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Cellular Uptake of Glucose. Cellular Uptake of Glucose. 1.) Gradient usually exists ECF>ICF (HK keeps ICF low). 80-110 mg/dl euglycemia < 45 mg/dl hypoglycemia > 150-200 mg/dl after CHO meal (ie, below T max ) > 300-600 mg/dl uncontrolled diabetes.
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Cellular Uptake of Glucose 1.) Gradient usually exists ECF>ICF (HK keeps ICF low) • 80-110 mg/dl euglycemia • < 45 mg/dl hypoglycemia • > 150-200 mg/dl after CHO meal (ie, below Tmax) • > 300-600 mg/dl uncontrolled diabetes • 2.) Glucose is polar, therefore is hydrophilic • Facilitated diffusion occurs via 5 glucose transporters GLUT 1 GLUT 5
Cellular Uptake of Glucose 3.) Unregulated glucose uptake • Based on concentration gradient • GLUT 1, 2, 3 & 5 (liver, neurons, RBC, kidney) 4.) Regulated glucose uptake • Insulin on GLUT 4(muscle, adipose) • 5.) Insulin -- Pancreas cells • & Chains • 3 disulfide bonds Insulin receptor -- membrane 4 subunits GLUT 4 translocation from intracellular storage sites to membrane glucose uptake 10-20x within 5 min.
Insulin A chain 21AA B chain 30AA S S S S Fully active Tyrosine Kinase now can phosphorylate (activate/deactivate) intracellular enzymes Activates PDE cAMP activates PP-1 / dephosphorylates GS and PKA EPI inhibits insulin receptor and release Insulin Receptor A Subunits S S B Subunits Tyrosine Kinase (Autophosphorylate)
CP and ATP Use During Exercise Myokinase reaction 2 ADP ATP + AMP