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==Pancreatic Hormones==
== Pancreatic hormones ==
Pancreas is both exocrine and endocrine gland. The exocrinal part secretes pancreatic fluid into the duodenum after a meal. The endocrinal part secretes various types of hormones. These are produced by a specialized tissue in the pancreas and then released to the capillary system and reached the liver by the portal venous circulation. The specialized tissue is called [[islets of Langerhans|islets of Langerhans]]. Islets of Langerhans represent approximately 1-2 % of the pancreas. Three types of cells are regonized in these islets.  
The pancreas is both exocrine and endocrine gland. The exocrine part secretes pancreatic fluid into the duodenum after a meal. The endocrinal part secretes various types of hormones. These are produced by a specialized tissue in the pancreas and then released to the capillary system and transported into the liver by portal venous circulation. The specialized tissue of endodermic origin is called [[islets of Langerhans|'''islets of Langerhans''']]. Islets of Langerhans represent approximately 1-2 % of the pancreas. Four types of cells are recognized in these islets.


* '''A cells''' – producing glucagon (25% of all islet cells).
== Types of pancreatic cells ==
* '''B cells''' – producing insulin (60% of all islet cells).
* '''D cells''' – producing somatostatin (10% of all islet cells).
* '''F cells''' – producing panceratic polypeptide (5% of all islet cells).


Islets of Langerhans play a crucial role in a carbohydrate metabolism and so in a plasma glucose concentration. It involves:
* '''A-cells''' – producing glucagon (25% of all islet cells).
* '''Glycolysis''' – the anaerobic conversion of glucose to lactate. Occurs in the red blood cells, renal medulla and sceletal muscles.
* '''B-cells''' – producing insulin (60% of all islet cells).
* '''Glycogenesis''' – the synthesis of glycogen from glucose. Glucose is stored ( in liver, muscle) in the form of glycogen and this serves to maintain a constant plasma glucose concentration.
* '''D-cells''' – producing somatostatin (10% of all islet cells).
* '''Glycogenolysis''' – the breakdown of glycogen to glucose.  
* '''F-cells''' – producing pancreatic polypeptide (5% of all islet cells).
* '''Gluconeogenesis''' – the production of glucose from non-sugar molecules (amino acids, lactate, glycerol)
 
Islets of Langerhans play a crucial role in carbohydrate metabolism and so in plasma glucose concentration. It involves:
* '''Glycolysis''' – the anaerobic/ aerobic conversion of glucose.
* '''Glycogenesis''' – the synthesis of glycogen from glucose (in the liver, muscle).
* '''Glycogenolysis''' – breaking down glycogen to glucose.
* '''Gluconeogenesis''' – the production of glucose from non-sugar molecules (amino acids, lactate, glycerol).
* '''Lipolysis''' – the breakdown of triacylglycerols into glycerol and free fatty acids.
* '''Lipolysis''' – the breakdown of triacylglycerols into glycerol and free fatty acids.
* '''Lipogenesis''' – the synthesis of triacylglycerols.  
* '''Lipogenesis''' – the synthesis of triacylglycerols.  
 
= Hormones =
===Function===
=== Function ===
* Pancreatic hormones are responsible for storage of fat and glucose, as glycogen, after meal.
* Pancreatic hormones are responsible mainly for the storage of glucose in form of glycogen.
* Enables the mobilisation of energy reserves as a result of food deprivation, stress, physical activity.  
* Enables the mobilisation of energy reserves as a result of food deprivation, stress, physical activity.  
* Maintain the constant plasma glucose concentration.
* Maintain the constant plasma glucose concentration.
* Promote growth.
* Stimulate growth.
== Insulin ==
[[File:Insulin pen.JPG|thumb|Insulin pen]]
It is produced by pancreatic '''B-cells'''. Chemically, it is a '''peptide''' consisting of 51 amino acids.
 
