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Insulin receptor substrate 2 (IRS2) (IRS2)

Target
IRS2
Molecular classification
Adapter protein, Intracellular signaling protein
01

Overview

Insulin receptor substrate 2 (IRS2) is a critical cytoplasmic adapter protein that mediates the intracellular effects of the insulin and insulin-like growth factor 1 (IGF-1) receptors (UniProt P35568). Upon receptor activation, IRS2 is recruited and phosphorylated on multiple tyrosine residues, creating docking sites for SH2-domain-containing proteins such as phosphoinositide 3-kinase (PI3K) and Grb2, which initiate downstream metabolic and growth-promoting pathways (NCBI Gene ID: 8660). In metabolic physiology, IRS2 is essential for maintaining glucose homeostasis and pancreatic beta-cell function; its dysregulation or degradation is a primary driver of insulin resistance and type 2 diabetes (PubMed: 11069141). In oncology, IRS2 is frequently overexpressed, promoting tumor cell survival, metastasis, and resistance to chemotherapy in various malignancies, including breast and pancreatic cancers (PubMed: 25132260). Therapeutic strategies targeting IRS2 include small molecule degraders like NT157 and experimental antisense oligonucleotides designed to suppress IRS2 messenger RNA translation (PubMed: 22964583). While inhibiting IRS2 offers potential for cancer treatment, it presents significant challenges due to the risk of systemic metabolic side effects, such as hyperglycemia and impaired insulin sensitivity.

Other names
IRS-2Insulin receptor substrate 2 messenger RNAIRS2
02

Mechanism of action

Targeted protein degradation (TPD) of IRS2 or antisense-mediated knockdown of IRS2 messenger RNA to inhibit downstream PI3K/AKT and MAPK signaling pathways.

03

Biological functions

Insulin receptor signaling pathwayIGF-1 signaling pathwayGlucose homeostasisCell proliferationApoptosis regulationLipid metabolism
04

Disease associations

Type 2 diabetes mellitusCancerInsulin resistanceNeurodegenerative diseaseMetabolic syndrome
05

Safety considerations

Systemic insulin resistanceHyperglycemiaImpaired glucose tolerancePotential neurocognitive effects
06

Interacting drugs

NT157

1 more in the full profile.

07

Biomarkers

IRS2 mRNA expression levelsIRS2 protein levelsIRS2 tyrosine phosphorylation statusIRS2 serine phosphorylation status

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