2017
DOI: 10.3389/fendo.2017.00167
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Structural Perspectives of Insulin Receptor Isoform-Selective Insulin Analogs

Abstract: A significant drawback of the exogenous administration of insulin to diabetics is the non-physiological profile of insulin action resulting in the insufficient suppression of hepatic glucose production, which is the main contributing factor to diabetic hyperglycemia under fasting conditions and the basis of the challenge to restore a more physiological glucose profile in diabetes. The insulin receptor (IR) exists in two alternatively spliced variants, IR-A and IR-B, with different tissue distribution. While pe… Show more

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Cited by 23 publications
(27 citation statements)
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References 49 publications
(73 reference statements)
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“…Although insulin replacement remains an essential therapy, it is still hampered by the inability of exogenously administered insulins to recapitulate the full spectrum of physiological insulin action (Jiracek and Zakova, 2017). A thorough understanding of the molecular details of ligand-insulin receptor activation is prerequisite for the development of specific agonists as well as antagonists.…”
Section: What Is the Role Of The Interaction Of Insulin With Sites 2 mentioning
confidence: 99%
“…Although insulin replacement remains an essential therapy, it is still hampered by the inability of exogenously administered insulins to recapitulate the full spectrum of physiological insulin action (Jiracek and Zakova, 2017). A thorough understanding of the molecular details of ligand-insulin receptor activation is prerequisite for the development of specific agonists as well as antagonists.…”
Section: What Is the Role Of The Interaction Of Insulin With Sites 2 mentioning
confidence: 99%
“…Moreover, IR-A, IR-B, and IGF-1R can form what are known as hybrid receptors, composed of one pair of αβ subunits from one receptor and the second αβ pair from another receptor (6). The IR-A, IR-B, and IGF-1R receptors have different tissue distributions and can bind individual hormones with different affinities (7). Furthermore, the availability of IGFs is modulated by a family of six IGF-binding proteins (8), and IGF-2 also binds to a distinct receptor for IGF-2 (9, 10).…”
Section: Introductionmentioning
confidence: 99%
“…Such different affinities may be due to different experimental setups and most probably because of different kinds of receptor protein or its immobilization. Indeed, binding studies with native insulin receptors in intact cells [68] or in isolated cell membranes [69,70] determined much higher affinities (~0.2-0.5 nM and~0.5-1 nM, respectively) than the binding affinities determined by SPR (73 nM and 166 nM) [71].…”
Section: D11 Of Igf2r Igf1r Ir-mentioning
confidence: 93%