Podcast
Questions and Answers
Which process is most directly inhibited by the presence of increased levels of glucose-6-phosphate within the hepatocyte?
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?
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?
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?
How do incretins like GLP1 and GIP enhance insulin secretion?
Besides insulin directly stimulating lipogenesis, what other direct effect of insulin contributes to increased fatty acid synthesis in hepatocytes?
Besides insulin directly stimulating lipogenesis, what other direct effect of insulin contributes to increased fatty acid synthesis in hepatocytes?
Which of these processes would likely have the most direct negative effect on protein synthesis in a hepatocyte?
Which of these processes would likely have the most direct negative effect on protein synthesis in a hepatocyte?
What does the comparison between oral and IV glucose administration demonstrate regarding insulin secretion?
What does the comparison between oral and IV glucose administration demonstrate regarding insulin secretion?
What is the primary physiological event that triggers an increase in insulin secretion from β-cells, according to the provided text?
What is the primary physiological event that triggers an increase in insulin secretion from β-cells, according to the provided text?
What is the most likely effect on lipogenesis if a patient has a genetic defect causing the Carnitine carrier protein to be non-functional?
What is the most likely effect on lipogenesis if a patient has a genetic defect causing the Carnitine carrier protein to be non-functional?
How does administering glucose orally differ from administering it intravenously regarding blood glucose levels and insulin secretion?
How does administering glucose orally differ from administering it intravenously regarding blood glucose levels and insulin secretion?
If a drug inhibits GLP1 degradation, what potential impact might this have on insulin secretion?
If a drug inhibits GLP1 degradation, what potential impact might this have on insulin secretion?
What does the phrase 'glucose-stimulated insulin secretion' refer to in the content?
What does the phrase 'glucose-stimulated insulin secretion' refer to in the content?
Based on the provided diagram, what is the immediate precursor to the activation of Protein Kinase C (PKC)?
Based on the provided diagram, what is the immediate precursor to the activation of Protein Kinase C (PKC)?
According to the diagram, which event directly contributes to an increase in intracellular calcium concentration, [$Ca^{2+}_i$]?
According to the diagram, which event directly contributes to an increase in intracellular calcium concentration, [$Ca^{2+}_i$]?
If a drug were to inhibit the function of diacylglycerol (DAG), what cellular process would most likely be directly affected?
If a drug were to inhibit the function of diacylglycerol (DAG), what cellular process would most likely be directly affected?
What is the role of the Endoplasmic Reticulum (ER) in the context of this diagram?
What is the role of the Endoplasmic Reticulum (ER) in the context of this diagram?
What process directly leads to the opening of voltage-gated calcium channels that allows for calcium influx?
What process directly leads to the opening of voltage-gated calcium channels that allows for calcium influx?
How is 'calcium-induced calcium release' represented in the diagram?
How is 'calcium-induced calcium release' represented in the diagram?
If a mutation were to prevent the function of Protein Kinase A (PKA), what downstream event depicted would be directly affected?
If a mutation were to prevent the function of Protein Kinase A (PKA), what downstream event depicted would be directly affected?
Based on the diagram, which of the following is NOT a direct activator of a calcium related process?
Based on the diagram, which of the following is NOT a direct activator of a calcium related process?
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?
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?
Which of the following directly promotes the insulin secretion from vesicles?
Which of the following directly promotes the insulin secretion from vesicles?
Which process is antagonized by insulin?
Which process is antagonized by insulin?
Insulin's influence on electrolyte balance includes which of the following actions?
Insulin's influence on electrolyte balance includes which of the following actions?
Which of these is NOT a primary target tissue for insulin's metabolic effects?
Which of these is NOT a primary target tissue for insulin's metabolic effects?
Which of the following does NOT stimulate insulin secretion directly?
Which of the following does NOT stimulate insulin secretion directly?
What is a major action of insulin?
What is a major action of insulin?
Which of these is part of insulin's catabolic antagonizing actions?
Which of these is part of insulin's catabolic antagonizing actions?
Which of these is the outcome of insulin action?
Which of these is the outcome of insulin action?
What do insulin receptor activation and initial steps of the intracellular insulin signaling cascade have in common in its target tissues?
What do insulin receptor activation and initial steps of the intracellular insulin signaling cascade have in common in its target tissues?
