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How does insulin signaling pathway work to regulate glucose metabolism in the liver cells?

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The insulin signaling pathway plays a crucial role in regulating glucose metabolism in liver cells  hepatocytes . It helps maintain glucose homeostasis by promoting glucose uptake, storage, and utilization while inhibiting glucose production. Here's an overview of how the insulin signaling pathway works in liver cells:1. Insulin secretion: In response to high blood glucose levels, the pancreatic beta cells secrete insulin, a peptide hormone, into the bloodstream.2. Insulin binding: Insulin binds to the insulin receptor  IR  on the surface of liver cells. The insulin receptor is a transmembrane protein with tyrosine kinase activity.3. Receptor autophosphorylation: Binding of insulin to its receptor induces a conformational change, activating the receptor's intrinsic tyrosine kinase activity. This leads to autophosphorylation of the receptor on specific tyrosine residues.4. Recruitment of insulin receptor substrates  IRS : The phosphorylated insulin receptor recruits and phosphorylates insulin receptor substrates  IRS , such as IRS-1 and IRS-2. These are adaptor proteins that serve as docking sites for downstream signaling molecules.5. Activation of PI3K/Akt pathway: Phosphorylated IRS proteins bind and activate phosphatidylinositol 3-kinase  PI3K , which in turn generates phosphatidylinositol  3,4,5 -trisphosphate  PIP3 . PIP3 recruits and activates the serine/threonine kinase Akt  also known as protein kinase B or PKB .6. Regulation of glucose metabolism: Activated Akt regulates various downstream targets involved in glucose metabolism, including:   a. Glycogen synthesis: Akt activates glycogen synthase kinase-3  GSK-3  by phosphorylating it, which in turn inhibits GSK-3 activity. This allows glycogen synthase to remain active, promoting glycogen synthesis and storage in liver cells.      b. Gluconeogenesis inhibition: Akt phosphorylates and inactivates the transcription factor forkhead box protein O1  FoxO1 , preventing it from entering the nucleus and promoting the expression of gluconeogenic enzymes, such as phosphoenolpyruvate carboxykinase  PEPCK  and glucose-6-phosphatase  G6Pase . This reduces the production of glucose from non-carbohydrate sources.      c. Glucose uptake: Although insulin-stimulated glucose uptake is more prominent in muscle and adipose tissue, insulin can also increase glucose uptake in liver cells by promoting the translocation of glucose transporter 2  GLUT2  to the plasma membrane.7. Termination of insulin signaling: The insulin signaling pathway is tightly regulated to prevent excessive or prolonged activation. Various negative feedback mechanisms, such as the activation of phosphatases  e.g., protein tyrosine phosphatases, PTEN  and the degradation of IRS proteins, help terminate the insulin signaling pathway.In summary, the insulin signaling pathway in liver cells regulates glucose metabolism by promoting glycogen synthesis, inhibiting gluconeogenesis, and facilitating glucose uptake. This ensures that blood glucose levels are maintained within a narrow physiological range, preventing hyperglycemia or hypoglycemia.
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