INS
Insulin
Also known as: IDDM1, IDDM2, INS_HUMAN
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P01308
- Gene
- INS
- Ensembl
- ENSG00000254647
- Chromosome
- 11
- Canonical length
- 110 aa
- Protein class
- Cancer-related genes, Candidate cardiovascular disease genes, Disease related genes, Human disease related genes, Plasma proteins, Predicted secreted proteins, RAS pathway related proteins
- Secretome location
- Secreted to blood
OverviewNCBI Gene
This gene encodes insulin, a peptide hormone that plays a vital role in the regulation of carbohydrate and lipid metabolism. After removal of the precursor signal peptide, proinsulin is post-translationally cleaved into three peptides: the B chain and A chain peptides, which are covalently linked via two disulfide bonds to form insulin, and C-peptide. Binding of insulin to the insulin receptor (INSR) stimulates glucose uptake. A multitude of mutant alleles with phenotypic effects have been identified, including insulin-dependent diabetes mellitus, permanent neonatal diabetes diabetes mellitus, maturity-onset diabetes of the young type 10 and hyperproinsulinemia. There is a read-through gene, INS-IGF2, which overlaps with this gene at the 5' region and with the IGF2 gene at the 3' region. [provided by RefSeq, May 2020]
Canonical amino-acid sequenceUniProt
110 residues, UniProt reviewed canonical sequence.
>P01308|INS
1 MALWMRLLPL LALLALWGPD PAAAFVNQHL CGSHLVEALY LVCGERGFFY TPKTRREAED
61 LQVGQVELGG GPGAGSLQPL ALEGSLQKRG IVEQCCTSIC SLYQLENYCNLocalizationUniProt · AlphaFold · HPA
Whether an antibody against INS can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Unknown
- Secreted
- No
- Transmembrane segments
- 0
- Mean surface accessibility (rSASA)
- 0.67
- Highest tissue expression
- 12,197 nTPM
Expression across tissuesHPA
Tissue
- pancreas: 12,197 nTPM
- skin: 90 nTPM
- bone marrow: 47 nTPM
- stomach: 40 nTPM
- kidney: 38 nTPM
- cerebral cortex: 23 nTPM
Single-cell type
- pancreatic islet cells: 83,210 nCPM
- monocytes: 138 nCPM
- pancreatic duct cells: 136 nCPM
- mast cells: 71 nCPM
- pancreatic acinar cells: 59 nCPM
- macrophages: 40 nCPM
Immune cell
- basophil: 0 nTPM
- classical monocyte: 0 nTPM
- eosinophil: 0 nTPM
- gdT-cell: 0 nTPM
- intermediate monocyte: 0 nTPM
- MAIT T-cell: 0 nTPM
Brain region
- pons: 1.5 nTPM
- midbrain: 0.8 nTPM
- medulla oblongata: 0.5 nTPM
- basal ganglia: 0.3 nTPM
- hypothalamus: 0.3 nTPM
- hippocampal formation: 0.2 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about INS.
Disease | GeneticClinVar
36 pathogenic / likely-pathogenic of 187 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Diabetes mellitus, permanent neonatal 4
- Hyperproinsulinemia
- Maturity-onset diabetes of the young type 10
- Neonatal diabetes mellitus
- Permanent neonatal diabetes mellitus
Disease | ImmuneIEDB
Conditions an epitope on INS was assayed in.
- type 1 diabetes mellitus B and T cell
- prediabetes syndrome T cell
- type 2 diabetes mellitus T cell
- autoimmune thyroiditis B cell
Disease | AutoantibodyPubMed
Conditions in which antibodies against INS are reported. Each links to that disease's full target list.
- Diabetes Mellitus, Type 1 932
- Insulin Resistance 150
- Diabetes Mellitus, Type 2 120
- Lupus Erythematosus, Systemic 41
- Graves Disease 26
- Obesity 18
- Celiac Disease 16
- Thyroiditis, Autoimmune 15
- Arthritis, Rheumatoid 8
- Hashimoto Disease 8
- Hypothyroidism 7
- COVID-19 6
- Glomerulonephritis 5
- Hepatitis C, Chronic 4
- Addison Disease 3
- Adenocarcinoma 3
- Calcinosis 3
- Diabetic Nephropathies 3
- Hyperthyroidism 3
- Lupus Nephritis 3
Showing 20 of 53 — disease pages carrying at least 10 antigens.
ReferencesPubMed · IEDB
Publications for INS from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
1,613 publications
- Seroconversion to multiple islet autoantibodies and risk of progression to diabetes in children.
2013 · JAMA · RCR 28.8 · 966 citations - The syndromes of insulin resistance and acanthosis nigricans. Insulin-receptor disorders in man.
1976 · N Engl J Med · RCR 27.2 · 1,006 citations - Insulin antibodies in insulin-dependent diabetics before insulin treatment.
1983 · Science · RCR 23.2 · 1,025 citations - Prediction of type I diabetes in first-degree relatives using a combination of insulin, GAD, and ICA512bdc/IA-2 autoantibodies.
1996 · Diabetes · RCR 17.1 · 690 citations - The cation efflux transporter ZnT8 (Slc30A8) is a major autoantigen in human type 1 diabetes.
2007 · Proc Natl Acad Sci U S A · RCR 17.1 · 742 citations
Show 20 more of 1,613 total
- The 6 year incidence of diabetes-associated autoantibodies in genetically at-risk children: the TEDDY study.
2015 · Diabetologia · RCR 12 · 354 citations - Prime role for an insulin epitope in the development of type 1 diabetes in NOD mice.
2005 · Nature · RCR 11.3 · 605 citations - Autoantibody appearance and risk for development of childhood diabetes in offspring of parents with type 1 diabetes: the 2-year analysis of the German BABYDIAB Study.
1999 · Diabetes · RCR 11.1 · 490 citations - A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. Osaka IDDM Study Group.
2000 · N Engl J Med · RCR 10.3 · 479 citations - Induction and therapy of autoimmune diabetes in the non-obese diabetic (NOD/Lt) mouse by a 65-kDa heat shock protein.
1990 · Proc Natl Acad Sci U S A · RCR 10.3 · 427 citations - Anti-Islet Autoantibodies in Type 1 Diabetes.
2023 · Int J Mol Sci · RCR 10.2 · 83 citations - Effects of oral insulin in relatives of patients with type 1 diabetes: The Diabetes Prevention Trial--Type 1.
2005 · Diabetes Care · RCR 10 · 479 citations - Management of Graves Thyroidal and Extrathyroidal Disease: An Update.
2020 · J Clin Endocrinol Metab · RCR 9.4 · 143 citations - Combined use of autoantibodies (IA-2 autoantibody, GAD autoantibody, insulin autoantibody, cytoplasmic islet cell antibodies) in type 1 diabetes: Combinatorial Islet Autoantibody Workshop.
1998 · Diabetes · RCR 9.2 · 368 citations - Antibodies to a 64,000 Mr human islet cell antigen precede the clinical onset of insulin-dependent diabetes.
1987 · J Clin Invest · RCR 9 · 323 citations - Looking back at the TEDDY study: lessons and future directions.
2025 · Nat Rev Endocrinol · RCR 8.8 · 26 citations - Prediction of IDDM in the general population: strategies based on combinations of autoantibody markers.
1997 · Diabetes · RCR 8.7 · 365 citations - Factors associated with early remission of type I diabetes in children treated with cyclosporine.
1988 · N Engl J Med · RCR 8.5 · 304 citations - Combined analysis of autoantibodies improves prediction of IDDM in islet cell antibody-positive relatives.
1994 · Diabetes · RCR 8.4 · 335 citations - Timing of initial cereal exposure in infancy and risk of islet autoimmunity.
2003 · JAMA · RCR 7.8 · 345 citations - Cytotoxic autoantibodies to beta cells in the serum of patients with insulin-dependent diabetes mellitus.
1980 · N Engl J Med · RCR 7.8 · 250 citations - Effects of autoantibodies to the insulin receptor on isolated adipocytes. Studies of insulin binding and insulin action.
1977 · J Clin Invest · RCR 7.7 · 274 citations - A comparison of childhood and adult type I diabetes mellitus.
1989 · N Engl J Med · RCR 7.5 · 272 citations - Insulin Autoimmune Syndrome (Hirata Disease): A Comprehensive Review Fifty Years After Its First Description.
2020 · Diabetes Metab Syndr Obes · RCR 7.4 · 97 citations - Protection of nonobese diabetic mice from diabetes by intranasal or subcutaneous administration of insulin peptide B-(9-23).
1996 · Proc Natl Acad Sci U S A · RCR 7.3 · 340 citations
Reference: B cellIEDB
6 publications
- Autoantibody and T cell responses to oxidative post-translationally modified insulin neoantigenic peptides in type 1 diabetes.
2023 · Diabetologia · RCR 2.1 · 18 citations - Type 1 Diabetes at-risk children highly recognize Mycobacterium avium subspecies paratuberculosis epitopes homologous to human Znt8 and Proinsulin.
2016 · Sci Rep · RCR 1.5 · 33 citations - Proinsulin and MAP3865c homologous epitopes are a target of antibody response in new-onset type 1 diabetes children from continental Italy.
2015 · Pediatr Diabetes · RCR 1 · 23 citations - Recognition of ZnT8, Proinsulin, and Homologous MAP Peptides in Sardinian Children at Risk of T1D Precedes Detection of Classical Islet Antibodies.
2016 · J Diabetes Res · RCR 0.5 · 15 citations - Antibodies against Proinsulin and Homologous MAP Epitopes Are Detectable in Hashimoto's Thyroiditis Sardinian Patients, an Additional Link of Association.
2015 · PLoS One · RCR 0.5 · 10 citations
Show 1 more
- Longitudinal epitope analysis of insulin-binding antibodies in type 1 diabetes.
2006 · Clin Exp Immunol · RCR 0.3 · 13 citations
Reference: T cellIEDB
78 publications
- Virus-specific CD4(+) memory-phenotype T cells are abundant in unexposed adults.
