Rémi Fritzen, Timothy Redpath, Ketolly N. S. Leal, Owen Davies, Musa Tariq, Silvia A. Synowsky, Sally L. Shirran, Ramzi. A. Ajjan, Marco A. Z. Arruda, Claudia A. Blindauer, J. Carlos Penedo, Alan J. Stewart
Insulin is stored and secreted as Zn2+-stabilised hexamers that must dissociate into monomers for receptor activation; yet tools to monitor this process in real time under physiological conditions remain limited. Here we report a Förster resonance energy transfer (FRET)-based assay that enables direct tracking of insulin oligomerisation in solution. Labelling at LysB29 with a donor-acceptor dye pair converts changes in oligomeric state into a quantitative fluorescence readout, allowing resolution of Zn2+-dependent hexamerisation, pH effects across the physiological range of insulin secretory granules, and the kinetics of albumin-mediated decomplexation. Single molecule total internal reflection microscopy was used to confirm Zn2+-dependent oligomerisation of fluorescent insulin monomers. Using the FRET-based approach, we show that human serum albumin promotes Zn2+-dependent hexamer dissociation, while long-chain free fatty acids, including palmitate, inhibit this process by impairing albumin’s Zn2+ binding. Application to clinical plasma samples reveals reduced insulin decomplexation in those from type 2 diabetes individuals compared to healthy controls and identifies correlations between oligomer stability and specific fatty acid species. These findings establish a Zn2+-albumin-lipid axis governing insulin speciation in circulation and introduce a general platform for quantifying insulin oligomer dynamics, with applications in analogue design, formulation assessment, and the investigation of mechanisms underpinning insulin resistance.