Bioengeneering of Insulin Flashcards

1
Q

What stabilizes the structure of Insulin?

A

Inter and intra-strand disulfide bonds connecting the A and B chains

3 A-B dimers form one Insulin hexamer

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2
Q

How is Insulin stored in the pancreas?

A

As an insulin hexamer bc it is more stable to chemical and physical degradation

Insulin receptors bind to the monomer

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3
Q

Why do Insulin monomers act faster?

A

-Insulin receptors react to monomers
-It takes some time for the hexamer to dissemble
-Monomers are ready to go but have a short halflife

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4
Q

What is a regular (short-acting) insulin?

A

HUMULIN R
made with recombinant DNA technology that assembles the same things pancreatic cells make -> closest mimic to natural insulin produced from the ß-cell

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5
Q

Why is Humulin R insulin absorbed relatively fast?

A

A mix of hexameric, dimeric, and monomeric - like natural Insulin

Initially, monomers bind to the receptors -> fast response
overtime dimers form -> Hexamer (makes it last for a couple of hours)

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6
Q

Which end and which chain controls the formation of hexamers?

A

-The formation is controlled by the C-terminus ends, more often the B-chain bc it is more available

-C-terminus must be left alone and stay available

-The hexamer formation is often around a kations

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7
Q

Where are bioengineered alterations installed?

A

At the C-terminal of B-chains, bc it is more accessible

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8
Q

What is a longer-acting Insulin?

A

Insulin NPH Neutral Protamine Hagedorn (made with human Insulin)
Hexamer forms around a katione:

Protamine a positively charged protein, and zinc (+2) are added to insulin to stabilize the hexameric structure in the mixture

(suspension - shaking will physically force the breakdown of the hexamers -> more monomers would increase the dosage unintentionally)

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9
Q

What is the characteristic of Protamine?

A

Protamine contains many Arginines -> Basic residue-rich proteins and thereby stabilizing the hexamer structure of insulin

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10
Q

What are the roles of Protamine and Zinc in INSULIN NPH?

A

-Protamine keeps the hexamers together

-Zinc stabilizes the formation

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11
Q

How does insulin behave in solution or when injected?

A

When hexamers are formed they are not soluble -> suspension is formed

They form monomers again when injected

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12
Q

What are the consequences of more hexamers?

A

-Slower onset (beginning of effect)
-longer peak
-last longer

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13
Q

What is one example of rapid-acting insulin?

A

Humalog: Insulin LisPro (switch of ProB28 on B-chain - Prolin and Lysin)

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14
Q

How does Prolin contribute to the rapid-acting characteristics of Insulin?

A

the cyclic structure of Prolin provides a steric hindrance to hexamer formation

-> faster acting, faster peak, shorter halflife

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15
Q

What is another example of rapid-acting insulin?

A

Aspart Insulin- NOVOLOG: ProB28 change to AspB28
-> another carboxylic acid charged AA (doesn’t help with hexamer formation -> it actually favors breakdown, bc of the repulsion with the A-chain -> causing ONLY monomers to form, acting very fast (minutes)

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16
Q

What is an example of a long-acting insulin?

A

Glargine: two Arginines added to the B-chain (ArgB31, B32) + Glycin replaces Arg on the A chain and disturbs monomer formation

-> reduced solubility at physiological pH -> so it cant form monomers -> delayed absorption

17
Q

What is the effect of adding two arginines to the beta chain of insulin?

A

increase the isoelectric point of insulin, make it more basic -> it brings it closer to the physiological pH of the blood, where the solubility decreases the most by Arginine

18
Q

How does insulin detemir work (long-acting)?

A

Threonine on B-chain is deleted and a Lysine with 14C fatty acid is added -> the fatty acid binds reversibly to serum albumin -> it circulates with albumin and only a small amount of the drug is released over time

-delay absorption
-increase blood solubility
-albumin binding