Besides fuel sources, which of these also modulates insulin secretion?
Besides fuel sources, which of these also modulates insulin secretion?
What is the primary consequence of insulin binding to its receptor?
What is the primary consequence of insulin binding to its receptor?
What is the immediate effect of the activated receptor's tyrosine kinase?
What is the immediate effect of the activated receptor's tyrosine kinase?
What is the role of the phosphorylated IRS protein in insulin signaling?
What is the role of the phosphorylated IRS protein in insulin signaling?
What type of protein is the insulin receptor?
What type of protein is the insulin receptor?
Where does insulin specifically bind to the insulin receptor?
Where does insulin specifically bind to the insulin receptor?
Which best describes the structure of the insulin receptor?
Which best describes the structure of the insulin receptor?
What is a key feature of the beta-chains of the insulin receptor?
What is a key feature of the beta-chains of the insulin receptor?
What is the molecular weight of the insulin receptor?
What is the molecular weight of the insulin receptor?
What is the function of the glycosylation sites on the insulin receptor?
What is the function of the glycosylation sites on the insulin receptor?
Which of the following events is the last to occur during the early stages of insulin signaling, as described in the content?
Which of the following events is the last to occur during the early stages of insulin signaling, as described in the content?
Flashcards
Blood glucose levels
Blood glucose levels
The primary factor regulating insulin secretion, influencing how much insulin the pancreas releases.
Cephalic phase of insulin secretion
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)
Incretins (GLP-1 & GIP)
Hormones produced by the gut shortly after eating, enhancing insulin secretion.
Incretin effect
Incretin effect
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Glucose-stimulated insulin secretion
Glucose-stimulated insulin secretion
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Glucose tolerance test
Glucose tolerance test
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GLP-1-based diabetes therapies
GLP-1-based diabetes therapies
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Neurotransmitter
Neurotransmitter
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DAG (Diacylglycerol)
DAG (Diacylglycerol)
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ER (Endoplasmic Reticulum)
ER (Endoplasmic Reticulum)
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Voltage-gated Ca2+ channel
Voltage-gated Ca2+ channel
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Protein Kinase C (PKC)
Protein Kinase C (PKC)
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Ca2+ (Calcium ion)
Ca2+ (Calcium ion)
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Ca2+i (Intracellular calcium concentration)
Ca2+i (Intracellular calcium concentration)
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Ca2+-induced Ca2+ release
Ca2+-induced Ca2+ release
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Modulators of insulin secretion
Modulators of insulin secretion
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Glycogenolysis
Glycogenolysis
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Glycogen synthesis
Glycogen synthesis
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GLUT2
GLUT2
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Glycolysis
Glycolysis
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Gluconeogenesis
Gluconeogenesis
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Insulin's Anabolic Role
Insulin's Anabolic Role
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Insulin's Anti-Catabolic Function
Insulin's Anti-Catabolic Function
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Insulin's Electrolyte Regulation
Insulin's Electrolyte Regulation
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Primary Insulin Target Tissues
Primary Insulin Target Tissues
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Insulin's Glucose Uptake Stimulation
Insulin's Glucose Uptake Stimulation
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Insulin's Fatty Acid Regulation
Insulin's Fatty Acid Regulation
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Insulin's Amino Acid Regulation
Insulin's Amino Acid Regulation
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Insulin's Gluconeogenesis Suppression
Insulin's Gluconeogenesis Suppression
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Shared Insulin Signaling Steps
Shared Insulin Signaling Steps
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Insulin's Broad Physiological Impact
Insulin's Broad Physiological Impact
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What is the insulin receptor?
What is the insulin receptor?
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What is the conformational change in the insulin receptor?
What is the conformational change in the insulin receptor?
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How does the insulin receptor get activated?
How does the insulin receptor get activated?
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What is phosphorylation in the insulin signaling pathway?
What is phosphorylation in the insulin signaling pathway?
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What are IRS proteins?
What are IRS proteins?
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Explain the insulin signaling cascade.
Explain the insulin signaling cascade.
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What are the effects of insulin signaling?
What are the effects of insulin signaling?
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What is receptor autophosphorylation?
What is receptor autophosphorylation?
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What is protein kinase activation?
What is protein kinase activation?
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What are the branches of the insulin signaling network?
What are the branches of the insulin signaling network?
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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
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