Abstract
Unlike prototypical receptor tyrosine kinases (RTKs), which are single-chain polypeptides, the insulin receptor (InsR) is a preformed, covalently linked tetramer with two extracellular α subunits and two membrane-spanning, tyrosine kinase-containing β subunits. A single molecule of insulin binds asymmetrically to the ectodomain, triggering a conformational change that is transmitted to the cytoplasmic kinase domains, which facilitates their trans-phosphorylation. As in prototypical RTKs, tyrosine phosphorylation in the juxtamembrane region of InsR creates recruitment sites for downstream signaling proteins (IRS [InsR substrate] proteins, Shc) containing a phosphotyrosine-binding (PTB) domain, and tyrosine phosphorylation in the kinase activation loop stimulates InsR’s catalytic activity. For InsR, phosphorylation of the activation loop, which contains three tyrosine residues, also creates docking sites for adaptor proteins (Grb10/14, SH2B2) that possess specialized Src homology-2 (SH2) domains, which are dimeric and engage two phosphotyrosines in the activation loop.
Many structural and mechanistic aspects of signaling by the insulin receptor are now known, yet a key question remains unanswered: How does insulin binding to the receptor ectodomain trigger phosphorylation of the cytoplasmic kinase domains?
Insulin is a highly potent anabolic hormone that is critical for tissue development and for glucose homeostasis (Taniguchi et al. 2006). Released from the β cells of the pancreas, insulin regulates glucose output from the liver and glucose uptake into (primarily) skeletal muscle and adipose tissue. In addition, insulin promotes the synthesis and storage of carbohydrates, lipids, and protein. Insulin’s actions are mediated by the insulin receptor (InsR), a plasma membrane-resident glycoprotein and member of the receptor tyrosine kinase (RTK) family. Other members of the InsR subfamily of RTKs include the insulinlike growth factor-1 receptor (IGF1R) and insulin receptor-related receptor, the latter of which has no known ligand. As an RTK, InsR is ligand-activated through mechanisms that are both prototypical and atypical of RTKs. These mechanisms will be the focus of this article.
InsR ARCHITECTURE
InsR comprises two α and two β subunits, forming an α2β2 heterotetramer (Fig. 1). The two α subunits are extracellular, whereas the two β subunits begin on the extracellular side of the membrane and then traverse the membrane into the cytoplasmic region. The β subunits contain the cytoplasmic tyrosine kinase domains. The α subunits are disulfide-bridged by at least two (possibly four) cysteine residues, and each α subunit is paired to one β subunit through a single disulfide bridge (Sparrow et al. 1997).
The α subunit consists of a leucine-rich domain followed by a cysteine-rich domain, a second leucine-rich domain, one complete fibronectin type III (FnIII) domain, a partial FnIII domain, and a long carboxy-terminal segment that, during maturation, is cleaved by furin to yield α and β subunits. The β subunit begins (after a short amino-terminal segment) with the completion of the second FnIII domain, followed by a third FnIII domain, which leads into the transmembrane segment. The transmembrane segment is believed to adopt an α-helical conformation.
The cytoplasmic region of the β subunit consists of a juxtamembrane region (∼30 residues; between the transmembrane helix and the tyrosine kinase domain), the tyrosine kinase domain (∼300 residues), and a carboxy-terminal region (∼70 residues). Tyrosine autophosphorylation sites have been mapped in all three regions (White et al. 1988; Kohanski 1993), with Y972 (+exon 11 numbering) in the juxtamembrane region and Y1158, Y1162, and Y1163 in the kinase domain having been shown to be functionally important. The juxtamembrane and carboxy-terminal regions are thought to be unstructured polypeptide segments, save for possible β turns in the juxtamembrane region near Y965 and Y972 (Backer et al. 1992).