Scheme: preproinsulin → proinsulin → [[insulin]]. Insulin secretion has a '''pulsatile character''' and its main stimulus is an '''increased blood glucose level'''. Stimulation of secretion: increase in the level of plasma glucose → increase in the value of glucose in the B-cell → its oxidation increases and thus the amount of ATP in the cell → energy-controlled K<sup>+</sup> channels close (depolarization occurs) → voltage-controlled Ca<sup>2+</sup> channels open → increased levels of calcium cations in the cell cause insulin exocytosis and reopening of K + channels. Numerous factors stimulate insulin secretion during digestion:


==Insulin==
* '''''cholinergic fibres of n. X'''''
===Structure===
Insulin is a peptide consisting of an α-chain 21 amino acids long linked to a 30 amino acid β-chain via two disulfide bridges. The precursor to insulin is '''preproinsulin''', which contains a signal sequence that is further removed in the endoplasmic reticulum converting the precursor into its prohormone referred to as '''proinsulin'''. Proinsulin is converted into insulin after removal of a C-peptide from the prohormone.


The insulin receptor consists of two extracellular α-subunits and two transmembraneous β-subunits. When insulin is near the receptor, it binds to the α-subunits of the receptor. This binding leads to the autophosphorylation of the β-subunits of the insulin receptor. These β-subunits then act as receptor tyrosine kinases that phosphorylate insulin receptor subunits. The signal then travels downstream to intracellular proteins.
* '''[[Gastrin|''gastrin'']]''' - formed in the antrum of the stomach and duodenum; its function is the secretion of HCl and the growth of the gastric mucosa;


[[File:Insulin synthesis.png|thumb|e.g. 100px|thumb|Insulin synthesis]]
* '''''secretin''''' - formed mainly in the duodenum; gastrin antagonist, stimulates bile flow in the liver;
[[File:Insulin 1AI0 animation.gif|thumb|e.g. 100px|thumb|Insulin structure]]
[[File:Insulin glucose metabolism ZP.svg|thumb|e.g. 100px|thumb|Glucose-Insulin metabolism]]


===Regulation===
* '''''GIP (glucose-dependent Insulinotropic peptide)''''' - formed in the duodenum and jejunum (the stimulus for release are products of nutrient degradation - glucose!); stimulates insulin release (more insulin is released after glucose administration!), suppresses acid secretion;
Insuline is mainly secreted in a response to increases in the blood levels of glucose. Higher level of glucose cause that glucose enter the B cells and is converted to a glucose-6-phosphate. This creates the cytosolic ATP and leads to a closure of ATP-gated <math>K^+</math> channels and then to depolarization. Depolarization causes an opening of voltage-gated <math>Ca^{2+}</math> channels  and the level of cytosolic <math>Ca^{2+}</math> rises and initiates an exocytosis of insulin and re-openning of <math>K^+</math> channels.
Insulin secretion is stimulated during digestion via acetylcholin (vagus nerve), gastrin, sekretin. Certain amino acids as a arginin and leucin also stimulate secretion as well as free fatty acids and some steriod hormones. The secretion is inhibited via epinephrine and norepinephrine. These are activated when hypoglycemia is detected by central chemoreceptors.


===Function===
* '''''GLP1 (enteroglukagon)'''''
Insulin has anabolic and lipogenic effects. It promotes the storage of glucose in the liver and also activates enzymes to promote glycolysis and glycogenesis. In addition, it promotes the uptake and storage of amino acids in the form of proteins and promotes growth.  Insulin also increases the amount of GLUT-4. (Glucose transporters in skeletal myocytes. So that glucose can enter. Glucose can enter the cell in two different ways.  One is with sodium as a '''secondary active transport''' and the other one is through glucose transports, '''facilitated diffusion'''.)
[[File:Insulin 1AI0 animation.gif|thumb|e.g. 100px|thumb|Insulin structure]]Plasma amino acids (Arg, Lys), free MK, and some pituitary and steroid hormones also increase insulin release. On the contrary, adrenaline and norepinephrine, galanin and somatostatin inhibit insulin secretion. A decrease in glucose levels (starvation, long-term exercise) stimulates the CNS chemoreceptors and subsequently, the sympathetic system is activated. Insulin '''lowers blood glucose''' (plasma sugar concentration), promotes fat production and glycogen storage in the liver, where it induces glycolysis and glycogenesis and suppresses gluconeogenesis. Normally, about 2/3 of the amount of glucose is resorbed, which is then used interdigestively (glucagon mobilization - enough energy regardless of food intake). Furthermore, insulin is used in the storage of amino acids (in the form of proteins) mainly in skeletal muscle ('''anabolism'''), stimulates growth and '''lipogenesis''' and affects the distribution of potassium.


