“…These alternative isoforms, trypsinogens 4 and 5, do not possess classic signal sequences, and the mechanisms by which they are trafficked and activated are not yet fully elucidated, but functional studies provide evidence for significant roles for active mesotrypsin in keratinocyte differentiation and skin desquamation (6,7). PRSS3 transcripts, primarily encoding trypsinogen 4, are also expressed in many epithelial cells and cancers, and functional studies likewise provide evidence for extracellular roles for active mesotrypsin in tumor progression of breast (8), pancreatic (9), and prostate cancers (10,11). An unusual feature of mesotrypsin is its extreme resistance to endogenous proteinaceous trypsin inhibitors (1,12,13) and its ability to digest some of these inhibitors as substrates (6,14,15).…”