ATP sensitizes the insulin receptor to insulin.

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Abstract
Insulin receptor with high insulin binding and tyrosine kinase activities has been prepared from human placenta. Based on a molecular mass of 306 kDa for the receptor (the value obtained from the sum of the amino acid residues), this preparation is capable of binding. 1.48 mol of insulin per mol of receptor. The receptor is free from phosphatase and ATPase activity and is not stimulated by sodium vanadate. Autophosphorylation is linear with respect to receptor concentration, and the 32P incorporated is stable even in the presence of a 100-fold excess of unlabeled ATP. The Km for ATP is 208 .mu.M. N-Ethylmaleimide inhibits autophosphorylation. Alkylation with 3H-labeled N-ethylmalemide results in the incorporation of 1.13 .+-. 0.37 mol of N-ethylmaleimide per mol of insulin binding activity exclusively into the .beta. subunit of the receptor. The nonhydrolyzable ATP analog adenosine 5''-[.beta.,.gamma.-imido]triphosphate stimulate autophosphorylation of the receptor, an effect that is evident at ATP concentrations below 1 mM. The stimulatory effect of adenosine 5''-[.beta.,.gamma.-imido]triphosphate is the result of increasing the binding of insulin to the .alpha. subunit, and this reflects itself in a shift to the left of the insulin dose-response curve for autophosphorylation. The same is true for ATP. As a consequence, it is now possible to reconcile the concentration of insulin necessary for stimulating the autophosphorylation reaction with physiological levels and with the levels of insulin required for its classical biological effects.