==Glucagon==
'''Hyperinsulinism''' results in hypoglycemia and can even cause hypoglycemic shock (coma) (see [[Hypoglycemia]]). '''Hypoinsulinism''' leads to hyperglycemia and subsequently to the development of DM (see [[Diabetes mellitus]]).
Glucagon is a peptide derived from '''proglucagon''' (glicentin).  
Glucagon secretion is stimulated by amino acids, arginin and alanin, from digested proteins. And also by hypoglycemia as a result of physical exercise. And sympathic impulses. The secretion is inhibited by glucose, somatostatin and high plasma concetrations of free fatty acids.  


===Function===
Overeating causes the glycogen storage capacity to be exceeded so that the liver converts it to MK and stores it in adipose tissue in the form of triacylglycerols.
Glucagon mainly antagonise insulin. The signal from glucagon receptor is spread via cAMP. Glucagon increases glycogenolysis in the liver, stimulates gluconeogenesis from lactate, protein degradation and lipolysis. Its main role is to maintain the normal blood glucose level between meals to ensure a constant energy supply.  
== Glucagon ==
[[Glucagon]] is a '''peptide hormone''' (made up of 29 amino acids) produced by '''A-cells'''. It arises from '''proglucagon''', is stored in granules and is released via exocytosis. The stimulus for secretion is hypoglycemia, the presence of amino acids (Ala, Arg) and sympathetic stimulation. Secretion is inhibited by the presence of glucose, somatostatin and increased fatty acids concentration. It is an '''insulin antagonist'''. Maintains glucose levels between food intake and high glucose consumption. It supports glycogenolysis in the liver, gluconeogenesis from lactate, amino acids and glycerol (lipolysis). Elevated plasma amino acid levels promote insulin secretion → hypoglycemia, so glucose must be given when amino acids are administered so that amino acids are not used as an energy source.  


==Somatostatin==
== Somatostatin ==
Somatostatin is released in response to higher plasma concentrations of [[glucose|glucose]] and [[arginine|arginine]]. Through paracrine pathways inhibits the release of insulin and also the secretion of glucagon. During the deficiency of glucose this process does not occur due to the release of catecholamines that inhibit the secretion of somatostatin.  
It is a '''peptide''' composed of 14 amino acids, produced by pancreatic '''D-cells''', also in the stomach and intestine, especially after meals (it responds to increased amounts of glucose and Arg). Reduces HCl production, slows down the digestion process. It suppresses insulin production via paracrine secretion. It is a gastrin antagonist, inhibits glucagon (terminates storage and reduces glucogenesis) and the overall exocrine action of the pancreas.  


===Diabetes Mellitus===
Outside the gastrointestinal tract, somatostatin is produced in the hypothalamus and subsequently suppresses the secretion of somatotropin in the pituitary gland (hence its name). Therefore, agonists of somatostatin receptors are used, for example, in the therapy of acromegaly.
There are two types recognized. One type of diabetes mellitus is insulin-dependent, [[type-1 diabetes|type-1]], which is caused by insulin deficiency. Another type is non-insulin-dependent, type 2, which is caused by a shortage of insulin receptors. In both cases the level of glucose in blood is increased and this leads to glycosuria, polyuria and polydipsia. Since lipolysis is no longer inhibited, fatty acids are liberated in a large quantities. Fatty acids can be used as a source of energy, although, this leads to formation of acetoacetic acids and acetone (ketosis). As a result of so many fatty acids the liver begins to store triacylglycerols which leads to the development of fatty liver.


