2009
DOI: 10.1042/cs20080484
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α1-Antitrypsin deficiency, chronic obstructive pulmonary disease and the serpinopathies

Abstract: alpha1-Antitrypsin is the prototypical member of the serine proteinase inhibitor or serpin superfamily of proteins. The family includes alpha1-antichymotrypsin, C1 inhibitor, antithrombin and neuroserpin, which are all linked by a common molecular structure and the same suicidal mechanism for inhibiting their target enzymes. Point mutations result in an aberrant conformational transition and the formation of polymers that are retained within the cell of synthesis. The intracellular accumulation of polymers of … Show more

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Cited by 52 publications
(55 citation statements)
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References 181 publications
(199 reference statements)
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“…A1AT, a member of the serpin family of serine protease inhibitors, undergoes a marked conformational rearrangement upon binding and covalently inactivating its target proteases, suggesting that residues far from the reactive central loop ("C-loop") may contribute to its activity. Many mutations in A1AT outside the reactive C-loop lead to destabilization of the protein and multimerization, causing a collection of disorders known as serpinopathies (35). Despite the fact that K292 is not localized to a region with known functional significance, this residue also displays considerable variability across multiple crystal structures and may participate in a salt bridge with Glu288, suggesting a potentially important role in protein stabilization that would be blocked by lysine ε-acetylation (Fig.…”
Section: Resultsmentioning
confidence: 99%
“…A1AT, a member of the serpin family of serine protease inhibitors, undergoes a marked conformational rearrangement upon binding and covalently inactivating its target proteases, suggesting that residues far from the reactive central loop ("C-loop") may contribute to its activity. Many mutations in A1AT outside the reactive C-loop lead to destabilization of the protein and multimerization, causing a collection of disorders known as serpinopathies (35). Despite the fact that K292 is not localized to a region with known functional significance, this residue also displays considerable variability across multiple crystal structures and may participate in a salt bridge with Glu288, suggesting a potentially important role in protein stabilization that would be blocked by lysine ε-acetylation (Fig.…”
Section: Resultsmentioning
confidence: 99%
“…COPD is characterized by progressive lung inflammation and irreversible narrowing of the airways. Three risk factors are associated with COPD: (i) cigarette smoking; (ii) heavy exposure to occupational and indoor air pollution; and (iii) alpha-1 antitrypsin deficiency (69,110). Available therapies for COPD include long-acting bronchodilators and at late stages, glucocorticoids.…”
Section: Nox2 As a Target For Drug Developmentmentioning
confidence: 99%
“…AAT deficiency (AATD) is a rare genetic disease caused by mutations in the AAT gene. There are two main phenotypes associated with this disease: (a) adult-onset emphysema due to loss of AAT activity and unchecked neutrophil elastase activity and (b) liver disease due to polymerization and retention of mutant AAT in liver (2)(3)(4)(5)(6)(7)(8)(9). The AAT mutation that causes the most severe lung and liver disease is the Glu342Lys (Z) point mutation.…”
Section: Introductionmentioning
confidence: 99%