We have determined the structure of a metastable disulphide isomer of
human insulin. Although not observed for proinsulin folding or insulin
-chain recombination, the isomer retains ordered secondary structure a
nd a compact hydrophobic cove. Comparison with native insulin reveals
a global rearrangement in the orientation of A- and B-chains. One face
of the protein's surface is nevertheless in common between native and
non-native structures. This face contains receptor-binding determinan
ts, rationalizing the partial biological activity of the isomer. Struc
tures of native and non-native disulphide isomers also define alternat
ive three-dimensional templates. Threading of insulin-like sequences p
rovide an experimental realization of the inverse protein-folding prob
lem.