Web Release Date: March 12,
Chiral Mutagenesis of Insulin. Foldability and Function Are Inversely Regulated by
a Stereospecific Switch in the B Chain






and

Department of Biochemistry and Molecular Biology, University of Chicago, Chicago, Illinois 60637, Department of Biochemistry, Case Western Reserve University, Cleveland, Ohio 44106-4935, and Department of Pharmacology and Biological Chemistry, Mt. Sinai School of Medicine of New York University, New York, New York 10029
Received September 13, 2004
Revised Manuscript Received November 23, 2004

Abstract:
How insulin binds to its receptor is unknown despite decades of investigation. Here, we employ
chiral mutagenesis-comparison of corresponding D and L amino acid substitutions in the hormone-to
define a structural switch between folding-competent and active conformations. Our strategy is motivated
by the T
R transition, an allosteric feature of zinc-hexamer assembly in which an invariant glycine in
the B chain changes conformations. In the classical T state, GlyB8 lies within a
-turn and exhibits a
positive
angle (like a D amino acid); in the alternative R state, GlyB8 is part of an
-helix and exhibits
a negative
angle (like an L amino acid). Respective B chain libraries containing mixtures of D or L
substitutions at B8 exhibit a stereospecific perturbation of insulin chain combination: L amino acids impede
native disulfide pairing, whereas diverse D substitutions are well-tolerated. Strikingly, D substitutions at
B8 enhance both synthetic yield and thermodynamic stability but markedly impair biological activity.
The NMR structure of such an inactive analogue (as an engineered T-like monomer) is essentially identical
to that of native insulin. By contrast, L analogues exhibit impaired folding and stability. Although synthetic
yields are very low, such analogues can be highly active. Despite the profound differences between the
foldabilities of D and L analogues, crystallization trials suggest that on protein assembly substitutions of
either class can be accommodated within classical T or R states. Comparison between such diastereomeric
analogues thus implies that the T state represents an inactive but folding-competent conformation. We
propose that within folding intermediates the sign of the B8
angle exerts kinetic control in a rugged
landscape to distinguish between trajectories associated with productive disulfide pairing (positive T-like
values) or off-pathway events (negative R-like values). We further propose that the crystallographic T
R transition in part recapitulates how the conformation of an insulin monomer changes on receptor binding.
At the very least the ostensibly unrelated processes of disulfide pairing, allosteric assembly, and receptor
binding appear to utilize the same residue as a structural switch; an "ambidextrous" glycine unhindered
by the chiral restrictions of the Ramachandran plane. We speculate that this switch operates to protect
insulin-and the
-cell-from protein misfolding.
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