Therapeutic Applications Flashcards
(31 cards)
types of diabetes
type I (insulin dependent)
type II (insulin independent)
diabetes inspidus
gestantional diabetes
type I diabetes
unable to secrete insulin
type II diabetes
does not produce enough insulin
diabetes insipidus
lack of vasopressin that regulates water uptake in kidney
insulin
polypeptide produced by beta cells in the pancreas
regulates carbohydrate metabolism
insulin lowers levels by…
breakdown of glucose in liver
converting glucose to glycogen and fat
prevent glycogen from breaking down
insulin is first synthesized as…
preproinsulin
preproinsulin contains a….
24 peptide signal sequence
how is the 24 peptide signal sequence removed from the preproinsulin
the signal sequence directs the protein through the rough er into the lumen where it is then removed forming proinsulin
how is proinsulin converted to insulin
proinsulin is transported to the golgi and then secretory vesicles
the proinsulin is cleaved producing insulin and c-peptide
where is insulin stored
the vesiscles become secretory granules where insulin is stored
problems with conventional insulin
unwanted contaminants
requires large amounts of insulin
how were the problems with conventional insulin resolved
gel filtration to remove contaminants
recombinant insulin - cloning human insulin gene in e.coli
recombinant insulin
encoding human proinsulin expressed in e.coli which is then modified by trypsin and carboxypetidase to mature to insulin
follice stimulating hormone in men
fsh induces sertoli cells in the testes which are involved in the development of sperm cells
lutenizing hormones in men
lh induces leydig cells of testes to produce testosterone
how are fsh and lh secreted
the hypothalamus produces gonadotropin (GnRH) which induces the pituitary gland to secrete lh and fsh
inhibin
inhibits secretion of GnRH
FSH in women
acts on granulosa cells to produce estrogen which stimulates production of LH
LH in women
stimulates growth of corpus luteum from follicles remaining after ovulation
corpus luteum
secretes estradiol and progesterone
progesterone
causes endometrium (lining of uterus) to further develop
using gonal-f in women
anovulation
stimulation of multifollicular develop for women undergoing IVF
for FSH and LH deficiency
using gonal-f in men
stimulation of spermatogenesis in men who have GnRH deficiency