An engineered insulin analog with dual insulin and IGF-1 receptor agonism and distinct signaling.

Selicharová, Irena; Kirk, Nicholas S; Kertisová, Anna; Lubos, Marta; Mitrová, Katarína; Ticháčková, Terezie; Žáková, Lenka; Chrudinová, Martina et al. · Sci Adv · 2026

basic_science · Level V

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Abstract

Insulin and insulin-like growth factors (IGF-1 and IGF-2) regulate metabolism, growth, and development via related receptors. In contexts such as brain function or fetal development, coordinated signaling by all three hormones is essential. We report the engineering of [GluB10, D-HisB24, GlyB31, TyrB32]-insulin (<b>1</b><sub>Ins</sub>), an analog with high affinity for IR-A, IR-B, and especially IGF-1R. <b>1</b><sub>Ins</sub> binds IGF-1R ~1000-fold more strongly than native insulin, approaching IGF-1 levels. Cryo-electron microscopy structures reveal how minimal substitutions in <b>1</b><sub>Ins</sub> enable effective binding to both IR-A and IGF-1R. In neuronal cells, <b>1</b><sub>Ins</sub> robustly activates both IR and IGF-1R pathways, promotes survival, and exceeds native ligands in neuroprotective assays. In vivo, <b>1</b><sub>Ins</sub> regulates glucose effectively in mice and rats. Phosphoproteomic profiling confirms dual pathway activation and identifies targets specific to <b>1</b><sub>Ins</sub>. These findings demonstrate that rational design of dual-receptor agonists can yield potent, versatile ligands with therapeutic promise in metabolic control, neuroprotection, and regeneration.

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