L30. Physiology - Endocrine Pancreas

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which process is most directly inhibited by the presence of increased levels of glucose-6-phosphate within the hepatocyte?

  • The transport of glucose across the hepatocyte membrane via GLUT2
  • The synthesis of glucose from pyruvate
  • The breakdown of glycogen to glucose-1-phosphate (correct)
  • The conversion of Fructose-6-phosphate to Fructose-1,6-bisphosphate

In addition to blood glucose levels, what other regulatory mechanism significantly influences insulin secretion during the cephalic phase?

  • Glucagon release from alpha cells
  • The sympathetic nervous system
  • The parasympathetic nervous system (correct)
  • Incretin production from the gut

The conversion of pyruvate to acetyl CoA in the mitochondria is primarily associated with which metabolic pathway within the hepatocyte?

  • Lipogenesis following a high carbohydrate meal (correct)
  • The formation of ketone bodies when fatty acid levels rise.
  • Gluconeogenesis during periods of fasting.
  • The breakdown of proteins

How do incretins like GLP1 and GIP enhance insulin secretion?

<p>By acting on the pancreas to increase insulin release after food enters the gut lumen. (B)</p> Signup and view all the answers

Besides insulin directly stimulating lipogenesis, what other direct effect of insulin contributes to increased fatty acid synthesis in hepatocytes?

<p>By promoting increased glucose transport into the cell as substrate for glycolysis (C)</p> Signup and view all the answers

Which of these processes would likely have the most direct negative effect on protein synthesis in a hepatocyte?

<p>Reduced uptake of cellular amino acids (C)</p> Signup and view all the answers

What does the comparison between oral and IV glucose administration demonstrate regarding insulin secretion?

<p>Oral glucose promotes a greater insulin response due to the incretin effect. (A)</p> Signup and view all the answers

What is the primary physiological event that triggers an increase in insulin secretion from β-cells, according to the provided text?

<p>An increase in blood glucose level (B)</p> Signup and view all the answers

What is the most likely effect on lipogenesis if a patient has a genetic defect causing the Carnitine carrier protein to be non-functional?

<p>Lipogenesis will be reduced due to a buildup of fatty acyl-CoA in the cytoplasm (C)</p> Signup and view all the answers

How does administering glucose orally differ from administering it intravenously regarding blood glucose levels and insulin secretion?

<p>Oral glucose leads to a more gradual rise in blood glucose and an enhanced insulin response. (A)</p> Signup and view all the answers

If a drug inhibits GLP1 degradation, what potential impact might this have on insulin secretion?

<p>It would prolong the action of GLP1, thus enhancing postprandial insulin secretion. (B)</p> Signup and view all the answers

What does the phrase 'glucose-stimulated insulin secretion' refer to in the content?

<p>The process where increased blood glucose levels cause increased insulin secretion. (D)</p> Signup and view all the answers

Based on the provided diagram, what is the immediate precursor to the activation of Protein Kinase C (PKC)?

<p>Diacylglycerol (DAG) (A)</p> Signup and view all the answers

According to the diagram, which event directly contributes to an increase in intracellular calcium concentration, [$Ca^{2+}_i$]?

<p>The influx of calcium ions via voltage-gated calcium channels (D)</p> Signup and view all the answers

If a drug were to inhibit the function of diacylglycerol (DAG), what cellular process would most likely be directly affected?

<p>The activation of Protein Kinase C (PKC) (A)</p> Signup and view all the answers

What is the role of the Endoplasmic Reticulum (ER) in the context of this diagram?

<p>To release calcium and increase [$Ca^{2+}_i$] (C)</p> Signup and view all the answers

What process directly leads to the opening of voltage-gated calcium channels that allows for calcium influx?

<p>Binding of neurotransmitters to membrane receptors (D)</p> Signup and view all the answers

How is 'calcium-induced calcium release' represented in the diagram?

<p>The increase in [$Ca^{2+}_i$] after calcium influx through a voltage-gated channel then calcium release from the ER (B)</p> Signup and view all the answers

If a mutation were to prevent the function of Protein Kinase A (PKA), what downstream event depicted would be directly affected?

<p>The release of $Ca^{2+}$ from the ER (C)</p> Signup and view all the answers

Based on the diagram, which of the following is NOT a direct activator of a calcium related process?

