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Insulin is classified as an _____.
Anabolic peptide hormone
How is insulin built?
Dimerized chains connected by disulfide bonds
Insulin is encoded by the ___ gene on chromosome __.
INS; 11
How many amino acids in the two insulin chains?
51 amino acids in the two chains that are connected by 2 disulfide bridges
Bovine insulin differs by ___ amino acids.
3
Porcine insulin differs by __ amino acids.
1
Insulin is synthesized as a precursor on the ____ of the pancreatic beta cell
Rough ER (pre-proinsulin)
Insulin is transported to the ____ and the signal sequence is ___, it folds and ____ are formed.Â
ER lumen; cleaved; disulfide bonds (proinsulin)
Insulin leaves ER for the ____ and undergoes _____ cleavage of chain C to form a _____.
Golgi; proteolytic; dipeptide
Insulin and peptide C are complexed by ___ and packed in ____ in preparation for secretion.
Zinc ions; vesicles
The main stimulus of insulin secretion is ________ which is taken up by the _____ of pancreas via _____ transporters.
high blood glucose; beta cells; GLUT2
After insulin is taken up by the beta cells, it is ______ by ______, which acts as a _____.
Phosphorylated; glucokinase; glucose sensor
When glucose is metabolized it generates ___?
ATP
____ levels of ATP ____ potassium efflux through ATP dependent potassium channels in the cell. What is this caused by?Â
High; block
Depolarization
T/F: In insulin release, depolarization opens calcium channels, increasing Ca2+ influx and increasing exocytosis of insulin.
True
Cellular response to insulin is mediated by insulin binding to ____ on target cell surface.
RTK (multiple pathways affected)Â
What increases glucose uptake when the cell responds to insulin?
Akt signaling results in the translocation of GLUT4 to the cell membrane
How is glycogen formation increased as the cell responds to insulin?
PP-1 activation leads to increased glycogen synthase activity → increased glycogen formation
Cellular response to insulin has multiple effects on protein synthesisÂ
What does Ras/IRS-2 signaling pathway activation of transcription factors lead to?
Increased DNA synthesis, cell growth and division
Increased glycolytic, glucogenic and lipogenic enzymes.
What effects does insulin have on the liver?
Inhibits: glycogenolysis, conversion of FA/AA to keto acids, conversion of AA to glucose
Promotes: glucose storage as glycogen (induces glucokinase/glycogen synthase and inhibits glycogen phosphorylase)
Increases: triglyceride, cholesterol synthesis, and VLDL formation
Insulin effect on muscle
Increase: AA transport, protein synthesis, glucose transport, glycogen synthesis
Induces glycogen synthase and inhibits glycogen phosphorylaseÂ
Effects of insulin on adipose tissue
Increase triglyceride storage
Actives lipoprotein lipase
Inhibits hormone sensitive lipase
How is glucagon classified?
Catabolic peptide hormone
T/F: Insulin is smaller than glucagonÂ
False - glucagon is smaller than insulinÂ
Glucagon is a _____ chain with no ______.
Single; disulfide bonds
What gene encodes for glucagon?
Gcg gene on chromosome 2
How many amino acids are in a single chain of glucagon?
29
Glucagon is synthesized as a _____ on the _____ of the pancreatic alpha cell.
Precursor; rough ER (pre-proglucagon)
Pre-proglucagon is transported to the ____ and the single sequence is cleaved to produce ______.
ER lumen; proglucagon
What else is proglucagon produced by?
Intestinal enteroendocrine cells and the brain
In the pancreas, prohormone convertase 2 (PC2) removes portions to make …
Glucagon
In the intestines and brain, prohormone convertase 1/3 (PC1/3) produces ______ peptide 1 and 2 (GLP-1 and GLP-2)
glucagonÂ
What is glucagon secretion triggered by?
Low blood glucose
In glucagon release, glucose is taken up by the ____ cell of pancreas via ____ transporter
alpha; GLUT1
In glucagon release, low levels of ___ block ____ efflux through ATP dependent _____ channels in the cell causing _____.
ATP; potassium; potassium; depolarization
During glucagon release, when the cell is depolarized what is the effect on calcium channels?
Channels open and increase influx of Ca2+ and increase exocytosis of glucagon
T/F: Insulin generates more ATP than glucagon.
True
What mediates the cellular response to glucagon?
G-protein linked receptors on target cell surface (glucagon binds to them)
What activates the pathway during the cellular response to glucagon?
PKA, which leads to phosphorylation of multiple enzymes
Effects of glucagon on liver
Simulates glycogenolysis and gluconeogenesis → induces glycogen phosphorylase and pyruvate carboxylase and inhibits glycogen synthase and pyruvate kinase/PFK-s
Inhibits: glycolysis, gluconeogenesis, FAS (ACC)
Stimulates FAO, ketone metabolism, and AA breakdown
Where does thyroid hormone synthesis take place?
