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The Role of Protease and Protease Inhibitors in Human Diseases

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 30 July 2024 | Viewed by 4618

Special Issue Editor


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Guest Editor
Laboratory of Pharmacology, School of Pharmacy, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Interests: proteases; kallikreins; prostate-specific antigen; skin (patho)physiology; organophosphates; chemobrionics

Special Issue Information

Dear Colleagues,

This Special Issue in the International Journal of Molecular Sciences entitled “The Role of Protease and Protease Inhibitors in Human Diseases” will cover a selection of recent research and review articles on the role of proteases and/or their inhibitors in human pathophysiology.

Protease processes maturate or destroy specific protein substrates while their inhibitors safeguard their activities. Usually, proteases do not work alone but they are organized in complex proteolytic cascades that amplify the activities and allow for fine-tuning. There are approximately 600 proteases and 150 endogenous protease inhibitors in humans that regulate diverse physiological processes such as cellular signaling, DNA replication, cellular proliferation and differentiation, remodeling of the extracellular matrix, angiogenesis, neurogenesis, fertilization, blood coagulation, food digestion, apoptosis, inflammation, etc. Therefore, it is not surprising that the deregulation of their activities governs multiple pathological conditions including cancer, neurodegeneration, skin overdesquamation and inflammation. In addition, recent data has shown that human endogenous proteases regulate certain viral infections.

Thus, proteases are druggable targets and important diagnostic molecules. In the latter context, the development of assays to measure their activity instead of the total amount is expected to increase their diagnostic potential since it is the activity that underlies the (patho)physiological phenotype.

Suitable topics include, but are not limited to:

  • Proteolytic cascades in health and disease;
  • Degradome;
  • Proteases in cancer;
  • Proteolysis in neurodegenerative diseases;
  • Epidermal pathophysiology;
  • Viral proteases;
  • Molecular diagnosis;
  • Prostate-specific antigen;
  • Extracellular matrix remodeling;
  • Design of protease inhibitors.

Dr. Georgios Pampalakis
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Molecular Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. There is an Article Processing Charge (APC) for publication in this open access journal. For details about the APC please see here. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • proteases
  • cancer
  • aging
  • neurodegeneration
  • skin (patho)physiology
  • protease inhibitors
  • molecular diagnosis
  • biomarkers
  • proteolytic cascades
  • infection

Published Papers (4 papers)