<p>Insulin (A)</p> Signup and view all the answers

If a cell were treated with a compound that blocks the voltage-gated calcium channel, what would be the immediate impact on intracellular calcium concentration [$Ca^{2+}_i$] and subsequent calcium release?

<p>Both the influx of calcium through the voltage-gated channel and subsequent calcium release from the ER would be reduced (D)</p> Signup and view all the answers

Which of the following directly promotes the insulin secretion from vesicles?

<p>Arginine (D)</p> Signup and view all the answers

Which process is antagonized by insulin?

<p>Proteolysis (C)</p> Signup and view all the answers

Insulin's influence on electrolyte balance includes which of the following actions?

<p>Increasing cellular uptake of phosphate (C)</p> Signup and view all the answers

Which of these is NOT a primary target tissue for insulin's metabolic effects?

<p>Kidney (C)</p> Signup and view all the answers

Which of the following does NOT stimulate insulin secretion directly?

<p>Glucagon (A)</p> Signup and view all the answers

What is a major action of insulin?

<p>Stimulating anabolism (C)</p> Signup and view all the answers

Which of these is part of insulin's catabolic antagonizing actions?

<p>Suppressing hepatic gluconeogenesis (C)</p> Signup and view all the answers

Which of these is the outcome of insulin action?

<p>Increased cellular uptake of potassium (C)</p> Signup and view all the answers

What do insulin receptor activation and initial steps of the intracellular insulin signaling cascade have in common in its target tissues?

<p>Shared molecular features (B)</p> Signup and view all the answers

Besides fuel sources, which of these also modulates insulin secretion?

<p>Hormones (C)</p> Signup and view all the answers

What is the primary consequence of insulin binding to its receptor?

<p>Conformational change leading to the activation of intrinsic tyrosine kinase. (D)</p> Signup and view all the answers

What is the immediate effect of the activated receptor's tyrosine kinase?

<p>Auto-phosphorylation of tyrosine residues within the receptor. (D)</p> Signup and view all the answers

What is the role of the phosphorylated IRS protein in insulin signaling?

<p>It serves as a docking site for additional intracellular signaling proteins. (D)</p> Signup and view all the answers

What type of protein is the insulin receptor?

<p>A hetero-tetrameric glycoprotein. (B)</p> Signup and view all the answers

Where does insulin specifically bind to the insulin receptor?

<p>On the cysteine-rich domain of the alpha chains. (A)</p> Signup and view all the answers

Which best describes the structure of the insulin receptor?

<p>Two extracellular alpha chains and two membrane-spanning beta chains. (C)</p> Signup and view all the answers

What is a key feature of the beta-chains of the insulin receptor?

<p>They exhibit intrinsic tyrosine kinase activity. (A)</p> Signup and view all the answers

What is the molecular weight of the insulin receptor?

<p>340,000 kD (A)</p> Signup and view all the answers

What is the function of the glycosylation sites on the insulin receptor?

<p>The text does not describe their exact function. (B)</p> Signup and view all the answers

Which of the following events is the last to occur during the early stages of insulin signaling, as described in the content?

<p>Phosphorylation of IRS protein by the tyrosine kinase. (C)</p> Signup and view all the answers

Flashcards

Blood glucose levels

The primary factor regulating insulin secretion, influencing how much insulin the pancreas releases.

Cephalic phase of insulin secretion

The nervous system's role in insulin secretion before food is even eaten, preparing the body for digestion.

Incretins (GLP-1 & GIP)

Hormones produced by the gut shortly after eating, enhancing insulin secretion.

Incretin effect

The effect of incretins boosting insulin secretion when glucose is taken orally, compared to directly into the bloodstream.

Signup and view all the flashcards

Glucose-stimulated insulin secretion

The process of increased insulin secretion from beta cells as blood glucose rises, like after a meal.

Signup and view all the flashcards

Glucose tolerance test

A test that measures how the body handles glucose, showing how blood glucose levels and insulin secretion change over time.

Signup and view all the flashcards

GLP-1-based diabetes therapies

Drugs that work by targeting the GLP-1 pathway, aiming to regulate insulin secretion and improve blood sugar control.

