156 Modern Industrial Microbiology and Biotechnology
(1) Insulin
Insulin is a hormone produced by the pancreas; hormones are small proteins. Insulin is
used to treat diabetes of which there are there three types, only two of which are relevant
to this discussion.
Type 1 diabetes (previously known as insulin-dependent diabetes) is an auto-immune disease
where the body’s immune system destroys the insulin-producing beta cells in the
pancreas. This type of diabetes, also known as juvenile-onset diabetes, accounts for 10-
15% of all people with the disease. It can appear at any age, although common under 40,
and is triggered by environmental factors such as viruses, diet or chemicals in people
genetically predisposed. To live, people with type 1 diabetes must inject themselves with
insulin several times a day and follow a careful diet and exercise plan.
Type 2 diabetes (previously known as non-insulin dependent diabetes) is the most common
form of diabetes, affecting 85-90% of all people with the disease. This type of diabetes,
also known as late-onset diabetes, is characterized by relative insulin deficiency. The
disease is strongly genetic in origin but lifestyle factors such as excess weight, inactivity,
high blood pressure and poor diet are major risk factors for its development. Symptoms
may not show for many years and, by the time they appear, significant problems may
have developed. People with type 2 diabetes are twice as likely to suffer cardiovascular
disease. Type 2 diabetes may be treated by dietary changes, exercise and/or medications.
Insulin injections may later be required.
The third type affects pregnant women, is less common, and will not be discussed.
Genetically engineered insulin was the first major product of biotechnology. As
insulin from some animals is similar to human insulin, beginning from the 1920s, insulin
isolated from the pancreas of farm animals, mainly pigs and cows, was used to treat
diabetes. There were several problems with this product. First it takes several months for
animals to mature and be ready to be slaughtered for their pancreas. This made animal-
based insulin expensive since it was difficult to meet the demand. Furthermore such
animal insulin caused immune reactions in some patients and a few became intolerant or
resistant to animal insulin. For a more effective solution the then new technology of
recombinant DNA was resorted to. In 1978, in the laboratory of Herbert Boyer at the
University of California at San Francisco, a synthetic version of the human insulin gene
was constructed and inserted E. coli. In 1982 Eli Lilly Corporation was granted approval
for its genetically engineered insulin. Insulin is a small protein, and today’s insulin is
produced with a synthesized gene, which is expressed in a yeast.
Insulin consists of two amino acid chains: the A peptide chain which is acidic and
with 21 amino acids and the B peptide chain which is basic and has 30 amino acids.
When synthesized the A and B chains are further linked by a 30 amino acid C peptide
chain to produce a structure known as pro-insulin. Pro-insulin is cleaved enzymatically
to yield insulin. (Fig. 7.13).
(2) Edible vaccines
An innovative new approach to vaccine production is the surface expression of the
antigen of a bacterium in a plant. Most current immunization is done by injection
(parenteral delivery) and rarely results in specific protective immune responses at the
mucosal surfaces of the respiratory, gastrointestinal and genito-urinary tracts. Mucosal