Inhibitors of kallikrein-related peptidases: An overview

Med Res Rev. 2018 Mar;38(2):655-683. doi: 10.1002/med.21451. Epub 2017 Jun 13.

Abstract

Kallikrein-related peptidases (KLKs) are a family of 15 secreted serine proteases that are involved in various physiological processes. Their activities are subtly regulated by various endogenous inhibitors, ranging from metallic ions to macromolecular entities such as proteins. Furthermore, dysregulation of KLK activity has been linked to several pathologies, including cancer and skin and inflammatory diseases, explaining the numerous efforts to develop KLK-specific pharmacological inhibitors as potential therapeutic agents. In this review, we focus on the huge repertoire of KLKs inhibitors reported to date with a special emphasis on the diversity of their molecular mechanisms of inhibition.

Keywords: Kazal-type inhibitors; Kunitz-type inhibitors; drug discovery; heterocycles; macroglobulins; peptides; serpins; tissue kallikreins.

Publication types

  • Review

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Humans
  • Kallikreins / antagonists & inhibitors*
  • Kallikreins / chemistry
  • Models, Molecular
  • Peptides / chemistry
  • Protease Inhibitors / pharmacology*

Substances

  • Peptides
  • Protease Inhibitors
  • Kallikreins