C-peptide, a cleavage product from the processing of proinsulin to ins
ulin, has been considered to possess little if any biological activity
other than its participation in insulin synthesis, Injection of human
C-peptide prevented or attenuated vascular and neural (electrophysiol
ogical) dysfunction and impaired Na+- and K+-dependent adenosine triph
osphate activity in tissues of diabetic rats. Nonpolar amino acids in
the midportion of the peptide were required for these biological effec
ts. Synthetic reverse sequence (retro) and all-D-amino acid (enantio)
C-peptides were equipotent to native C-peptide, which indicates that t
he effects of C-peptide on diabetic vascular and neural dysfunction we
re mediated by nonchiral interactions instead of stereospecific recept
ors or binding sites.