User:Karsten Theis/Insulin

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[[Image:Insulin.gif|right|Insulin chain A and B. For interactive figures, scroll down and click on green links]]
[[Image:Insulin.gif|right|Insulin chain A and B. For interactive figures, scroll down and click on green links]]
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'''Insulin''' is a peptide hormone that controls [[Carbohydrate Metabolism|carbohydrate metabolism]] and storage in the human body<ref>PMID:10927996</ref><ref>DOI:10.1111/dom.13402</ref>. It is secreted by specialized cells in the pancreas, enters the bloodstream and reaches other cells. There, it binds to the extracellular side of the [[insulin receptor]], triggering tyrosine kinase activity within the target cell, which in turn regulates [[4pyp|glucose uptake]], [[glycolysis|metabolism]] and [[Glycogen Metabolism & Gluconeogenesis|storage]].
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'''Insulin''' is a peptide hormone that helps to maintain blood sugar within a healthy range by regulating [[Carbohydrate Metabolism|carbohydrate]] and lipid metabolism throughout the body<ref>PMID:10927996</ref><ref>DOI:10.1111/dom.13402</ref>. It is secreted by specialized cells in the pancreas and acts by binding to [[insulin receptor|insulin receptors]] on other cells. Insulin in its mature form contains two peptide chains connected by disulfide crosslinks, and occurs either as monomer or as hexamer. Administering insulin in carefully determined doses at the appropriate times is used in managing diabetes, a chronic condition where the body fails to maintain blood sugar levels by itself.
==Function==
==Function==

Revision as of 12:57, 13 July 2019

Insulin chain A and B. For interactive figures, scroll down and click on green links

Insulin is a peptide hormone that helps to maintain blood sugar within a healthy range by regulating carbohydrate and lipid metabolism throughout the body[1][2]. It is secreted by specialized cells in the pancreas and acts by binding to insulin receptors on other cells. Insulin in its mature form contains two peptide chains connected by disulfide crosslinks, and occurs either as monomer or as hexamer. Administering insulin in carefully determined doses at the appropriate times is used in managing diabetes, a chronic condition where the body fails to maintain blood sugar levels by itself.

Contents

Function

Insulin, together with glucagon, regulates blood sugar levels by changing fuel metabolism in all cells [3] on a timescale of minutes and hours. In simple terms, the presence of insulin in the blood signals the well-fed stage, while the presence of glucagon signals the fasting stage. [1]

  1. Biosynthesis

"The pancreas of a normal adult contains approximately 200 units of insulin, and the average daily secretion of insulin into the circulation in healthy individuals ranges from 30 to 50 units. https://www.britannica.com/science/insulin" 1 IU = 0.0347 mg

foo1[4]


  1. Secretion and transport

[5]

  1. Receptor interaction

foo3[6]

  1. Degradation

foo4[7]

Receptor recycling [8]

The body is able to sense the concentration of glucose in the blood and respond by secreting insulin, which is produced by beta cells in the pancreas. Insulin then binds to the insulin receptor, changing its conformation [9]. Depending on cell type and the presence of other signals (glucogon, epinephrine), the cell will modify its metabolism.

Disease and Treatment

In patients with diabetes, insulin signalling is compromised[10].

Type I: Insulin is not produced


Type II: Insulin is produced, but receptor does not trigger signal: [11]

[12]

Synthesis of human insulin in E. coli is important to producing insulin for the treatment of type 1 diabetes. It is believed that the hydrophobic sections on the B-chain cause insulin aggregation which initially caused problems in the manufacture and storage of insulin for pharmaceutical use.

In patients with diabetes, insulin signalling is compromised[13]. Synthesis of human insulin in E. coli is important to producing insulin for the treatment of type 1 diabetes. It is believed that the hydrophobic sections on the B-chain cause insulin aggregation which initially caused problems in the manufacture and storage of insulin for pharmaceutical use.

Structure

Drag the structure with the mouse to rotate

References

  1. ↑ Sonksen P, Sonksen J. Insulin: understanding its action in health and disease. Br J Anaesth. 2000 Jul;85(1):69-79. PMID:10927996
  2. ↑ Weiss MA, Lawrence MC. A thing of beauty: Structure and function of insulin's "aromatic triplet". Diabetes Obes Metab. 2018 Sep;20 Suppl 2:51-63. doi: 10.1111/dom.13402. PMID:30230175 doi:http://dx.doi.org/10.1111/dom.13402
  3. ↑ https://www.yourhormones.info/hormones/insulin/
  4. ↑ https://www.who.int/biologicals/expert_committee/BS_2143_Human_Recombinant_Insulin_final.pdf
  5. ↑ "https://www.diabetesselfmanagement.com/diabetes-resources/definitions/portal-vein/"
  6. ↑ https://pdb101.rcsb.org/motm/182
  7. ↑ Duckworth WC, Bennett RG, Hamel FG. Insulin degradation: progress and potential. Endocr Rev. 1998 Oct;19(5):608-24. doi: 10.1210/edrv.19.5.0349. PMID:9793760 doi:http://dx.doi.org/10.1210/edrv.19.5.0349
  8. ↑ Haeusler RA, McGraw TE, Accili D. Biochemical and cellular properties of insulin receptor signalling. Nat Rev Mol Cell Biol. 2018 Jan;19(1):31-44. doi: 10.1038/nrm.2017.89. Epub 2017 , Oct 4. PMID:28974775 doi:http://dx.doi.org/10.1038/nrm.2017.89
  9. ↑ Gutmann T, Kim KH, Grzybek M, Walz T, Coskun U. Visualization of ligand-induced transmembrane signaling in the full-length human insulin receptor. J Cell Biol. 2018 May 7;217(5):1643-1649. doi: 10.1083/jcb.201711047. Epub 2018, Feb 16. PMID:29453311 doi:http://dx.doi.org/10.1083/jcb.201711047
  10. ↑ https://www.endotext.org/section/diabetes/
  11. ↑ Samuel VT, Shulman GI. The pathogenesis of insulin resistance: integrating signaling pathways and substrate flux. J Clin Invest. 2016 Jan;126(1):12-22. doi: 10.1172/JCI77812. Epub 2016 Jan 4. PMID:26727229 doi:http://dx.doi.org/10.1172/JCI77812
  12. ↑ doi: https://dx.doi.org/10.1530/endoabs.56.PL5
  13. ↑ https://www.endotext.org/section/diabetes/
  14. ↑ Davidson HW. (Pro)Insulin processing: a historical perspective. Cell Biochem Biophys. 2004;40(3 Suppl):143-58. PMID:15289650

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Karsten Theis

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