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SI Session Metabolism Spring 2010 For Dr. Wright’s Bio 6 Class Designed by Pyeongsug Kim ©2010 [email protected] Review your understanding of catabolism and anabolism. Be able to discuss a mechanism by which each of the following affects blood glucose levels (i.e., does it increase or decrease blood sugar, and HOW): Insulin Glucagons Growth hormone/insulin-like growth factors Epinephrine Glucocorticoids Thyroxine Compare and contrast type I and type II diabetes mellitus with respect to: Age of onset Why blood glucose levels are high Is insulin deficient? Recommended treatment Are beta islet cells damaged? How does parathyroid hormone and/or vitamin D3 (1, 25-dihydroxyvitamin D3) affect: Reabsorption of calcium from intestine Reabsorption of calcium in kidneys Resorption of bone (Think: does it tend to put more calcium in the blood, or less?) What are the consequences of having low blood calcium? (review question!) Metabolism : All body’s process that transform energy. Designed by Pyeongsug Kim, ©2010 Chemical reactions in Metabolism: • Anabolism Reactants A + B + energy Product C Form larger molecules + energy • Catabolism Reactant C Products A + B + energy Breaking down into smaller molecules + energy Designed by Pyeongsug Kim, ©2010 *Generally…. High levels due to CATABOLISM. Low levels due to ANABOLISM. Stimulates glycolysis (Catabolism). increase blood glucose. Stimulate glycogenesis(Anabolism). decrease blood glucose. Designed by Pyeongsug Kim, ©2010 The hormones affect Blood glucose levels: Insulin Glucagons Growth hormone Insulin-like growth factors Epinephrine Glucocorticoids Picture from http://www.projectswole.com/diet/how-to-manipulate-insulin-for-fat-loss-and-muscle-gain/ Designed by Pyeongsug Kim, ©2010 Insulin (secreted by Pancreas (Beta cells) ↓ Blood glucose by stimulating… -Cellular uptake of glucose -Conversion of glucose to glycogen and fat. ↑Blood glucose “-lysis”: Breakdown to smaller molecules “-genesis”: Making to a big molecules In Beta cell ↑insulin secretion Glycogenesis _____________: Glucose Glycogen In Alpha cell ↓Glucagon secretion Cells uptake glucose Lipogenesis _____________: Glucose Triglyceride ↓Blood glucose Liver/muscle: Glucose Glycogen Anabolism!! Adipose tissue: Glucose Triglyceride *Insulin is __________ anabolism of carbohydrate and lipids. Designed by Pyeongsug Kim, ©2010 Glucacon (secreted by Pancreas (Alpha cells) ↑ Blood glucose by stimulating… -Making glucose from glycogen and noncarbohydrates (triglyceride and amino acids) -Glycogenolysis(breakdown Glycogen into glucose) in the liver. -Glucogenesis “-lysis”: Breakdown to smaller molecules “-genesis”: Making to a big molecules ↑Blood glucose Glycogenolysis _____________: Glucose ← Glycogen In Beta cell ↓ insulin secretion Gluconeogenesis _____________: Glucose ← Triglyceride(or noncarbohydrate) In Alpha cell ↑ Glucagon secretion ↓ Cells uptake glucose ↑ Blood glucose Liver/muscle: Glucose ← Glycogen Catabolism!! Adipose tissue: Glucose ← Triglyceride Designed by Pyeongsug Kim, ©2010 From Dr. Wright’s Bio6 powerpoint Designed by Pyeongsug Kim, ©2010 ANS system activity in metabolism -Both sympathetic and parasympathetic nerves innervate pancreas -Sympathetic, along with epinephrine, stimulates glucagon secretion increase blood glucose -Parasympathetic stimulates insulin secretion ↑ gastrointestinal activity (digestion) decrease blood glucose Designed by Pyeongsug Kim, ©2010 Growth hormone(GH) -Secreted by A.pituitary glands. -Controlled by GHRH(from hypothalamus) -stimulates growth in children and adolescents. -More secreted GH during stress and fasting in adults. -increased when fasting, stress, low blood glucose and high amino acid by skeletal muscle. Picture from http://adolescents.wordpress.com/ Designed by Pyeongsug Kim, ©2010 Insulin-like Growth factors (IGFs) -”Somatomedians” -Polypeptides(protein) produced by liver or many tissues. -mediators of some of GH actions. Cell division Cartilage and bone growth Protein synthesis in muslce & other organs. -Not mediated of GH actions. Lipolysis decreased glucose utilization. Designed by Pyeongsug Kim, ©2010 Insulin-like