“…93 The GM-CSF production was suppressed by addition of a cysteine protease inhibitor, suggesting that its production was most likely mediated via PAR-2 by Der f 1, which is one of the major allergens and a cysteine protease. 93 Similar to Der f 1, papain, a naturally derived cysteine protease, also induced GM-CSF production with translocation of nuclear factor of activated T cells (NFAT) in CPEK, and production was partially inhibited by ciclosporin. 94 These results suggest that GM-CSF production in CPEK activated via PAR-2 may be regulated not only by NFAT, but also by another transcription factor, such as nuclear factor-kB (NF-kB) or activator protein-1 (AP-1).…”