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Zhang, X.;  Zhu, X.;  Bi, X.;  Huang, J.;  Zhou, L. The Insulin Receptor. Encyclopedia. Available online: (accessed on 13 April 2024).
Zhang X,  Zhu X,  Bi X,  Huang J,  Zhou L. The Insulin Receptor. Encyclopedia. Available at: Accessed April 13, 2024.
Zhang, Xiaohong, Xuezhen Zhu, Xiaoyang Bi, Jiguang Huang, Lijuan Zhou. "The Insulin Receptor" Encyclopedia, (accessed April 13, 2024).
Zhang, X.,  Zhu, X.,  Bi, X.,  Huang, J., & Zhou, L. (2022, July 29). The Insulin Receptor. In Encyclopedia.
Zhang, Xiaohong, et al. "The Insulin Receptor." Encyclopedia. Web. 29 July, 2022.
The Insulin Receptor

The insulin receptor (IR) is a transmembrane protein that is activated by ligands in insulin signaling pathways. The IR has been considered as a novel therapeutic target for clinical intervention, considering the overexpression of its protein and A-isoform in multiple cancers, Alzheimer’s disease, and Type 2 diabetes mellitus in humans. Meanwhile, it may also serve as a potential target in pest management due to its multiple physiological influences in insects.

insulin receptor function agonists antagonists mechanism

1. Introduction

The insulin receptor (IR) is a transmembrane protein and part of the tyrosine kinase receptors (RTK). It exists as covalently bound receptor dimers at the cell surface [1]. The IR plays essential roles in metabolism, cell growth, and development by transmitting the binding of extracellular ligands into several intracellular signaling cascades [2][3][4]. Previous studies have demonstrated that ligands and the insulin signaling IR are highly conserved among human beings and insects [5][6][7].
In human beings, the function of the IR has been studied for many years, and it has been found to play a crucial role in multiple chronic diseases, including Alzheimer’s disease (AD) [8], Type 2 diabetes mellitus (T2DM) [9][10], and various cancers [2][11][12][13], as well as neurodegenerative disorders [14] and metabolic syndromes [15]. For T2DM, the destruction and dysfunction of pancreatic β-cells are common occurrences, and insulin injection is the only choice for glycemic control [16]. The dramatic increase in T2DM over the globe has led to increasing requirements for insulin. Moreover, insulin injection may require more than one shot each day, is hazardous and inconvenient, causes tissue irritation, abscesses, discomfort, etc., and local allergic reactions, lipoatrophy, lipohypertrophy, etc., are common complications of subcutaneous injections [17][18]. Because of the multiple problems associated with insulin injection, orally active insulin-mimetic compounds would be an ideal substitute [19]. For cancer, IR makes an attractive anticancer target owing to its overexpression in a variety of cancers, especially prostate and breast cancers [20]. Therefore, regulators of the IR, such as β-site amyloid precursor protein cleaving enzyme 1 (BACE1), have been regarded as potential therapeutic target [20][21]. Similarly, IR modulators such as ceritinib and anti-idiotypic antibody AK98 (an off-target IR inhibitor) have been suggested as promising drugs for the treatment of brain tumors and breast cancer, respectively [22][23].
In insects, current evidence points to the roles of the IR in regulating development, reproduction, lifespan, caste differentiation, and wing polyphenism [24][25][26]. Neonicotinoid insecticides (e.g., imidacloprid) are selective agonists of the nicotinic acetylcholine receptor (nAChR) that have been widely used to control various insects [27]. Likewise, ryanodine and diamides are commercial insecticides that are antagonists or activators of insect ryanodine receptors (RyRs) [28]. It may be deduced that modulators of the IR that selectively activate or inhibit the IR may be of considerable value in providing promising drugs for the control of human disease, or as insecticides for the control of insects [29]. In this regard, medicines specifically targeting the IR are diverse. However, IR-targeting insecticides are still lacking. Owing to the persistent use of traditional synthetic insecticides, insect resistance has become increasingly serious. Therefore, there is a growing need for new insecticides with new mechanisms of action. Thus IR-targeting insecticides represent an opportunity in the research and development of insecticides.

