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Endocrinology: hormone chart questions
Nutting's hormone chart in flashcard friendly format
225
Physiology
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03/19/2011

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Term
What releases thyrotropin-releasing hormone (TRH)?
Definition
hypothalamus
Term
What is the chemical nature of TRH?
Definition
peptide
Term
What is the target tissue of TRH?
Definition
anterior pituitary
Term
What are the major actions of TRH?
Definition
stimulates secretion of TSH and PL
Term
What are the stimulating variables of TRH?
Definition
decreased T3 or T4
Term
What are the inhibiting variables of TRH?
Definition
increased T3 or T4
Term
What secretes corticotropin releasing hormone (CRH)?
Definition
hypothalamus
Term
What is the chemical nature of CRH?
Definition
peptide
Term
What is the target tissue of CRH?
Definition
anterior pituitary
Term
What is the major action of CRH?
Definition
stimulates secretion of ACTH
Term
What secretes gonadotropin releasing hormone (GnRH)?
Definition
hypothalamus
Term
What is the chemical nature of GnRH?
Definition
peptide
Term
What is the target tissue of GnRH?
Definition
anterior pituitary
Term
What is the major action of GnRH?
Definition
stimulates release of LH and FSH
Term
What secretes somatostatin (SS)?
Definition
hypothalamus
Term
What is the chemical nature of SS?
Definition
peptide
Term
What is the target tissue of SS?
Definition
anterior pituitary
Term
What is the major action of SS?
Definition
inhibits secretions of GH and all tropins
Term
What secretes dopamine (aka Prolactin inhibiting factor or PIF)?
Definition
hypothalamus
Term
What is the chemical nature of dopamine?
Definition
peptide
Term
What is the target tissue of dopamine?
Definition
anterior pituitary
Term
What is the major action of dopamine?
Definition
inhibit secretion of prolactin
Term
What secretes growth hormone releasing factor (GHRH)?
Definition
hypothalamus
Term
What is the chemical nature of GHRH?
Definition
peptide
Term
What is the target tissue of GHRH?
Definition
anterior pituitary
Term
What is the major action of GHRH?
Definition
stimulates secretion of GH
Term
What secretes oxytocin (OT)?
Definition
posterior pituitary
Term
What is the chemical nature of OT?
Definition
peptide
Term
What are the target tissues of OT?
Definition
mammary epithelial cells, uterine SM
Term
What are the major actions of OT?
Definition
stimulates milk ejection by myoepithelial cells and utering smooth muscle contractions
Term
What are the stimulating variables of OT?
Definition
neural stimulation of hypothalamus by dilation of cervix; also, suckling
Term
What are the inhibiting variables of OT?
Definition
removing stimulus
Term
What secretes vasopressin/ADH?
Definition
posterior pituitary
Term
What is the chemical nature of ADH?
Definition
peptide
Term
What are the target tissues of ADH?
Definition
principal cells of collecting ducts
Term
What are the major actions of ADH?
Definition
stimulates water reabsorption in principal cells of CDs and constriction of arterioles
Term
What are the stimulating variables of ADH?
Definition
neural stimulation of hypothalamus by decrease in blood volume, increase in plasma osmolarity
Term
What are the inhibiting variables of ADH?
Definition
increase in blood volume, decrease in plasma osmolarity
Term
What is the mechanism of ADH?
Definition
cAMP induced translocation of Aquaporin 2, allowing reabsorption
Term
What secretes GH?
Definition
anterior pituitary
Term
What is the chemical nature of GH?
Definition
protein
Term
What are the target tissues of GH?
Definition
most body cells, especially muscle, liver, cartilage, and bone growth plates
Term
What are the major actions of GH?
Definition
stimulates protein synthesis (and DNA and RNA) and overall growth (body mass, tallness, long bones); increased lipolysis and FFAs; impairs glucose uptake (anti-insulin)
Term
What stimulates GH?
Definition
increased GHRH and decreased SS; deep sleep; hypoglycemia; acute stress; potentiated by T3
Term
What inhibits GH?
Definition
decreased GHRH, increased SS< decreased IGF-1, no sleep, Rx with GH
Term
What is the mechanism of GH?
Definition
Possibly through liver and increased IGF-1, or direct effects plus IGF-1
Term
What secretes prolactin?
Definition
anterior pituitary
Term
What is the chemical nature of prolactin?
