SummaryInsulin receptors are present on fetal and newborn tissues in significantly greater numbers than on adult tissues. Recent studies have suggested that membrane fluidity, which is dependent upon lipid constituents, is important in regulating the appearance and behavior of insulin receptors. We have compared the lipid composition and fluidity as well as insulin receptor binding to monocytes from normal adults and full term normal infants.Newborn infants had significantly higher insulin levels than did fasting adults (17.4 ± 2.4 versus 9.8 ± 0.6 ILU/ml; P < 0.001);despite this, cord blood monocytes showed significantly higher 125I-insulin tracer binding than did those of adults (9.5 ± 0.51 versus 7.6 ±0.45%/10 7 cells; P < 0.02). From Scatchard analysis, it was evident that cord monocytes had greater numbers of both high (2.94 versus 1.25 X 10-10 M-I ) and low affinity (13.1 versus 8.57 x 10-10 M-I ) receptors than adult monocytes. Cord mononuclear cells had significantly lower phospholipid concentrations than adult cells (0.085 ± 0.012 versus 129 ± 0.012 mgfmg of protein; P < 0.025) and significant elevations of cholesterol/phospholipid ratios (0.520 ± 0.045 versus 0.354 ± 0.009; P < 0.005). Microviscosity determinations were performed using the fluorescent probe 1,6-diphenyl-l,3,5-hexatriene. Cord cells had significantly greater microviscosity values (fluorescence polarization) (0.339 ± 0.030 versus 0.186 ± 0.019; P < 0.005), compared to adult cells. For all subjects, a highly significant correlation was noted between cell microviscosity measurements (fluorescence polarization) and 125I-insulin tracer binding to mononuclear cells (r =0.72, n =15, P < 0.005).The data support the concept that as membrane fluidity decreases ii.e. viscosity increases) intrinsic proteins including receptors are displaced outward, increasing their exposure to the aqueous environment. Abbreviations DPH,I,6-diphenyl-l,3,5-hexatriene FP, fluorescence polarization aE act , flow activation energy (kcaljmol) PBS, phosphate-buffered saline Insulin receptors are present on fetal and newborn tissues in significantly greater numbers than on adult tissues (17,19,49). We have previously shown that hepatic insulin receptors increase in the fetal rat during the last part of gestation, in a manner which parallels the increasing insulin content in the fetal pancreas (33,34). Furthermore, in the presence of mat~rnal diabe~es a~d fetal hyperinsulinemia, paradoxical up-regulation of the insulin receptor has been documented for both monocytes and lung membranes (30-32). Only after birth do insulin receptors decrease in number on erythrocytes and hepatic membranes to levels comparable to those in adults (11,17,39,41,48,51).The factors which regulate the appearance of the insulin receptor in the fetus and newborn are not well understood. One characteristic of fetal development is the accumulation of membrane phospholipid, a process which continues after birth (12, 27). We and others have suggested that membrane lipid composition and particularly membr...