2. Biology Studies of the IR

2.1. Molecular Structure of the IR

Biochemically, the IR is encoded by a single gene. The coding region of the IR gene has 22 exons and 21 introns [30]. The alternative splicing of exon 11 encodes a 12-amino-acid sequence at the C-terminus of the α-subunit of the IR gene during transcription, resulting in the formation of the isoforms IR-A and IR-B [31]. IR-B is a mature isoform due to the fact that it includes the 12-amino-acid sequence, while the fetal isoform IR-A does not [10][32]. Both isoforms are expressed in most of the cells associated with energy homeostasis, such as adipocytes, hepatocytes, myocytes, and placenta vascular endothelium; however, they present different functional features [10][33]. Several in vitro and in vivo studies have confirmed that the expression and response of the two isoforms are different in breast cancer and T2DM [11]. IR-B possesses important metabolic functions and is the dominant isoform [2]. Conversely, the less-differentiated isoform IR-A is principally expressed in cancer cells [32]. Activation of IR-A promotes the growth of the cancer cells [34].
IR structural studies have previously been described in detail [35][36][37][38] (Table 1). The IR is a glycosylated, disulfide-linked (αβ)2 transmembrane homodimer consisting of two repeated ectodomains (ECD), a single transmembrane helix, and two intracellular cytoplasmic domain that includes a tyrosine kinase domain (TKD) (Figure 1a) [38][39]. The α-subunit constitutes most of the IR-ECD, while the β-subunit is necessary for the IR-ECD, the transmembrane domain (TMD), and the intracellular TKD [38].
Figure 1. (a) The architectural domain of the IR (αβ) 2 homodimer. Black lines indicate the intersubunit disulfide bonds; (b) Inactive and active states of the IR; L1, L2, leucine-rich repeat domains 1, 2; CR, cysteine-rich domain; FnIII-1, 2, 3, fibronectin type-III domains 1, 2, 3; αCT, α C-terminal regions; TM, transmembrane; JM, juxtamembrane; KD, kinase domain; CT, C-terminal tail; ECD, ectodomain; TMD, transmembrane domain; TKD, tyrosine kinase domain.
Table 1. Summary of the available structures of IR.
Classification Structure of IR References
Domain layout an (αβ)2 disulfide-linked homodimer [35]
cDNA sequenced α chain lies on the N-terminal of the β chain
3D structure of human apo IR ectodomain intracellular unphosphorylated from TKD (2.1 Å resolution, PDB 1IRK)
receptor’s isolated L1-CR-L2 module (2.32 Å resolution, PDB 2HR7)
intact receptor ectodomain in apo form (3.8 Å resolution, PDB 2DTG)
CryoEM structures of IR insulin holoreceptor (full-length receptor inclusive of transmembrane and cytoplasmic elements) [40]
isolated receptor ectodomain [41][42]
an ectodomain construct (leucine-zippered receptor ectodomain) [43]
Determination of the three-dimensional (3D) crystal structure of the insulin-free IR-ECD through crystallography has revealed that the IR-ECD dimer roughly displays an inverted “U”- or “V”-shaped architecture [37][44]. Specifically, L1 and CR together with L2 form one leg, while the linearly arranged FnIII domains form the other leg [37]. However, the modular organization of the ECD, with high intrinsic flexibility and its complex ligand-binding properties, poses a challenge for structural studies of the IR. Furthermore, single-particle cryo-electron microscopy (cryo-EM) has revealed that the IR-ECD dimer converts the overall architecture from an autoinhibited inverted “V” shape into a “T”-shaped conformation, which was stabilized after binding insulin molecules to the N-terminal domains (Figure 1b) [39][40][41]. The L1, CR, and L2 domains of both IR promoters constitute the “T” horizontal part, while the FnIII-1, -2, and -3 domains of the IR dimer constitute the vertical piece of the “T” [40].
Previous biochemical and mutagenesis models of insulin binding have identified two distinct binding sites on both the IR and insulin, termed site 1 (S1) and site 2 (S2) [36]. The L1 subdomain and the α-CT helix residue have been confirmed to represent IR S1 site (IR-S1) [39][45][46]. Evidence has indicated that IR-S1 is indispensable for insulin binding, and minor modifications of it were sufficient to change the IR’s specificity for insulin [47]. Scapin (2018) has defined the full S2 binding site [39], and Gutmann (2020) first observed the connection of insulin with discrete IR-S2 [42]. Studies have demonstrated that optimal IR activation requires multiple insulin molecules bound to S1 and S2 [48][49]. A similar result has also been presented in a study of the cryo-EM structure of the IR–insulin complex at 3.2 Å resolution [40]. The binding of insulin to S1 of apo-IR could release the autoinhibited conformation, which was an essential step for IR activation, while binding to S2 was important for the IR to adopt the active T-shape [50][51][52]. Cryo-EM analysis of the insulin–IR complex has revealed that insulin binds independently to the site of S2 between the FnIII-1 and FnIII-2 domains [42]. Another study has shown that the fibronectin domain is folded inwards, in a pincer-like fashion, which brings domains FnIII-3 and FnIII-3′ into contact [43].
The cryo-EM structure of the full-length human IR–insulin complex (human HEK293F cells) in the active state at an overall resolution of 3.2 Å unexpectedly revealed that a maximum of four insulin molecules can bind to the “T”-shaped IR dimer at four distinct sites [40]. Furthermore, at least one insulin molecule bound to two S2s and a maximum of four insulin molecules at four sites are required to form the “T”-shaped dimer [39][40][52]. Insulin 1 mainly binds to the primary site formed by the L1 domain, and α-CT then makes contact with a loop of the FnIII-1 domain from the IR promoter that donates α-CT [40]. During IR activation, a tripartite interface between insulin 1 and site 1 stabilizes the active IR dimer. Insulin 2 binds to a novel binding site on the FnIII-1 domain, located on the backside of the β sheet [40].
However, there is still a lack of detailed analysis of which site is connected first and how the first and second insulin binding results in different phosphorylation status of the IR [52]. The reported findings have emphasized the importance of the conformational changes of the IR-ECD and IR–insulin complex in the insulin/insulin-like growth factor signaling (IIS) pathway. Hence, the precise mechanism of how insulin binds to the IR at first remains elusive, and further research is still needed.

