A critical problem in the storage and delivery of pharmaceutical prote
ins is aggregation in the solid state induced by elevated temperature
and moisture. These conditions are particularly relevant for studies o
f protein stability during accelerated storage or for proteins loaded
in polymeric delivery devices in vivo. In the present investigation, w
e have found that, when exposed to an environment simulating these con
ditions, lyophilized insulin undergoes both covalent and noncovalent a
ggregation. The covalent process has been elucidated to be intermolecu
lar thiol-catalyzed disulfide interchange following beta-elimination o
f an intact disulfide bridge in the insulin molecule. This process is
accelerated by increasing the temperature and water content of the ins
ulin powder or by performing lyophilization and/or dissolution of insu
lin in alkaline media. The aggregation can be ameliorated by the prese
nce of Cu2+, which presumably catalyzes the oxidization of free thiols
. The water sorption isotherm for insulin reveals that the extent of a
ggregation directly correlates with the water uptake by the lyophilize
d insulin powder, thus pointing to the critical role of protein confor
mational mobility in the aggregation process.