Title: insulin signalling
1insulin signalling
2Neuro-anatomy of homeostatic regulation of food
intake opposing actions of AgRP/NPY and
POMC/CART containing neurons
3(No Transcript)
4Increased concentration of glucose in the blood,
after a meal, leads to increased ATP production
in the pancreatic b-cell and this in turn reduces
K outflow, leading to membrane depolarisation.
The subsequent C2 entry constitutes the
secretion signal
5Release of insulin in response to glucose leads
to glucose uptake and storage in the form of
glycogen (in muscle and liver)
6the insulin receptor
7insulin receptor activation and recruitment of
signalling complex
8Recruitment of adaptors and effectors through
domains that bind phosphotyrosine-containing
peptides
SH2 domain (or PTB domain)
phosphotyrosine peptide from IRS1 (or insulin
receptor)
9PI 3-kinase is an important effector for insulin
signalling
10Molecular structure of PI 3-kinase
11PI 3-kinase products(relevant to insulin
signalling is the production of PI-3,4,5-P3
12A downstream effector of PI 3-kinase is the
protein kinase PKB
PDK2 phosphatidyl inositol-dependent protein
kinase 2 was so named because the identity was
unclear. It is now generally agreed that the
mTOR/Rictor complex provides the initial
phosphorylation
13the protein kinase B family
14Detail of the mechanism of activation of protein
kinase B
15PKB phosphorylates FOXO1 and this prevents if
from going into the nucleus
16Loss of FoxO1 in the nuclear leads to increased
POMC and reduced AgRP expression
17PKB stimulates the mTOR pathway, which also
provides a anorectic signal (via an as yet
unclear pathway)
18Rheb is a GTPase which, in its GTP-bound state,
binds FKBP38
19mTOR is a huge atypical protein kinase of which
still a lot has to be learned
20A lack of glucose blocks the mTOR-mediated
anorectic signal. This occurs through an increase
of 5-AMP which is produced in a  rescueÂ
pathway where two ADP are combined to raise the
level of ATP
21The global picture of insulin, leptin, glucose
and amino-acid mediated regulation of food
intake via mTOR and AMPK
22from PKB to glycogen synthase