2.2. Activation of the IR

Physiologically, the function of the IR is activated in the insulin/IGF-1-like signal (IIS) pathway by the ligand [2]. The IIS pathway is commonly known as a significant nutrient-dependent endocrine pathway and regulates numerous physiological processes, such as metabolism, growth and development, and so on [6]. In the IIS pathway, the IR regulates two primary cell-signaling cascades (Figure 2) [53]: the phosphatidylinositol-3-kinase (PI3K)/AKT signaling pathway and the mitogen-activated protein kinase (MAPK) pathway (extracellular-signal regulated kinase signaling pathway (ERK)) [53][54][55][56]. The PI3K/AKT pathway is primarily responsible for controlling metabolic processes such as glucose transportation and the synthesis of lipids, proteins, and glycogen. In contrast, the MAPK pathway is primarily related to the mitogenic effects of insulin and is mainly responsible for cell growth and proliferation [56][57].
Figure 2. Activation of the IR in insulin signaling pathways. PI3K/AKT pathways: phosphatidylinositol-3-kinase signaling pathways; MAPK pathway: mitogen-activated protein kinase pathway.
The major upstream factors of the IIS pathway are various insulin-like peptides (ILPs). Based on primary structure and receptor binding preferences, these ILPs can be subdivided into insulin, insulin-related growth factors (IGFs, including IGF-I and IGF-II) in mammals, and ILPs in insects [58]. Insulin is a peptide hormone secreted by pancreas β-cells and is one of the most conserved molecules in animals [59][60]. IGFs are peptides that have a homology of 40–80% with insulin. In humans, both insulin and IGFs can bind to the IR on the cell surface and functionally mediate cellular proliferation and differentiation, lipid metabolism, glucose homeostasis, and DNA synthesis [60][61]. Meanwhile, in insects, ILPs are the most general growth-promotion signaling factors [62][63][64][65], and evidence has suggested that ILPs are homologues of human insulin [6][66]. Insulin is the major regulatory factor in humans, but various ILPs have been identified in different insect species, ranging from one—in the Nevada dampwood termite, Zootermopsis nevadensis (Hagen)—to more than 40—in the silkworm, Bombyx mori L. [60].
ILPs first phosphorylate the IR and then activate IR signaling. The tyrosine-phosphorylated IR, in return, recruits and phosphorylates other intracellular adaptor proteins, such as IR substrate (IRS) proteins and several other substrates, including Src homology 2 domain-containing (SHC), Grb2-associated binder (GAB), APS (SHB2), and Cbl, at several tyrosine residues [56][67]. There are six isoforms (IRS1–6) in the IRS family [68]; among these, IRS1 and IRS2 are the main isoforms [68][69]. These proteins mediate the association with the Src homology 2 (SH2) domains and lead to initiation of the PI3K/AKT pathway, as well as activation of the downstream phosphoinositide-dependent kinase (PDK1) and protein kinase B (PKB, also called AKT) [4]. Phosphorylation of the IR triggers the activation of cellular signaling pathways, which play different roles in human beings and insects.