InsR THREE-DIMENSIONAL STRUCTURE
Because InsR is a large, heavily glycosylated membrane-spanning protein, structural studies have been confined thus far to crystallographic studies of either the soluble ectodomain or the soluble cytoplasmic kinase domain. A crystal structure of the full (disulfide-linked) dimeric ectodomain was reported in 2006 (McKern et al. 2006) and later re-refined (Smith et al. 2010). The structure shows an antiparallel “inverted V” arrangement (Fig. 2, left). Previous photolabeling cross-linking studies and alanine-scanning mutagenesis have implicated two regions on InsR in insulin binding (Whittaker et al. 2008). Site 1 is formed by the first leucine-rich domain in one α subunit and the carboxy-terminal segment of the other α subunit. Site 2 is thought to involve loops from the first and second FnIII domains of the other αβ half-receptor (Fig. 2, right).
Crystal structures of the InsR tyrosine kinase domain (IRK) have been determined in several different phosphorylation states and with bound substrates (Mg-ATP and substrate peptide) (Hubbard et al. 1994; Hubbard 1997). IRK possesses a canonical protein-kinase architecture, with an amino-terminal lobe (N lobe) comprising a five-stranded β sheet and a single α helix (αC), and a C lobe that is mainly helical and contains most of the catalytic residues, in the so-called catalytic and activation loops (Fig. 3). One deviation in the C-lobe architecture relative to other RTKs is the presence of an additional α helix (αJ) at the carboxy-terminal end. (The function of this extra helix has not been established, but in the structure of a complex between IRK and the protein tyrosine phosphatase PTP1B (Li et al. 2005), this helix is part of the phosphatase binding site.) Tyrosine kinase activity is regulated by the phosphorylation state of the activation loop in the C lobe, which begins with the kinase-conserved 1150DFG motif and ends with a conserved proline (P1172). The IRK activation loop contains three sites of tyrosine autophosphorylation, Y1158, Y1162, and Y1163, which are phosphorylated in trans on insulin binding to the ectodomain.
InsR ACTIVATION
As described above, InsR is a preformed disulfide-linked dimer, and there is compelling evidence that trans-phosphorylation/activation occurs within the dimer rather than through higher-order oligomerization (Frattali et al. 1992). Although InsR is a symmetric αβ homodimer (or α2β2 heterotetramer), the active signaling complex is thought to be a single molecule of insulin (which circulates in the bloodstream in a hexameric form) bound asymmetrically to InsR with subnanomolar affinity, and thus the conformational change is induced in (or mainly in) only one αβ half-receptor. Higher concentrations of insulin display negative cooperativity for binding to the two equivalent sites on InsR (De Meyts 2008). Even though insulin is not present in the available crystal structure of the ectodomain (McKern et al. 2006), sites 1 and 2 are already closely apposed (Fig. 2, right), suggesting that the conformational changes induced by insulin binding will be relatively subtle (Renteria et al. 2008; Ward and Lawrence 2012).
In the basal (noninsulin) state, trans-phosphorylation of the kinase domains is limited by an unknown mechanism, and insulin binding to the ectodomain induces a structural transition within the receptor that facilitates trans-phosphorylation of the cytoplasmic kinase domains. Two scenarios can be envisioned for the basal state. In the first, the kinase domains are spatially separated and thus cannot undergo efficient trans-phosphorylation. In the second, the kinase domains are already within “striking distance,” but are arranged in such a way as to prevent trans-phosphorylation (perhaps as an inhibitory dimer). A partially activating point mutation (Y984A) in the juxtamembrane region of InsR is more consistent with the latter mechanism (Li et al. 2003).
