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Syndrome of extreme insulin resistance due to decreased promoter activity of 5'-flanking region of insulin receptor gene.

Research Project

Project/Area Number 03454513
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 内分泌・代謝学
Research InstitutionTOYAMA MEDICAL AND PHARMACERTICAL UNIVERSITY (1992-1993)
Shiga University of Medical Science (1991)

Principal Investigator

KOBAYASHI Msashi  Toyama Medical & Pharmaceutical University, Department of Medicine, Professor, 医学部, 教授 (80115758)

Co-Investigator(Kenkyū-buntansha) TAKATA Yasumitsu  Toyama Medical & Pharmaceutical University, Department of Medicine, Assistant, 医学部, 助手 (50242491)
前川 聡  滋賀医科大学, 医学部, 助手 (00209363)
Project Period (FY) 1991 – 1993
Project Status Completed (Fiscal Year 1993)
Budget Amount *help
¥6,400,000 (Direct Cost: ¥6,400,000)
Fiscal Year 1993: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1992: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1991: ¥3,100,000 (Direct Cost: ¥3,100,000)
KeywordsInsulin Receptor / Syndrome of Extreme Insulin Resistance / Point Mutation / Tyrosine Kinase / インスリン・レセプター異常症 / チロシン・キナーゼ / インスリンレセプター insulin receptor / 点宅燃変異 / インスリン抵抗性 / インスリン受容体異常症 / インスリン受容体遺子 / プロモ-タ-
Research Abstract

We investigated the genetic basis of nine families of syndrome of extreme insulin resistance and identified missense mutations of insulin receptor gene in six families, i.e., Arg^<735>->Ser^<735>, pro^<193>->Leu^<193>, Ala^<1048>->Asp^<1048>, Glu^<1179>->Asp^<1179> and Trp^<1193>->Leu^<1193>. The mechanisms of insulin resistance for each mutations were investigated to show as follows. Ala^<1048>->Asp^<1048> in the tyrosine kinase domain of beta subunit caused decreased tyrosine kinase activity. In other five families, decreased insulin binding was responsible for their insulin resistance. Among these mutations, Arg^<735>->Ser^<735> caused decreased insulin binding affinity and others were responsible for decreased receptor number on the cell surface, i.e., mutant insulin receptors with these mutations were not transported to the plasma membrane because of impaired processing of synthesized receptors. We have clarified a novel mechanism of decreased receptor nember in mutations Clu^<1179>->Asp^<1179> and Trp^<1193>->Leu^<1193>. When expressed in COS 7 cells, most of the mutant receptors were degraded in the biosynthetic process and only part of the receptors were able to be transported to the plasma membrane.
In another family with decreased expression of insulin receptor mRNA, we studied promoter region of insulin receptor gene and observed that nucleotide sequence in GC box around position -603 was variable in the patient and control subjects. However, promoter activity was not decreased in the case of the patient. Therefore, unidentified abnormalities in regulatory region which was not studied may responsible for the decrease expression of insulin recepotor gene.

Report

(4 results)
  • 1993 Annual Research Report   Final Research Report Summary
  • 1992 Annual Research Report
  • 1991 Annual Research Report
  • Research Products

    (33 results)

All Other

All Publications (33 results)

