Biomedical Engineering Reference
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Figure 11.2 Structure of the insulin receptor (a). Binding of insulin promotes autophosphorylation of the β -
subunits, where each β -subunit phosphorylates the other β -subunit. Phosphate groups are attached to three
specifi c tyrosine residues (tyrosines 1158, 1162 and 1163), as indicated in (b). Activation of the β -subunit's
tyrosine kinase activity in turn results in the phosphorylation of various intracellular (protein) substrates
which trigger the mitogen-activated protein kinase and/or the phosphoinositide (PI-3) kinase pathway re-
sponsible for inducing insulin's mitogenic and metabolic effects. The underlying molecular events occurring
in these pathways are complex (e.g. refer to Combettes-Souverain, M. and Issad, T. 1998. Molecular basis of
insulin action. Diabetes and Metabolism , 24 , 477-489)
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