Insulin is the only hormone required for continued growth of Chinese hamster ovary CHO-K1 cells in the defmed medium M-F12. When CHO-K1 cells are incubated in M-F12 without insulin for 48-72 hr, the cells accumulate in G1. In response to physiological concentrations of insulin an 18-fold increase in rate of DNA synthesis occurs due to cells entering S phase after an 8-to 10-hr lag; cell division begins after 24 hr. The inhibitory effect of actinomycin D and 5,6-dichlorobenzimidazole riboside indicates that RNA synthesis is required for progression to S phase. CHO-K1 cells possess insulin receptors, and the insulin effect results from insulin binding to its own receptor: (a) Binding occurs at physiological insulin concentrations with a half-maximal stimulation at 14 ng/ml. (it) At insulin concentrations used, insulin-like growth factor I and II (IGF-I and IGF-H) have little or no effect. The insulin family of hormones, including insulin and insulinlike growth factor I and II (IGF-I and IGF-II), play an essential role in human growth and development. These hormones generate transmembrane signals that regulate carbohydrate, lipid, and protein metabolism; glucose and amino acid transport; DNA synthesis; and cell division and morphological transformation. Because of the degree of similarity of structure and apparent function of these hormones and their receptors (insulin and IGF-I) and the cross-reactivity with regard to receptor binding, much effort has been expended to determine the actual mode of action of the individual hormones vis-a-vis their unique receptors. Both the insulin and IGF-I receptors seem to mediate some ofthe same acute responses that have usually been thought reserved for the insulin receptor (1). Both receptors possess liganddependent, tyrosine-specific protein kinase activity similar to receptors of other hormones and proteins of several oncogenes (2). The broad response elicited by IGF-II has usually been found to be mediated by the IGF-I and the insulin receptors (1). Recently, the receptor for IGF-II has also been found to be the receptor for mannose-6-phosphate (3). The IGF-I receptor is "normally" thought responsible for growth stimulation (1). The insulin stimulation of cell growth in culture has been assumed to be from insulin binding to the IGF-I receptor as a result of the use of insulin at greater than physiological insulin concentrations (4-8); however, this conclusion is open to question (9-15). We have developed a modified F12-defined medium (M-F12) for CHO-K1 cells in which insulin is the only hormone required for growth (16). On the basis that insulin stimulated growth in this medium at the nanogram range (1-10 ng/ml) characteristic of the levels found at normal physiological concentrations (17), we proposed that insulin at these concentrations is acting as its own receptor (16).In this paper we characterize the insulin receptor of CHO-K1 cells and present evidence that the insulin stimulation of DNA synthesis and cell division in this cell line results from insulin bindi...