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Published on: January 4, 2018
Structural biology of insulin and IGF1 receptors: implications for drug design
Pierre De Meyts1, Jonathan Whittaker
1Receptor Biology Laboratory, Hagedorn Research Institute, Niels Steensens Vej 6, DK-2820 Gentofte, Denmark. pdm@novonordisk.com
Abstract:
Type 2 diabetes mellitus -- in which the body produces insufficient amounts of insulin or the insulin that is produced does not function properly to control blood glucose -- is an increasingly common disorder. Prospective clinical studies have proven the benefits of tighter glucose control in reducing the frequency and severity of complications of the disease, leading to the advocation of earlier and more aggressive use of insulin therapy. Given the reluctance of patients with type 2 diabetes to inject themselves with insulin, orally active insulin mimetics would be a major therapeutic advance. Here, we discuss recent progress in understanding the structure-function relationships of the insulin and insulin-like growth factor 1 (IGF1) receptors, their mechanism of activation and their implications for the design of insulin-receptor agonists for diabetes therapy and IGF1-receptor antagonists for cancer therapy.
Insights
Type 2 diabetes is a growing concern. Developing orally active insulin mimetics could revolutionize treatment, offering an alternative to injections for better blood glucose control.
Area of Science:
- Biochemistry
- Endocrinology
- Pharmacology
Background:
- Type 2 diabetes mellitus is a prevalent disorder characterized by impaired insulin production or function.
- Tighter glucose control demonstrably reduces diabetes complications, supporting earlier and more aggressive insulin therapy.
- Patient reluctance towards insulin injections necessitates alternative therapeutic strategies.
Purpose of the Study:
- To explore the structure-function relationships of insulin and IGF1 receptors.
- To elucidate the mechanism of insulin and IGF1 receptor activation.
- To inform the design of novel therapeutic agents for diabetes and cancer.
Main Methods:
- Review of recent scientific literature on insulin and IGF1 receptor signaling.
- Analysis of structure-function relationships.
- Discussion of therapeutic implications.
Main Results:
- Understanding receptor activation mechanisms is key to designing effective drugs.
- Insulin-receptor agonists show promise for diabetes management.
- IGF1-receptor antagonists are potential candidates for cancer therapy.
Conclusions:
- Targeting insulin and IGF1 receptors offers dual therapeutic potential.
- Orally active insulin mimetics represent a significant advancement for type 2 diabetes treatment.
- Further research into receptor-ligand interactions can yield new treatments for both metabolic and oncologic diseases.
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