Definition
protein
Term
What tissues does prolactin affect?
Definition
mammary glands and testes
Term
What does prolactin do to the mammary glands?
Definition
stimulates milk production and secretion
Term
What does prolactin do to the testes?
Definition
potentiate LH and testosterone actions
Term
What stimulates prolactin?
Definition
decreased dopamine, increased TRH, suckling
Term
What inhibits prolactin?
Definition
increased dopamine, dopamine agonist Rx, stop nursing
Term
What secretes ACTH?
Definition
anterior pituitary
Term
What is the chemical nature of ACTH?
Definition
peptide
Term
What are the target tissues of ACTH? Be specific.
Definition
adrenal cortex (zone fasciculata)
Term
What are the major actions of ACTH?
Definition
stimulates synthesis and secretion of adrenal cortical hormones (cortisol, androgens, aldosterone); trophic
Term
What stimulates ACTH?
Definition
increased CRH and stress; biological clock (diurnal rhythm); decreased cortisol or removal of adrenals
Term
What inhibits ACTH?
Definition
decreased CRH and stress; biological clock; increased cortisol; Rx with synthetic GCs
Term
What secretes follicle stimulating hormone (FSH)?
Definition
anterior pituitary
Term
What is the chemical nature of FSH?
Definition
glycoprotein
Term
What are the target tissues of FSH?
Definition
testes (Sertoli cells) and ovaries (granulosa cells)
Term
What are the major actions of FSH in testes?
Definition
stimulates germ maturation and androgen binding protein synthesis in Sertoli cells of testes; gonadotrophic; initiate puberty
Term
What are the stimulating variables for FSH on the testes?
Definition
increased GnRH; age
Term
What inhibits FSH on the testes?
Definition
decreased GnRH, increased inhibin from Sertoli cells; increased androgens from Leydig cells
Term
What are the major actions of FSH on the ovaries?
Definition
follicular development and estrogen synthesis in ovaries; gonadotrophic; initiate puberty
Term
What are the stimulating variables of FSH on ovaries?
Definition
increased GnRH, rising estrogen concentration, menopause
Term
What inhibits FSH on the ovaries?
Definition
decreased GnRH, increased inhibin from granulosa cells, increased androgens from thecal cells, very high P (luteal phase), pregnancy
Term
What secretes luteinizing hormone (LH)?
Definition
anterior pituitary
Term
What are the target tissues of LH?
Definition
testes (Leydig cells) and ovaries (thecal cells)
Term
What is the chemical nature of LH?
Definition
glycoprotein
Term
How does LH act on the testes?
Definition
stimulates testosterone synthesis in Leydig cells of testes; gonadotrophic
Term
What stimulates LH on the testes?
Definition
increased GnRH; age
Term
What inhibits LH on the testes?
Definition
decreased GnRH, increased androgen production in Leydig cells
Term
What are the major actions of LH on ovaries?
Definition
ovulation, formation of corpus luteum, estrogen and progesterone on ovaries; gonadotrophic
Term
What stimulates LH on ovaries?
Definition
increased GnRH, rising estrogen concentration, menopause
Term
What inhibits LH on ovaries?
Definition
decreased GnRH, increased androgen production in thecal cells, low estrogen or low E + moderate P, very high P (luteal phase), pregnancy
Term
What secretes thyroid stimulating hormone (TSH)?
Definition
anterior pituitary
Term
What is the chemical nature of TSH?
Definition
glycoprotein
Term
What is the target tissue of TSH?
Definition
thyroid glands (cells lining follicles filled with colloid)
Term
What are the major actions of TSH?
Definition
stimulates synthesis and secretion of thyroid hormones, thyrotrophic, increase thyroid blood flow and iodide trapping
Term
What is the mechanism of TSH?
Definition
G protein surface receptor
Term
What stimulates TSH?
Definition
increased TRH, decreased T4 and T3, low iodine diets, removal of thyroid
Term
What inhibits TSH?
Definition
decreasd TRH, increased T4 or T3, SS, Rx with TH, pregnancy
Term
What does parathyroid hormone (PTH) do, in general?
Definition
regulates calcium
Term
What does PTH do specifically?
Definition
increases plasma Ca, protect against hypocalcemia, increase bone resorption, increase Ca permeability of osteocytes, increase Ca reabsorption in DCT, decrease P reabsorption in PCT (phosphaturic hormone), activate Vit D in PCT, acute treatment increase bone formation
Term
What stimulates PTH?