  • [Publications] Iwanishi M,Haruta T,Takata Y,Imamura T,Kobayashi M: "Importance of ASP^<1191> for Tyrosine kinase activity of the insulin recepto:functional difference of universally conserved ASP between tyrosine kinase and c-AMP dependent serine/Threonine protein kinase" Biochem.Biophys.Res.Commun.197. 353-359 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Iwanishi M,Kobayashi M: "Effect of pioglitazone on insulin recepters of skeletal muscles from high-fat-fed rats" Metabolism. 42. 1017-1021 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Haruta T,Takata Y,Iwanishi M,Maegawa H,Imamura T,Itazu T,Kobayashi M: "Ala^<1048>→Asp mutation in the kinase domain of insulin receptor causes defective kinase activity and insulin resistance" Diabetes. 42. 1837-1844 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kuzuya H,Matsuura W,Sakamoto M,Makino H,Kobayashi M,et.al.: "Trial of insulin like growth factor I therapy for patients with extreme insulin resistance syndromes" Diabetes. 42. 696-705 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kobayashi M,Iwanishi M,et.al.: "A mutation(Trp^<1193>→Leu^<1193>)in the kinase domain of the insulin receptor associated with Type A syndrome of insulin resistance" Diabetologic. 36. 414-422 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kobayashi M,Maegawa H,et al.: "Co-expression of mutant and normal human insulin receptors in COS 7 cells" Biochem.Biophys.Acta.1216. 425-430 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Sugibayashi M, Shigeta Y, Teraoka H, Kobayashi M: "Characterization of unprocessed insulin receptors in COS cells transfected with cDNA with Arg^<735>->Ser^<735> point mulation at the cleavage site" Metabolism. 41. 820-826 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kobayashi M, Iwanishi M, Egawa K, Shigeta Y: "Pioglitazone increases insulin sensitivity by activating insulin receptor kinase." Diabetes. 41. 476-483 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Takata Y, Webster NJG, Olefsky JM: "Intracellular signalling by a mutant human insulin receptor lacking the carboxyterminal tyrosine autophosphoryation" J.Biol. Chem. 267. 9065-9070 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Iwanishi M, Haruta T, Takata Y, Imamura T, Kobayashi M: "Imprtance of Asp^<1191> for tyrosine kinase activity of the insulin receptor : functional difference of universally conserved Asp between tyrosine kinase and c-AMP dependent serine/threonine protein kinase." Biochem. Biophys. Res. Commun. 197. 353-359 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Iwanishi M, Kobayashi M: "Effect of pioglitazone on insulin receptors of skeletal muscles from high-fat fed rats." Metabolism. 42. 1017-1021 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Haruta T, Takara Y, Iwanishi M, Maegawa H, Imamura T, Egawa K, Itazu T, Kobayashi M: "Ala^<1048>->Asp mutation in the kinase domain of insulin receceptor causes defective kinase activity and insulin resistance." Diabetes. 42. 1837-1844 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Kuzuya H, Matsuura W, Sakamoto M, Makino H, Sakamoto Y, Kadowaki T, Suzuki Y, Kobayashi M et.al.: "Trial of insulin like growth factor I therapy for patients with extreme insulin resistance syndrome." Diabetes. 42. 696-705 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Iwanishi M, Haruta T, Takata Y, Ishibashi O, Sasaoka T, Egawa E, Imamura T, Naitou K, Itazu T, Kobayashi M: "A mutation (Trp^<1193>->Leu^<1193>) in the tyrosine kinase domain of the insulin receptor associated with type A syndrome of insulin resistance." Diabetologia. 36. 414-422 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Maegawa H, Kashiwagi A, Haruta T, Egawa K, Ugi S, Tachikawa-Ide R, Hasegawa M, Kobayashi M, Shigeta Y: "Co-expression of mutant and normal human insulin receptors COS 7 cells." Biochimi. Biophys. Acta. 1216. 425-430 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1993 Final Research Report Summary
  • [Publications] Iwanishi M,Haruta T,Takata Y,Imamura T,Kobayashi M: "Importance of Asp1191 for Tyrosine kinase activity of the insulin receptor:functional difference of universally conserved Asp between tyrosine kinase and c-AMP dependent Serine/Threonine protein kinase" Biochem.Biophys.Res.Commun.197. 353-359 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Iwanishi M,Kobayashi M: "Effect of pioglitazone on insulin receptors of skeletal muscles from high-fad-fed rats." Metabolism. 42. 1017-1021 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Haruta T,Takata Y,Iwanishi M,Maegawa H,Imamura T,Egawa K,Itazu T,Kobayashi M.: "Ala1048→Asp mutation in the kinase domain of insulin receptor causes defective kinase activity and insulin resistance." Diabetes. 42. 1837-1844 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kuzuya H,Matsuura W,Sakamoto M,Makino H,Sakamoto Y,Kadowaki T,Suzuki Y,Kobayashi M.et al.: "Trial of insulin like growth factor I therapy for patients with extreme insulin resistance syndromes." Diabetes. 42. 696-705 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kobayashi M,Iwanishi M,et al.: "A mutation(Trp1193→Leu1193)in the kinase domain of the insulin receptor associated with Type A Syndrome of insulin resistance." Diabetologia. 36. 414-422 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Kobayashi M,Maegawa H,et al.: "Co-expression of mutant and normal human insulin receptors in COS7 cells." Biochem.Biophys.Acta.1216. 425-430 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] M.Kobayashi,M.Iwanishi K.Egawa,Y.Shigeta: "Pioglitazone increases insulin sensitirity by activating insulin receptor kinase." Diabetes. 41. 476-483 (1922)

