Journal: Sci Adv / Year: 2026 Title: An engineered insulin analog with dual insulin and IGF-1 receptor agonism and distinct signaling. Authors: Irena Selicharová / Nicholas S Kirk / Anna Kertisová / Marta Lubos / Katarína Mitrová / Terezie Ticháčková / Lenka Žáková / Martina Chrudinová / Jana Březinová / Karel Harant / ...Authors: Irena Selicharová / Nicholas S Kirk / Anna Kertisová / Marta Lubos / Katarína Mitrová / Terezie Ticháčková / Lenka Žáková / Martina Chrudinová / Jana Březinová / Karel Harant / Jan Voldřich / Miroslav Hájek / Derek M Huffman / Jiří Jiráček / Abstract: Insulin and insulin-like growth factors (IGF-1 and IGF-2) regulate metabolism, growth, and development via related receptors. In contexts such as brain function or fetal development, coordinated ...Insulin and insulin-like growth factors (IGF-1 and IGF-2) regulate metabolism, growth, and development via related receptors. In contexts such as brain function or fetal development, coordinated signaling by all three hormones is essential. We report the engineering of [GluB10, D-HisB24, GlyB31, TyrB32]-insulin (), an analog with high affinity for IR-A, IR-B, and especially IGF-1R. binds IGF-1R ~1000-fold more strongly than native insulin, approaching IGF-1 levels. Cryo-electron microscopy structures reveal how minimal substitutions in enable effective binding to both IR-A and IGF-1R. In neuronal cells, robustly activates both IR and IGF-1R pathways, promotes survival, and exceeds native ligands in neuroprotective assays. In vivo, regulates glucose effectively in mice and rats. Phosphoproteomic profiling confirms dual pathway activation and identifies targets specific to . These findings demonstrate that rational design of dual-receptor agonists can yield potent, versatile ligands with therapeutic promise in metabolic control, neuroprotection, and regeneration.
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