2016
DOI: 10.1002/cbic.201500651
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En Route to New Therapeutic Options for Iron Overload Diseases: Matriptase‐2 as a Target for Kunitz‐Type Inhibitors

Abstract: The cell-surface serine protease matriptase-2 is a critical stimulator of iron absorption by negatively regulating hepcidin, the key hormone of iron homeostasis. Thus, it has attracted much attention as a target in primary and secondary iron overload diseases. Here, we have characterised Kunitz-type inhibitors hepatocyte growth factor activator inhibitor 1 (HAI-1) and HAI-2 as powerful, slow-binding matriptase-2 inhibitors. The binding modes of the matriptase-2-HAI complexes were suggested by molecular modelli… Show more

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Cited by 21 publications
(17 citation statements)
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References 36 publications
(53 reference statements)
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“…Aprotinin is a soluble membrane-impermeable serine protease inhibitor consisting of 58 amino acids. Both inhibit the proteolytic activity of MT2 (47,49,50). We reasoned that if the substrate cleavage is inhibited by both inhibitors, it would indicate that the cleavage takes place after MT2 reaches the plasma membrane.…”
Section: Mechanistic Studies Of Matriptase-2 Activitymentioning
confidence: 99%
“…Aprotinin is a soluble membrane-impermeable serine protease inhibitor consisting of 58 amino acids. Both inhibit the proteolytic activity of MT2 (47,49,50). We reasoned that if the substrate cleavage is inhibited by both inhibitors, it would indicate that the cleavage takes place after MT2 reaches the plasma membrane.…”
Section: Mechanistic Studies Of Matriptase-2 Activitymentioning
confidence: 99%
“…Serum-stabilized antisense DNA (IONIS-TMPRSS6-LRx, Ionis Pharmaceuticals183,184) or liposomal siRNA (ALN-TMP, Alnylam Pharmaceuticals Inc185), block MT-2 mRNA translation, and have shown preclinical efficacy in animal models of β-thalassemia and iron overload. In addition, several physiological protease inhibitors have demonstrated specific MT-2-inhibiting activity 186, and some of them have a Kunitz domain that could be an important lead for further development of hepcidin-inducing peptides187.…”
Section: Iron Metabolism As a Therapeutic Targetmentioning
confidence: 99%
“…Recently, a Kuntiz-type hepatocyte growth factor activator inhibitor two (HAI-2) that targets and inhibits the proteolytic activity of TMPRSS6 was discovered [148]. HAI-2 prevented HJV cleavage by forming a series of hydrogen bonds and a disulphide bond within the TMPRSS6 active site which prevents hepcidin downregulation [148].…”
Section: Small Molecule Hepcidin Agonistsmentioning
confidence: 99%