Target intelligence / Profile preview

Insulin receptor (INSR) (INSR)

Target
INSR
Molecular classification
Receptor tyrosine kinase, Enzyme, Receptor, Protein kinase
01

Overview

The Insulin receptor (INSR) is a transmembrane receptor tyrosine kinase essential for maintaining glucose homeostasis and regulating metabolic processes (UniProt P06213). Upon binding insulin, the receptor undergoes autophosphorylation of its intracellular tyrosine residues, which triggers the recruitment and activation of insulin receptor substrates (IRS-1/2) and downstream signaling through the PI3K/Akt and MAPK pathways (PubMed: 21864752). These pathways stimulate glucose uptake in peripheral tissues like muscle and fat while suppressing hepatic glucose production (StatPearls: Insulin Resistance). Mutations in the INSR gene are directly linked to severe insulin resistance syndromes, such as Donohue syndrome and Rabson-Mendenhall syndrome, and play a significant role in the pathogenesis of Type 2 diabetes (NIH: MedlinePlus Genetics). Therapeutic management involves the use of exogenous insulin analogs that bind and activate the receptor to lower blood glucose levels, though this carries risks such as hypoglycemia and weight gain (PubChem: Insulin).

Other names
INSRIRCD220Insulin receptor subunit alphaInsulin receptor subunit betaHHF5
02

Mechanism of action

Binding of insulin to the extracellular alpha subunits of the receptor induces a conformational change that activates the intrinsic tyrosine kinase activity of the intracellular beta subunits, leading to autophosphorylation and the recruitment of adapter proteins to initiate metabolic and mitogenic signaling cascades.

03

Biological functions

Signal transductionGlucose homeostasisCell proliferationLipid metabolismProtein synthesisGene expression regulation
04

Disease associations

Type 2 diabetes mellitusInsulin resistanceDonohue syndrome (Leprechaunism)Rabson-Mendenhall syndromePolycystic ovary syndrome (PCOS)Acanthosis nigricansMetabolic syndrome
05

Safety considerations

HypoglycemiaWeight gainLipodystrophy at injection sitesHypokalemiaPotential mitogenic effects/cancer risk (theoretical)Insulin edema
06

Interacting drugs

Insulin human

7 more in the full profile.

07

Biomarkers

Fasting plasma insulinHOMA-IR (Homeostatic Model Assessment for Insulin Resistance)HbA1c (Glycated hemoglobin)Oral Glucose Tolerance Test (OGTT)C-peptide levels

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