Growth factors (IGFs)(Cont’d) From Dr. Wright’s Bio6 powerpoint Designed by Pyeongsug Kim, ©2010 Growth hormone(GH) (secreted by Anterior Pituitary glands) ↑ Blood glucose by stimulating… - ↓cellular glucose uptake; Glycogenolysis in the liver ↓ Blood glucose ↑ amino acid in Blood e.g. fasting ↑GnRH in Hypothalamus In liver ↑Glycogenolysis ↑GH in Anterior pituitary ↓ Cells uptake glucose ↑ Blood glucose Muscle and other organ: Protein← amino acids ↓ amino acid in Blood Adipose tissue: fatty acids← Triglyceride ↑ fatty acids in Blood Designed by Pyeongsug Kim, ©2010 *Insulin is __________ anabolism of carbohydrate and lipids. Hormones for catabolism of carbohydrates and lipids Glucagon Growth hormone(GH) Epinephrine Glucocorticoids, Thyroxine *However, GH and Thyroxine promotes protein synthesis anabolism of protein. Designed by Pyeongsug Kim, ©2010 Epinephrine Increase in stress. Produced in adrenal medulla ↑ Blood glucose by stimulating… -release glucose from liver (Glycogenesis) -Gluconeogenesis(making glucose from noncarbohydates) Glucocorticoids -Produced in adrenal cortex -Controlled by ACTH -Increased during prolonged fasting or exercise ↑Blood glucose by stimulating… - ↓cell glucose utilization -Gluconeogenesis(making glucose from noncarbohydates) ↑Lipolysis ↑protein breakdown in muscle. Designed by Pyeongsug Kim, ©2010 Thyroxine(T4) (secreted by thyroid follicles) -Secreted in thyroxine by TSH. -response to low ATP -Increase cell respiration (to make more ATP) ↑ glucose utilization increase metabolic heat as a result of cell respiration. Cold adaptation!! -participate in body growth and CNS in children. ↑ protein synthesis ↑ BMR(Basal metabolic rate) -Both hypothyroidism and hyperthyroidism Cause muscle wasting(protein breakdown) -No direct in lipid metaolism. A person with hypothyroidism cannot stand being cold. Picture from http://abbeygracepink.com/?p=185 Designed by Pyeongsug Kim, ©2010 Thyroxine(T4) (cont’d) -act on nearly every cell in the body. -participate in catabolism of carbohydrates and lipids -Tend to elevate blood glucose. -participate in protein synhesis. “T4 and T3 tend to ELEVATE PLASMA GLUCE and potentiate the effects of other HYPERGLYCEMIC hormones..ie.. NE, E, cortisol, glucagon, and GH” Designed by Pyeongsug Kim, ©2010 Designed by Pyeongsug Kim, ©2010 Diabetes onset Symptoms Proportion Ketoacidosis? Obesity Beta cells damaged? Insulin secreted? Immunity to islets MHC association Treatment? Type 1 < 20 years Rapid 10% Common rare Yes Decreased Yes Yes Insulin Type 2 > 40 years Slow 90% Rare common No May be increased No ? Diet, exercise, medication From Dr. Wright’s slide Vitamin D3 (VD3)(1, 25-dihydroxyvitamin D3) -Produce in the skin from sunlight so, fall VD3 production during winter -PTH(parathyroid hormone) increase VD3 hormones -Increase Ca2+ in blood by..... Reabsorption of calcium from intestine Reabsorption of calcium in kidneys Reabsorption CaPO4 crystals of bone In case of high calcium but normal phosphate VD3 – ↑reabsorption of phosphate and ↑reabsorption of calcium in the kidney. PTH - ↓reabsorption of phosphate and ↑reabsorption of calcium in the kidney. See table 19.7 Endocrine regulation of Ca and phosphate balance Designed by Pyeongsug Kim, ©2010 Calcium levels regulated by hormone- ______________ calcitonin & PTH ________ Calcitonin - inhibits dissolution of bone - stimulates excretion of Ca2+ in urine therefore, (lower/rise) Ca2+ level in blood. _____ PTH -increase resorption in bone. -increase absorption in small intestine. -increase absorption in kidney. therefore, (lower/rise) Ca2+ level in blood. Designed by Pyeongsug Kim, ©2010 When blood Ca2+ level rises…. Negative feedback! Designed by Pyeongsug Kim, ©2010 When blood Ca2+ level falls…. Negative feedback! Designed by Pyeongsug Kim, ©2010 Consequences of having low blood calcium -Result from inadequate amount of VD3 or low PTH ↓Reabsorption Ca2+ from bone, kidneys, and intestine ↓ Blood Ca2+ Bone demineralization to increase Blood Ca2+ Osteomalacia, Osteoporosis rickets(in children) Bone demineralization – loss calcium from the bone Bone mineralization – deposit calcium into the bone Designed by Pyeongsug Kim, ©2010