Abstract
Serine protease inhibitors, or serpins, function as central regulators for many vital processes in the mammalian body, maintaining homeostasis for clot formation and breakdown, immune responses, lung function, and hormone or central nervous system activity, among many others. When serine protease activity or serpin-mediated regulation becomes unbalanced or dysfunctional, then severe disease states and pathogenesis can ensue. With serpinopathies, genetic mutations lead to inactive serpins or protein aggregation with loss of function. With other disorders, such as sepsis, atherosclerosis, cancer, obesity, and the metabolic syndrome, the thrombotic and thrombolytic cascades and/or inflammatory responses become unbalanced, with excess bleeding and clotting and upregulation of adverse immune responses. Returning overall balance can be engineered through introduction of a beneficial serpin replacement as a therapeutic or through blockade of serpins that are detrimental. Several drugs have been developed and are currently in use and/or in development both to replace dysfunctional serpins and to block adverse effects induced by aberrant protease or serpin actions.
With this chapter, we provide a general overview of the development of a virus-derived serpin, Serp-1, and serpin reactive center loop (RCL) peptides, as therapeutics. Serp-1 is a virus-derived serpin developed as a new class of immune modulator. We will use the development of Serp-1 as a general introduction to serpin-based drug development.
Serpins
pervasive in blood
and bone
and brain
Essential to life
and lungs
and flow
When lost
and broken
replace, repair
Life stems
from virus
to man
Alexandra Lucas, 2018
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Silverman GA, Bird PI, Carrell RW et al (2001) The serpins are an expanding superfamily of structurally similar but functionally diverse proteins. Evolution, mechanism of inhibition, novel functions, and a revised nomenclature. J Biol Chem 276:33293–33296
Irving JA, Ekeowa UI, Belorgey D et al (2011) The serpinopathies studying serpin polymerization in vivo. Methods Enzymol 501:421–466
Hughes VA, Meklemburg R, Bottomley SP et al (2017) The Z mutation alters the global structural dynamics of α1-antitrypsin. PLoS One 9:e102617
Gooptu B, Dickens JA, Lomas DA (2014) The molecular and cellular pathology of α1-antitrypsin deficiency. Trends Mol Med 20:116–127
Janciauskiene S, Welte T (2016) Well-known and less well-known functions of alpha-1 antitrypsin. Its role in chronic obstructive pulmonary disease and other disease developments. Ann Am Thorac Soc 13(Suppl 4):S280–S288
Zanichelli A, Wu MA, Andreoli A et al (2015) The safety of treatments for angioedema with hereditary C1 inhibitor deficiency. Expert Opin Drug Saf 14:1725–1736
Riedl M (2015) Recombinant human C1 esterase inhibitor in the management of hereditary angioedema. Clin Drug Investig 35:407–417
Campos MA, Lascano J (2014) α1 Antitrypsin deficiency: current best practice in testing and augmentation therapy. Ther Adv Respir Dis 8:150–161
Gao W, Zhao J, Kim H et al (2014) α1-Antitrypsin inhibits ischemia reperfusion-induced lung injury by reducing inflammatory response and cell death. J Heart Lung Transplant 33:309–315
Dickens JA, Lomas DA (2011) Why has it been so difficult to prove the efficacy of alpha-1-antitrypsin replacement therapy? Insights from the study of disease pathogenesis. Drug Des Devel Ther 5:391–405
Alcantara MB, Dass CR (2014) Pigment epithelium-derived factor as a natural matrix metalloproteinase inhibitor: a comparison with classical matrix metalloproteinase inhibitors used for cancer treatment. J Pharm Pharmacol 66:895–902
Samad F, Ruf W (2013) Inflammation, obesity, and thrombosis. Blood 122:3415–3422
Kuiper J, Quax PH, Bot I (2013) Anti-apoptotic serpins as therapeutics in cardiovascular diseases. Cardiovasc Hematol Disord Drug Targets 13:111–122
Wewers MD, Crystal RG (2013) Alpha-1 antitrypsin augmentation therapy. COPD 10(Suppl 1):64–67
Placencio VR, DeClerck YA (2015) Plasminogen Activator Inhibitor-1 in Cancer: Rationale and Insight for Future Therapeutic Testing. Cancer Res 75:2969–2974
Heiker JT (2014) Vaspin (serpinA12) in obesity, insulin resistance, and inflammation. J Pept Sci 20:299–306
Chen H, Davids JA, Zheng D et al (2013) The serpin solution; targeting thrombotic and thrombolytic serine proteases in inflammation. Cardiovasc Hematol Disord Drug Targets 13:99–110