cis-INHIBITION AND trans-ACTIVATION IN THE InsR KINASE DOMAIN
As observed in the first crystal structure of IRK (Hubbard et al. 1994), the unphosphorylated (basal state) activation loop, in the absence of Mg-ATP, adopts an autoinhibitory configuration in which Y1162, the second of the three activation-loop tyrosines, is bound in the kinase active site, hydrogen-bonded to D1132 and R1136 in the catalytic loop (Fig. 3A). In this configuration, although Y1162 is positioned for phosphoryl transfer, the amino-terminal end of the activation loop (1150DFG motif) occludes the ATP-binding site, preventing phosphorylation of Y1162 in cis. That is, because of the finite length of the activation loop, it is not sterically possible to bind simultaneously ATP in its binding cleft and Y1162 in the active site in cis. This cis-inhibitory/pseudosubstrate (Y1162) conformation first viewed in IRK has now been observed in several other RTKs, including IGF1R (Munshi et al. 2002), TrkA-B (Artim et al. 2012; Bertrand et al. 2012), MuSK (Till et al. 2002), and Ror2 (Artim et al. 2012). The activation loops of all of these RTKs have in common three (phosphorylatable) tyrosines in a YXXDYY motif (where X is any residue), in which the second tyrosine is bound in the active site as a pseudosubstrate. The activation loops of ALK (anaplastic lymphoma kinase) and Met also contain three tyrosines in the same positions, but lack the aspartic acid preceding the second tyrosine (a key residue in stabilizing the pseudosubstrate conformation of InsR [Till et al. 2001]), and their conformations in the unphosphorylated state differ (Wang et al. 2006; Lee et al. 2010). In the presence of cellular (millimolar) concentrations of Mg-ATP, the unphosphorylated activation loop probably adopts multiple conformations, including the pseudosubstrate conformation, as well as conformations in which Mg-ATP is bound and the active site is available for trans-phosphorylation of a tyrosine from the neighboring kinase domain.
It was shown many years ago that Y1162 was the first of the three tyrosines in the IRK activation loop to undergo autophosphorylation, followed by Y1158 and Y1163 (Wei et al. 1995). Several years ago, a crystal structure of the IGF1R kinase domain (IGF1RK) was determined in which the tyrosine equivalent to Y1162, Y1135, was bound in the active site of a symmetry-related kinase domain (in trans) (Wu et al. 2008a). This configuration was made possible through the tight binding of an ATP-competitive small-molecule inhibitor, which forced the activation loop out of its pseudosubstrate configuration. This structure provides a snapshot of the first trans-phosphorylation reaction in IGF1RK as well as in IRK (100% sequence conservation in the activation loop), and afforded rationalization of a mutation in the activation loop of InsR, R1164Q, which causes loss of InsR autophosphorylation (Formisano et al. 1993). The structure indicates that R1137 (R1164 in InsR) and E1132 (E1159 in InsR) in the IGF1R activation loop form a salt bridge that is probably important for positioning Y1135 (Y1162 in InsR) in the active site for trans-phosphorylation.
On trans-phosphorylation of the IRK activation loop on Y1158, Y1162, and Y1163, the loop is stabilized in a conformation that is optimized for binding of substrates (Mg-ATP, tyrosine) and for catalysis (Fig. 3B). Of the three phosphotyrosines, pY1163 is the most important one for loop stabilization, corresponding structurally to the single phosphotyrosine in the activation loop of Src-family tyrosine kinases (Yamaguchi and Hendrickson 1996). Although the unphosphorylated activation loops of RTKs display (in crystal structures) a number of inactive conformations, the active (usually phosphorylated) conformations are remarkably similar (Huse and Kuriyan 2002). Although the other two phosphotyrosines in the InsR activation loop, pY1158 and pY1162, may contribute to stabilization, they are also directly involved in binding of downstream signaling proteins (discussed below).
RECRUITMENT OF DOWNSTREAM SIGNALING PROTEINS TO THE ACTIVATED InsR
On insulin-stimulated activation/autophosphorylation of InsR, several proteins are recruited to the receptor for downstream signal propagation, including the IRS proteins, Shc, SH2B1 (formerly SH2-B), and SH2B2 (formerly APS). These proteins contain either a phosphotyrosine-binding (PTB) domain (IRS proteins, Shc) or an Src homology-2 (SH2) domain (SH2B1-2). The PTB domains of the IRS proteins and Shc bind to the juxtamembrane autophosphorylation site pY972, a canonical PTB-domain binding site (NPXpY). The SH2 domains of SH2B1–2 and of Grb10 and Grb14 (negative regulators described below) bind to the triply phosphorylated IRK activation loop.
