Since the 1980s, recombinant human insulin for the treatment of diabetes me
llitus has been produced using either the yeast Saccharomyces cerevisiae or
the prokaryote Escherichia coli. Here, development of the insulin secretor
y expression system in S. cerevisiae and its subsequent optimisation is des
cribed. Expression of proinsulin in S. cerevisiae does not result in effici
ent secretion of proinsulin or insulin. However, expression of a cDNA encod
ing a proinsulin-like molecule with deletion of threonine(B30) as a fusion
protein with the S. cerevisiae alpha-factor prepro-peptide (leader), follow
ed either by replacement of the human proinsulin C-peptide with a small C-p
eptide (e.g. AAK), or by direct fusion of lysine(B29) to glycine(A1), resul
ts in the efficient secretion of folded single-chain proinsulin-like molecu
les to the culture supernatant. The secreted single-chain insulin precursor
can then be purified and subsequently converted to human insulin by trypti
c transpeptidation in organic-aqueous medium in the presence of a threonine
ester. The leader confers secretory competence to the insulin precursor, a
nd constructed (synthetic) leaders have been developed for efficient secret
ory expression of the insulin precursor in the yeasts S. cerevisiae and Pic
hia pastories. The Kex2 endoprotease, specific for dibasic sites, cleaves t
he leader-insulin precursor fusion protein in the late secretory pathway an
d the folded insulin precursor is secreted to the culture supernatant. Howe
ver, the Kex2 endoprotease processing of the pro-peptide-insulin precursor
fusion protein is incomplete and a significant part of the pro-peptide-insu
lin precursor fusion protein is secreted to the culture supernatant in a hy
perglycosylated form. A spacer peptide localised between the leader and the
insulin precursor has been developed to optimise Kex2 endoprotease process
ing and insulin precursor fermentation yield.