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pancreas
The ________ is both an exocrine and endocrine organ
insulin
glucagon
somatostatin
pancreatic polypeptide
What are the four hormones the pancreas secretes into the bloodstream?
islet of Langerhans
function endocrine cells are clustered together in spherical ______ of which the pancreas contains approximately one million.
Beta cells
Alpha cells
Delta cells
What are the three major cell types in the islets?
beta cells
_______ occupy the central portion of the islet and produce insulin
alpha cells
What cells produce glucagon?
delta cells
What cells secrete somatostatin?
alpha and delta
What two cells surround beta cells in an islet?
glucagon
Secreted by alpha cells when insulin levels fall—during fasting between meals
hypoglycemia (blood sugar <1mg/ml)
Most potent stimulus for secretion
hypoglycemia
decreasing insulin
amino acids
sympathetic stimulation
Stimuli for secretion of glucagon
somatostatin and fatty acids
Glucagon is inhibited by ______ and ______.
liver
Glucagon primarily acts on the _____ to increase and maintain blood glucose during times of fasting. - an antagonist
proglucagon
Glucagon is a peptide hormone synthesized as ________ and then processed into the 29-residue glucagon in the alpha cells.
false
T/F: synthesis of glucagon is inhibited by insulin and somatostatin acting in an endocrine fashion
Glucose enters the alpha cells through a glucose (Glut1) transporter and undergoes glycolysis to produce ATP
First step in the secretion of glucagon
The ATP level in the alpha cell reflects the plasma glucose level
Second step in the secretion of glucagon
Hypoglycemia reduces ATP and causes the closing of ATP-sensitive K+ channels depolarizing the membrane
Third step in the secretion of glucagon
The opening of Ca++ channels and the influx of Ca++, triggers exocytosis of the hormone from storage vesicles
Last step in the secretion of glucagon
Kidneys
Heart
Adrenal Glands
GI Tract
Pancreas
Where is glucagon found in lesser amounts outside of the liver?
true
T/F: Glucagon main signaling involves G-protein activation which activates adenylyl cyclase to produce cAMP and protein kinase C, which activate downstream enzymes
receptor-mediated endocytosis
proteolysis by cellular enzymes
Glucagon signaling is inactivated by:
4-7 minutes
Glucagon’s half-life
increasing glycogenolysis, inhibiting glycogenesis and glycolysis
stimulating de novo glucose synthesis (gluconeogenesis)
during long fasts, allows glycolysis to deplete stored glycogen and gluconeogenesis take over
Glucagon increases hepatic glucose production and release to the bloodstream by:
glycogenolysis (glycogen breakdown to release glucose from the liver)
gluconeogenesis (liver converting amino acids or fats to glucose then bloodstream)
sparing of glucose for CNS
What are the main metabolic effects of glucagon?
14; 28
Somatostatin is a cyclic peptide with two isoforms, one with _____ amino acid residues and one with _____.
G-protein coupled receptors
Somatostatin acts on target cells by binding to ____________ to regulate parts of the endocrine system.
inhibiting release of both insulin and glucagon (paracrine)
Somatostatin acts in the islets of the pancreas by:
inhibiting release of growth hormone, thyroid stimulating hormone (TSH), and corticotropin from the anterior pituitary
Somatostatin acts in the hypothalamus by:
inhibiting gastrin secretion from the stomach
Somatostatin acts in the GI tract by:
inhibiting secretion of T3, T4, and calcitonin
Somatostatin acts in thyroid by:
inhibiting aldosterone secretion
Somatostatin acts in the adrenal gland by:
1-3 minutes
Half life of somatostatin:
anti-neoplastic effects on tumors and against acromegaly
What is somatostatin’s clinical use?
Pancreatic polypeptide (PP)/PP cells of islets of langerhans of pancreas
Endogenous peptide hormone secreted by F cells
inhibition of gastric emptying as well as biliary secretion
The primary role of PP is to modulate digestion of food by __________.