One unusual feature of pY972 in the InsR juxtamembrane region is that it is a low-affinity binding site for the PTB domain of IRS1, arguably the most important substrate (along with IRS2) of InsR. A phosphopeptide representing the native pY972 sequence binds to the isolated IRS1 PTB domain with a dissociation constant (Kd) of 87 µm (Farooq et al. 1999), whereas most physiological PTB domain–phosphopeptide interactions are characterized by Kd values in the low micromolar range. The residue that precedes Y972 is E971, and an E971A substitution dramatically lowers the Kd to 2 µm (Farooq et al. 1999). The high Kd for binding to the native NPEpY sequence can be rationalized from the IRS1 PTB-domain structure (Eck et al. 1996). Owing to an extended carboxy-terminal helix, the pocket on the PTB domain for the residue preceding pY972 (E971) is shallow and suboptimal for glutamic acid. In fact, a phosphopeptide harboring E971A was used for cocrystallization.
At least one reason why glutamate precedes Y972 is that an acidic residue at the P-1 position (relative to the substrate tyrosine) decreases the substrate Km (Shoelson et al. 1992). Indeed, substitution of E971 with alanine in InsR results in loss of autophosphorylation of Y972 (SR Hubbard, unpubl.). That is, E971 is critical for autophosphorylation of Y972, which resides in a nonoptimal substrate sequence for InsR. Interestingly, the PTB domain of Shc binds to the native pY972 phosphopeptide (NPEpY) with a Kd of 4 µm (Farooq et al. 1999) (i.e., within the typical range of PTB domain–phosphopeptide-binding affinities). IRS1–2 contain a pleckstrin homology (PH) domain upstream of the PTB domain (Dhe-Paganon et al. 1999), which plays a major role in recruitment of IRS1–2 to InsR (Yenush et al. 1996). Dimerization of the PH-PTB domains of IRS1 may also facilitate binding to the dimeric InsR (SR Hubbard, unpubl.).
IRS1–2 contain numerous tyrosine phosphorylation sites in their carboxy-terminal regions, which reside in a YΦXM motif (where Φ is hydrophobic). These sites, once phosphorylated by InsR, serve as recruitment sites for the SH2 domains of phosphatidylinositol 3-kinase (PI3K) (Myers et al. 1992), which, on activation, leads to activation of Akt. Other tyrosine phosphorylation sites in IRS1–2 recruit the adapter protein Grb2 (which, through Sos, activates Ras) and the protein tyrosine phosphatase SHP2 (White 2002). IRS1–2 also possess numerous sites of serine/threonine phosphorylation that negatively regulate tyrosine phosphorylation, either in the course of normal negative feedback or in pathological insulin resistance (Pirola et al. 2004).
Previous yeast two-hybrid studies showed that a second InsR-interacting region (in addition to the PTB domain) existed in IRS2, but was lacking in IRS1, and this region was named the kinase regulatory-loop binding (KRLB) region (Sawka-Verhelle et al. 1996, 1997) or receptor binding domain-2 (RBD2) (He et al. 1996). These studies showed that the KRLB region binds to the kinase domain of InsR in a phosphorylation-dependent manner (He et al. 1996; Sawka-Verhelle et al. 1996). The KRLB region was coarsely mapped to residues 591–733, starting ∼300 residues carboxy terminal to the PTB domain. This region is predicted to lack secondary and tertiary structure (it contains a high proportion of glycine, serine, and proline residues), and mutagenesis studies identified two non-YΦXM tyrosines, Y624 and Y628, as critical residues in the KRLB–IRK interaction (Sawka-Verhelle et al. 1997).
