Insulin


Site of Production

  • beta-cells of pancreatic islets

Site of Action

  • fat
  • muscle
  • liver

Synthesis

  • 2-chain peptide hormone
    • synthesised as one proinsulin molecule
    • sulphur bridges appear between A and B chains
    • C peptide then cleaved from middle of proinsulin

Secretion

  • Phases
    • cephalic
    • gastric
    • intestinal
  • Glucose level
    • glut-2 transports glucose into cell
    • cell depolarises
    • insulin released
  • also stimulated by basic amino acids
  • Stimulus-secretion coupling

Actions

  • Acts at membrane-bound receptors with tyrosine kinase activity
    • activates the MAP-kinase pathway
    • regulates the translocation of glucose transporters to the plasma membrane
  • Promotes anabolism 
    • induces storage of excess nutrients and decreased mobilisation of endogenous stores
  • Lowers raised plasma glucose
  • At low concentrations
    • regulates hepatic glucose and fat production
  • At high concentrations:
    • promotes cellular uptake of glucose, amino acids and fatty acids
    • inhibits ketone formation in the liver
    • stimulates glycogen synthesis in skeletal muscle and liver
    • inhibits lipolysis in adipocytes

Disorders

Drugs Affecting

 

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