Signup and view all the flashcards

Neurotransmitter

A signaling molecule involved in a variety of cellular processes, including insulin secretion.

Signup and view all the flashcards

DAG (Diacylglycerol)

A second messenger molecule involved in intracellular signaling pathways.

Signup and view all the flashcards

ER (Endoplasmic Reticulum)

The endoplasmic reticulum is a network of membranes within the cell that plays a role in various cellular processes including calcium storage.

Signup and view all the flashcards

Voltage-gated Ca2+ channel

Calcium ions are released into the cytoplasm through a specific channel.

Signup and view all the flashcards

Protein Kinase C (PKC)

A protein kinase that is activated by DAG and Ca2+.

Signup and view all the flashcards

Ca2+ (Calcium ion)

Calcium ions play a key role in cellular signaling and are stored within the ER.

Signup and view all the flashcards

Ca2+i (Intracellular calcium concentration)

The concentration of calcium ions inside the cell.

Signup and view all the flashcards

Ca2+-induced Ca2+ release

The activation of the Voltage-gated Ca2+ channel promotes Ca2+ influx, which also releases Ca2+ from ER storage.

Signup and view all the flashcards

Modulators of insulin secretion

These signal molecules play a role in insulin secretion.

Signup and view all the flashcards

Glycogenolysis

The process where stored glycogen in the liver is broken down to release glucose into the bloodstream.

Signup and view all the flashcards

Glycogen synthesis

The process where glucose in the blood is converted into glycogen for storage in the liver.

Signup and view all the flashcards

GLUT2

A non-insulin sensitive glucose transporter that brings glucose into the liver cells. It allows glucose to move independently of insulin.

Signup and view all the flashcards

Glycolysis

The process where glucose is broken down into pyruvate for energy production. This happens in the cytoplasm of the liver cell.

Signup and view all the flashcards

Gluconeogenesis

The process where the liver creates new glucose from non-carbohydrate sources like amino acids or glycerol. This occurs when blood glucose levels are low.

Signup and view all the flashcards

Insulin's Anabolic Role

Insulin's ability to promote the production of glycogen, triglycerides, and protein from glucose, fatty acids, and amino acids, respectively.

Signup and view all the flashcards

Insulin's Anti-Catabolic Function

Insulin's action to decrease the breakdown of glycogen, triglycerides, and protein, preventing the release of glucose, fatty acids, and amino acids back into the bloodstream.

Signup and view all the flashcards

Insulin's Electrolyte Regulation

Insulin's impact on electrolyte balance by increasing potassium and phosphate uptake into cells, while decreasing sodium and calcium uptake.

Signup and view all the flashcards

Primary Insulin Target Tissues

The primary target tissues (muscle, liver, and adipose) impacted by insulin's metabolic effects.

Signup and view all the flashcards

Insulin's Glucose Uptake Stimulation

Insulin's action of increasing glucose uptake into cells, primarily in muscle, liver, and adipose tissue.

Signup and view all the flashcards

Insulin's Fatty Acid Regulation

Insulin's effect on fatty acids, promoting uptake into cells for triglyceride synthesis and reducing lipolysis (breakdown of fats).

Signup and view all the flashcards

Insulin's Amino Acid Regulation

Insulin's role in amino acid metabolism, increasing their uptake into cells for protein synthesis and reducing protein breakdown.

Signup and view all the flashcards

Insulin's Gluconeogenesis Suppression

Insulin's action to suppress hepatic gluconeogenesis, the production of glucose in the liver, thus reducing glucose output.

Signup and view all the flashcards

Shared Insulin Signaling Steps

The initial steps of insulin signaling, involving receptor activation and the intracellular cascade, are shared across various tissues.

Signup and view all the flashcards

Insulin's Broad Physiological Impact

Insulin's diverse effects on various physiological systems, acting both directly and indirectly.

Signup and view all the flashcards

What is the insulin receptor?

A protein receptor on cell surfaces that binds insulin, initiating a signaling cascade to regulate sugar metabolism.

Signup and view all the flashcards

What is the conformational change in the insulin receptor?

A change in the shape of the insulin receptor after insulin binds to it, triggering a series of events inside the cell.

Signup and view all the flashcards

How does the insulin receptor get activated?