Definition
decrease of ECF ionized calcium concentration (below 9.5)
Term
What is the mechanism of PTH?
Definition
Stimulation actually decreases degration rate of basal PTH, increasing its concentraiton
Term
What are the target tissues of PTH?
Definition
osteoclasts and osteocytes, kidney tubules, indirect effects of Vit D on intestine
Term
What is the chemical nature of PTH?
Definition
protein
Term
What secretes PTH?
Definition
parathyroid gland
Term
What is the chemical nature of vitamin D (calcitriol)?
Definition
steroid like
Term
What are the target tissues of Vit D?
Definition
gut and bones
Term
What are the major actions of Vit D?
Definition
increase Ca and P absorption in gut, increase Ca and P flux into and out of bone by increasing upatke by osteocytes and transport by osteoblasts
Term
What stimulates Vit D?
Definition
PTH release causes activation in kidney
Term
What inhibits Vit D?
Definition
increased ECF ionized calcium concentration (above 9.5), FGF23, increased calcidiol in the liver
Term
What are the major actions of calcitonin (CT)?
Definition
weak effet in adults, decreases plasma Ca and P (tones down…)
Term
What stimulates calcitonin?
Definition
increased ECF ionized Ca concentration
Term
What inhibits calcitonin?
Definition
decreased ECF ionized Ca concentration
Term
What is the chemical nature of Fibroblast Growth factor 23 (FGF23)?
Definition
protein
Term
What are the target tissues of FGF23?
Definition
parathyroid, kidneys
Term
What are the major actions of FGF23?
Definition
decrease PTH secretion, decrease activation of Vit D, increase renale Ca and P excretion
Term
What stimulates FGF23?
Definition
increased ECF ionized Ca concentration
Term
What inhibits FGF23?
Definition
decreased ECF ionized Ca concentration
Term
What secretes thyroid hormone (T4 or active form T3)
Definition
thyroid
Term
What is the chemical nature of thyroid hormone?
Definition
amino acid derivative
Term
What are the target tissues of thyroid hormone?
Definition
CNS, mitochondria of most cells
Term
What are the major actions of thyroid hormone?
Definition
stimulates development of CNS, increases metabolic function of most cells (except pituitary) by binding mitochondria, can activate futile cycles, permisive with Epi, NE, and glucagon to incrase lipolysis
Term
What stimulates thyroid hormone?
Definition
TRH, TSH
Term
What inhibits thyroid hormone?
Definition
increased serum iodide, increased T3/T4, increased dopamine or SS; decreased TSH (and indirectly T3), PTU, CIO4, SCN
Term
What is the mechanism of thyroid hormone?
Definition
nuclear receptors (Retinoid X), gene transcription regulation
Term
What secretes adlosterone?
Definition
adrenal cortex, glomerulosa
Term
What is the chemical nature of aldosterone?
Definition
mineralocorticoid
Term
What are the target tissues of aldosterone?
Definition
DCT and CDs
Term
What are the major actions o aldosterone?
Definition
conserve body Na, ECFV and BP, retains Na in exchange for K and H
Term
What stimulates aldosterone?
Definition
increased K, increased renin-angiotensin, decreased Na, increased ACTH has small effect
Term
What inhibits aldosterone?
Definition
decreased K or renin-angiotensin, increased Na
Term
What secretes cortisol?
Definition
adrenal cortex, fasciculata
Term
What is the chemical nature of cortisol?
Definition
corticosteroid
Term
What are the target tissues of cortisol?
Definition
liver, peripheral, growth, CNS, heart, Kidney, Rx
Term
What are the major actions of cortisol on liver?
Definition
permissively increase AA uptake, AA catabolism by deamination and transamination, use of carbon skeletons for gluconeogenesis, urea synthesis, glycogen synthesis, liver growth, synthesis of key rate-limiting enzymes that control metabolite flow, increase liver response (permissive) to glucagon, Epi, and NE, increase synthesis of GNG enzymes
Term
What are the major actions on peripheral tissues from cortisol?
Definition
generally catabolic, net loss of protein by decreasing synthesis, increased AA supply, inhibits glucose and AA uptake into cells (insulin resistance), inhibits gucose utilization, permissively enhances lipolysis, increase glycerol release for GNG
Term
What are the major action on growth from cortisol?
