MATURE INSULIN and C-peptide. Stored together and co-secreted from
secretpry granules in the beta cells. Sintesis Insulin 1) Encoding insulin gene 2) Translasi insulin mRNA 3) Menjadi preproinsulin 4) Pemutusan peptida di rough endoplasmic reticulum (rER) 5) Menghasilkan proinsulin 6) Di rER, proinsulin alamin rapid folding dan disulfide bond formation 7) Hasilkan insulin (sambil ditranspor ke Golgi apparatus) 8) Ditransport ke Golgi apparatus, packaging insulin ke dalam secretory granules. • Clearance C-peptide lebih lambat dibanding insulin bisa sebagai marker sekresi insulin dan buat membedakan antara insulin endogen dan eksogen. • Adanya peningkatan serum proinsulin pada DM tipe 1 dan 2 penanda adanya disfungsi sel beta. Sekresi Insulin
• Glucose is the key regulator of
insulin secretion by the pancreatic beta cell. • Glucose levels >3,9mmol/L (70mg/dL) stimulate insulin synthesis. Insulin Action Insulin secreted into portal venous system
~50% is removed and degraded by the liver. Unextracted insulin enters
systemic circulation.
Insulin binding to its receptor
Widespread metabolic and mitogenic effects of insulin (glucose uptake,
glycogen synthesis, protein synthesis, lipogenesis)