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A meal causes an increase in glucose
Glucose enters pancreatic B cells through glucose transporters
In pancreatic B cells
Glucose is metabolized, producing additional ATP
B cells have
ATP sensitive potassium channels. When ATP levels rise, potassium channels close
Closing potassium channels
depolarizes the cell, because less K+ is leaving the cell.
Depolarization of the cell
opens voltage-gated calcium channels in the plasma membrane.
Calcium diffuses into the cell
Rise in the intracellular calcium concentration causes insulin containing secretory vesicles to fuse with the B cell membrane
Insulin is released from B cells in the pancrease
Insulin binds to a subunits on the extracellular side of the insulin receptor
Receptor dimerizes
B subunits kinase domain uses ATP to autophosphorylates tyrosine residues on the adjacenet receptor tail. This happens because ATP’s terminal phosphate is transfered on to the hydroxyl group of a tyrosine R group on the receptor tail
Phosphorylates tyrosine receptors
act as docking sites for additional adaptor proteins. IRS binds to the active insulin receptor tail.
When IRS binds
The receptor’s activated tyrosine-kinase domain uses ATP to phosphorylate multiple tyrosine residues on IRS-1.
Phosphorylated IRS
can recruit several signaling protiens and amplify the insulin signal
Activated IRS
is recognized by the regulatory portion of P13K, which binds to IRS-1. This brings P13K close to the inner plasma membrane and its lipid substrate PIP2.
When P13K is recruited to IRS-1
it uses ATP to add a phosphate to PIP2 converting it to PIP3
PIP3 acts as a docking lipid
recruits Akt and kinases that activate AKT
Akt is phosphorylated and becomes active
Akt signals for GLUT4-containing vesicles to move to and fuse with the plasma membrane. This increases the number of GLUT4 transporters available at the cell surface.
GLUT4 provides a hydrophilic pathway through the nonpolar membrane for glucose.
Glucose moves through GLUT4 by facilitated diffusion