Insulin
Site of Production
- beta-cells of pancreatic islets
Site of Action
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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