The three-dimensional (3D) structure of the intrinsically dimeric insulin r
eceptor bound to its ligand, insulin, was determined by electron cryomicros
copy. Gold-labeled insulin served to locate the insulin-binding domain. The
3D structure was then fitted with available known high-resolution domain s
ubstructures to obtain a detailed contiguous model for this heterotetrameri
c transmembrane receptor. The 3D reconstruction indicates that the two alph
a subunits jointly participate in insulin binding and that the kinase domai
ns in the two beta subunits are in a juxtaposition that permits autophospho
rylation of tyrosine residues in the first step of insulin receptor activat
ion.