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. 2023 Apr 10;8:152. doi: 10.1038/s41392-023-01400-z

Table 4.

List of novel targets with emerging implications related to insulin receptor signaling

Insulin receptor signaling Target tissue Effect/ potential role Reference
HCF-1 Hepatocyte (human, mice) HCF-1-dependent pathway regulating Glucose and lipid metabolism 516
IRS/PTP1B Cerebral microvascular endothelial cells (mice) Hyperinsulinemia affects insulin receptor signaling and internalization of endothelial cells 517
SMPDL3b/C1P/Cav-1 kidney cortexes (rats), podocytes (human) Inducing glucose and lipid metabolism, protein synthesis 518
IRS/IGF1/SRF Myocardium (mice) Affecting autophagy and apoptosis of cardiomyocytes 519
SDF-1/CXCR4 Primary endothelial cells (human), CD31 + cells (mice) Affecting immune cell recruitment to the vascular wall or tissue parenchyma 520
miR-15b, miR-16, miR-30b/IRS2 Endothelial cells (human) IRS2 and eNOS in ECs are ceRNAs and related to the Akt signal pathway 521
IRS Renal hemodynamics (mice) stimulation of renal functions and renal hemodynamics 522
IRS/p53/KLF4 Vascular smooth muscle cells (mice) IRS-1/p53 affects the progression of atherosclerotic lesions in hyperglycemia 523
QKI-7 Endothelial cells (human) Promotes mRNA degradation of essential genes for EC function 524
EPDR1 Endothelial cells (mice) Mediate pathological angiogenesis during hyperinsulinemia and insulin resistance 525
IRS-1 rs956115 genotypes (Human) IRS-1 CG/GG genotype are at higher risk of major adverse cardiovascular events 526
Therapeutic effect
Amlexanox inhibition of TBK1/IKKe Serum (human) Lowering HBA1c, fructosamine, ameliorates metabolic dysfunctions 527
Loganin inhibition of JNK-IRS-1/Akt/GSK3β Peripheral nerve (rats), SH-SY5Y cell (human) Inhibiting oxidative stress-provoked inflammation, improved Nerve pain behaviors 528
SGLT-2i inhibition of JunD/PPAR-γ, IRS-1, IRS2 Endocardiomyocytes (human) Inhibiting JunD/PPAR-γ overexpression and lipid accumulation, ameliorate diabetic cardiomyopathy 529

C1P ceramide-1-phosphate, IRS insulin receptor substrate, PTP1B protein tyrosine phosphatase, non-receptor type 1, SMPDL3b sphingomyelin phosphodiesterase acid-like 3b, Cav-1 caveolin-1, IGF1 insulin-like growth factor 1, SRF serum response factor, SDF-1 stromal cell-derived factor-1, CXCR4 CXC receptor 4, CD31 endothelial cell adhesion molecule-1, eNOS endothelial nitric oxide synthase, ECs endothelial cells, ceRNAs competing endogenous RNAs, Akt protein kinase B, KLF4 Krüppel-like factor 4, QKI-7 quaking-7, EPDR1 ependymin-related protein-1, TBK1 TANK binding kinase 1, IKKe IkappaB kinase, HBA1c glycated hemoglobin, JNK c-Jun N-terminal kinase, GSK3β glycogen synthase kinase-3β, JunD jund proto-oncogene subunit