associated protein (INGAP) was discovered in the partially duct-obstructed hamster pancreas as a factor inducing formation of new duct-associated islets. A bioactive portion of INGAP, INGAP 104 -118 peptide (INGAP-P), has been shown to have neogenic and insulin-potentiating activity in numerous studies, including recent phase 2 clinical trials that demonstrated improved glucose homeostasis in both type 1 and type 2 diabetic patients. Aiming to improve INGAP-P efficacy and to understand its mechanism of action, we cloned the full-length protein (rINGAP) and compared the signaling events induced by the protein and the peptide in RIN-m5F cells that respond to INGAP with an increase in proliferation. Here, we show that, although both rINGAP and INGAP-P signal via the Ras/Raf/ERK pathway, rINGAP is at least 100 times more efficient on a molar basis than INGAP-P. For either ligand, ERK1/2 activation appears to be pertussis toxin sensitive, suggesting involvement of a G protein-coupled receptor(s). However, there are clear differences between the peptide and the protein in interactions with the cell surface and in the downstream signaling. We demonstrate that fluorescent-labeled rINGAP is characterized by clustering on the membrane and by slow internalization (Յ5 h), whereas INGAP-P does not cluster and is internalized within minutes. Signaling by rINGAP appears to involve Src, in contrast to INGAP-P, which appears to activate Akt in addition to the Ras/Raf/ ERK1/2 pathway. Thus our data suggest that interactions of INGAP with the cell surface are important to consider for further development of INGAP as a pharmacotherapy for diabetes.Reg proteins; RIN-m5F cells; proliferation; signaling REGENERATION OF -CELLS IN DIABETIC PATIENTS is an important goal of diabetes research. In recent years, there has been increasing interest in the development of new strategies to induce -cell regeneration and new islet formation in situ (3,28,40). Therefore, identification of bioactive molecules with the capacity to stimulate expansion of the remaining -cell mass or with islet neogenic activity is crucial for harnessing the regenerative potential of the native pancreas.Islet neogenesis-associated protein (INGAP) is a 16.8-kDa protein originally identified in a crude extract from a partially obstructed hamster pancreas (42). INGAP is expressed in the pancreas and duodenum (22,39,41) and has been shown to induce islet neogenesis in several species (43,44). Structurally, INGAP is a member of the Reg family of secreted C-type lectins that comprises more than 25 members and is classified into four subfamilies based on the primary sequence (33, 58). INGAP belongs to the large Reg3 subfamily that has been identified predominantly in gastrointestinal tissues (pancreas, stomach, and liver) in rat, mouse, hamster, and humans (20,39,53,56). Despite the ubiquity of Reg proteins, not much is known about their functions or the mechanisms of action. Although there is a consensus on the role of Reg1 as a -cell mitogen (33, 52, 53, 56), much less i...