ___ which causes \_\_\_
hypoglycemia Epinephrine --\> release of glucose from the liver
48
Prolonged hypoglycemia leads to release of ___ and cortisol.
GH
49
severe hypoglycemia decrease the rate of glucose utilization by most cells (\_\_\_ resistance) and cause \_\_\_
severe hypo → causes release of GH and cortisol insulin stimulate gluconeogenesis by the liver (make glucose in the liver)
50
what three tissues use only glucose for energy
brain retina gonads (insulin has no effect on these tissues)
51
what tissues have no effect by insulin
brain retina gonads
52
type 1 DM
insulin-dependent diabetes (IDDM) not enough insulin made occurs randomly 10%, usually in younger people plasma glucose is increased and plasma insulin is low or absent treatment: give insulin
53
Type II DM
non-insulin-dependent diabetes (NIDDM), insulin resistance. happens in older obese people (80-90%) increased plasma glucose and insulin insulin can't get into cells= decreased insulin sensitivity **treatment:** diet and weight loss and insulin and other drugs
54
what can cause DM
**Genetic predisposition** **Pancreatic injury:** trauma, neoplasia, infection, autoantibodies, inflammation, drugs (Type I) **Hormone-induced b-cell exhaustion**: growth hormone (too much GH in gigantism), cortisol (too much cortisol). Target tissue insensitivity (Type II) Decreased number of insulin receptors Defective insulin receptors Defect in post-receptor signaling