100% de satisfacción garantizada Inmediatamente disponible después del pago Tanto en línea como en PDF No estas atado a nada 4,6 TrustPilot
logo-home
Notas de lectura

Lecture notes Endocrinology Pancreas (BI2BEE4)

Puntuación
-
Vendido
-
Páginas
5
Subido en
07-08-2022
Escrito en
2019/2020

The sixth lecture in a series for the module Endocrinology. This lecture covers the basics of the pancreas, it's function, related conditions and more. A great way to start your understanding of the module or to miss a lecture or two.

Mostrar más Leer menos
Institución
Grado









Ups! No podemos cargar tu documento ahora. Inténtalo de nuevo o contacta con soporte.

Escuela, estudio y materia

Institución
Estudio
Desconocido
Grado

Información del documento

Subido en
7 de agosto de 2022
Número de páginas
5
Escrito en
2019/2020
Tipo
Notas de lectura
Profesor(es)
Dr phil knight
Contiene
Todas las clases

Temas

Vista previa del contenido

15.11.19


L6 – Pancreatic hormones
Keywords:
Hypertrophy (cellular thickening), endocrine,
exocrine, lipogenesis (formation of lipids to be
stored as fat when blood glucose is high), lipolysis
(degradation of lipids when blood glucose is low to
form FAs), fed state (insulin dominates), fasted
state (glucagon dominates), cachexia (wasting
caused by chronic illness), hypertrophy (increase
in cell size), atherosclerotic vascular disease (build
up of plaque in arteries/veins leading to heart
failure/stroke), retinopathy (eye complications),
Heterotetramer (protein w/4 non-covalently bonded unidentical subunits)


Lecture:
 The Pancreas
o Exocrine (digestive enzymes)
o Endocrine (islet cells → hormones)
o Ngn3 controls pancreatic endocrine cell development
 Deficiency = No pancreatic cells will be produced
 Islets of Langerhan cells
o Insulin (β cells – inner cells, most numerous)
 Lowers blood glucose
o Glucagon (α cells – outer cells)
 Increases blood glucose
o Somatostatin (δ (delta) cells)
o Pancreatic polypeptide (F cells)
 Inhibits gallbladder contraction and pancreatic exocrine secretion
o Ghrelin (ε (epsilon) cells)
 Inhibits GH and controls appetite
 Insulin discovery
o 1889 Minkowski – pancreatectomy in dogs
o 1921 Banting and Best – insulin extracted from dogs pancreas to ↓ glucose
 Regress exocrine to stop degradation of extracted pancreas to collect insulin
o 1955 Sanger – primary structure found
o 1969 Hodgkins – peptide 3D structure found in x-ray crystallography
o 1920s – purified insulin to treat diabetes
o Now – recombinant insulin synthesized
 Insulin structure
o Pre-proinsulin (RER) -hydrolysis→ proinsulin hexamers -cleaved by PC1/3-> mature
insulin + C peptide in granule → ↑↑ATP = Ca release → granule + Ca = exocytosis
 Mature = A and B chains connected by disulfide bonds (51 AAs)
 Mutates in PC1/3 = diabetes and sec hypoadrenalism (cleaves to form ACTH)

, 15.11.19


o Insulin stored as proinsulin hexamers (synth in golgi) w/ 6 molecules to 1 Zn core in
β cell secretary granules
 Insulin receptor
o Heterotetrametric = 2α subunits (crosslinked w/disulfide bonds on outside) and 2β
(intermembrane protein subunit) and β changes structure when insulin binds to
extracellular α units which allows ATP to bind to intracellular β = phosphorylation to
activate tyrosine kinase domains
o Activated tyrosine kinase allows phosphorylation of other intracellular proteins and
allows ↑ uptake of glucose/transporters in CM
 Action summary of insulin (main sites of action)
o Lowers blood glucose (pulsatile)
 Β cells -insulin→ portal vein
 First intense phase of release (mins) then less intense
o Muscle (glucose uptake via GLUT4 (transporter in muscle) to ↑ glycogen synth,
protein synth, stops protein degradation and allows AA→cell)
o Liver (↑ glycogen synth, lipogenesis and ↓ gluconeogenesis)
 Removes 60% of insulin from blood (portal vein 3 folds higher in conc than
anywhere else)
o Adipose (↑ glucose transport (via GLUT4 transporter), ↑ lipogenesis (FA→
lipids/fats) and ↓ lipolysis)
 GLUT-4 and the movement of glucose into cells
o GLUT-4 identifies glucose outside cell
o Glucose -glucokinase (glycolysis)→ ATP
o ATP closes K channel (cannot leave) = depo of memb
o ↑Ca2+ by opened VSGC proteins = granular insulin release via exocytosis
 Insulin effects on fuels (fats, glycogen and proteins)
o Storage = ↓ levels in
 serum glucose
 free fatty acids
 ketoacids
 AA
o BBB allows glucose to pass though from ECM = needs to be ↑ reg
 Carbohydrate use (and stop breakdown)
o Upreg of GLUT4 in muscles/adipose = ↑ uptake of glucose by exocytosis and fusing
membranes with the PM to attach GLUT4
 Reverse endocytosis if down regulated required
 Reg of insulin on liver cells
 Reg of insulin secretion
o Nutrients (glucose/AAs)
o Glucose – GLUT 2 diffuse→ β cells
o Glucose -glucokinase→ produce ATP
o ATP + K+ channel inhibited = accumulation of K+ = depolarised cell
o Voltage sensitive Ca2+ channels open and it flows in and insulin released from storage
granules (glucose stim uptake of insulin)
o Sulphonyl-urea receptor activated also means that the cell depolarises
 Neural regs of insulin
$11.71
Accede al documento completo:

100% de satisfacción garantizada
Inmediatamente disponible después del pago
Tanto en línea como en PDF
No estas atado a nada

Conoce al vendedor
Seller avatar
robbieseal

Documento también disponible en un lote

Conoce al vendedor

Seller avatar
robbieseal University of Reading
Seguir Necesitas iniciar sesión para seguir a otros usuarios o asignaturas
Vendido
2
Miembro desde
3 año
Número de seguidores
1
Documentos
32
Última venta
3 año hace

0.0

0 reseñas

5
0
4
0
3
0
2
0
1
0

Recientemente visto por ti

Por qué los estudiantes eligen Stuvia

Creado por compañeros estudiantes, verificado por reseñas

Calidad en la que puedes confiar: escrito por estudiantes que aprobaron y evaluado por otros que han usado estos resúmenes.

¿No estás satisfecho? Elige otro documento

¡No te preocupes! Puedes elegir directamente otro documento que se ajuste mejor a lo que buscas.

Paga como quieras, empieza a estudiar al instante

Sin suscripción, sin compromisos. Paga como estés acostumbrado con tarjeta de crédito y descarga tu documento PDF inmediatamente.

Student with book image

“Comprado, descargado y aprobado. Así de fácil puede ser.”

Alisha Student

Preguntas frecuentes