Insulin Synthesis and Secretion Quiz
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Questions and Answers

Which organelle is responsible for the synthesis of insulin in pancreatic β cells?

  • Golgi apparatus
  • Endoplasmic reticulum (correct)
  • Mitochondria
  • Nucleus
  • What is the role of C-peptide in insulin secretion?

  • It is equally secreted with insulin (correct)
  • It is cleared by the liver and kidneys
  • It is stored in secretory granules
  • It is responsible for exocytosis of insulin
  • Which organ is involved in the clearance of insulin from the body?

  • Pancreas
  • Spleen
  • Liver (correct)
  • Kidneys
  • Which molecule is equally secreted with insulin in endogenous insulin secretion?

    <p>C-peptide</p> Signup and view all the answers

    Where is proinsulin stored before it is cleaved into insulin and C-peptide?

    <p>Secretory granules</p> Signup and view all the answers

    Which molecule is lacking in exogenous insulin?

    <p>C-peptide</p> Signup and view all the answers

    Which tissue does insulin primarily stimulate glucose uptake into?

    <p>Muscle</p> Signup and view all the answers

    Which of the following is NOT an anabolic effect of insulin?

    <p>Lipolysis</p> Signup and view all the answers

    Which glucose transporter is predominantly expressed in adipose tissue?

    <p>GLUT4</p> Signup and view all the answers

    Which glucose transporter is bidirectional and found in β islet cells and the liver?

    <p>GLUT2</p> Signup and view all the answers

    Which organ primarily utilizes ketone bodies during starvation?

    <p>Brain</p> Signup and view all the answers

    Which glucose transporter is predominantly expressed in RBCs?

    <p>GLUT1</p> Signup and view all the answers

    Which glucose transporter is responsible for fructose uptake?

    <p>GLUT5</p> Signup and view all the answers

    Which glucose transporter is predominantly expressed in the brain and placenta?

    <p>GLUT3</p> Signup and view all the answers

    Which glucose transporter is responsible for Na+-glucose cotransport in the kidney and small intestine?

    <p>SGLT1/SGLT2</p> Signup and view all the answers

    Which organs/tissues are classified as BRICK LIPS?

    <p>Liver, Islet (β) cells, Placenta, Spermatocytes</p> Signup and view all the answers

    Which glucose transporter is predominantly expressed in skeletal muscle and adipose tissue?

    <p>GLUT4</p> Signup and view all the answers

    Which glucose transporter is responsible for glucose uptake in RBCs, brain, and placenta?

    <p>GLUT1</p> Signup and view all the answers

    Which glucose transporter is responsible for fructose uptake in spermatocytes and the GI tract?

    <p>GLUT5</p> Signup and view all the answers

    Which glucose transporter is bidirectional and found in β islet cells and the liver?

    <p>GLUT2</p> Signup and view all the answers

    Which organ primarily utilizes ketone bodies during starvation?

    <p>Brain</p> Signup and view all the answers

    Which molecule is lacking in exogenous insulin?

    <p>C-peptide</p> Signup and view all the answers

    Where is proinsulin stored before it is cleaved into insulin and C-peptide?

    <p>Pancreatic β cells</p> Signup and view all the answers

    Which glucose transporter is responsible for Na+-glucose cotransport in the kidney and small intestine?

    <p>SGLT1/SGLT2</p> Signup and view all the answers

    What is the role of C-peptide in insulin secretion?

    <p>It is a byproduct of proinsulin cleavage</p> Signup and view all the answers

    Which organelle is responsible for the synthesis of insulin in pancreatic β cells?

    <p>Endoplasmic reticulum</p> Signup and view all the answers

    Which molecule is the major regulator of insulin release?

    <p>Glucose</p> Signup and view all the answers

    What is the role of incretins in insulin response?

    <p>Incretins stimulate insulin release from beta cells</p> Signup and view all the answers

    Which channels are targeted by sulfonylureas to affect insulin release?

    <p>Potassium channels</p> Signup and view all the answers

    What happens when glucose enters beta cells?

    <p>ATP is generated from glucose metabolism</p> Signup and view all the answers

    Which hormone is primarily responsible for gluconeogenesis, lipolysis, and proteolysis?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone upregulates α1-receptors on arterioles and increases sensitivity to norepinephrine and epinephrine?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone binds to mineralocorticoid (aldosterone) receptors at high concentrations?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone inhibits production of leukotrienes and prostaglandins, inhibits WBC adhesion, and blocks histamine release from mast cells?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is responsible for insulin resistance and diabetogenic effects?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is involved in the regulation of the HPA axis?

    <p>CRH</p> Signup and view all the answers

    Which hormone stimulates ACTH release from the pituitary gland?

    <p>CRH</p> Signup and view all the answers

    Excess secretion of which hormone can lead to prolonged cortisol secretion and cortisol resistance?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone can cause reactivation of TB and candidiasis when administered exogenously?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is responsible for poor wound healing, decreased collagen synthesis, and increased striae formation?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is primarily responsible for gluconeogenesis, lipolysis, and proteolysis?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone inhibits production of leukotrienes and prostaglandins, inhibits WBC adhesion, and blocks histamine release from mast cells?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is involved in the regulation of the HPA axis?