Definition
physiological levels necessary for growth, excess inhibits, excess decreases Ca absorption in bone and long growth
Term
What are cortisol's effects on CNS?
Definition
enhances brain excitability
Term
What are cortisol's major actions on the heart?
Definition
maintains vascular reactdivity to catecholamines, maintains BP, anti-shock
Term
What are the major actions of cortisol on kidneys?
Definition
increases GFR, side effect of Rx increases urine output
Term
What are the major actions of cortisol when given as treatment?
Definition
anti-inflammatory by stabilizing lysosome membranes, decrease capillary permeability and T cell suppression, anti-allergic
Term
What stimulates cortisol?
Definition
increased ACTH, body clock, total amount increased by estrogen and pregnancy (increase synthesis of CBG)
Term
What inhibits cortisol?
Definition
decreased ACTH, body clock
Term
Other than from sex organs, from where can androgens be secreted?
Definition
adrenal cortex, reticularis (weak androgens)
Term
What is the chemical nature of androgens from zona reticularis?
Definition
steroid-like
Term
From where is epinephrine secreted?
Definition
adrenal medulla
Term
What is the chemical nature of epinephrine?
Definition
catecholamine
Term
What are the target tissues of epinephrine?
Definition
heart, CNS, liver, pancreas, general, GI, lungs, eyes, skin, skeletal muscle
Term
What are the effects of Epi on the heart?
Definition
increase heart rate, CO, decrease TPR (thus small change in MAP)
Term
What are the effect sof Epi on CNS?
Definition
increases mental alertness, decreases neural threshold for activity (RAS) creates fear and anxiety, allows more glucose utilization for CNS
Term
What are the effects of Epi on liver?
Definition
increases liver glycogenolysis and GNG, decreases glycogen synthesis
Term
What are the major actions of Epi on pancreas?
Definition
decrease pancreatic insulin secretion and plasma concentration
Term
What are the general effects of Epi on body?
Definition
increases glucose use for rain by increasing lipolysis and metabolism
Term
What are the effects of Epi on GI?
Definition
decrease motility and blood flow, increase sphincter tone
Term
What are the effects of epi on lungs?
Definition
relax smooth muscle, bronchiodilation, increase air flow
Term
What are the effects of Epi on eyes?
Definition
contract radial msucles and dilate pupils
Term
What are the effects of Epi on skin?
Definition
decrease blood flow, increase sweat gland activity
Term
What are the effects of skeletal muscle by Epi?
Definition
increase tension generation, increase neuromuscular transmission, decrease fatiguability, vasodilation via B2 receptor
Term
What stimulates Epi?
Definition
sympathetic stimulation of adrenal medulla
Term
What secretes norepinephrine (NE)?
Definition
adrenal medulla
Term
What is the chemical nature of NE?
Definition
catecholamine
Term
What are the target tissues of NE?
Definition
general, heart, adipose, skeletal muscle, liver
Term
What are the effects of NE on general body?
Definition
overal same effects as Epi
Term
What are the effects of NE on heart?
Definition
increase TPR, increase BP, decrease HR and CO
Term
What are the effects of NE on adipose?
Definition
activate HSL to increase FFAs for energy production
Term
What are the effects of NE on skeletal muscle?
Definition
vasoconstriction via alpha receptor
Term
What are the effects of NE on liver?
Definition
increase glycogenolysis, lipolysis, and GNG
Term
What stimulates NE?
Definition
released by sympathetic stimulation of local nerve endings small amounts released by medulla
Term
What is the chemical nature of estrogen?
Definition
steroid
Term
What tissues does estrogen target?
Definition
ovaries, genital tract, anterior pituitary, general, mammary glands, skin
Term
How does estrogen affect the ovaries?
Definition
growth and hormonal secretion of ovaries and follicles
Term
how does estrogen affect the genital tract?
Definition
growth SM and epi, motility, and cilia of oviduct; proliferative (and folliclular) phase, increased myometrial growth and contractility, increased endometrial growth, gland and blood supply, induces progesterone receptors in endometrium, production of thin, water cervical mucus, increased epi and lubrication of vagina, growth of external F genitalia, loss of E and P initates menstruation
Term
How does estrogen affect the anterior pituitary?
