Table 1.
Analog | Modification | Mechanism |
---|---|---|
A | ||
Lispro (Humalog®) Eli Lilly and Co. |
ProB28→ Lys LysB28→ Pro |
IGF-I-related motif impairs dimerization |
Aspart (NovoLog®) Novo-Nordisk |
ProB28→ Asp | charge repulsion at dimmer interface |
Glulisine (Apidra®) Sanofi-Aventis |
AsnB3 → Lys LysB29 → Glu |
Decreased zinc-free self-association |
B | ||
Glargine (Lantus®) Sanofi-Aventis |
ArgB31–ArgB32 tag AspA21 → Gly |
Shift in pI to pH 7 leads to isoelectric precipitation on injection |
Detemir (Levemir®) Novo-Nordisk |
modification of LysB29 by a tethered fatty acid | stabilization of hexamer and binding to serum albumin |
Panel A lists basal insulin analogs with protracted action whereas B describes rapid-acting analogs employed in prandial regimens and in insulin pumps.