The molecular basis for the interaction of the IRS2 KRLB region with InsR was elucidated through a cocrystal structure of a 15-residue peptide from the KRLB region (containing Y624 and Y628) bound to phosphorylated IRK (Wu et al. 2008b). The structure revealed that the KRLB region binds in the active site of IRK, with Y628 positioned for phosphorylation. Biochemical experiments showed that Y628 is phosphorylated by IRK, but with a Km (ATP) that is unusually high compared to that of a YΦXM substrate (1.6 mm vs. 40 µm) (Wu et al. 2008b). In addition, the phosphorylated Y628 peptide retains significant binding affinity in the IRK active site, which results in poor substrate turnover. Consequently, this segment of IRS2 inhibits phosphorylation by InsR of other tyrosine sites in IRS2. Importantly, Y628 in IRS2 was mapped as an insulin-stimulated phosphorylation site in cells (Schmelzle et al. 2006). A possible functional role for the KRLB region is to suppress tyrosine phosphorylation of IRS2, setting a threshold such that only metabolic pathways via PI3K are stimulated by insulin and not mitogenic pathways via Grb2/Ras; there are 10 potential PI3K recruitment sites in IRS2 versus a single Grb2 site.
InsR-interacting proteins that contain an SH2 domain (SH2B2, Grb10/14) bind to the phosphorylated activation loop of InsR. The phosphorylated activation loop represents an atypical SH2-domain binding site, in that the loop is multiply phosphorylated and is stabilized in a turn-containing (rather than an extended) conformation. Indeed, these SH2 domains possess unique features that allow them to bind efficiently to the phosphorylated activation loop of InsR (Hu et al. 2003; Stein et al. 2003; Depetris et al. 2005). First, they are dimeric. Second, each protomer in the dimer binds to two phosphotyrosines in the activation loop: pY1158 canonically, through the invariant arginine (βB5) in the SH2 domain, and pY1163 noncanonically, through two lysine residues (βD1 and βD3). Third, they have evolved to bind poorly to canonical phosphotyrosine sequences (presumably, to reduce competition), those containing a pYXXΦ sequence, by disrupting the pY+3 (hydrophobic) binding pocket. Although other RTKs such as TrkA-C, MuSK, Met, Ror2, and ALK also contain three activation-loop tyrosines at the equivalent positions of Y1158, Y1162, and Y1163 in InsR, only in the case of Trks have SH2 domain-containing proteins (SH2B1 and SH2B2) been implicated in binding to the phosphorylated activation loop (Qian et al. 1998).
A crystal structure of the SH2 domain of SH2B2 bound to IRK (Hu et al. 2003) revealed that this SH2 domain possesses a noncanonical architecture, in which the carboxy-terminal half of the domain forms a long α helix rather than two β strands (βE and βF) and a shorter α helix (αB), as found in a typical SH2 domain. This structural rearrangement facilitates formation of a novel SH2-domain dimer, which interacts with the phosphorylated activation loops in the two kinase domains of InsR (Fig. 4A). Each protomer of the SH2-domain dimer coordinates two phosphotyrosines, the first (pY1158) in the canonical (arginine-containing) phosphate- binding pocket and the second (pY1162) by two lysines in βD. Binding of the SH2B2 SH2 domain does not perturb the conformation of the phosphorylated activation loop, but rather this mode of recruitment facilitates phosphorylation by InsR of a carboxy-terminal tyrosine (Y618) in SH2B2 (Liu et al. 2002). Of note, despite 79% sequence identity between the SH2 domains of SH2B1 and SH2B2, the SH2B1 SH2 domain is monomeric, which switches its binding preference from the phosphorylated activation loop of IRK to pY813 of Jak2, a conventional SH2-domain ligand with a pY+3 hydrophobic residue (Hu and Hubbard 2006).
RECRUITMENT OF NEGATIVE REGULATORS TO THE ACTIVATED InsR
In addition to recruitment to InsR of positive regulators of insulin signaling, several proteins are recruited to the activated InsR to attenuate signaling, including the adapter proteins Grb10 (Smith et al. 2007) and Grb14 (Cooney et al. 2004) and the protein tyrosine phosphatase PTP1B (Elchebly et al. 1999; Klaman et al. 2000). As mentioned above, Grb10/14 contains a carboxy-terminal SH2 domain that binds directly to the phosphorylated activation loop of InsR. In addition to the SH2 domain, Grb10/14 possess several other signaling modules, including a Ras-associating (RA) domain, a PH domain, and a ∼45-residue region known as BPS (between PH and SH2) (He et al. 1998) or PIR (phosphorylated insulin receptor-interacting region) (Kasus-Jacobi et al. 1998), which is unique to this adapter family.