Hoffmann JN (2006) Benefit/risk profile of high-dose antithrombin in patients with severe sepsis treated with and without concomitant heparin. Thromb Haemost 95:850–856
Chang YP, Mahadeva R, Patschull AO et al (2011) Targeting serpins in high-throughput and structure-based drug design. Methods Enzymol 501:139–175
Ambadapadi S, Munuswamy-Ramanujam G, Zheng D et al (2015) Reactive center loop (RCL) peptides derived from serpins display independent coagulation and immune modulating activities. J Biol Chem 291:2874–2887
Mahon BP, Ambadapadi S, Lomelino CL, et al (2018) Crystal structure of the serine protease inhibitor, Serp-1, from Myxomavirus: a basis for drug design. Biochemistry 57:1096–1107
Dimitrov DS (2012) Therapeutic proteins. Methods Mol Biol 899:1–26
Ridker PM, Lüscher TF (2014) Anti-inflammatory therapies for cardiovascular disease. Eur Heart J 35:1782–1791
Davids JA, Dai E, Chen H et al (2014) Viral anti-inflammatory proteins target diverging immune pathways with converging effects on arterial dilatation, plaque, and apoptosis. Eur J Inflamm 12:131–145
Brahn E, Lee S, Lucas A et al (2014) Suppression of collagen-induced arthritis with a serine proteinase inhibitor derived from myxoma virus. Clin Immunol 153:254–263
Chen H, Abbott J, Zheng D et al (2013) Myxomavirus serpin modulates protease pathways and prolongs survival in lethal herpesviral infection. Antimicrob Agents Chemother 57:4114–4127
Zheng D, Chen H, Bartee MY et al (2013) Myxomaviral anti-inflammatory serpin reduces myeloid - derived suppressor cells and human pancreatic cancer cell growth in mice. J Cancer Sci Ther 5:291–299
Viswanathan K, Bot I, Liu L et al (2012) Viral cross-class serpin inhibits vascular inflammation and T lymphocyte fratricide; a study in rodent models in vivo and human cell lines in vitro. PLoS One 7:e44694 PONE-D-11-12856R3
Viswanathan K, Richardson J, Togonu-Bickersteth B et al (2009) Myxoma viral serpin, Serp-1, inhibits human monocyte activation through regulation of actin binding protein filamin B. J Leukoc Biol 85:418–426
Munuswamy-Ramanujam G, Dai E, Liu LY et al (2010) Serpins targeting thrombolytic proteases alter T helper lymphocyte sub population. Neuroserpin, a thrombolytic serine protease inhibitor (serpin), blocks transplant vasculopathy with associated potent anti-inflammatory and anti-atherogenic activity in mouse aortic allograft transplant models. Thromb Haemost 103:545–555
Tardif J-C, L’Allier P, Grégoire J et al (2010) A phase 2, double-blind, placebo-controlled trial of a viral serpin (Serine Protease Inhibitor), VT-111, in patients with acute coronary syndrome and stent implant. Circ Cardiovasc Interv 3:543–548
Bédard ELR, Jiang J, Arp J et al (2006) Prevention of chronic renal allograft rejection by SERP-1 protein. Transplantation 81:908–914
Dai E, Viswanathan K, Sun YM et al (2006) Identification of myxomaviral serpin reactive site loop sequences that regulate innate immune responses. J Biol Chem 281:8041–8050
Richardson M, Liu L, Dunphy L et al (2007) Viral serpin, Serp-1, inhibits endogenous angiogenesis in the chicken chorioallantoic membrane (CAM) model. Cardiovasc Pathol 16:191–202
Jiang J, Kubelik D, Zassoko R et al (2007) Prevention of innate immunity and induction of indefinite cardiac allograft survival by Serp-1 protein. Transplantation 84:1158–1167
Bot I, von der Thusen JH, Donners MM et al (2003) The serine protease inhibitor Serp-1 strongly impairs atherosclerotic lesion formation and induces a stable plaque phenotype in ApoE−/− mice. Circ Res 93:464–471
Lucas AR, Liu LY, Macen J et al (1996) Virus-encoded serine proteinase inhibitor, SERP-1, inhibits atherosclerotic plaque development after balloon angioplasty. Circulation 94:2890–2900
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Science+Business Media, LLC, part of Springer Nature
About this protocol
Cite this protocol
Lucas, A., Yaron, J.R., Zhang, L., Macaulay, C., McFadden, G. (2018). Serpins: Development for Therapeutic Applications. In: Lucas, A. (eds) Serpins. Methods in Molecular Biology, vol 1826. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-8645-3_17
Download citation
DOI: https://doi.org/10.1007/978-1-4939-8645-3_17
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4939-8644-6
Online ISBN: 978-1-4939-8645-3
eBook Packages: Springer Protocols