WK7 - Endocrine Regulation of Metabolism Flashcards

(40 cards)

1
Q

What is glucose used for?
How is it stored?
What is it synthesized from?

A
  • used for ATP synthesis
  • stored as glycogen or triglyceride
  • synthesized from precursors (glycerol, lactate, amino acids)
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2
Q

What is fat used for?

How is it stored?

A
  • used for ATP synthesis (oxidative metabolism)

- stored as triglyceride (TAG)

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3
Q

What is amino acids used for?

A
  • used for glucose production (gluconeogenesis)

- used for the synthesis of protein

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4
Q

What hormones are responsible for regulation of fuel metabolism?

A
  • insulin
  • glucagon
  • epinephrine/norepinephrine
  • cortisol
  • growth hormone
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5
Q

The pancreas is divided functionally in 2 parts. What are they?

A
  1. Exocrine pancreas
    - digestive enzymes secreted into intestine
  2. Endocrine pancreas
    - hormones secreted into blood
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6
Q

How is the endocrine pancreas organized?

A
  • clusters of cells called Islets (~1000-5000 cells/islet)
  • comprise 1-3% of the adult pancreas and contain multiple cell types
  • beta-cell comprise 60-80% of the islet
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7
Q

What are the cell types of the pancreatic islet?

A

alpha cells - glucagon

beta cells - insulin

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8
Q

What is the site of production of insulin?

A
  • produced by beta-cells of the pancreatic islet
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9
Q

What type of hormone is insulin?

A

peptide hormone - encoded by the insulin gene

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10
Q

What stimulates the secretion of insulin?

A

Insulin are secreted in response to nutrients and hormones

  • secreted from pancreatic beta-cells in fed state
  • stimuli for secretion: glucose, amino acids, fatty acids, other hormones
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11
Q

What are the target tissues of insulin?

A

All cells express insulin receptors.

Insulin regulates metabolically active tissues:

  • liver
  • skeletal muscle
  • heart
  • adipose tissue
  • brain
  • pancreas
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12
Q

What happens in the absence of insulin?

A

Without insulin:

  • cells cannot take up and utilize glucose
  • fuels is mobilized not stored

Result:
- excess nutrients are circulate in the blood but they cannot be used as fuel source

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13
Q

Describe the effects of insulin on fuel metabolism.

A
  • The overall effect of insulin is to promote the utilization of glucose and the storage of surplus fuel in times of “feast” - Insulin is an ANABOLIC hormone
  • decrease lipolysis (in adipose tissue)
  • decrease gluconeogenesis (in hepatocyte)
  • decrease glycogenolysis (in liver and muscle)
  • increase glycogen synthesis (in liver and muscle)
  • increase glucose uptake/breakdown (in all tissues)
  • increase TAG synthesis and storage (in adipose tissue)
  • increase protein synthesis (in muscle)

Overall effect: promote the utilization of glucose and the storage of surplus fuel

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14
Q

What is seen in untreated diabetes?

A
  • high blood glucose levels
  • increase fatty acids in blood because unable to store triclycerides; therefore increase in triglyceride levels

Recall: excess nutrients circulate in blood but cannot be used as fuel source

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15
Q

Which hormones allow us to use stored energy reserves and mobilize fuel in times of fasting or “famine”?

A

Fast:

  • glucagon
  • epinephrine/norepinephrine

Slow:

  • cortisol
  • growth hormone
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16
Q

What is the site of production of glucagon?

A

alpha-cells of the pancreas

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17
Q

What type of hormone is glucagon?

A

peptide hormone - encoded by the glucagon gene

18
Q

What are the targets of glucagon?

A
  • liver

- adipose tissue

19
Q

What are the effects of glucagon?

A
  • increase gluconeogenesis (in hepatocyte
  • increase glycogenolysis (in liver and muscle)
  • increase lipolysis of TAG (in adipose tissue)
  • decrease glycogen synthesis (in liver and muscle)

Overall effect: mobilization of fuel

20
Q

What stimulates the release of glucagon?

A

released when blood glucose and insulin is low

21
Q

What is the site of production of epinephrine?

A

EPI - produced by cells of the adrenal medulla

22
Q

What type (or what is the derivative) of hormone is epinephrine?

A

Derivative of tyrosine

23
Q

What are the targets of epinephrine?

A

acts on liver, adipose tissue and skeletal muscle

24
Q

When is epinephrine released?

A
  • for ‘fight or flight’ response

- released when blood glucose levels are low

25
What are the effects of epinephrine?
- increase of gluconeogenesis (in liver) - increase glycogenolysis (in muscle and liver) - increase lipolysis (in fat) - increase glucagon secretion (from pancreas) - decrease insulin secretion (from pancreas) Overall effect: Mobilization of fuel
26
What is the site of production of cortisol?
produced by the adrenal cortex
27
What type (and what is the derivative) of hormone is cortisol?
steroid hormone - derivative of cholesterol - also a stress hormone
28
When is cortisol released?
released during a prolonged fast
29
What are the effects of cortisol?
- increase glucose production - increase lipolysis - decrease glucose utilization Overall effect: Mobilization of fuel
30
What is the site of production of growth hormone?
produced and secreted from somatotrophes of the anterior pituitary
31
What type (and what is the derivative) of hormone is growth hormone?
peptide hormone - encoded by the growth hormone gene
32
When is growth hormone released?
released during a prolonged fast
33
What are the effects of growth hormone?
- increase glucose production - increase protein synthesis (growth) - decrease glucose utilization Overall effect: raise blood glucose levels, promote protein synthesis
34
What are the complications of poorly managed or untreated diabetes?
Long-term: high blood glucose causes tissue damage (nerve cells and blood vessels) Diabetic complications: peripheral neuropathy, retinopathy, kidney failure, heart disease, etc. Severe-acute: diabetic ketoacidosis
35
What is the role of leptin?
act as a chemical messenger that allows the brain to receive information about short- and long term nutritional status from gut- and fat- derived hormones
36
What happens in a child when there is a leptin gene mutation?
- morbidly obese - in a chronic state of positive energy balance - hyperphagia - increased appetite - decreased energy expenditure
37
What is fat's job in fuel metabolism?
Storage depot: stores excess energy as triglyceride | Endocrine organ : synthesizes and secretes hormones (ie. leptin)
38
Where are leptin produced?
produced and secreted by fat cells - circulating levels of leptin are proportional to the amount of adipose tissue
39
What are the effects of leptin?
- decrease food intake | - increase energy expenditure
40
What are the factors with obesity?
- physiological regulation of body weight - environmental factors - susceptibility to disease is inherited (other chronic diseases such as dyslipidemia, diabetes, CVD, alcoholism)