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How does the hormone insulin regulate glucose uptake in cells, and what biochemical pathways are involved in insulin signaling?

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Insulin is a peptide hormone produced by the beta cells of the pancreatic islets. It plays a crucial role in regulating glucose uptake in cells and maintaining glucose homeostasis in the body. Insulin signaling involves a series of biochemical pathways that lead to the activation of glucose transporters, which facilitate glucose uptake into cells.When blood glucose levels rise, such as after a meal, insulin is released into the bloodstream. Insulin then binds to insulin receptors on the surface of target cells, such as muscle, liver, and adipose tissue cells. The binding of insulin to its receptor initiates a cascade of intracellular signaling events.1. Insulin receptor activation: The insulin receptor is a transmembrane protein with intrinsic tyrosine kinase activity. When insulin binds to the extracellular portion of the receptor, it triggers a conformational change that activates the tyrosine kinase domain in the intracellular portion. This activation leads to autophosphorylation of the receptor on specific tyrosine residues.2. Recruitment of insulin receptor substrates  IRS : The phosphorylated insulin receptor then recruits and phosphorylates a family of proteins called insulin receptor substrates  IRS . The most well-known members of this family are IRS-1 and IRS-2. Phosphorylated IRS proteins serve as docking sites for other signaling molecules containing Src homology 2  SH2  domains.3. Activation of PI3K-Akt pathway: One of the key signaling molecules that bind to phosphorylated IRS proteins is phosphatidylinositol 3-kinase  PI3K . PI3K phosphorylates a membrane lipid called phosphatidylinositol 4,5-bisphosphate  PIP2  to generate phosphatidylinositol 3,4,5-trisphosphate  PIP3 . PIP3 acts as a second messenger that recruits and activates a serine/threonine kinase called Akt  also known as protein kinase B or PKB .4. Glucose transporter translocation: Akt activation leads to the translocation of glucose transporter proteins  GLUT  from intracellular vesicles to the plasma membrane. In muscle and adipose tissue cells, the primary glucose transporter is GLUT4. The insertion of GLUT4 into the plasma membrane increases the cell's capacity to take up glucose from the bloodstream.5. Glycogen synthesis and other metabolic effects: In addition to promoting glucose uptake, insulin signaling also stimulates glycogen synthesis in the liver and muscle cells by activating glycogen synthase. Furthermore, insulin inhibits gluconeogenesis  the production of glucose from non-carbohydrate sources  in the liver and promotes lipogenesis  fat synthesis  in adipose tissue.In summary, insulin regulates glucose uptake in cells by binding to insulin receptors, initiating a series of intracellular signaling events that involve the activation of the PI3K-Akt pathway. This ultimately leads to the translocation of glucose transporters to the cell membrane, facilitating glucose uptake. Insulin signaling also affects other metabolic pathways, such as glycogen synthesis, gluconeogenesis, and lipogenesis, to maintain glucose homeostasis in the body.

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