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Phys3 Pancreas
Phys3 Endocrine Pancreas
Question | Answer |
---|---|
Islets of Langerhans: What do Alpha cells produce? | Glucagon |
Islets of Langerhans: what to Beta cells produce? | Insulin |
Protein chains making up Insulin? what makes it active? | Insulin is made up of an Alpha and Beta chain. **isn't activated until a C-peptide chain is cleaved. |
What is serum [C-peptide] an acurate measure of? | Endogenous Insulin production. **It is screted in equal amounts as Insulin. |
Steps leading to Beta cell Insulin secretion | 1.Glucose enters GLUT2 receptors on Beta cell. 2.Creates ATP. 3.This Inhibits K+-channels, depolarizing Em. 4.This activates Ca-voltage gated channels which Allow Ca Influx. 5.This encourages release of Insulin. **aa's also cause this |
Which causes a greater insulin response: IV glucose, or Oral glucose? | ORAL! the GI absorption of glucose will stimulate Pancreatic B cells. |
What determines the cellular response to insulin binding to GLUT4 receptors in skeletal muscle and adipose | 1.Amt of insulin binding. 2.the secondary messanger systems that get activated. |
Primary effects of Insulin on Muscle | 1.Inc glucose intake (GLUT4). 2.Inc protein synthesis. 3.Dec protein breakdown. |
Primary effects of Insulin on Adipocytes. | 1.Inc glucose uptake (GLUT4). 2.Inc FA uptake. 3.Inc triglyceride produciton. |
Primary effects of Insulin on Liver | 1.Inc glycogenesis. 2.Dec glycogenolysis. 3.Inc glycolysis & triglyceride production. 4.Dec gluconeogenesis. |
Amylin | 37 aa peptide secreted with Insulin in response to nutrient glucose. It inhibits: 1.Gastric empyting. 2.Glucagon secretion.. 3.food intake |
2 things stimulating glucagon secretion | 1.Hypoglycemia. 2.aa's |
2 things inhibiting glucagon secretion | 1.hyperglycemia. 2.Somatostatin |
Effects of glucagon on the liver? | Exact opposite of Insulin, it stimulates: 1.gluconeogenesis. 2.glycogenolysis. 3.Lipolysis. |
What secretes Somatostatin (besides the Hypothalamus ya smart ass) | Pancreatic Delta cells. |
Receptors for Pancreatic Somatostatin | SSTR 1-5. **SSTR5 responsible for Inh of Insulin secretion. **SSTR2 responsible for Inh of glucagon & GH. |
4 main Effects of Pancreatic somatostatin | 1.slows gastric emptying. 2.Dec gastric secretions. 3.Inh Insulin. 4.Inh Glucagon. |
2 things inhibiting Insulin secretion | 1.Pancreatic Somatostatin (via SSTR5). 2.Aplha-adrenergic activation. |
What type of receptor does Insulin bind to? | Membrane bound tyrosine kinase with an alpha (insulin binding) and beta (tyrosine kinase activity) subunit. |
Difference b/w Type1 and Type 2 diabetes | Type 1 is insulin dependent, meaning the body doesnt produce enough. Type 2 is insulin independent meaning the cells have developed down regulation of insulin receptors due to chronic exposure. **This is what happens when your fat like Sean Winefry. |