Hindrance of the Proteolytic Activity of Neutrophil-Derived Serine Proteases by Serine Protease Inhibitors as a Management of Cardiovascular Diseases and Chronic Inflammation

Front Chem. 2021 Nov 15:9:784003. doi: 10.3389/fchem.2021.784003. eCollection 2021.

Abstract

During inflammation neutrophils become activated and segregate neutrophil serine proteases (NSPs) to the surrounding environment in order to support a natural immune defense. However, an excess of proteolytic activity of NSPs can cause many complications, such as cardiovascular diseases and chronic inflammatory disorders, which will be elucidated on a biochemical and immunological level. The application of selective serine protease inhibitors is the logical consequence in the management of the indicated comorbidities and will be summarized in this briefing.

Keywords: COVID-19; SARS-CoV-2; cathepsin G; neutrophil elastase; proteinase 3; serine protease inhibitors; serine proteases; thrombosis.

Publication types

  • Review