Porcine insulin causes more allergic reactions in humans than recombinant bacterial insulin due to amino acid sequence differences
Porcine insulin historically caused more immunological complications and adverse reactions in humans due to structural differences and impurities compared to modern recombinant human insulin.
The retrieved papers support the medical consensus that early animal-derived insulins, such as porcine insulin, carried a higher risk of adverse immune reactions and antibody binding due to impurities and structural differences compared to recombinant human insulin. None of the provided papers refute this well-established pharmacological fact.
Bolli GB, Cheng AYY, Owens DR. Insulin: evolution of insulin formulations and their application in clinical practice over 100 years.. 2022. https://doi.org/10.1007/s00592-022-01938-4
Paper 0 notes that early animal-derived insulin formulations contained impurities that caused adverse reactions.
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Guntram Schernthaner. Affinity of IgG-Insulin Antibodies to Human (recombinant DNA) Insulin and Porcine Insulin in Insulin-treated Diabetic Individuals With and Without Insulin Resistance. 1982. https://doi.org/10.2337/diacare.5.2.s114
Paper 1 discusses how porcine insulin can demonstrate higher affinity to certain human IgG-insulin antibodies compared to recombinant human insulin in specific patient populations.
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