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Minimizing Mitogenic Potency of Insulin Analogues Through Modification of a Disulfide Bond
Shee Chee Ong1, Alessia Belgi2, Allanah L Merriman1
1Discipline of Medical Biochemistry, Flinders Health and Medical Research Institute, Flinders University of South Australia, Bedford Park, SA, Australia.
Abstract:
The mechanisms by which insulin activates the insulin receptor to promote metabolic processes and cellular growth are still not clear. Significant advances have been gained from recent structural studies in understanding how insulin binds to its receptor. However, the way in which specific interactions lead to either metabolic or mitogenic signalling remains unknown. Currently there are only a few examples of insulin receptor agonists that have biased signalling properties. Here we use novel insulin analogues that differ only in the chemical composition at the A6-A11 bond, as it has been changed to a rigid, non-reducible C=C linkage (dicarba bond), to reveal mechanisms underlying signaling bias. We show that introduction of an A6-A11 cis-dicarba bond into either native insulin or the basal/long acting insulin glargine results in biased signalling analogues with low mitogenic potency. This can be attributed to reduced insulin receptor activation that prevents effective receptor internalization and mitogenic signalling. Insight gained into the receptor interactions affected by insertion of an A6-A11 cis-dicarba bond will ultimately assist in the development of new insulin analogues for the treatment of diabetes that confer low mitogenic activity and therefore pose minimal risk of promoting cancer with long term use.
Insights
Novel insulin analogs with a modified A6-A11 bond show biased signaling, reducing cancer risk. These dicarba bond insulins offer a safer approach for diabetes treatment by minimizing mitogenic activity.
Area of Science:
- Biochemistry
- Molecular Biology
- Endocrinology
Background:
- Insulin receptor activation mechanisms for metabolic and growth signaling remain unclear.
- Structural studies have advanced understanding of insulin binding but not signaling bias.
- Few insulin receptor agonists exhibit biased signaling properties.
Purpose of the Study:
- To investigate the mechanisms underlying insulin signaling bias using novel insulin analogs.
- To explore how modifications at the insulin A6-A11 bond influence receptor activation and downstream signaling.
- To develop insulin analogs with reduced mitogenic activity for safer diabetes treatment.
Main Methods:
- Synthesis of novel insulin analogs with a rigid, non-reducible C=C (dicarba) linkage at the A6-A11 bond.
- Comparison of signaling properties between native insulin, insulin glargine, and their dicarba bond modified counterparts.
- Assessment of insulin receptor activation, internalization, and downstream metabolic and mitogenic signaling pathways.
Main Results:
- Introduction of an A6-A11 cis-dicarba bond into insulin or insulin glargine resulted in biased signaling analogs.
- These modified insulins exhibited significantly reduced mitogenic potency.
- Reduced insulin receptor activation and impaired receptor internalization were observed, correlating with lower mitogenic signaling.
Conclusions:
- The A6-A11 dicarba bond modification is a viable strategy to achieve biased insulin signaling.
- This modification leads to insulin analogs with low mitogenic activity, potentially reducing cancer risk associated with long-term insulin therapy.
- Further development of such analogs could lead to safer and more effective treatments for diabetes.
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