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Insulin
Actions
Receptor

www.medicinemcq.com
Main site of action of insulin

Liver
Also
Muscle
Adipose tissue
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www.medicinemcq.com
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Insulin actions

Stimulates
Glycogenesis
Lipogenesis
Protein synthesis

Inhibits
Glycogenolysis
Lipolysis
Protein breakdown
www.medicinemcq.com
Liver - insulin actions

Decreases glucose output
Decreased gluconeogenesis
Increased glycogen synthesis

Decreases ketogenesis
Muscle Cells And Adipose Cells insulin actions

Markedly increase uptake of glucose
Insulin receptors

Present on virtually all cells
High concentration
Liver
Muscle
Adipose tissue

www.medicinemcq.com
Insulin Receptor

Belongs to tyrosine kinase class
www.medicinemcq.com
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GLUT 4

Glucose transporter
Stimulated by insulin

Muscle
Adipose tissue
www.medicinemcq.com
Half Life

Insulin receptor
7 to 12 hours

Insulin
5 minutes
GLUT 4

Two major insulin target tissues
Skeletal muscle
Adipose tissue

www.medicinemcq.com
www.medicinemcq.com
GLUT 4

Sequestered mainly within an
intracellular compartment
Does not function as a glucose transporter
until insulin signaling causes translocation
of GLUT 4 to the cell membrane

www.medicinemcq.com
Glucose disposal after a meal

Important sites
of glucose disposal
Skeletal muscle and adipose
tissue

www.medicinemcq.com
Glucose disposal after a meal

Important sites
of glucose disposal
Skeletal muscle and adipose tissue
GLUT4
Insulin-responsive
www.medicinemcq.com
Exercise

Muscle
Drives GLUT 4 translocation to the cell surface
By activating MAPK.

www.medicinemcq.com
Exercise increase insulin sensitivity of
muscle

Persists for several hours after exercise
Regular exercise
Prolonged increase in insulin sensitivity
Decrease Insulin Receptors Per Cell

Exposure to increased levels of insulin.
Diabetes type 2
Obesity.
Acromegaly.
Insulin

Secreted only by pancreas

www.medicinemcq.com
Glucose > 70 mg/dL

Stimulate insulin synthesis and insulin
secretion
Food intake
Insulin secretion stimulated
Insulin

Anabolic
Insulin helps in the storage of
Carbohydrate
Fats
Proteins
Insulin Promotes Energy Storage

Conversion of substrates into
Glycogen
Triglycerides
Proteins
Excess carbohydrates

Stored as glycogen
Liver and muscles.

Excess carbohydrates that cannot be stored
as glycogen
Converted into fats

Stored in the adipose tissue.

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