- As PTH gets older == Oxiphill cell : pinkish cells : oxiphills cells – they are non-functional acidophilic
Not PTH !!
Biochem :
Maintenance of : 70-110 mg/dl * glucose*
- Glut 4 – glucose to muscles
- Glucagon, epinp, thyroxine, cortisol – marinating blood glucose level - Random / fasting glucose >200 – hyperglycemia - 2% pancrese – - Alpha cell syn glycogen - Beta cell syn insulin – in response to high blood sugar level/glucose – glut 4 – glycolytic pathway --- - Delta cell syn somatostain—brain , GI, brain, pancrease - Beta cell also syn amylin peptide – target organ muscle , adipose tissue - It inhbit glycogen - 51 aa - Cystine—cysteine * disulifide linkages* link a/beta chains - Intrachain disulfide linkage – internalize glucose in ms and adipose tissue - Gly-phe-phe-tyr * it has to be present like this * - C-peptide * connecting peptide* doesn’t have biology activity - Measuree c- peptide * how much insulin is admistered* / destroyed in kidney - Insulin half life is 5 mins - Insulin release in two spikes , spike relase follow maintenance - Beta cell – glut 2 affinity high , km low
** def of vit D / LESS SUNLIGHT PROCESS – Develop diabetics
- Insulin binds to alpha receptor
- Beta- unit located in the cytoplasmic area - Alpha-alpha * disulphide linkage* - Once insulin binds – change the confirmation – - Autophoryaltion – intrinsic tyronsine kinase activity --- tyrosine residues w/ phosphate attachment - IRS – insulin receptor substance ---PKB - PKA---Camp - Irs-- PkB—akt—glut 4 -- translocated into transmembrane -- insulin released-- brings glucose to normal level - Know the glucose transporter w/ km - Glut – decides how much glucose will be distributed - Fructosamine – glucose attached to albumin * glycosation *