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Encyclopedia of Health and Medicine

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I<br />

inhibin A peptide HORMONE the corpus luteum in<br />

ovulating women <strong>and</strong> the TESTES in men produce<br />

that stops the HYPOTHALAMUS from secreting<br />

GONADOTROPIN-RELEASING HORMONE (GNRH). This in<br />

turn stops the PITUITARY GLAND from secreting<br />

LUTEINIZING HORMONE (LH) <strong>and</strong> FOLLICLE-STIMULATING<br />

HORMONE (FSH), halting the subsequent cascade <strong>of</strong><br />

sex hormones from the gonads (sex gl<strong>and</strong>s).<br />

Researchers do not yet fully underst<strong>and</strong> the full<br />

range <strong>of</strong> inhibin’s actions, though it influences<br />

spermatogenesis (SPERM production) in men <strong>and</strong><br />

likely has additional roles in OVULATION. Some<br />

research suggests inhibin may serve as a marker to<br />

indicate an emerging OVARIAN CANCER or PROSTATE<br />

CANCER. With the cessation <strong>of</strong> ovulation a woman’s<br />

OVARIES no longer produces inhibin, so inhibin is<br />

no longer present in the BLOOD circulation <strong>of</strong> postmenopausal<br />

women. Inhibin production returns,<br />

however, when there is an ovarian cancer. Conversely,<br />

inhibin levels appear to drop in men who<br />

have BENIGN PROSTATIC HYPERTROPHY (BPH) or<br />

prostate cancer.<br />

For further discussion <strong>of</strong> inhibin within the<br />

context <strong>of</strong> the endocrine system’s structure <strong>and</strong><br />

function please see the overview section “The<br />

Endocrine System.”<br />

See also FERTILITY; PREGNANCY; TESTOSTERONE.<br />

insulin A peptide HORMONE the ISLETS OF LANGER-<br />

HANS in the PANCREAS produce that is essential for<br />

the body to use GLUCOSE. Insulin has numerous<br />

roles in the body, the best known <strong>of</strong> which is the<br />

regulation <strong>of</strong> glucose levels in the BLOOD (carbohydrate<br />

METABOLISM). Glucose, a basic sugar molecule,<br />

is a primary energy source for many cellular<br />

activities. When insulin binds with insulin receptors<br />

on a cell membrane, the cell allows glucose<br />

molecules to enter. Insulin facilitates lipid (fatty<br />

acid) metabolism, stimulates the LIVER to convert<br />

excess glucose into the intermediary storage form<br />

glycogen, <strong>and</strong> facilitates the conversion <strong>of</strong> amino<br />

acids to proteins for building new MUSCLE tissue.<br />

Insulin also participates in cell activities related to<br />

growth.<br />

The beta cells <strong>of</strong> the islets <strong>of</strong> Langerhans synthesize<br />

insulin in response to declining glucose levels<br />

in the blood. The release <strong>of</strong> insulin allows cells to<br />

accept glucose <strong>and</strong> at the same time directs the liver<br />

to begin converting glucose to glycogen for storage.<br />

Insulin also slows the conversion <strong>of</strong> fatty acids to<br />

glycogen, a process intended to conserve the longterm<br />

energy resources <strong>of</strong> the body (fat). These<br />

functions become less efficient in INSULIN RESISTANCE,<br />

a condition in which the cells are slow to bind with<br />

insulin. Disturbances <strong>of</strong> insulin sensitivity can<br />

allow lipids to accumulate in the blood circulation,<br />

contributing to cardiovascular diseases such as ATH-<br />

EROSCLEROSIS <strong>and</strong> CORONARY ARTERY DISEASE (CAD).<br />

Insufficient insulin production results in DIABETES,<br />

for which insulin is available as an injectable pharmaceutical<br />

as HORMONE THERAPY. Most forms <strong>of</strong><br />

insulin available today are recombinant constructions<br />

engineered in the laboratory to precisely<br />

match the molecular structure <strong>and</strong> actions <strong>of</strong><br />

endogenous human insulin.<br />

For further discussion <strong>of</strong> insulin within the<br />

context <strong>of</strong> the endocrine system’s structure <strong>and</strong><br />

function please see the overview section “The<br />

Endocrine System.”<br />

See also CORTISOL; DIGESTIVE ENZYMES; DIGESTIVE<br />

HORMONES.<br />

insulin resistance A condition, also called metabolic<br />

syndrome X or syndrome X, in which the cells<br />

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