Exam 16: Integration of Metabolism

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Explain why obese individuals are often insulin resistant.

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Release of fatty acids by enlarged adipocytes and their subsequent nonspecific insertion in cell membranes cause the disruption of signal transduction pathways such as the insulin receptor pathway.

The most serious acute symptom of Type 1 diabetes is __________.

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Because the prime early symptom of diabetes is a high level of blood glucose, insulin is often associated primarily with carbohydrate metabolism. List several other processes that are insulin-dependent.

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In addition to carbohydrate metabolism, insulin also impacts lipid and protein metabolism by triggering several processes that are anabolic and/or ensure nutrient storage. These processes include stimulating fat synthesis in the liver and fat storage in adipocytes, promoting amino acid uptake by cells (especially liver and muscle cells), stimulating protein synthesis in most tissues, decreasing lipolysis, promoting satiety by inhibiting NPY/AgRP neurons and activating POMC neurons in the hypothalamus.

During periods of starvation muscle reduces its consumption of glucose. This spares its use for which of the following organs?

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Which of the following carbohydrates is a major contributing cause of dyslipidemia non-alcoholic fatty liver disease?

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The principle target tissues of insulin include __________.

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In severely diabetic patients the blood glucose level is so high that the sugar appears in the urine. Before the development of blood tests by modern medical research, diabetics could often be recognized by the appearance of flies around their feet. Suggest a reason for this observation.

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Discuss the relationship between the inflammatory response, obesity, and type-2 diabetes.

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What are the sites on protein that are phosphorylated during signal transduction cascades?

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Extreme thirst and frequent urination in diabetics is directly caused by __________.

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The molecules that mediate the growth-promoting actions of GH are referred to as the __________.

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Insulin-resistance is associated with all of the following except __________.

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Calmodulin is a __________.

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The most prominent mechanism to prevent excessive hormone synthesis is __________.

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A DNA segment that binds a hormone-receptor complex is called a __________.

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The IP3 receptor __________.

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A simple system for information flow is composed of three components: reception, transduction and response. In multicellular organisms hormones play a role in which phase?

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The endocrine system uniquely produces __________.

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The organ responsible for processing most foreign molecules is __________.

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Type II diabetes is uniquely characterized by __________.

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