    <p>ACTH</p> Signup and view all the answers

    Which hormone is responsible for insulin resistance and diabetogenic effects?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone is responsible for poor wound healing, decreased collagen synthesis, and increased striae formation?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone binds to mineralocorticoid (aldosterone) receptors at high concentrations?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone upregulates α1-receptors on arterioles and increases sensitivity to norepinephrine and epinephrine?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone can cause reactivation of TB and candidiasis when administered exogenously?

    <p>Cortisol</p> Signup and view all the answers

    Which hormone stimulates ACTH release from the pituitary gland?

    <p>CRH</p> Signup and view all the answers

    Excess secretion of which hormone can lead to prolonged cortisol secretion and cortisol resistance?

    <p>Cortisol</p> Signup and view all the answers

    Which signaling pathway is associated with vasodilation and diuresis?

    <p>cAMP pathway</p> Signup and view all the answers

    Which hormone binds to the V2-receptor of ADH?

    <p>hCG</p> Signup and view all the answers

    Which signaling pathway is associated with intracellular receptors?

    <p>Receptor tyrosine kinase pathway</p> Signup and view all the answers

    Which hormone is responsible for poor wound healing, decreased collagen synthesis, and increased striae formation?

    <p>Cortisol</p> Signup and view all the answers

    Which signaling pathway is associated with the JAK/STAT pathway?

    <p>JAK/STAT pathway</p> Signup and view all the answers

    Which hormone binds to the H1-receptor of Histamine?

    <p>ADH</p> Signup and view all the answers

    Which hormone binds to the V1-receptor of ADH?

    <p>ADH</p> Signup and view all the answers

    Which hormone binds to the mineralocorticoid (aldosterone) receptors at high concentrations?

    <p>Cortisol</p> Signup and view all the answers

    Which signaling pathway is associated with the MAP kinase pathway?

    <p>MAP kinase pathway</p> Signup and view all the answers

    Which hormone binds to the V2-receptor of ADH?

    <p>ADH</p> Signup and view all the answers

    Study Notes

    Insulin Synthesis and Secretion

    • Insulin synthesis occurs in the rough endoplasmic reticulum of pancreatic β cells.
    • C-peptide is released during the cleavage of proinsulin and plays a role in the regulation of insulin secretion.
    • The liver is primarily responsible for the clearance of insulin from the bloodstream.
    • Both insulin and C-peptide are secreted endogenously from pancreatic β cells.
    • Proinsulin is stored in secretory granules before being cleaved into insulin and C-peptide.
    • Exogenous insulin lacks C-peptide, distinguishing it from endogenous insulin.

    Insulin Function and Glucose Transporters

    • Insulin primarily stimulates glucose uptake in muscle and adipose tissues.
    • The glucose transporter predominantly expressed in adipose tissue is GLUT4.
    • GLUT2 is bidirectional, located in β islet cells and the liver, facilitating glucose transport in both directions.
    • The brain primarily utilizes ketone bodies during starvation.
    • Red blood cells express GLUT1 predominantly for glucose uptake.
    • GLUT5 is responsible for fructose uptake, particularly in the intestines and spermatocytes.
    • GLUT1 is also the primary glucose transporter in the brain and placenta.
    • SGLT1 mediates Na+-glucose cotransport in the kidney and small intestine.
    • The acronym BRICK LIPS refers to organs/tissues involved in glucose uptake: Brain, Red blood cells, Intestine, Kidney, Liver, Islets of Langerhans, and Skeletal muscle.

    Hormonal Regulation and Effects

    • Major regulators of insulin release include glucose levels in the blood.
    • Incretins enhance the insulin response post-meal by stimulating β-cells.
    • Sulfonylureas target KATP channels to increase insulin release from β cells.
    • When glucose enters β cells, it triggers depolarization and subsequent insulin release.

    Hormonal Actions and Interactions

    • Glucagon is primarily responsible for gluconeogenesis, lipolysis, and proteolysis.
    • Norepinephrine and epinephrine sensitivity is increased by hormones that upregulate α1-receptors on arterioles.
    • Cortisol binds to mineralocorticoid receptors at high concentrations, affecting various metabolic processes.
    • Anti-inflammatory hormones inhibit leukotriene and prostaglandin production, blocking histamine release from mast cells.
    • Insulin resistance and diabetogenic effects are attributed to excess cortisol.
    • The HPA axis regulation involves several hormones, including ACTH, which is stimulated by corticotropin-releasing hormone.
    • Prolonged secretion of cortisol can lead to cortisol resistance, impacting metabolism and immune response.
    • Exogenous administration of glucocorticoids may reactivate conditions like tuberculosis and candidiasis.

    Signaling Pathways

    • The signaling pathway associated with vasodilation and diuresis is linked to the activity of nitric oxide.
    • ADH binds to the V2 receptor to promote water reabsorption in the kidneys.
    • Certain hormones operate through signaling pathways involving intracellular receptors or the JAK/STAT pathway.
    • The MAP kinase pathway is associated with several hormones that influence cell proliferation and differentiation.
    • The H1 receptor binds histamine, playing a role in inflammatory responses.

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    Description

    Test your knowledge on insulin synthesis and secretion with this quiz. Learn about the steps involved in insulin production, including the synthesis of proinsulin, cleavage processes, and the role of C-peptide. Explore the differences between endogenous and exogenous insulin secretion.

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