2013 · Immunity · RCR 8.9 · 376 citations - A single autoimmune T cell receptor recognizes more than a million different peptides.
2012 · J Biol Chem · RCR 8 · 365 citations - Islet-reactive CD8+ T cell frequencies in the pancreas, but not in blood, distinguish type 1 diabetic patients from healthy donors.
2018 · Sci Immunol · RCR 6.7 · 200 citations - CTLs are targeted to kill beta cells in patients with type 1 diabetes through recognition of a glucose-regulated preproinsulin epitope.
2008 · J Clin Invest · RCR 6.7 · 346 citations - Clonal Deletion Prunes but Does Not Eliminate Self-Specific αβ CD8(+) T Lymphocytes.
2015 · Immunity · RCR 6.4 · 266 citations
Show 20 more of 78 total
- Expanded T cells from pancreatic lymph nodes of type 1 diabetic subjects recognize an insulin epitope.
2005 · Nature · RCR 5.9 · 317 citations - Islet-Derived CD4 T Cells Targeting Proinsulin in Human Autoimmune Diabetes.
2017 · Diabetes · RCR 5.7 · 172 citations - Metabolic and immune effects of immunotherapy with proinsulin peptide in human new-onset type 1 diabetes.
2017 · Sci Transl Med · RCR 5.2 · 154 citations - Human islet T cells are highly reactive to preproinsulin in type 1 diabetes.
2021 · Proc Natl Acad Sci U S A · RCR 4.4 · 74 citations - Proinsulin-specific, HLA-DQ8, and HLA-DQ8-transdimer-restricted CD4+ T cells infiltrate islets in type 1 diabetes.
2015 · Diabetes · RCR 4.3 · 141 citations - Plasmid-encoded proinsulin preserves C-peptide while specifically reducing proinsulin-specific CD8⁺ T cells in type 1 diabetes.
2013 · Sci Transl Med · RCR 3.5 · 137 citations - Hotspot autoimmune T cell receptor binding underlies pathogen and insulin peptide cross-reactivity.
2016 · J Clin Invest · RCR 3.3 · 109 citations - CD8+ T-cell responses identify beta-cell autoimmunity in human type 1 diabetes.
2007 · Diabetes · RCR 3.3 · 162 citations - A Public BCR Present in a Unique Dual-Receptor-Expressing Lymphocyte from Type 1 Diabetes Patients Encodes a Potent T Cell Autoantigen.
2019 · Cell · RCR 3.3 · 101 citations - Structural basis for the killing of human beta cells by CD8(+) T cells in type 1 diabetes.
2012 · Nat Immunol · RCR 3.2 · 144 citations - T cell receptor reversed polarity recognition of a self-antigen major histocompatibility complex.
2015 · Nat Immunol · RCR 3.2 · 122 citations - A disease-associated cellular immune response in type 1 diabetics to an immunodominant epitope of insulin.
2001 · J Clin Invest · RCR 3.2 · 175 citations - Tolerogenic dendritic cells pulsed with islet antigen induce long-term reduction in T-cell autoreactivity in type 1 diabetes patients.
2022 · Front Immunol · RCR 3.1 · 40 citations - Cathepsin D Drives the Formation of Hybrid Insulin Peptides Relevant to the Pathogenesis of Type 1 Diabetes.
2022 · Diabetes · RCR 2.9 · 38 citations - Hybrid Insulin Peptides Are Autoantigens in Type 1 Diabetes.
2019 · Diabetes · RCR 2.8 · 75 citations - Proinsulin peptide immunotherapy in type 1 diabetes: report of a first-in-man Phase I safety study.
2009 · Clin Exp Immunol · RCR 2.7 · 125 citations - Novel T-Cell Reactivities to Hybrid Insulin Peptides in Islet Autoantibody-Positive At-Risk Individuals.
2025 · Diabetes · RCR 2.6 · 8 citations - β-cell-specific CD8 T cell phenotype in type 1 diabetes reflects chronic autoantigen exposure.
2015 · Diabetes · RCR 2.5 · 96 citations - Circulating preproinsulin signal peptide-specific CD8 T cells restricted by the susceptibility molecule HLA-A24 are expanded at onset of type 1 diabetes and kill β-cells.
2012 · Diabetes · RCR 2.5 · 102 citations - The antigen presentation landscape of cytokine-stressed human pancreatic islets.
2025 · Cell Rep · RCR 2.5 · 8 citations
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. IEDB — curated epitope assays from the Immune Epitope Database (Vita et al., Nucleic Acids Research 2019). Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 1.17
- gnomAD pLI
- 0.3
- gnomAD missense Z
- 0.9
- DepMap mean gene effect
- -0.22
- DepMap dependency class
- selective
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 2% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
InteractionsUniProt · HPA
Protein binding partners of INS in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads INS as an antibody target. Whether an autoantibody or antibody against INS could matter depends on whether native INS is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
INS is annotated as predominantly intracellular. Intracellular proteins are common autoantibody markers, becoming visible to the immune system after cell injury or altered processing, but are usually markers of disease rather than direct drivers.
Annotation status
The present source text does not explicitly label INS as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
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