Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • Sex Differences in Medicine (Sep 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Specialized roles for cysteine cathepsins in health and disease
Jochen Reiser, … , Brian Adair, Thomas Reinheckel
Jochen Reiser, … , Brian Adair, Thomas Reinheckel
Published October 1, 2010
Citation Information: J Clin Invest. 2010;120(10):3421-3431. https://doi.org/10.1172/JCI42918.
View: Text | PDF
Science in Medicine

Specialized roles for cysteine cathepsins in health and disease

  • Text
  • PDF
Abstract

Cathepsins were originally identified as proteases that act in the lysosome. Recent work has uncovered nontraditional roles for cathepsins in the extracellular space as well as in the cytosol and nucleus. There is strong evidence that subspecialized and compartmentalized cathepsins participate in many physiologic and pathophysiologic cellular processes, in which they can act as both digestive and regulatory proteases. In this review, we discuss the transcriptional and translational control of cathepsin expression, the regulation of intracellular sorting of cathepsins, and the structural basis of cathepsin activation and inhibition. In particular, we highlight the emerging roles of various cathepsin forms in disease, particularly those of the cardiac and renal systems.

Authors

Jochen Reiser, Brian Adair, Thomas Reinheckel

×

Figure 2

Cathepsin structures and traditional and nontraditional protease trafficking.

Options: View larger image (or click on image) Download as PowerPoint
Cathepsin structures and traditional and nontraditional protease traffic...
Cathepsins contain a signal peptide (blue) that directs insertion of the nascent polypeptide chain into the ER. Within the ER, the signal peptide is cleaved and the protein folds with the assistance of the proregion (red). Disulfide bond formation (indicated by S-S) and N-linked glycosylation with high-mannose glycans subsequently occurs in the ER. Within the Golgi, mannose residues are phosphorylated to form m6p, which is used to route the protein into the endosomal/lysosomal compartment via the m6p receptor. Upon initial acidification of the endosome, cathepsins are activated, which leads to cleavage of the proregion and further activation of the cathepsin, resulting in further proteolytic processing in the lysosome into heavy and light chains (yellow). A portion of the cathepsins is not converted to the m6p form and as a result is shunted into the exocytosis pathway. Conversion to m6p appears to be rate limiting, as overexpression of a given cathepsin greatly increases the proportion of the enzyme in this pathway. Ribbon diagrams depict the structure of mature cathepsin L in the extracellular matrix and in the lysosome. The ribbon colors correspond to the colors used in the diagram on the left.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts