Structure, Aggregation, and Activity of a Covalent Insulin Dimer Formed During Storage of Neutral Formulation of Human Insulin

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  • Christian Fogt Hjorth, Diabetes Protein Engineering, Novo Nordisk A/S
  • ,
  • Mathias Norrman, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Per-Olof Wahlund, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Andrew J. Benie, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Bent O. Petersen, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Christian M Jessen
  • ,
  • Thomas Å. Pedersen, Insulin Metabolism Biology, Novo Nordisk A/S, Denmark
  • Kirsten Vestergaard, Insulin Metabolism Biology, Novo Nordisk A/S, Denmark
  • Dorte B Steensgaard, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Jan Skov Pedersen
  • Helle Naver, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • František Hubálek, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Christian Poulsen, Diabetes Protein Engineering, Novo Nordisk A/S, Denmark
  • Daniel Otzen

A specific covalently linked dimeric species of insulin high molecular weight products (HMWPs), formed during prolonged incubation of a neutral pharmaceutical formulation of human insulin, were characterized in terms of tertiary structure, self-association, biological activity, and fibrillation properties. The dimer was formed by a covalent link between A21Asn and B29Lys. It was analyzed using static and dynamic light scattering and small-angle X-ray scattering to evaluate its self-association behavior. The tertiary structure was obtained using nuclear magnetic resonance and X-ray crystallography. The biological activity of HMWP was determined using 2 in vitro assays, and its influence on fibrillation was investigated using Thioflavin T assays. The dimer's tertiary structure was nearly identical to that of the noncovalent insulin dimer, and it was able to form hexamers in the presence of zinc. The dimer exhibited reduced propensity for self-association in the absence of zinc but significantly postponed the onset of fibrillation in insulin formulations. Consistent with its dimeric state, the tested species of HMWP showed little to no biological activity in the used assays. This study is the first detailed characterization of a specific type of human insulin HMWP formed during storage of a marketed pharmaceutical formulation. These results indicate that this specific type of HMWP is unlikely to antagonize the physical stability of the formulation, as HMWP retained a tertiary structure similar to the noncovalent dimer and participated in hexamer assembly in the presence of zinc. In addition, increasing amounts of HMWP reduce the rate of insulin fibrillation.

Original languageEnglish
JournalJournal of Pharmaceutical Sciences
Volume105
Issue4
Pages (from-to)1376-1386
Number of pages11
ISSN0022-3549
DOIs
Publication statusPublished - 2016

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