14.4 The control of blood glucose

Islets of Langerhans

Found throughout the pancreas

Contain alpha cells

Secrete glucagon

Contain beta cells

Secrete insulin

Increase in blood glucose concentration

After eating, glucose is absorbed from the small intestine into the blood

Alpha and beta cells detect increase in concentration

Alpha cells stop secreting glucagon

Beta cells secrete insulin

Both types of cell act as both receptors and regulators

Into blood plasma

Insulin binds to receptor on cell surface membrane on liver/muscle/fat cell

Receptor signals to cell to move vesicles containing glucose transporter proteins (GLUT) to the cell surface membrane

Vesicles fuse with cell surface membrane, and glucose is able to diffuse into the cell down a concentration gradient

Other roles of insulin

Increases use of glucose in respiration

Causes activation of glucokinase, which phosphorylates glucose, preventing it from leaving the cell

Causes activation of phosphofructokinase and glycogen synthase, which catalyse glucose --> glycogen (glycogenesis)

Decrease in blood glucose concentration

Alpha and beta cells detect decrease in concentration

Beta cells stop secreting insulin

Alpha cells secrete glucagon

Glucagon binds to receptor on cell surface membrane of liver cell

Conformational shape change of receptor activates G protein

G protein activates adenylyl cyclase on the cell surface membrane

Adenylyl cyclase catalyses ATP --> cAMP

cAMP acts as secondary messenger and binds to protein kinase A and activates the enzyme

Protein kinase A activates phosphorylase kinase, which activates glycogen phosphorylase

Glycogen phosphorylase catalyses glycogen --> glucose (glycogenolysis)

Glucagon stimulates formation of glucose from amino acids, fatty acids, glycerol, pyruvate, lactate (gluconeogenesis)

Negative feedback loop - deviation from a set point stimulates actions by effectors to bring it back to normal

Adrenaline

Causes an increase in concentration of blood glucose

Binds to different receptors on liver cells that activate the same enzyme cascade as glucagon

Causes breakdown of glycogen stores in muscles during exercise

Causes glycogenolysis

Measuring glucose levels

Urine

Test strip using glucose oxidase to break glucose down to hydrogen peroxide, and then peroxidase to break this down to a brown compound

Does not show current glucose level - shows level whilst urine was being produced

Blood

Biosensor using glucose oxidase to break glucose down to hydrogen peroxide, which is oxidised at an electrode to create an electron flow, which is measured

Digital data

Shows current glucose level