Enhanced insulin receptor interaction by a bifunctional insulin-transferrin fusion protein: an approach to overcome insulin resistance

Sci Rep. 2020 May 7;10(1):7724. doi: 10.1038/s41598-020-64731-9.

Abstract

Bifunctional fusion protein design has been widely utilized as a strategy to increase the efficacy of protein therapeutics. Previously, we proposed a novel application of the bifunctional fusion protein design through the introduction of proinsulin-transferrin (ProINS-Tf) fusion protein as a liver-specific protein prodrug to achieve a glucose-lowering effect in type 1 diabetic mice. In this report, we studied the binding characteristics of this activated fusion protein to the insulin receptor to elucidate its mechanism in eliciting insulin receptor-mediated signaling. We found that, with the assistance of the transferrin moiety binding to the transferrin receptor, the activated ProINS-Tf exhibited significantly higher binding affinity to the insulin receptor compared with the native insulin, resulting in a prolonged and stronger Akt phosphorylation. This enhanced induction by activated ProINS-Tf overcame insulin resistance in palmitate-treated HepG2 cells. ProINS-Tf also demonstrated a better glucose-lowering effect than native insulin, even with a much lower dose and less frequent injections, in non-obese diabetic mice with insulin resistance symptoms. The activated ProINS-Tf, serving as a bivalent protein molecule, could be a new insulin analog to overcome insulin resistance, which is associated with several diseases, including type 2 diabetes and non-alcoholic fatty liver disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, CD / genetics*
  • Diabetes Mellitus, Type 2 / drug therapy*
  • Diabetes Mellitus, Type 2 / genetics
  • Diabetes Mellitus, Type 2 / metabolism
  • Diabetes Mellitus, Type 2 / pathology
  • Disease Models, Animal
  • Glucose / metabolism
  • Hep G2 Cells
  • Humans
  • Hypoglycemic Agents / pharmacology
  • Insulin / genetics
  • Insulin / pharmacology*
  • Insulin Resistance / genetics*
  • Liver / drug effects
  • Liver / metabolism
  • Male
  • Mice
  • Mice, Inbred NOD
  • Proinsulin / genetics
  • Proinsulin / pharmacology
  • Protein Binding / drug effects
  • Receptor, Insulin / genetics*
  • Receptors, Transferrin / genetics
  • Transferrin / genetics*
  • Transferrin / pharmacology

Substances

  • Antigens, CD
  • Hypoglycemic Agents
  • Insulin
  • Receptors, Transferrin
  • Transferrin
  • Proinsulin
  • INSR protein, human
  • Receptor, Insulin
  • Glucose