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Gene & Protein in Disease





                                        REVIEW ARTICLE
                                        Cathepsin proteases and cancer progression: A

                                        niche for dual-acting anticancer therapeutics



                                                        1,2
                                        Surinder M. Soond *
                                        1 Division of International Exchanges, Faculty of Education, Northeastern Agricultural University,
                                        Harbin, Heilongjiang, China
                                        2 Institute of Molecular Medicine, Sechenov First Moscow State Medical University, Moscow, Russian
                                        Federation




                                        Abstract
                                        Cathepsin proteases have captivated the scientific community for many years
                                        owing to their deregulated expression, activation status, and potential role in the
                                        proliferation and progression of specific cancer types. These efforts have led to the
                                        development of several therapeutic strategies targeting specific cathepsin proteases.
                                        This development has been further driven by the identification of important
                                        cathepsin protease-specific target proteins. Despite the limitations of these
                                        approaches, primarily due to the lack of known specificity of cathepsin proteases in
                                        targeting substrate proteins, an alternative strategy may involve the identification
                                        and development of dual-acting therapeutics. We propose that these dual-acting
                                        therapeutics can selectively interfere with the protein constituents involved in
                                        forming a cathepsin-targeted protein complex while simultaneously inhibiting
            *Corresponding author:
            Surinder M. Soond           the cognate cathepsin protease. Considering this novel paradigm, we evaluated
            (s.soond@neau.edu.cn)       the potential of dual-acting therapeutics against other well-documented mimetic
            Citation: Soond SM. Cathepsin   therapeutics designed to target intermediates in the apoptosis pathway. Some of
            proteases and cancer progression:   these therapeutics may represent promising candidates for further testing as dual-
            A niche for dual-acting anticancer   acting anticancer therapeutics, either alone or in combination regimens.
            therapeutics. Gene Protein Dis.
            2025;4(3):4768.
            doi: 10.36922/gpd.4768
                                        Keywords: Cathepsins; Apoptosis; Cancer; Metastasis; BH proteins; Dual-acting
            Received: September 4, 2024  therapeutics
            Revised: October 25, 2024
            Accepted: October 29, 2024
            Published online: November 27,   1. Introduction
            2024
                                        Discerning the activation of cathepsin proteases (Cts) and the protein substrates they
            Copyright: © 2024 Author(s).   target in molecular cell biology has had far-reaching effects over the past 20 years. As a
            This is an Open-Access article
            distributed under the terms of the   group of proteases central to intracellular lysosomal function, Cts have recently gained
            Creative Commons Attribution   importance in  extracellular matrix  (ECM)  remodeling.  Considering  their emerging
            License, permitting distribution,   and differential subcellular localization, functions, and biological effects derived
            and reproduction in any medium,
            provided the original work is   therefrom, Cts collectively highlight their suitability for therapeutic targeting in a
            properly cited.             number of diseases, including cancer.  The Cts family of lysosomal proteases comprises
                                                                     1,2
            Publisher’s Note: AccScience   16 proteins, classified into cysteine, aspartic, and serine proteases, namely, Cts B, C, F,
            Publishing remains neutral with   H, K, L, O, S, V, Z/X, and W; Cts D or E; and Cts A or G, respectively. Furthermore,
            regard to jurisdictional claims in
            published maps and institutional   selective cysteine proteases such as Cts (B, H, Z/X, or C) reportedly possess exopeptidase
                                                                                               3,4
            affiliations.               or endopeptidase activities (as observed in Cts B, S, K, V, F, and L).  However, upon

            Volume 4 Issue 3 (2025)                         1                               doi: 10.36922/gpd.4768
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