Cyclic Insulin

Earner, J., 1990. Insulin and the stimulation of glycogen synthesis The road from glycogen structure to glycogen synthase to cyclic AMP-dependent protein kinase to insulin mediators. Advances in Enzymology 63 173-231. 

Cyclic AMP (cAMP) (Figure 18-5) is formed from ATP by adenylyl cyclase at the inner surface of cell membranes and acts as an intracellular second messenger in response to hormones such as epinephrine, norepinephrine, and glucagon. cAMP is hydrolyzed by phosphodiesterase, so terminating hormone action. In hver, insulin increases the activity of phosphodiesterase. 

Ohno T, Kato N, Ishii C, Shimizu M, Ito Y, Tomono S and Kawazu S. 1993. Genistein augments cyclic adenosine 3 5 -monophosphate(cAMP) accumulation and insulin release in MIN6 cells. Endocr Res 19(4) 273-285. 

We have tested the hypothesis that insulin inhibits the stimulatory effect of parathyroid hormone (PTH) on calcium reabsorption in the distal nephron. PTH is known to enhance calcium transport in renal cells, probably by stimulation of adenylate cyclase and subsequent increases in 3 5 cyclic AMP productoin. Since insulin had been observed to inhibit PTH-stimulated increases in kidney cyclic AMP levels in vitro (24) we investigated whether insulin-mediated hypercalciuria was dependent on the presence of PTH in vivo. 

In adipose tissue, insulin stimulation suppresses triglyceride hydrolysis (to free fatty acids and glycerol) by activating cAMP phosphodiesterase (cAMP PDE). Cyclic AMP, (3, 5 cAMP), is required to stimulate hormone sensitive lipase (HSL), the enzyme which hydrolyses triglyceride within adipocytes PDE converts active 3, 5 cAMP to inactive 5 AMP thus preventing the stimulation of HSL. The net effect of insulin on lipid metabolism is to promote storage. 

Insulin and glucagon regulate gluconeogenesis via changes in cyclic AMP concentration. 

Glucagon stimulates adenylate cyclase activity and this increases the concentration of cyclic AMP. Insulin antagonises this effect via an increase in the activity of cyclic AMP phosphodiesterase, which hydrolyses cyclic AMP to AMP, which results in a decrease in the concentration of cyclic AMP (Figure 6.34). 

Figure 6.34 Effects of glucagon and insulin on the cyclic AMP level. Glucagon increases the activity of adenylate cyclase, which increases the concentration of cyclic AMP whereas insulin activates the phosphodiesterase which hydrolyses cyclic AMP to form AMP. Cyclic AMP activates protein kinase A.

Figure 7.15 Inhibition of acetyl-CoA carboxylase by cyclic AMP dependent protein kinase and AMP dependent protein kinase the dual effect of glucagon. Phosphorylation of acetyl-CoA carboxylase by either or both enzymes inactivates the enzyme which leads to a decrease in concentration of malonyl-CoA, and hence an increase in activity of carnitine palmitoyltransferase-I and hence an increase in fatty acid oxidation. Insulin decreases the cyclic AMP concentration maintaining an active carboxylase and a high level of malonyl-CoA to inhibit fatty acid oxidation.

Metabolism. The nucleotide cAMP (adenosine 3, 5 -cyclic monophosphate) is synthesized by membrane-bound adenylate cyclases [1] on the inside of the plasma membrane. The adenylate cyclases are a family of enzymes that cyclize ATP to cAMP by cleaving diphosphate (PPi). The degradation of cAMP to AMP is catalyzed by phosphodiesterases [2], which are inhibited by methylxanthines such as caffeine, for example. By contrast, insulin activates the esterase and thereby reduces the cAMP level (see p. 388). 

Hypothalamic GHRIF is a cyclic 14 amino-acid peptide, although a 28 amino acid form is also found in some other tissues. GHRIF inhibits the release not only of GH but also of tyrotrophin and corticotrophin from the pituitary, and insulin and glucagon from the pancreas. It can also regulate the level of duodenal secretions. 

B. Cyclic GMP Is Not Involved in Interleukin 1-Induced Inhibition of Insulin Secretion by Islets... 

Green, 1. G., Delaney, C. A., Cunningham, J. M., Karmirism, V., and Southern, C. (1993). Interleukin-IjS effects on cyclic GMP and cyclic AMP in cultured rat islets of Lan-gerhans—Atginine dependence and relationship to insulin secretion. Diabetologia 36, 9-16. 

Every hormone must have one or more receptors, most of which are proteins. These may be found embedded in the outer surface of the plasma membrane, in the cytoplasm, or in the cell nucleus. Binding of a hormone to its receptor often elicits both a rapid response and a slower one. For example, we have seen that glucagon, adrenaline, and vasopressin bind to cell surface receptors and promote the synthesis of cyclic AMP (Fig. 11-4). Tire cAMP induces rapid chemical modifications of many proteins. Some of these may diffuse into the nucleus and affect transcription of genes, a slower response. Insulin (Chapter 11, Section G) also exerts both rapid and slower responses. 

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