Colloid of the thyroid
What does colloid contain?
Thyroglobulin (Tg)
Thyroglobulin is a large glycoprotein made up of:
Tyrosine residues, other AAs, and carbohydrates
The ____ gene is located on chromosome __ and is stimulated by TSH.
hTg; 8
Translation of the mRNA product occurs on the ___ of the follicular cells, glycosylation occurs in the golgi prior to exocytosis into the colloid
Rough ER
Where is iodide transported to?
Follicular cells via the sodium- iodide symporter (NIS)
T/F: when iodide is transported into the follicular cell, it is a secondary active transport and is coupled to the Na/K ATPase.
True
What does the transport of iodide allow for?
Maintenance of a high [I-] in thyroid vs serum
What is the transport of iodide into follicular cells stimulated by?
TSH and Grave’s antibodies (TSI)
How does iodide enter the colloid?
Passively via pendrin transport protein located on the apical cell surface
Oxidation of iodide to iodine intermediates via hydrogen peroxide is catalyzed by _______.
Thyroid peroxidase enzyme (TPO)
What is TPO?
Membrane bound glycoprotein with a prosthetic heme group
What is TPO production stimulated by?
TSH
Iodine intermediates are incorporated into ________ and form _____.
Thyroglobulin’s tyrosine residues; iodotyrosines
What are the two iodotyrosines?
Mono-iodotyrosine (MIT) and di-iodotyrosine (DIT)
Antibodies to TPO are pathognomonic for ______Â
Hashimoto’s thyroiditisÂ
In Hashimoto’s thyroiditis, antibodies against _____ can also occur
Thyroglobulin (ATA)
Iodotyrosine coupling:
DIT + DIT → Thyroxine (T4)
DIT + MIT → Triiodothyronine (T3) and some rT3
Thyroid hormone is secreted in response to _____ is _____ by follicular cells
TSH colloid; endocytosedÂ
In thyroid hormone secretion, colloid vesicles fuse with ____.
Lysosomes
Lysosomal proteolytic enzymes ____ the thyroglobulin contained within and releases __, __, __, and ___.
Hydrolyze; T3, T4, DIT and MIT
Where do T3, T4, and rT3 go after being relased?
CirculationÂ
What does an abundance of iodine or lithium carbonate interfere with?
Proteolysis
Wolff-Chaikoff Effect is …
A critical level of iodine supplementation is reached and hormone production is inhibited (Down-regulation of TPO mRNA)
T/F: In Wolff-Chaikoff effect, a normal healthy gland can escape hormone suppression via down-regulation of NIS mRNA
True
T/F: People with autoimmune etiology cannot make the adaptation in the Wolf-Chaikoff effect
True
Induction of hyperthyroidism after iodide load and is due to latent Grave’s disease.
Jod-Basedow Effect
Thyroid hormone is transported by _________ that bind the majority of hormones.Â
Carrier proteinsÂ
How much of T4 is thyroid bound? How much is unbound?
99.97%
0.03%
Only free T4 is active
How is T3 circulated?
In its bound form
T/F: Bound T3 is stronger than bound T4.
False, bound T3 is weaker than T4
T/F: T3 is more metabolically active than fT4
True, about 5x more active
What are the thyroid hormone carrier proteins?
Thyroid binding globulin (TBG)
Thyroxin-binding prealbumin
Albumin
How it most T3 produced?
Conversion of T4 in peripheral tissues via deiodinase enzymesÂ
What are the three types of deiodinase enzymes?
Types I, II, III
What are the characteristics of types I and II deiodinase?
They are 5’ deiodinases, they deiodinate the outer ring of T4, and increases activity
What are the characteristics of Type III deiodinase?Â
5’ deiodinase, deiodinates the inner ring, and decreases activity.Â
What do deiodinases do?
5’ deiodinases covert T4 to T3
What cofactor is required for deiodinase enzymes to work?
Selenium
Repletion of ____ Se increases enzyme activity, but if ______ is low, it can worsen the symptoms of ______.
Low; iodine; hypothyroidismÂ
What binds to intracellular receptors in the target tissue when thyroid hormone is released?
Triiodothyronine
When the cell responds to thyroid hormone, the hormone-receptor complex acts in the nucleus as a _______ and it affect the activity of a large number of genes.
Transcription factor
What effect does thyroid hormone have on its target tissue?
Elevates cell/tissue basal metabolic rates
Promotes: carbohydrates over fat for fuel, AA uptake and protein synthesis during cell growth
Affects synthesis, degradation, and intermediate metabolism of lipids