The activation of the insulin receptor's intrinsic tyrosine kinase activity, leading to phosphorylation of itself and other proteins.

Signup and view all the flashcards

What is phosphorylation in the insulin signaling pathway?

The addition of phosphate groups to tyrosine residues on the insulin receptor and other proteins, a key process in signal transduction.

Signup and view all the flashcards

What are IRS proteins?

Proteins that bind to the phosphorylated insulin receptor, acting as messengers in the signaling pathway.

Signup and view all the flashcards

Explain the insulin signaling cascade.

A series of events triggered by the insulin receptor, involving phosphorylation of multiple proteins and leading to various cellular responses.

Signup and view all the flashcards

What are the effects of insulin signaling?

The insulin signaling pathway affects diverse cellular processes, including glucose uptake, metabolism, and protein synthesis.

Signup and view all the flashcards

What is receptor autophosphorylation?

The ability of the insulin receptor to activate itself, leading to a self-sustaining cascade.

Signup and view all the flashcards

What is protein kinase activation?

The process of a specific protein kinase activating another protein kinase, amplifying the signal and creating a cascade effect.

Signup and view all the flashcards

What are the branches of the insulin signaling network?

The various branches of the insulin signaling network, targeting specific cellular processes based on tissue-specific needs.

Signup and view all the flashcards

Study Notes

Endocrine Pancreas Session Learning Objectives

  • Describe the major hormones secreted by the endocrine pancreas and their cell of origin
  • Describe hormonal, nutritional, and neuronal stimuli for insulin and glucagon secretion
  • Detail the cellular mechanism by which an increase in blood glucose stimulates insulin secretion in pancreatic beta cells
  • Describe the primary cellular effects of insulin action in muscle, liver, and adipose tissue
  • Outline the global effects of insulin action on circulating glucose levels, and how insulin's actions in muscle, liver, and adipose contribute to these effects
  • Describe the primary cellular effects of glucagon actions on the liver, including receptor and signaling pathways
  • Describe the global effects of glucagon action on circulating glucose levels, and how muscle, liver, and adipose contribute to these effects

Glucose Homeostasis

  • The endocrine pancreas regulates nutrient distribution, primarily glucose, through insulin and glucagon.
  • Glucose levels are maintained around 100 mg/dL.
  • Insulin is released in response to high blood sugar (e.g., after a meal) and directs tissues to absorb and store glucose.
  • Glucagon is released during fasting to maintain blood glucose.

Insulin Production from Beta Cells

  • Insulin is produced in beta cells within the islets of Langerhans.
  • Insulin is a 51 amino acid polypeptide with two chains (A and B), linked by disulfide bridges.
  • Proinsulin is initially produced, then converted to insulin and C-peptide.
  • Insulin:C-peptide is stored in secretory granules.
  • Insulin is stored as hexameric units of insulin-zinc crystals.

Insulin Action

  • Insulin acts on many physiological systems, promoting anabolism (building up).
  • It increases cellular uptake of glucose, fatty acids, and amino acids, converting them to glycogen, triglycerides, and protein.
  • Insulin suppresses glycogenolysis, lipolysis, and proteolysis.
  • Insulin decreases hepatic gluconeogenesis.

Glucagon Production from Alpha Cells

  • Glucagon is produced by alpha cells in the islets of Langerhans.
  • It's initially produced as proglucagon, which is processed into the active 29 amino acid peptide.
  • Intestinal L-cells also produce proglucagon, creating incretin hormones GLP-1 and GLP-2.

Glucagon Action

  • Glucagon acts primarily on the liver.
  • It stimulates glucose production via gluconeogenesis and glycogenolysis.
  • It stimulates lipolysis, releasing fatty acids into the bloodstream.
  • Glucagon secretion is inversely related to glucose levels.

Diabetes

  • Type 1 diabetes: autoimmune destruction of beta cells, requiring insulin replacement
  • Type 2 diabetes: insulin resistance or beta cell dysfunction, often associated with obesity and requiring various treatments

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Pancreas and Chemical Coordination
9 questions
Pancreas Anatomy and Function Quiz
62 questions
Pancreas Endocrine Function Quiz
10 questions
Pancreas Functions and Metabolism Quiz
48 questions
Use Quizgecko on...
Browser
Browser