This
novel approach to the reduction of insulin resistance involves the inhibition
of insulin receptor degradation.
The
beta-subunit of the insulin receptor protein is lost from the cellular
membrane after treatment with insulin. This insulin-induced proteolysis
occurs concomitantly with the loss of cellular insulin binding activity
(1). Inhibition of insulin receptor degradation leads to a reduction
in cellular insulin resistance.
By
directly inhibiting the causative agent of insulin resistance, the inhibitor
causes a decrease in blood glucose levels and a resultant decrease in blood
insulin levels.
Current
therapy for insulin resistance involves increasing the circulating levels
of insulin. This novel approach would be preferable because it would
avoid the side effects consequent to high insulin levels in circulation
such as diabetic nephropathy.
Victoria
Knutson, Ph.D.
Publications:
1)
Knutson, V. P. (1991) Proteolytic Processing of the Insulin Receptor beta-Subunit
is Associated with Insulin-induced Receptor Down-regulation. J. Biol.
Chem. 266, 15656-15662.
2)
Knutson, V.P., et.al (1995) Insulin Resistance Mediated by a Proteolytic
Fragment of the Insulin Receptor. J. Biol. Chem. 270, 24.