Mechanisms of Insulin Action (Medical Intelligence Unit) by Alan R. Saltiel, Jeffrey E. Pessin

By Alan R. Saltiel, Jeffrey E. Pessin

Greater than 18 million humans within the usa have diabetes mellitus, and approximately ninety% of those have the sort 2 type of the sickness. This e-book makes an attempt to dissect the complexity of the molecular mechanisms of insulin motion with a different emphasis on these gains of the process which are topic to alteration in kind 2 diabetes and different insulin resistant states. It explores insulin motion on the most simple degrees, via complicated structures.

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Iwami M, Furuya I, Kataoka H. Bombyxin-related peptides: cDNA structure and expression in the brain of the hornworm Agrius convolvuli. Insect Biochem Mol Biol 1996; 26:25-32. 11. Lagueux M, LwofF L, Meister M et al. cDNAsfi-omneurosecretory cells of brains of Locusta migratoria encoding a novel member of the superfamily of insulins. Eur J Biochem 1990; 187:249-254. 12. Smit AB, Geraerts PM, Meester I et al. Characteri2sation of a cDNA clone encoding molluscan insuHn-related peptide II of Lymnaea stagnalis.

At high insulin concentrations, monovalent binding of two additional insulin molecules saturate the leftover sites 1 and 2 and stabilize the b i n d i n g of the p r e b o u n d insulin in the first crosslink, explaining the bell-shaped curve for negative cooperativity (see ref. 57 for detailed explanation). site 1. Also, the single crosslink per se does not explain the bell-shaped curve for negative cooperativity. Schaffer postulates an additional competing mechanism such as the binding of a molecule to the unoccupied binding site 2, "putting a lid" on the complex, sterically impairing dissociation.

Whittaker et al have now characterized the functional binding epitope of the native insulin receptor^ (previous studies have focused on a secreted ectodomain). Alanine mutations Argl4, Phe GA in the LI domain and Phe 705, Glu 706, Tyr 708, His 710, and Asn 711 in the insert domain inactivate the insulin binding function of both forms of the receptor. Surprisingly, alanine mutation of Val 715, which has no impact on the affinity of the secreted receptor, inactivates the fiill-length receptor. Significant differences in effect on affinity of the holo-receptor for insulin were also observed for alanine mutations of Asp 12, Leu 37, Phe 89, Glu 97, and Glu 120 in the LI domain and of Leu 709 and Phe 714 in the insert domain.

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