“…Chymase may be involved in the formation of angiotensin II (ANG II), independent of the angiotensin-converting enzymes (ACEs) under inflammatory conditions, cytokines, including tissue growth factor beta (TGF-β), antibacterial peptides, matrix metalloproteinases activation, and extracellular matrix degradation . Conversion of ANG I by chymase may account for 80–90% in the heart and human arteries, and chymostatin was reported to diminish blood pressure in hypertensive rats. , Enhanced chymase activity further contributes to diabetic nephropathy, − angiogenesis, alarmins degradation, lung injury, periodontitis, inflammation during wound healing, and the recruitment of white blood cells in wounded skin . These pathogenic changes, caused by chymase, can be reversed by chymostatin.…”