Physiology · MU Sofia

74. Hormones of the endocrine pancreas: physiological effects and control of their secretion

Explains how the endocrine pancreas keeps blood glucose steady, covering the four islet cell types and what each secretes. It then walks through glucose transport into cells via GLUT isoforms, the structure and synthesis of insulin, and the step-by-step chain by which glucose triggers insulin release. Glucagon's structure, its stimulants and its actions on the liver follow, with an overall summary of how the two hormones oppose each other.

Inside: 6 sections · 6 labelled pictures · 20 flashcards · 7 min

Topic 73 of 104 in the MU Sofia syllabus for Physiology (Medicine, Year 2). The free AceMed note covers it in 5 sections, about 1,016 words (7 min of reading), with 20 flashcards.

In this note

  1. Hormones of the endocrine pancreas: physiological effects and control of their secretion.
  2. Insulin
  3. Actions
  4. Glucagon
  5. Control of Insulin Secretion

Hormones of the endocrine pancreas: physiological effects and control of their secretion.

The endocrine pancreas plays a critical role in glucose homeostasis, maintaining near-constant blood glucose levels unlike other sugars like lactose and galactose. It achieves this through the secretion of key hormones: insulin from β-cells and glucagon from α-cells. These hormones, along with others like epinephrine and cortisol from the adrenal glands, work in concert to regulate blood glucose.

The endocrine portion of the pancreas is composed of clusters of cells called the islets of Langerhans, which constitute only about 1% of the total pancreatic mass. These islets contain four main cell types, each responsible for secreting a specific hormone:

  • β cells: Secrete insulin, the most abundant hormone of the islet.
  • α cells: Secrete glucagon.
  • δ cells: Secrete somatostatin, which has a modulatory role on other islet cell secretions.
  • Other cells: Secrete pancreatic polypeptide and other less understood peptides.

Glucose is transported into the cells via 2 mechanisms,

  • ♦ Co-transport with Na+.
  • ♦ Facilitated diffusion via GLUT, there are 5 types of GLUT:
  • GLUT 1, is found in many tissues, e.g. erythrocytes, muscles, brain, kidney, colon, placenta etc.
  • GLUT 2, is found in liver, pancreatic β-cells.
  • GLUT 3, is found in the brain.
  • GLUT 4, is found in skeletal muscle, adipose tissue.
  • GLUT 5, is found in small intestine (* fructose transporter)

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