3. Functions of the IR

3.1. The Functions of the IR in Human Beings

In humans, the IR plays a crucial role in whole-body nutrient homeostasis and in various diseases, such as AD [8], T2DM [4][9][10], obesity [70], atherosclerosis [31], multiple cancers [11][12][13], and cardiovascular disease [71], as well as neurodegenerative disorders [14], metabolic syndrome [15] and polycystic ovary syndrome [72]. Thus, it is necessary to understand the cellular expression and the functions of the IR in order to propose new treatment concepts and to develop novel drugs.
The IR mediates whole-body nutrient homeostasis and is expressed ubiquitously through the classic insulin-responsive targets in the liver, muscle, and adipose tissue [3]. A has demonstrated that the IR is distributed in both dendritic shafts and spines in living hippocampal brain neurons [73]. Knockout of the IR resulted in many impaired target organs. Hepatic deletion of the IR led to hyperglycemia, disorders in fatty acid metabolism, and an increase in the expression of fatty acid oxidation enzymes [74]. In mucosal epithelial cells, the IR interacts with the voltage-dependent anion channel-1 (VDAC1) in mitochondria. Knockdown of the IR gene triggered robust mitochondrial fragmentation and altered polarization [75], while knockout of the β-cell IR gene led to impaired insulin secretion [76]. Additionally, missense mutations of the IR may cause severe inherited insulin resistance syndromes [77].
The IR is a cell-surface receptor translocating to the nucleus, and is associated strongly with RNA polymerase II in the chromatin [78]. In the cell, host cell factor-1 (HCF-1) acts as a transcriptional coregulator functionally mediating the binding of the IR to specific sites located in the gene promoters [79]. HCF-1 mediates the association between the IR and DNA. HCF-1 binds to DNA indirectly through DNA sequence-specific transcription factors, and then forms a complex with the IR and Thanatos-associated protein domain-containing protein 11 (THAP11) in the chromatin. Knockdown of HCF-1 can inhibit the binding ability of the IR to the promotors [79]. Another study indicated that the mRNA and protein levels of the IR were obviously reduced in the subcutaneous and visceral adipose tissue of women with gestational diabetes mellitus (GDMs) [80]. The decrease in IR mRNA was accompanied by a decrease in methylation levels of the IR promoter [80]. This phenomenon has also been observed in the hypothalamus [81]. The methylation degree of the IR nuclear factor I (IRNF-I) binding site within the IR promoter was dramatically inversely correlated with the gene level of the IR. These findings have opened a new avenue for further studies on the functions and mechanisms of the IR. More studies focusing on demonstrating whether epigenetic modifications in the IR sequence impact IR expression of the IR are needed [82].

3.2. The Functions of the IR in Insects

Studies of the IR in human beings have raised interest in the functions of the IR in insects and the consequent possibility for the development of new IR-targeting insecticides with high efficiency and low toxicity.
In insects, multiple functions of the IR have been revealed [83]. The IR is well-known to be implicated—either directly or by crosstalk with other major hormones such as juvenile hormone (JH) and ecdysteroids (especially 20-hydroxyecdysone, 20E)—in post-embryonic development [84][85], nutrition-based phenotypic plasticity and body size control [86][87], reproduction and diapause [55], and circadian rhythmicity and behaviors [88][89][90]. The IR is also indispensable in insect photoperiodism, lifespan, and aging due to its relation to metabolism and growth [25][91][92][93]. Overall, studies have indicated that the IR is indispensable in insect growth [94], development and reproduction [95][96], polymorphism [24], lifespan [97], and oviposition [98]. Therefore, the IR represents an important target for the management of pests and parasites.


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