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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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58<br />

Chapter | 3 Carbohydrate Metabolism and Its Diseases<br />

Insulin and C-peptide are released into the circulation<br />

in equimolar amounts but C-peptide’s circulatory concentration<br />

is higher than that <strong>of</strong> insulin because <strong>of</strong> its slower<br />

clearance half-time <strong>of</strong> 20 min as compared to 5 to 10 min<br />

for insulin. C-peptide is primarily degraded by the kidney<br />

and a portion is excreted in the urine ( Duckworth and<br />

Kitabchi, 1981 ).<br />

In the pancreatic cells, as the insulin moiety is cleaved<br />

from the proinsulin, it crystallizes with zinc for storage<br />

in the β -cell granules. The dense central inclusions<br />

<strong>of</strong> these insulin secretory granules consist mainly <strong>of</strong> crystalline<br />

insulin. Insulin release is stimulated by glucose,<br />

amino acids, hormones (glucagon, gastrin, secretin, pancreozymin),<br />

and drugs (sulfonyl ureas, isoproterenol).<br />

B 1<br />

A 1<br />

S<br />

S<br />

S<br />

C-PEPTIDE<br />

S<br />

INSULIN<br />

B-CHAIN<br />

A-CHAIN<br />

S<br />

S<br />

A 21<br />

B 30<br />

FIGURE 3-11 Insulin and proinsulin. Proinsulin is the coiled polypeptide.<br />

When the connecting C-peptide (open circle) is removed, the insulin<br />

molecule (solid circle) is released.<br />

Insulin release is inhibited by hypoglycemia, somatostatin,<br />

and many drugs, such as dilantin and phenothiazines .<br />

The liver is the primary site <strong>of</strong> insulin degradation, and<br />

the kidney is a secondary site. The half-life <strong>of</strong> insulin in the<br />

circulation is between 5 and 10 min ( Steiner, 1977 ).<br />

The A chain <strong>of</strong> insulin consists <strong>of</strong> 21 amino acids and<br />

the B chain <strong>of</strong> 30 amino acid residues ( Fig. 3-11 ). The m.w.<br />

<strong>of</strong> the insulin monomer is 6000 daltons and is the smallest<br />

unit possessing biological activity. Under physiological conditions,<br />

4 molecules <strong>of</strong> insulin are linked together to form<br />

a tetramer, the active molecule. Insulin obtained from various<br />

species differs in amino acid composition in Chain A<br />

or Chain B or both ( Table 3-4 ). Differences occur within<br />

species also as rats and mice ( Markussen, 1971 ) have two<br />

nonallelic insulins. These structural differences among the<br />

various species <strong>of</strong> animals are not located at critical sites,<br />

however, because they do not affect their biological activity.<br />

They do, however, affect their immunological behavior.<br />

The amount <strong>of</strong> insulin stored in the pancreata <strong>of</strong> various<br />

species also differs. The dog stores about 3.3 units per gram<br />

<strong>of</strong> pancreas, which amounts to about 75 I.U. in a 10-kg<br />

dog. This amount, if suddenly released, would be fatal.<br />

Insulin release is affected by glucose, mannose, leucine,<br />

other amino acids, ketone bodies, and fatty acids. This release<br />

is mediated by glucagon, a hormone, which increases cAMP<br />

and potentiates the insulin response. The sulfonylureas<br />

are effective as pharmacological agents to release insulin,<br />

the basis for their therapeutic use.<br />

TABLE 3-4 Species Variation in Amino Acid Sequences <strong>of</strong> Insulin a<br />

Position a<br />

Species A Chain B Chain<br />

A-4 A-8 A-9 A-10 B-3 B-29 B-30<br />

Human Glu Thr Ser Ileu Asp Lys Thr<br />

Monkey Glu Thr Ser Ileu Asp Lys Thr<br />

Dog Glu Thr Ser Ileu Asp Lys Ala<br />

Pig Glu Thr Ser Ileu Asp Lys Ala<br />

Sperm Whale Glu Thr Ser Ileu Asp Lys Ala<br />

Rabbit Glu Thr Ser Ileu Asp Lys Ser<br />

Horse Glu Thr Gly Ileu Asp Lys Ala<br />

Cow Glu Ala Ser Val Asp Lys Ala<br />

Sheep Glu Ala Gly Val Asp Lys Ala<br />

Sei Whale Glu Ala Ser Thr Asp Lys Ala<br />

Rat 1 Asp Thr Ser Ileu Lys Lys Ser<br />

Rat 2 Asp Thr Ser Ileu Lys Met Ser<br />

From Renold and Cahill (1966) and Naithani et al. (1984).<br />

a<br />

These are the sites <strong>of</strong> variation on the A chains and the B chains. Ala alanine; Asp aspartic acid; Glu glutamic acid; Ileu isoleucine;<br />

Met methionine; Ser serine; Thr threonine.

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