Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones –...

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Blood Sugar Regulation

Transcript of Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones –...

Page 1: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Blood Sugar Regulation

Page 2: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Pancreas

Page 3: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Pancreas

Page 4: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

PancreasTwo cell types to produce:

1. digestive enzymes – exocrine glands (acini)

2. hormones – islets of Langerhans

1 – 2% of pancreas are the islets of Langerhans

Page 5: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Islets of LangerhansTwo hormones are produced:

1. insulin – beta (β) cells

2. glucagon – alpha (α) cells

blue = cell nucleigreen = insulinred = glucagon

Page 6: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Hormone Structureinsulin

peptide hormone

glucagonpeptide hormone

Insulin and glucagon are referred to as antagonistic hormones.

Page 7: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

GlycogenA glucose polymer

made up of many glucose subunits

“Storage form of glucose”

Stored within liver and muscle

Page 8: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Action of Insulinc

Beta cells ofpancreas are stimulatedto release insulininto the blood.

Insulin

Liver takesup glucoseand stores itas glycogen.

Body cellstake up moreglucose.

Blood glucose leveldeclines to set point;stimulus for insulinrelease diminishes.

STIMULUS:Rising blood glucose

level (for instance, aftereating a carbohydrate-

rich meal)

Homeostasis:Blood glucose level

(about 90 mg/100 mL)

Blood glucose levelrises to set point;

stimulus for glucagonrelease diminishes.

STIMULUS:Dropping blood glucoselevel (for instance, after

skipping a meal)

Page 9: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Example of Insulin’s Effect on Body Cells - Muscle Cell

Insulin Receptors

Insulin

GLUT 4 Protein Vesicles

GLUT 4 Transporters (proteins that transport glucose across plasma membrane)

Signal Transduction Pathway

Exocytosis

Glucose

OUTSIDE CELL

INSIDE CELL

Page 10: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

When is insulin released? after eating

hyperglycemia

beta cellscellular signals for

insulin releasedecreased blood

sugar

increased glucose uptake

glycogen production in liver

Page 11: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Liver takesup glucoseand stores itas glycogen.

Blood glucose leveldeclines to set point;stimulus for insulinrelease diminishes.

STIMULUS:Rising blood glucose

level (for instance, aftereating a carbohydrate-

rich meal)

Homeostasis:Blood glucose level

(about 90 mg/100 mL)

Blood glucose levelrises to set point;

stimulus for glucagonrelease diminishes.

STIMULUS:Dropping blood glucoselevel (for instance, after

skipping a meal)

Alpha cells of pancreasare stimulated to releaseglucagon into the blood.

Liver breaksdown glycogenand releasesglucose intoblood.

Glucagon

Action of Glucagon

Page 12: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

What does glucagon do? breaks down glycogen

hypoglycemia

alpha cellscellular signals for glucagon release

increased blood sugar

glucose release from liver

glucose production in liver

Page 13: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Diabetes Mellitus – Type Ialso known as juvenile diabetes or

insulin-dependent diabetes

Causeimmune system attacking insulin-

producing beta cellsno insulin production

Symptomsincreased thirst, hunger and

urination

Treatmentdaily dosage of insulin

Page 14: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Diabetes Mellitus – Type IIalso known as adult-onset diabetes

or non-insulin-dependent diabetes

CausePoor diet, lack of exercise

Excess glucose in the blood for a long period of time causes the pancreas to become overworked and tired

Beta cells produce some, but not enough insulin (deficiency)

A reduction in the number of functional insulin receptors

reduced responsiveness of cells to insulin = insulin resistant

Symptomsincreased thirst, hunger and urinationfatigue / lethargy

Page 15: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.
Page 16: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Type II DiabetesTreatmentmaintain

healthy diet and frequent exercise

medication only upon progression of disease state

Regular exercise can reduce and stop symptoms

Insulin GLUT 4 Protein Vesicles

Exocytosis

Exercise GLUT 4 Protein Vesicles

Insulin GlucoseGlucose

Page 17: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Canadian ConnectionFrederick Banting & Charles

BestNobel Prize – 1923insulin isolation

tied off ducts to digestive tract

cell producing digestive enzymes shrivelled

only islets of Langerhans remained

Page 18: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Video TestimoniesUniversity of Alberta

developed islet cell transplant method

Islet Transplant Animation

Photo Journal

News Feature

Page 19: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Stress Regulation

Page 20: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Adrenal Glands

adrenal – “next to” the renal system

Two main sections:

1. adrenal cortex long-term stress

2. adrenal medulla short-term stress

Page 21: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Adrenal CortexLong-term stress sends ACTH (adrenocorticotropic

hormone)

Anterior pituitary adrenal cortex

Adrenal cortex produces two types of hormones:1. glucocorticoids2. mineralcorticoids

ACTH

Page 22: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

1. Glucocorticoidsclass of steroid hormones for glucose regulationspecific example: cortisol

What happens when you’re stressed out?glucose not taken in by musclesamino acids made into glucosefat tissue broken down for energy

Page 23: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

2. Mineralcorticoidsclass of steroid hormones for mineral regulationspecific example: aldosterone

What happens when you’re stressed out?blood pressure rises due to increase sodium & H2O

reabsorption in kidneys

Page 24: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Adrenal MedullaShort-term stress detected by hypothalamus

Produces two hormones:

1. epinephrine (adrenaline)

2. norepinephrine (noradrenaline)

both compounds are examples of catecholamines, which are also neurotransmitters

Page 25: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Hormone Structuresepinephrine

hydrophilic

norepinephrinehydrophilic

Page 26: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Flight-or-Fight Response

What’s your response?increased heart rateincreased breathingblood vessel dilation more O2 deliveryiris dilation collect maximum visual

information

these responses are induced by catecholamine release

Page 27: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Spinal cord(cross section)

Nervesignals

Nervecell

Releasinghormone

Stress

Hypothalamus

Anterior pituitary

Blood vessel

ACTH

Adrenalgland

Kidney

Adrenal medullasecretes epinephrineand norepinephrine. Adrenal cortex

secretesmineralocorticoidsand glucocorticoids.

Effects of epinephrine and norepinephrine:

1. Glycogen broken down to glucose; increasedblood glucose

2. Increased blood pressure

3. Increased breathing rate

4. Increased metabolic rate

5. Change in blood flow patterns, leading to increased alertness and decreased digestive and kidney activity

Effects ofmineralocorticoids:

1. Retention of sodiumions and water bykidneys

2. Increased bloodvolume and bloodpressure

Effects ofglucocorticoids:

1. Proteins and fatsbroken down andconverted to glucose,leading to increasedblood glucose

2. Immune system maybe suppressed

(b) Long-term stress response(a) Short-term stress response

Nerve cell

Page 28: Pancreas Two cell types to produce: 1. digestive enzymes – exocrine glands (acini) 2. hormones – islets of Langerhans 1 – 2% of pancreas are the islets.

Classwork/HomeworkSection 8.2 – Pg. 383 #1-8,9