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Endocrinology, doi:10.1210/en.2009-0377
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Endocrinology Vol. 150, No. 8 3594-3602
Copyright © 2009 by The Endocrine Society

Differential Signaling Activation by Insulin and Insulin-Like Growth Factors I and II upon Binding to Insulin Receptor Isoform A

Antonella Sacco, Alaide Morcavallo, Giuseppe Pandini, Riccardo Vigneri and Antonino Belfiore

Endocrinology Unit (A.S., A.M., A.B.), Department of Clinical and Experimental Medicine, University of Catanzaro, 88100 Catanzaro, Italy; and Endocrinology Unit (G.P., R.V.), Department of Internal Medicine and Medical Specialties, University of Catania, Catania 95100, Italy

Address all correspondence and requests for reprints to: Antonino Belfiore, Endocrinology Unit, Department of Clinical and Experimental Medicine, University of Catanzaro, Campus Universitario, località, Germaneto, viale Europa, 88100 Catanzaro, Italy. E-mail: belfiore{at}unicz.it.

A variety of human malignancies overexpresses isoform A of the insulin receptor (IR-A) and produces IGFs (IGF-I and/or IGF-II). IR-A binds IGF-II with high affinity (although 4-fold lower than that for insulin), whereas it binds IGF-I with low affinity (approximately 30-fold lower than that for insulin). However, in engineered cells expressing only the IR-A, but not IGF-I receptor (R/IR-A cells), IGF-II is a more potent mitogen than insulin. Herein, we investigated downstream signaling of IGF-II, IGF-I, and insulin in R/IR-A cells to better understand their role in cell growth. We found that despite inducing a lower IR-A autophosphorylation than insulin, IGF-II was more potent than insulin for activating p70S6 kinase (p70S6K) and approximately equally potent in activating the early peaks of ERK1/2 and Akt. However, ERK1/2 activation persisted longer after IGF-II, whereas Akt activation persisted longer after insulin. Therefore, cells stimulated with IGF-II had a higher p70S6K/Akt activation ratio than cells stimulated with insulin. Remarkably, IGF-I also elicited a similar signaling pattern as IGF-II, despite inducing minimal IR-A autophosphorylation. ERK1/2 and protein kinase C seem to be involved in the preferential stimulation of p70S6K by IGFs. In conclusion, our study has identified a novel complex role of IR-A, which not only elicits a unique signaling pattern after IGF-II binding but also induces substantial downstream signaling upon binding to the low-affinity ligand IGF-I. These results underline the role of IR-A in physiology and disease.




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A. Belfiore, F. Frasca, G. Pandini, L. Sciacca, and R. Vigneri
Insulin Receptor Isoforms and Insulin Receptor/Insulin-Like Growth Factor Receptor Hybrids in Physiology and Disease
Endocr. Rev., October 1, 2009; 30(6): 586 - 623.
[Abstract] [Full Text] [PDF]




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