Damping amyloid-associated conformational fluctuations in a protein by an engineered diselenide bridge.

Polypeptide cross-β assembly, characteristic of diverse proteotoxic diseases, defines a general thermodynamic ground state and limits the shelf lives of peptide- and protein therapeutics. A model is provided by insulin. Although the hormone contains a predominance of α-helix, its fibrils exhibit cross-β reorganization. In the real world, aggregation-coupled fibrillation of insulin underlies its degradation above room temperature, impairing activity and imposing a complex global "cold chain" of transport and storage. Here, we describe biophysical protection of an insulin analog at an elevated temperature by an engineered diselenide bridge. Our studies focused on insulin glargine, the active ingredient of long-acting formulations in broad clinical use. Insoluble in a subcutaneous depot due to its shifted isoelectric point, the analog dissolves at pH 4.0 and so, unlike neutral formulations of the wild-type hormone, is unprotected by zinc-mediated hexamer assembly. Whereas at 37°C the fibrillation lag time of insulin glargine is accelerated by fourfold relative to WT insulin, such instability is circumvented by pairwise substitution of Cys