Definition
negative and positive feedback of GnRH, FSH, LH (low E inhibits LH, rising E triggers LH surge, very high E inhibits LH, low E + moderate P most effective BC), increases pituitary size by stiulating lactotroph growth, increase PL secretion (but block milk synthesis)
Term
How does estrogen affect the body generally?
Definition
female body configuration (wider hips, fat placement), closes epiphyseal plates (but work with GH to stimulate long growth before that), anti-osteoporotic, increase HDL/LDL ratio
Term
How does estrogen affect the mammary glands?
Definition
growth, branching of ducts, increased fat deposition, nipple growth and darkening
Term
How does estrogen affect the skin?
Definition
decreases wrinkling, increases collagen content, increases water content
Term
What stimulates estrogen?
Definition
increased FSH and LH, CL rescue by hCG
Term
What inhibits estrogen?
Definition
decreased FSH and LH, failure of CL menopause
Term
What is the chemical nature of progesterone?
Definition
steroid
Term
What are the target tissues of progesterone?
Definition
uterus, endometrium, pituitary, mammary glands, general
Term
What are the affects of progesterone on the uterus?
Definition
inhibits smooth muscle contraction, decreases motility, antagonizes estrogen's increase in motility (by decreasing E receptors), decreases sensitivty to OT, production of thick, sticky cervical mucus
Term
What stimulates progesterone?
Definition
ovulation and corpus luteum formation, corpus luteum rescue by hCG, placental growth and production
Term
What inhibits progesterone?
Definition
failure of CL, menopause
Term
What are the effects of progesterone on endometrium?
Definition
stimulate secretion of glands (preparing for implantation), loss of E and P initates menstruation, secretory (luteal) phase
Term
What are the effects of progesterone on pituitary?
Definition
inhibit FSH and LH (esp with low E), raises BBT post-ovulation
Term
What are the effects of progesterone on mammary glands?
Definition
stimulates gland growth, inhibits PRL or hPL milk synthesis
Term
What are the general effects of progesterone?
Definition
vasodilation which lowers TPR, maintaining constant MAP despite a rise in cardiac output during pregnancy
Term
What secretes inhibin?
Definition
male and female gonads (Sertoli, granulosa)
Term
What are the target tissues of inhibin?
Definition
anterior pituitary
Term
What is the major action of inhibin?
Definition
negative feedback of FSH
Term
What stimulates inhibin?
Definition
increased FSH
Term
What inhibits FSH?
Definition
decreased FSH
Term
What is the chemical nature of hCG (human chorionic gonadotropin)?
Definition
protein
Term
What does hCG target?
Definition
corpus luteum
Term
What is the major action of hCG?
Definition
LH-like activity, rescues CL, maintains secretions of E and P (until placenta can secrete its own), indirectly maintains function of uterine endometrium, increased testosterone levels in males
Term
What stimulates hCG?
Definition
development of fetal-chorionic membrane
Term
What inhibits hCG?
Definition
secreted throughout pregnancy but lower after 8 weeks (hPL takes over here mostly)
Term
What is the chemical nature of human menopausal gonadotropin (hMG)?
Definition
protein
Term
What is the major action of hMG?
Definition
FSH-like activity; also some LH activity
Term
What stimulates hMG?
Definition
post-menopause
Term
What is the chemical nature of human placental lactogen (hPL)?
Definition
protein
Term
What is the target tissue of hPL?
Definition
mammary glands, other tissues
Term
What are the major actions of hPL?
Definition
milk secretion (synthesis inhibited by E), GH-like "anti-insulin" activity slows maternal glucose uptake and utilization, allows baby to use glucose (mom uses fatty acids)
Term
What stimulates hPL?
Definition
development of placenta past 2 months
Term
What is the target issue of testicular determining factor (TDF)?
Definition
developing primary gonads
Term
What is the major action of TDF?
Definition
convert primary gonads into testes
Term
What stimulates TDF?
Definition
presence of Y chromosome (SRY gene) in embryo
Term
What is the chemical nature of testosterone from Leydig cells?
Definition
steroid
Term
What is the target tissue of testosterone?
Definition
developing fetus, pubescent tissues
Term
What are the major actions of testosterone in the developing fetus?
Definition
development of male duct system, accessory glands and external genitalia (paracrine early in pregnancy)
Term
What stimulates testosterone in developing fetus?
Definition
maternal hCG in first half of pregnancy, fetal LH in second half
Term
What inhibits testosterone in developing fetus?