<noinclude>
== Pancreatic polypeptide ==
It consists of 36 amino acids mainly in the head of the pancreas by '''PP-cells''' . Its role is the autoregulation of endo and exocrine function of the pancreas and stimulation of the production of gastric juices. Secretion increases during starvation, exercise and acute hypoglycemia, while decreases under the influence of somatostatin and after i.v. administration of glucose.


== Links ==
= Links =
=== Related articles ===
=== Related articles ===
*[[Pancreas]]
* [[Pancreas]]
*[[Negative Feedback]]
*[[Diabetes mellitus]]
*[[Hormonal Regulation]]
*[[Insulin therapy]]


=== Bibliography ===
=== References ===
 
* {{Cite | type = book | isbn = 978-80-247-0630-6 | surname1 = Silbernagl | name1 = Stefan | title = Atlas fyziologie člověka | edition = 6 | location = Praha | publisher = Grada | year = 2004 | pages = 448 }}
* {{Cite
* {{Cite
| type = book
|type = web
| surname1 = Silbernagl
|corporation = WIKIPEDIA EN
| title = Color Atlas of Physiology
|source_name = Pancreatic polypeptide
| edition = 5
|date_of_revision = 2014-01-08
| year = 2001
|cited = 2014-02-16
| isbn = 3-13-545005-8
|url = https://en.wikipedia.org/wiki/Pancreatic_polypeptide
}}
}}
* {{Cite
 
| type = book
| surname1 = Ganong
| title = Přehled lékařské fyziologie
| edition = 1
| year = 1995
| isbn = 80-85787-36-9
}}
</noinclude>
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Physiology]]
[[Category:Physiology]]

Latest revision as of 14:16, 7 December 2021

Pancreatic hormones[edit | edit source]

The pancreas is both exocrine and endocrine gland. The exocrine part secretes pancreatic fluid into the duodenum after a meal. The endocrinal part secretes various types of hormones. These are produced by a specialized tissue in the pancreas and then released to the capillary system and transported into the liver by portal venous circulation. The specialized tissue of endodermic origin is called islets of Langerhans. Islets of Langerhans represent approximately 1-2 % of the pancreas. Four types of cells are recognized in these islets.

Types of pancreatic cells[edit | edit source]

  • A-cells – producing glucagon (25% of all islet cells).
  • B-cells – producing insulin (60% of all islet cells).
  • D-cells – producing somatostatin (10% of all islet cells).
  • F-cells – producing pancreatic polypeptide (5% of all islet cells).

Islets of Langerhans play a crucial role in carbohydrate metabolism and so in plasma glucose concentration. It involves:

  • Glycolysis – the anaerobic/ aerobic conversion of glucose.
  • Glycogenesis – the synthesis of glycogen from glucose (in the liver, muscle).
  • Glycogenolysis – breaking down glycogen to glucose.
  • Gluconeogenesis – the production of glucose from non-sugar molecules (amino acids, lactate, glycerol).
  • Lipolysis – the breakdown of triacylglycerols into glycerol and free fatty acids.
  • Lipogenesis – the synthesis of triacylglycerols.

Hormones[edit | edit source]

Function[edit | edit source]

  • Pancreatic hormones are responsible mainly for the storage of glucose in form of glycogen.
  • Enables the mobilisation of energy reserves as a result of food deprivation, stress, physical activity.
  • Maintain the constant plasma glucose concentration.
  • Stimulate growth.

Insulin[edit | edit source]

Insulin pen

It is produced by pancreatic B-cells. Chemically, it is a peptide consisting of 51 amino acids.