Biochemical studies showed that the BPS region of Grb10/14 is capable of directly inhibiting the catalytic activity of InsR (Stein et al. 2001; Bereziat et al. 2002). A crystal structure of the Grb14 BPS region in complex with phosphorylated IRK revealed at least one mechanism by which Grb14 inhibits signaling by InsR (Depetris et al. 2005). The amino-terminal portion of the BPS region binds in the substrate-binding groove in the C lobe of IRK, with a leucine (L376) inserted into the active site instead of a tyrosine (Fig. 4B). Hydrophobic residues at the +1, +3, and +5 positions relative to L376 mimic binding of an optimal IRK substrate (YΦXMXΦ). Thus, this segment of the BPS region functions as a pseudosubstrate inhibitor of IRK.
Carboxy terminal to the pseudosubstrate segment, the Grb14 BPS region adopts a 16-residue α helix whose residues make interactions with the phosphorylated activation loop. These interactions fortify the BPS–IRK interaction and provide specificity; the BPS region of Grb14/10 inhibits only InsR and the highly related IGF1R. The BPS α helix ends near the kinase N lobe, which positions the carboxy-terminal SH2 domain for interaction with pY1158 and pY1162 in the activation loop (Depetris et al. 2005). The SH2 domain of Grb14/10 is dimeric (Stein et al. 2003; Depetris et al. 2005), like the SH2B2 SH2 domain (Hu et al. 2003), but each protomer possesses a prototypical SH2-domain architecture. Binding of canonical phosphotyrosine sequences (with P+3 hydrophobic residues) are selected against by a valine in the BG loop (glycine in Src and Abl), which effectively seals off the P+3 binding pocket (Stein et al. 2003).
In recent studies, two groups have identified Grb10 as a downstream phosphorylation target of mTORC1 (Hsu et al. 2011; Yu et al. 2011). Grb10 provides the “missing link” in a negative-feedback system involving insulin/IGF1, PI3K/Akt, and mTORC1, in which activation of mTORC1 leads to inhibition of PI3K/Akt signaling. Grb10 negatively regulates PI3K/Akt signaling by binding to and inhibiting the catalytic activity of the insulin/IGF1 receptor (as described above for Grb14). Phosphorylation of Grb10 by mTORC1 was shown to increase the stability of Grb10 protein levels in cells (Hsu et al. 2011; Yu et al. 2011), which provides one mechanism by which mTORC1-mediated phosphorylation of Grb10 potentiates PI3K/Akt inhibition. Another possible mechanism is that phosphorylation of Grb10 increases the interaction between Grb10 and IRK/IGF1RK and thus the Grb10 inhibitory effect. The mTORC1-mediated serine/threonine sites in Grb10 have been mapped (Hsu et al. 2011; Yu et al. 2011), and several are located in the BPS region and the BPS-SH2 linker, regions that interact (BPS) or potentially interact (BPS-SH2 linker) directly with IRK/IGF1K. In particular, S428 is four residues upstream of the leucine pseudosubstrate in the Grb10 BPS region (see Fig. 4B), and because IRK/IGF1RK prefers tyrosine substrates with acidic residues in this region (Shoelson et al. 1992), it is plausible that pS428 (now acidic) increases Grb10 binding affinity.
