Hormonal Regulation of Blood Glucose Levels

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Created by:

fraittrain  on January 4, 2011

Subjects:

merp medical biochemistry

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Brief Overview of Hormonal Regulation of Blood Glucose Levels

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Hormonal Regulation of Blood Glucose Levels

What is the predominant tissue involved in RESPONDING to signals that indicate reduced or elevated blood glucose levels?
Liver
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What is the predominant tissue involved in RESPONDING to signals that indicate reduced or elevated blood glucose levels? Liver
What cells secrete insulin? What is insulin's primary role? beta cells of the islets of Langerhans; it is the ONLY hormone that lowers blood glucose. Elevated blood glucose triggers release of insulin from pancreatic beta islet cells.
How does insulin alter the metabolic pathways of glucose metabolism? enhances the synthesis of glycogen, lipid & protein while inhibiting the breakdown of glycogen
In what form is insulin synthesized? It is synthesized as a precursor called preproinsulin, a single chain polypeptide. Proinsulin is a further edited rendition (N-terminal signal sequence removed) made up of B chain, C chain & A chain. The C peptide (C chain) is cleaved out to form insulin.
Where is preproinsulin stored after synthesis? In vesicles in the beta islet cells of the pancreas
Describe how insulin ends up being released from the beta islet of Langerhans cells? Describe the role of Calcium.Excess blood glucose. Glucose flows into the beta cells via GLUT 2 & 4, glycolysis-TCA-ETC takes place, dramatically increasing intracellular concentration of ATP. Increase in intracellular ATP blocks ATP dependent K+ channels (KATP), leading to depolarization of cell, leading to opening of voltage gated calcium channels permitting inflow of Ca2+. Ca2+ can attach onto preproinsulin vesicles causing them to fuse w/ the PM. Ca2+ can also bind to CREB (Calcium Responsive Element Binding Protein) on DNA to upregulate transcription & translation of insulin gene.
What is the role of GLP-1 (Glucagon-like protein 1) in insulin secretion? When is it released and what is its effect on insulin secretion? It is aka incretin. It upregulates insulin secretion. Mucosal cells produce it during periods of carbohydrate absorption (blood is about to be flooded w/ glucose). It is a secretagogue - a substance that causes the release of something else & is an example of an insulinotropic peptide - "insulin-loving" peptide.
What does GLP-1 inhibit? inhibits glucagon secretion from the α-cells of the pancreas, inhibits gastric emptying, lowers food intake [we have enough nrg!], stimulates neogenesis and proliferation of β-cells and inhibits apoptosis of β-cells [insulin is needed].
What is the role of insulin in its own secretion? Insulin activates the secretion of its own gene as well as the beta islet cell glucokinase gene - beta cell glucokinase increases the rate of glycolysis. This means higher ATP levels, KATP shutdown etc etc... more insulin secretion & production!

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