2022
DOI: 10.1021/acsbiomedchemau.1c00054
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Molecular Aspects of Insulin Aggregation and Various Therapeutic Interventions

Abstract: Protein aggregation leading to the formation of amyloid fibrils has various adverse effects on human health ranging from fatigue and numbness to organ failure and death in extreme cases. Insulin, a peptide hormone commonly used to treat diabetes, undergoes aggregation at the site of repeated injections in diabetic patients as well as during its industrial production and transport. The reduced bioavailability of insulin due to aggregation hinders the proper control of glucose levels in diabetic patients. Thus, … Show more

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Cited by 40 publications
(37 citation statements)
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References 126 publications
(253 reference statements)
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“…Further, this platform may also prove applicable to explore the impact of small-molecule inhibitors on other diseases. For example, the accumulation of α-synuclein contributes to the aggregation of islet amyloid polypeptide (IAPP), which has been linked to type 2 diabetes [ 103 , 104 ].…”
Section: Discussionmentioning
confidence: 99%
“…Further, this platform may also prove applicable to explore the impact of small-molecule inhibitors on other diseases. For example, the accumulation of α-synuclein contributes to the aggregation of islet amyloid polypeptide (IAPP), which has been linked to type 2 diabetes [ 103 , 104 ].…”
Section: Discussionmentioning
confidence: 99%
“…The mature form of insulin is a peptide hormone consisting of an A-chain (21 residues) and a B-chain (30 residues) held together by two inter-chain disulfide bonds (A7:B7 and A20:B19) and an intra-chain disulfide bond (A6:A11) in the A-chain. Moreover, insulin self-associates into a hexameric architecture due to a high concentration of zinc ions (Zn 2+ ) in the Golgi apparatus ( 38 ). Insulin hexamer is the storage form of insulin where Zn 2+ ions stabilize the hexamer structure.…”
Section: Introductionmentioning
confidence: 99%
“…In addition, the presence of insulin oligomers/fibrils may induce autoimmune responses as documented for Parkinson´s patients, which suggests the involvement of insulin in Parkinson's pathogenesis (Wilhelm, et al, 2007). However, it should be noted that the aggregation of insulin has only been observed with externally administered forms of insulin, and not when it is normally produced in the human body (Das et al, 2022). In vitro insulin can be easily transferred into the amyloid state, if appropriate, typically denaturing conditions are applied (Sluzky et al, 1991;Brange et al, 1997;Nielsen et al, 2001;Malik and Roy, 2011).…”
Section: Introductionmentioning
confidence: 99%