PTP1B is capable of dephosphorylating numerous RTKs in vitro and in cells in which it is overexpressed, yet PTP1B-null mice are of normal size (and not tumor-prone) and show two major phenotypes: insulin hypersensitivity and resistance to high-fat-diet-induced weight gain (Elchebly et al. 1999; Klaman et al. 2000). The two main targets of PTP1B’s action are thought to be InsR and the cytoplasmic tyrosine kinase Jak2 (Myers et al. 2001). A crystal structure of PTP1B with a bound phosphopeptide representing the activation loop of IRK indicated that specificity for InsR may be dictated in part by the twin phosphotyrosines pY1162/1163, in the context (E/D)pYpY(K/R) (Salmeen et al. 2000). Jak2 also contains twin phosphotyrosines (pY1007/1008) in this sequence motif in its activation loop, but other RTKs do as well, including IGF1R, fibroblast growth factor receptors, Trks, MuSK, and Mer. Therefore, additional determinants of PTP1B substrate specificity must exist.
A crystal structure of a complex between PTP1B and phosphorylated IRK was determined (Li et al. 2005), which revealed an unusual mode of interaction. Rather than binding to the phosphorylated activation loop, PTP1B was bound to the “backside” of IRK. This binding mode was clearly facilitated by high concentrations of ammonium sulfate, a common precipitating agent for protein crystallization. Although this binding mode between PTP1B and InsR remains to be corroborated in cell-based assays, the specificity of the interaction is intriguing: even the highly related IGF1R would not be predicted to engage PTP1B in this manner. Furthermore, two tyrosines in PTP1B (Y152, Y153) that are found in the PTP1B–IRK interface were shown (before the structure was solved) to be important in the interaction between PTP1B and InsR in cells (Bandyopadhyay et al. 1997; Dadke et al. 2000). It thus remains an intriguing hypothesis that the mode of binding observed in the PTP1B–IRK crystal structure represents a recruitment interaction to localize PTP1B to InsR. No crystal structure of the catalytic mode of interaction between PTP1B and phosphorylated IRK has been reported. Presumably, this structure would reveal additional specificity determinants not highlighted by the PTP1B-phosphopeptide (IRK activation loop) structure (Salmeen et al. 2000).
Because Grb14 and Grb10 engage all three activation-loop phosphotyrosines of InsR via their SH2 domains and BPS regions (Depetris et al. 2005), these negative regulators would be predicted to antagonize PTP1B-catalyzed dephosphorylation of InsR. This indeed appears to be the case, at least for Grb14, based on both in vitro and cell-based experiments (Bereziat et al. 2002; Nouaille et al. 2006). It is conceivable that, in cells in which Grb14 is present (muscle and liver), Grb14 acts initially to attenuate InsR signaling at the plasma membrane and, on internalization of InsR, PTP1B (tethered to the endoplasmic reticulum) outcompetes Grb14 for binding and dephosphorylates InsR.
CONCLUDING REMARKS
Since the cloning of human InsR in the mid-1980s (Ebina et al. 1985; Ullrich et al. 1985), a vast amount of knowledge has been gained on the biochemical, structural, and functional properties of this crucial RTK in human biology. The key mechanistic questions that remain to be answered are (i) What prevents the kinase domains from trans-phosphorylating in the absence of insulin (i.e., how is the basal state maintained?) (ii) What is the insulin-induced conformational change in the ectodomain? (iii) How is this conformational change transduced to the kinase domains to facilitate trans-phosphorylation? (iv) On activation, do the kinase domains function in tandem or individually in the phosphorylation of downstream substrates? The prevalence of type II diabetes in developed countries is increasing at an alarming rate. One therapeutic strategy (out of many) for treating this disease is to design or screen for agents that directly potentiate the signaling output from InsR. Our current knowledge and that gained from answering these mechanistic questions should prove invaluable in the quest for such therapeutic agents. A recent crystal structure reveals how insulin binds to its primary site on InsR (Menting et al. 2013).
ACKNOWLEDGMENTS
Past support for InsR research is acknowledged from the National Institutes of Health (DK052916).
Footnotes
Editors: Joseph Schlessinger and Mark A. Lemmon
Additional Perspectives on Signaling by Receptor Tyrosine Kinases available at www.cshperspectives.org
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