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Ideal blood glucose level
5 mM - controlled by pancreas endocrine excretion of insulin and glucagon
Glucagon is released when blood glucose levels are low
Insulin is released when blood glucose levels are high
Glucagon signaling pathway
Glucagon binds to GPCR receptor
GPCR transmits extracullar signals to heterotrimeric G protein
Activates G alpha GTPase activity, exchanging GDP for GTP
Dissociation of alpha and (beta+gamma) subunits, both of which have downstream targets
G alpha activates Adenylate Cyclase which produces cAMP from AMP
AMP binds to PKA regulatory subunits, forming regulatory dimers, while two catalytic PKA monomers are released
Inhibits glycogen synthesis
Activates glycogen degradation and glucose synthesis
Net glucose export
cAMP PKA binding
PKA exists as a stable R2C2 tetramer. When cAMP is present, two cAMP molecules bind to each R subunit, causing a conformational change which releases the C subunits.
The Free monomer catalytic subunits are then able to bind and phosphorylate target proteins
RTKs
Receptor Tyrosine Kinase
Transmit extracellular signals by ligand activation of an intrinsic tyrosine kinase function in the receptor
The Insulin Receptor
Tetramer linked together by disulfide bonds. Alpha subunits in the insulin binding region and beta subunits in the cytoplasmic tyrosine kinase domains
Insulin Signaling Pathway
One insulin binds to one receptor, causing dimerization
pY - residues autophosphorylated by insulin receptor.
pY - Docking site for IRS, which is then phosphorylated
p-IRS - Docking site for PI-3K (lipid kinase)
PI-3K (activated) phosphorylates PIP2 to form PIP3 which then acts as a docking site for signaling proteins
PIP3 allows PDK1 to dock and phosphorylate Akt which activates PP1.
Leads to Glucose uptake and glycogen synthesis