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Hybrid Insulin Receptors: Molecular Mechanisms of Negative-Dominant Mutations in Receptor-Mediated Insulin Resistance

  1. Jonathan Whittaker, MD,
  2. Maria A Soos, PhD and
  3. Ken Siddle, PhD
  1. Division of Endocrinology and Metabolism, Department of Medicine, Health Sciences Center, State University of New York at Stony Brook New York Department of Clinical Biochemistry, University of Cambridge United Kingdom
  1. Address correspondence and reprint requests to Jonathan Whittaker, MD, Division of Endocrinology, Department of Medicine, Health Sciences Center T15-060, SUNY at Stony Brook, Stony Brook, NY 11794.

Abstract

Certain syndromes of extreme insulin resistance are the result of negative-dominant mutations of the insulin receptor. The insulin-receptor heterotetramer appears to be the minimal functional unit for insulin signal transduction probably due to a requirement for intersubunit interactions. The observation that insulin and insulinlike growth factor I receptors can be found in hybrid heterotetramers suggests that insulin receptors can be composed of heterodimers that are the products of separate genes. Such a structure provides a potential molecular mechanism for negative-dominant receptor mutations.

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