Ever since the discovery of insulin and its role in the regulation of gluco
se metabolism, there has been great interest in the molecule itself, the in
sulin-like growth factors (IGFs), and their receptors (IR and IGF-R). These
receptors form a subfamily of tyrosine kinase receptors which are large, t
ransmembrane proteins consisting of several structural domains. Their ectod
omains have a similar arrangement of two homologous domains (L1 and L2) sep
arated by a Cys rich region. The C-terminal half of their ectodomains consi
sts of three fibronectin type 3 repeats, and an insert domain that contains
the alpha-beta cleavage site. This review summarises the key developments
in the understanding of the structure of this family of receptors and their
relation to other multidomain proteins. Data presented will include multip
le sequence analyses, single molecule electron microscope images of the IGF
-1R, insulin receptor (IR), and IR-Fab complexes, and the three dimensional
structure of the first three domains of the IGF-1R determined to 2.6 Angst
rom resolution by x ray crystallography. The L domains each adopt a compact
shape consisting of a single stranded, right handed beta -helix. The Cys r
ich region is composed of eight disulphide bonded modules, seven of which f
orm a rod shaped domain with modules associated in an unusual manner.