Pancreas胰腺
The exocrine portion synthesizes digestive secretions that are released into the pancreatic duct and flow into the small intestine. 外分泌部分合成消化分泌物,这些分泌物进入胰管并流入小肠。 The endocrine portion produces peptide hormones in clusters of cells called islet cells. One type of islet cells produces the hormone insulin, and the other type produces the hormone glucagon. Toward the end of regulating carbohydrate and fat metabolism, the two hormones work in opposition to each other. The insulin reduces the blood glucose level and the glucagon increases it. The intake of food will increase the glucose level in the blood, and the pancreas will release insulin, inducing the cells of the body to take up glucose. The cells will either metabolize the glucose for energy or convert it into a fat or into glycogen. Failure of the insulin delivery system can lead to diabetes mellitus. 内分泌部分产生肽类激素,这些激素由称为胰岛细胞的细胞群产生。一种类型的胰岛细胞产生胰岛素这种激素,另一种类型则产生胰岛素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素素 In the case of a reduction in blood glucose from fasting or from exercise, the pancreas will release glucagon. The glucagon will activate an enzyme in the liver that breaks down glycogen, releasing glucose into the blood. Glucagon also promotes lipid breakdown, which breaks down fatty acids that can be metabolized for energy. The liver is an important storage location for both glycogen and fatty acids. Skeletal muscles are also important locations for glycogen, which can supply energy for extended active exercise.
在禁食或运动后血糖水平下降时,胰腺会释放胰高血糖素。胰高血糖素会激活肝脏中的酶,分解糖原,将葡萄糖释放到血液中。胰高血糖素还促进脂肪分解,分解出可以用于供能的脂肪酸。肝脏是糖原和脂肪酸的重要储存场所。骨骼肌也是糖原的重要储存场所,这些糖原可以为长时间的体力活动提供能量。 |
Index Reference Audesirk & Audesirk Ch 29, 32 Thibodeau & Patton Ch 16 索引参考Audesirk & Audesirk第29章、第32章,Thibodeau & Patton第16章 | ||||
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Diabetes Mellitus糖尿病
Diabetes Mellitus is a disease characterized by blood glucose levels that are high and fluctuate greatly with sugar intake. It may be caused by defects in insulin production, or defects in the release of insulin or its reception by target cells. 糖尿病是一种以血糖水平高且对糖分摄入波动较大为特征的疾病。它可能是由于胰岛素生成缺陷,或是胰岛素释放缺陷,或靶细胞对胰岛素的接收缺陷所致。 Lack of properly functioning insulin results in the cells relying more on metabolism of fats as an energy source. This has a number of undesirable results: it leads to high levels of circulating lipids in the blood, including cholesterol, and it can cause fat deposits in the blood vessels. High blood pressure and heart disease may follow, and diabetes is an important cause of heart attacks. Damage to the kidneys is also associated with diabetes. Fortunately, insulin supplements help, and supplies of human insulin are now available from bacteria into which the gene for human insulin have been inserted.
缺乏正常功能的胰岛素会导致细胞更依赖脂肪的代谢作为能量来源。这会产生一系列不良后果:它会导致血液中脂质水平升高,包括胆固醇,并可能导致血管内脂肪沉积。高血压和心脏病可能会随之发生,糖尿病是心脏病发作的重要原因。糖尿病也与肾脏损伤有关。幸运的是,胰岛素补充剂有助于治疗,现在可以通过将人类胰岛素基因插入细菌中来生产人类胰岛素。 |
Index Reference Audesirk & Audesirk Ch 29, 32 Thibodeau & Patton Ch 16 索引参考Audesirk & Audesirk第29章、第32章,Thibodeau & Patton第16章 | ||
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