Definition
age
Term
What are the major actions of testosterone in pubescent tissues?
Definition
male pubertal changes like penile and testicular growth, epiphyseal closure, voice deepening, maintain size and function of seminal vesicles and prostate, stimulate spermatogenesis with FSH, stimulate protein synthesis and long bone growth, enhance libido, negative feedback of LH and FSH in high doses, stimulate thick skin secretion leading to acne, stimulate public/axillary/facial hair growth, increase erythropoiesis to increase Hct in males
Term
What stimulates testosterone in pubescent tissues?
Definition
LH
Term
What inhibits testosterone in pubescent tissues?
Definition
negative feedback of testosterone on LH release and GnRH
Term
What are the target tissues of Mullerian Inhibiting Substance (MIS, from Sertoli cells)?
Definition
developing Mllerian ducts in male embryo
Term
What are the major actions of mIS?
Definition
regressino of Mullerian ducts and progression of Woliffian ducts and internal male genitalia, paracrine
Term
What is the chemical nature of dihydroxytestosterone (DHT)?
Definition
activated steroid
Term
What are the target tissues of DHT?
Definition
fetal tissues, pubertal prostate, pubic hair follicles
Term
What are the major actions of DHT?
Definition
necessary for fetal development of prostate, urethra, glans, shaft of penis, scrotum; pubertal growth of prostate and hair, acne
Term
What are the target tissuse of inhibin from Sertoli cells?
Definition
anterior pituitary
Term
What is the major action of inhibin from sertoli cells?
Definition
inhibit FSH secretion
Term
What stimulates inhibin from Sertoli cells?
Definition
testosterone, FSH, LH
Term
What secretes insulin?
Definition
pancreatic beta cells
Term
What is the chemical nature of insulin?
Definition
protein
Term
What are the target tissues of insulin?
Definition
liver, muscle, adipose
Term
What stimulates insulin?
Definition
increased plasma glucose and Aas, increased GI hormones, increased Ach from para, decreased SNS and Epi, glucagon (directly and indirectly by increasing glucose)
Term
What inhibits insulin?
Definition
somatostatin (SS), Epi and NE from SNS
Term
What are the major actions of insulin on liver?
Definition
major storage hormone, promotes synthesis of storage protein, glycogen, and TGs, anti-catabolic actions (inhibit s protein degradation, glycogenolysis, GNG, esp. lipolysis), decreases release of glucose, increases TG synthesis, decreases VLDL synthesis (increases hepatic TG stores), increase hepatic enzyme synthesis, decrease ketogenesis, increase glycolysis and Kreb's)
Term
What are the major actions of insulin on muscle?
Definition
increase glucose and AA uptake, increase protein synthesis, increase synthesis of LPL to extract Fas (used preferentially for energy), inhibit release of Aas
Term
What are the major actions of insuliin on adipose?
Definition
increase glucose uptake, FA synthesis, increase glycerol phosphate synthesis, increase LPL synthesis, large increase in TG synthesis, decrease lipolysis (deactivates hormone sensitive lipase)
Term
What secretes glucagon?
Definition
alpha cells of pancreas
Term
What is the chemical nature of glucagon?
Definition
protein
Term
What are the target tissues of glucagon?
Definition
liver only (at physiological doses), liver enzymes
Term
What stimulates glucagon?
Definition
decreased plasma glucose, increased plasma Aas, icreased Ach from para, icnrased Epi and NE from SNS
Term
What inhibits glucagon?
Definition
increased plasma glucose, insulin, somatostatin
Term
What is the mechanism of glucagon?
Definition
increased cAMP and pka
Term
How does glucagon act on liver at physiological doses?
Definition
fast-acting and short duration, increases glycogenolysis, AA uptake, and GNG; increases glucose production and secretion, increases plasma glucose
Term
How does glucagon act on liver enzymes?
Definition
increased glycogen phosphorylase activity (activates glycogenolysis), decreased glycogen synthease activity, decreased formation of G-2,6 BP (which decreases PFK and glycolysis and increases F-1,6-BP which stimulates GNG), decreased pyruvate kinase activity (decreasing conversion of PEP to pyruvate to acetyl coA), decreases acetyl coA carboxylase activity (decreases LCFA synthesis and increase LCFA oxidation), increases PEP carboxykinase and pyruvate carboxylase synthesis (increased GNG)
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