Abstract.-Insulin can be covalently attached to large polymers of Sepharose through the a-amino group of the N-terminal residue of the B chain, or through the e-amino group of its lysyl residue. Such derivatives effectively increase the utilization of glucose, and suppress the hormone-stimulated lipolysis, of isolated fat cells. The effects occur with concentrations of insulin-Sepharose that are nearly as low as those of native insulin, and the maximal responses are the same. The results indicate that interaction of insulin with superficial membrane structures alone may suffice to initiate transport as well as other metabolic alterations.Insulin facilitates transmembrane sugar transport in adipose tissue and muscle, and it can promote other transport processes (i.e., amino acids,1' 2 K+ 3) in the absence of glucose. The hormone also modifies cellular processes through mechanisms which are probably independent of its transport function.4 Insulin can antagonize hormone-stimulated lipolysis,5-8 as well as increase the incorporation of amino acids into protein,9-12 in the absence of medium glucose. Furthermore, the effects of insulin on the cyclic AMP of adipose tissue,13 14 glycogen phosphorylase, and glycogen synthetase,13 also appear to be independent of alterations of transport processes.It is not known whether insulin exerts any or all of its metabolic effects solely by interacting with surface membrane structures, or by entrance of the protein (or portion thereof) into the cell. Although the "binding" of insulin to various tissues has been extensively studied,15-25 these studies do not discriminate among "binding" of insulin to intracellular, membrane, and connective tissue structures.In the present studies polymeric insulin derivatives were prepared by selectively linking insulin through phenylalanine B1, or lysine B29, to large agarose polymers (Sepharose, particle size 60-300 ,j). The techniques used were similar to those described for the preparation of derivatives for affinity-chromatography purification of various enzymes26 and avidin.27 The biological integrity of these covalently bound insulin derivatives was established by measuring their effects on glucose transport and lipolysis of isolated fat cells (cell size, 50-100 ).28 Since the derivatives do not appear to enter the fat cells, and since proteolytic cleavage of the bound insulin molecule probably cannot result in active peptide fragments, the results reported here indicate that interaction of insulin with cell surface structures is sufficient to initiate a variety of metabolic alterations.Preparation of Insulin-Sepharose Derivatives.-Crystalline pork zinc-insulin was coupled to Sepharose which had been activated with CNBr by slight modifications of procedures previously described (Table 1) I These were used for studies of biological and immunochemical properties.31 § The N-terminal amino acid residues of insulin had been previously acetylated.0.2 M NaHCO3, pH 8.6, over 1 hr; gentle stirring for 20 hr in 2 liters of 0.4 M NaHCO3, pH 8.6; 6 liter...