    • Related Report
      1992 Annual Research Report
  • [Publications] T.Momoi,C.Yamanaka M.Kobayashi et al.: "Short stature with normal growth hormone and elevated IGF-1" Eur J pediatr. 151. 321-325 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] M.Sugibayashi.Y.Shigeta H.Teraoka.M.Kobayashi: "Characterization of unprocessed insulin proreceptors in COS7 cells transfected with cDNA with Arg^<723>→Ser^<723> point mutation at the cleavage site." Metabolism. 41. 820-826 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] M.Iwanishi,M.Kobayashi: "Effect of pioglitazone on insulin receptors of skeletal muscles from high-fat fed rats." Metabolism. 42. (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] M.Iwanishi.T.Haruta.Y.Takata.O.Ishibashi.T.Sasaoka.K.Egawa.T.Imamura.K.Naitou.T.Ifazu.M.Kobayashi.: "A mutation (Trp^<1193>→Leu^<1193>) in the tyrosin leinasedomain of the insulin receptor associated with the tyke A syndrome of insulin resistance." Diabetologia. (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] 江川 克哉.小林 正.小澤 邦顕.繁田 幸男: "インスリン受容体のPro^<193>からLer^<193>の点突然変異によるインスリン結合の低下" 糖尿病. 35. 105-122 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] M.Kobayashi,他: "Transfection of cDNA with G→T mutotion at the cleavagesite of insulin receptors to COS 7 cells." Biochem.Biophys.Res.Commun.167. 1073-1078 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] H.Maegawa,Y.Shigeta,K.Egawa,M.Kobayashi: "Impaired autophosphorylation of insulin receptors from abdominal muscles in nonーobese subjects with NIDDM" Diabetes. 40. 815-819 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] M.Kobayashi,M.Iwanishi 他: "Pioglitazone increases insulin sensitivity by activating pinase of insulin receptors." Diabetes. 41. (1992)

    • Related Report
      1991 Annual Research Report
  • [Publications] M.Sugibayashi,Y.Shigeta,H.Teraoka,M.Kobayashi: "Characterization of unprocessed insulin proreceptors in COS 7 cells transfected with cDNA with Arg^<735>→Ser^<735> point mutation at the cleavoge site." Metabolism. (1992)

    • Related Report
      1991 Annual Research Report
  • [Publications] 杉林 正章,小林 正,繁田 幸男: "異常インスリン・プロレセプタ-の直接シ-クエンス法による遺伝子配列の解析およびそのトランスフェクションによる発現と機能特性" 糖尿病. 34. 113-124 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] Y.Shigeta,M.Kobayashi,JM.Olefsky: "Recent advances in insulin action and its disorders." Elsevier Science Publishers(Amsterdam), 157 (1991)

    • Related Report
      1991 Annual Research Report

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Published: 1991-04-01   Modified: 2016-04-21  

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