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Research

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16 pages, 8350 KiB  
Article
Mmp2 Deficiency Leads to Defective Parturition and High Dystocia Rates in Mice
by Rotem Kalev-Altman, Gal Becker, Tamar Levy, Svetlana Penn, Nahum Y. Shpigel, Efrat Monsonego-Ornan and Dalit Sela-Donenfeld
Int. J. Mol. Sci. 2023, 24(23), 16822; https://doi.org/10.3390/ijms242316822 - 27 Nov 2023
Viewed by 892
Abstract
Parturition is the final and essential step for mammalian reproduction. While the uterus is quiescent during pregnancy, fundamental changes arise in the myometrial contractility, inducing fetal expulsion. Extracellular matrix (ECM) remodeling is fundamental for these events. The gelatinases subgroup of matrix metalloproteinases (MMPs), [...] Read more.
Parturition is the final and essential step for mammalian reproduction. While the uterus is quiescent during pregnancy, fundamental changes arise in the myometrial contractility, inducing fetal expulsion. Extracellular matrix (ECM) remodeling is fundamental for these events. The gelatinases subgroup of matrix metalloproteinases (MMPs), MMP2 and MMP9, participate in uterine ECM remodeling throughout pregnancy and parturition. However, their loss-of-function effect is unknown. Here, we determined the result of eliminating Mmp2 and/or Mmp9 on parturition in vivo, using single- and double-knockout (dKO) mice. The dystocia rates were measured in each genotype, and uterine tissue was collected from nulliparous synchronized females at the ages of 2, 4, 9 and 12 months. Very high percentages of dystocia (40–55%) were found in the Mmp2−/− and dKO females, contrary to the Mmp9−/− and wild-type females. The histological analysis of the uterus and cervix revealed that Mmp2−/− tissues undergo marked structural alterations, including highly enlarged myometrial, endometrial and luminal cavity. Increased collagen deposition was also demonstrated, suggesting a mechanism of extensive fibrosis in the Mmp2−/− myometrium, which may result in dystocia. Overall, this study describes a new role for MMP2 in myometrium remodeling during mammalian parturition process, highlighting a novel cause for dystocia due to a loss in MMP2 activity in the uterine tissue. Full article
(This article belongs to the Special Issue The Role of Protease and Protease Inhibitors in Human Diseases)
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15 pages, 2290 KiB  
Article
Unveiling the Potent Fibrino(geno)lytic, Anticoagulant, and Antithrombotic Effects of Papain, a Cysteine Protease from Carica papaya Latex Using κ-Carrageenan Rat Tail Thrombosis Model
by Hye Ryeon Yang, Most Nusrat Zahan, Yewon Yoon, Kyuri Kim, Du Hyeon Hwang, Woo Hyun Kim, Il Rae Rho, Euikyung Kim and Changkeun Kang
Int. J. Mol. Sci. 2023, 24(23), 16770; https://doi.org/10.3390/ijms242316770 - 26 Nov 2023
Cited by 1 | Viewed by 827
Abstract
While fibrinolytic enzymes and thrombolytic agents offer assistance in treating cardiovascular diseases, the existing options are associated with a range of adverse effects. In our previous research, we successfully identified ficin, a naturally occurring cysteine protease that possesses unique fibrin and fibrinogenolytic enzymes, [...] Read more.
While fibrinolytic enzymes and thrombolytic agents offer assistance in treating cardiovascular diseases, the existing options are associated with a range of adverse effects. In our previous research, we successfully identified ficin, a naturally occurring cysteine protease that possesses unique fibrin and fibrinogenolytic enzymes, making it suitable for both preventing and treating cardiovascular disorders linked to thrombosis. Papain is a prominent cysteine protease derived from the latex of Carica papaya. The potential role of papain in preventing fibrino(geno)lytic, anticoagulant, and antithrombotic activities has not yet been investigated. Therefore, we examined how papain influences fibrinogen and the process of blood coagulation. Papain is highly stable at pH 4–11 and 37–60 °C via azocasein assay. In addition, SDS gel separation electrophoresis, zymography, and fibrin plate assays were used to determine fibrinogen and fibrinolysis activity. Papain has a molecular weight of around 37 kDa, and is highly effective in degrading fibrin, with a molecular weight of over 75 kDa. Furthermore, papain-based hemostatic performance was confirmed in blood coagulation tests, a blood clot lysis assay, and a κ-carrageenan rat tail thrombosis model, highlighting its strong efficacy in blood coagulation. Papain shows dose-dependent blood clot lysis activity, cleaves fibrinogen chains of Aα, Bβ, and γ-bands, and significantly extends prothrombin time (PT) and activated partial thromboplastin time (aPTT). Moreover, the mean length of the infarcted regions in the tails of Sprague–Dawley rats with κ-carrageenan was shorter in rats administered 10 U/kg of papain than in streptokinase-treated rats. Thus, papain, a cysteine protease, has distinct fibrin and fibrinogenolytic properties, suggesting its potential for preventing or treating cardiovascular issues and thrombosis-related diseases. Full article
(This article belongs to the Special Issue The Role of Protease and Protease Inhibitors in Human Diseases)
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15 pages, 3721 KiB  
Article
A Serine Protease Inhibitor, Camostat Mesilate, Suppresses Urinary Plasmin Activity and Alleviates Hypertension and Podocyte Injury in Dahl Salt-Sensitive Rats
by Yasunobu Iwata, Qinyuan Deng, Yutaka Kakizoe, Terumasa Nakagawa, Yoshikazu Miyasato, Miyuki Nakagawa, Kayo Nishiguchi, Yu Nagayoshi, Yuki Narita, Yuichiro Izumi, Takashige Kuwabara, Masataka Adachi and Masashi Mukoyama
Int. J. Mol. Sci. 2023, 24(21), 15743; https://doi.org/10.3390/ijms242115743 - 30 Oct 2023
Viewed by 850
Abstract
In proteinuric renal diseases, the serine protease (SP) plasmin activates the epithelial sodium channel (ENaC) by cleaving its γ subunit. We previously demonstrated that a high-salt (HS) diet provoked hypertension and proteinuria in Dahl salt-sensitive (DS) rats, accompanied by γENaC activation, which were [...] Read more.
In proteinuric renal diseases, the serine protease (SP) plasmin activates the epithelial sodium channel (ENaC) by cleaving its γ subunit. We previously demonstrated that a high-salt (HS) diet provoked hypertension and proteinuria in Dahl salt-sensitive (DS) rats, accompanied by γENaC activation, which were attenuated by camostat mesilate (CM), an SP inhibitor. However, the effects of CM on plasmin activity in DS rats remain unclear. In this study, we investigated the effects of CM on plasmin activity, ENaC activation, and podocyte injury in DS rats. The DS rats were divided into the control diet, HS diet (8.0% NaCl), and HS+CM diet (0.1% CM) groups. After weekly blood pressure measurement and 24-h urine collection, the rats were sacrificed at 5 weeks. The HS group exhibited hypertension, massive proteinuria, increased urinary plasmin, and γENaC activation; CM treatment suppressed these changes. CM prevented plasmin(ogen) attachment to podocytes and mitigated podocyte injury by reducing the number of apoptotic glomerular cells, inhibiting protease-activated receptor-1 activation, and suppressing inflammatory and fibrotic cytokine expression. Our findings highlight the detrimental role of urinary plasmin in the pathogenesis of salt-sensitive hypertension and glomerular injury. Targeting plasmin with SP inhibitors, such as CM, may be a promising therapeutic approach for these conditions. Full article
(This article belongs to the Special Issue The Role of Protease and Protease Inhibitors in Human Diseases)
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Review

