When does the pancreas release insulin?
When blood glucose levels are > 5.5mM
What happens in the pancreas when blood glucose is < 5.5mM?
What happens in the pancreas when blood glucose is > 5.5mM?
What glucose channels are in the pancreas?
GLUT 2 –> insulin independent channels (passive diffusion)
Where is GLUT 4 found and what is it?
muscle and adipose tissue ONLY
- glucose channels that get inserted into the membrane when the cell is stimulated by insulin (still passive diffusion)
How does glucose from the diet enter the liver?
PORTAL VEIN
How does glucose enter the liver?
GLUT 2 channels (insulin independent)
What is the first thing that happens to glucose when it enters the liver?
HEXOKINASE and GLUCOKINASE phosphorylate it to become G6P to sequester it inside the cell
What are the 3 pathways that G6P can undergo once in the liver?
1) GLYCOLYSIS –> to form pyruvate and then acetyl coA
2) GLYCOGEN SYNTHESIS –> to store (when fed)
3) PENTOPHOSPHATE PATHWAY
–> precursor for membrane lipids and nucleotides
How does glucose enter into muscle cells?
GLUT 4 channels
What happens to glucose when it enters the muscle cell?
HEXOKINASE converts it to G6P
What can happen to G6P once in the muscle cell?
1) GLYCOLYSIS
2) GLYCOGEN SYNTHESIS
What is the difference in glycogen pool in the liver and muscle?
95% in liver and 5% in muscle
What is the difference in glucose fate in the FED or FASTING/EXERCISING state?
FED –> glucose is stored as glycogen via glycogen synthesis
FASTING –> glucose is broken down vis glycolysis to pyruvate -> acetyl coA -> NADH -> ATP
What channels uptake glucose in fat cells (adipocytes)?
GLUT 4
What happens to glucose when it enters fat cells?
HEXOKINASE phosphorylates glucose to G6P and this then goes to acetyl coA –> oxphos or acc fas
In the fasting state what happens in the fat cells?
FA is supplied for energy, not glucose (b/c no glycogen stores here)
What kind of channels are in the kidney? What happens to glucose when it enters?
What kind of channels are in the brain? What happens to glucose when it enters?
What are the 4 stages of energy expenditure?
1) ATP stored in the muscle is used first
2) ATP produced by Creatine Phosphate and ADP
3) glycogen stores in muscle are broken down to provide glucose to be oxidized (anaerobic)
4) ATP is generated by breakdown of glycogen and lipids by aerobic pathways
What inhibits and promotes glycolysis?
(-) –> high ATP, low O2 or low NADH/FADH2
(+) –> low ATP
What is produced by the CAC?
NADH, FADH2 and CO2
What inhibits the CAC?
(-) –> high NADH
What is produced by oxidative phosphorylation?
32 ATP