Scheme: preproinsulin → proinsulin → insulin. Insulin secretion has a pulsatile character and its main stimulus is an increased blood glucose level. Stimulation of secretion: increase in the level of plasma glucose → increase in the value of glucose in the B-cell → its oxidation increases and thus the amount of ATP in the cell → energy-controlled K+ channels close (depolarization occurs) → voltage-controlled Ca2+ channels open → increased levels of calcium cations in the cell cause insulin exocytosis and reopening of K + channels. Numerous factors stimulate insulin secretion during digestion:

  • cholinergic fibres of n. X
  • gastrin - formed in the antrum of the stomach and duodenum; its function is the secretion of HCl and the growth of the gastric mucosa;
  • secretin - formed mainly in the duodenum; gastrin antagonist, stimulates bile flow in the liver;
  • GIP (glucose-dependent Insulinotropic peptide) - formed in the duodenum and jejunum (the stimulus for release are products of nutrient degradation - glucose!); stimulates insulin release (more insulin is released after glucose administration!), suppresses acid secretion;
  • GLP1 (enteroglukagon)
Insulin structure

Plasma amino acids (Arg, Lys), free MK, and some pituitary and steroid hormones also increase insulin release. On the contrary, adrenaline and norepinephrine, galanin and somatostatin inhibit insulin secretion. A decrease in glucose levels (starvation, long-term exercise) stimulates the CNS chemoreceptors and subsequently, the sympathetic system is activated. Insulin lowers blood glucose (plasma sugar concentration), promotes fat production and glycogen storage in the liver, where it induces glycolysis and glycogenesis and suppresses gluconeogenesis. Normally, about 2/3 of the amount of glucose is resorbed, which is then used interdigestively (glucagon mobilization - enough energy regardless of food intake). Furthermore, insulin is used in the storage of amino acids (in the form of proteins) mainly in skeletal muscle (anabolism), stimulates growth and lipogenesis and affects the distribution of potassium.

Hyperinsulinism results in hypoglycemia and can even cause hypoglycemic shock (coma) (see Hypoglycemia). Hypoinsulinism leads to hyperglycemia and subsequently to the development of DM (see Diabetes mellitus).

Overeating causes the glycogen storage capacity to be exceeded so that the liver converts it to MK and stores it in adipose tissue in the form of triacylglycerols.

Glucagon[edit | edit source]

Glucagon is a peptide hormone (made up of 29 amino acids) produced by A-cells. It arises from proglucagon, is stored in granules and is released via exocytosis. The stimulus for secretion is hypoglycemia, the presence of amino acids (Ala, Arg) and sympathetic stimulation. Secretion is inhibited by the presence of glucose, somatostatin and increased fatty acids concentration. It is an insulin antagonist. Maintains glucose levels between food intake and high glucose consumption. It supports glycogenolysis in the liver, gluconeogenesis from lactate, amino acids and glycerol (lipolysis). Elevated plasma amino acid levels promote insulin secretion → hypoglycemia, so glucose must be given when amino acids are administered so that amino acids are not used as an energy source.

Somatostatin[edit | edit source]

It is a peptide composed of 14 amino acids, produced by pancreatic D-cells, also in the stomach and intestine, especially after meals (it responds to increased amounts of glucose and Arg). Reduces HCl production, slows down the digestion process. It suppresses insulin production via paracrine secretion. It is a gastrin antagonist, inhibits glucagon (terminates storage and reduces glucogenesis) and the overall exocrine action of the pancreas.

Outside the gastrointestinal tract, somatostatin is produced in the hypothalamus and subsequently suppresses the secretion of somatotropin in the pituitary gland (hence its name). Therefore, agonists of somatostatin receptors are used, for example, in the therapy of acromegaly.

Pancreatic polypeptide[edit | edit source]

It consists of 36 amino acids mainly in the head of the pancreas by PP-cells . Its role is the autoregulation of endo and exocrine function of the pancreas and stimulation of the production of gastric juices. Secretion increases during starvation, exercise and acute hypoglycemia, while decreases under the influence of somatostatin and after i.v. administration of glucose.

Links[edit | edit source]

Related articles[edit | edit source]

References[edit | edit source]

  • SILBERNAGL, Stefan. Atlas fyziologie člověka. 6. edition. Praha : Grada, 2004. pp. 448. ISBN 978-80-247-0630-6.