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37 pages, 3370 KiB  
Review
The Lectin Pathway of the Complement System—Activation, Regulation, Disease Connections and Interplay with Other (Proteolytic) Systems
by József Dobó, Andrea Kocsis, Bence Farkas, Flóra Demeter, László Cervenak and Péter Gál
Int. J. Mol. Sci. 2024, 25(3), 1566; https://doi.org/10.3390/ijms25031566 - 26 Jan 2024
Cited by 1 | Viewed by 1648
Abstract
The complement system is the other major proteolytic cascade in the blood of vertebrates besides the coagulation–fibrinolytic system. Among the three main activation routes of complement, the lectin pathway (LP) has been discovered the latest, and it is still the subject of intense [...] Read more.
The complement system is the other major proteolytic cascade in the blood of vertebrates besides the coagulation–fibrinolytic system. Among the three main activation routes of complement, the lectin pathway (LP) has been discovered the latest, and it is still the subject of intense research. Mannose-binding lectin (MBL), other collectins, and ficolins are collectively termed as the pattern recognition molecules (PRMs) of the LP, and they are responsible for targeting LP activation to molecular patterns, e.g., on bacteria. MBL-associated serine proteases (MASPs) are the effectors, while MBL-associated proteins (MAps) have regulatory functions. Two serine protease components, MASP-1 and MASP-2, trigger the LP activation, while the third component, MASP-3, is involved in the function of the alternative pathway (AP) of complement. Besides their functions within the complement system, certain LP components have secondary (“moonlighting”) functions, e.g., in embryonic development. They also contribute to blood coagulation, and some might have tumor suppressing roles. Uncontrolled complement activation can contribute to the progression of many diseases (e.g., stroke, kidney diseases, thrombotic complications, and COVID-19). In most cases, the lectin pathway has also been implicated. In this review, we summarize the history of the lectin pathway, introduce their components, describe its activation and regulation, its roles within the complement cascade, its connections to blood coagulation, and its direct cellular effects. Special emphasis is placed on disease connections and the non-canonical functions of LP components. Full article
(This article belongs to the Special Issue The Role of Protease and Protease Inhibitors in Human Diseases)
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