Cysteine cathepsins in extracellular matrix remodeling: Extracellular matrix degradation and beyond
Abstract
Cysteine cathepsins have been for a long time considered to execute mainly nonspecific bulk proteolysis in the endolysosomal system. However, this view has been changing profoundly over the last decade as cathepsins were found in the cytoplasm, nucleus and in the extracellular milieu. Cathepsins are currently gaining increased attention largely because of their extracellular roles associated with disease development and progression. While kept under tight control under physiological conditions, their dysregulated and elevated activity in the extracellular milieu are distinctive hallmarks of numerous diseases such as various cancers, inflammatory disorders, rheumatoid arthritis, bone disorders and heart diseases. In this review, we discuss cysteine cathepsins with a major focus on their extracellular roles and extracellular proteolytic targets beyond degradation of the extracellular matrix. We further highlight the perspectives of cathepsin research and novel avenues in cathepsin-based diagnostic and therapeutic applications.
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Reduced AP-1 activates TIMP-1 gene expression.
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From An Update on the Mechanisms of Phenytoin Induced Gingival Overgrowth (2019) · cites this paper as [50]
As a result, collagen accumulates in ECM and causes gingival overgrowth.
“As a result of this, collagen accumulates in ECM and causes gingival overgrowth [44, 49, 50].”
From An Update on the Mechanisms of Phenytoin Induced Gingival Overgrowth (2019) · cites this paper as [50]
Phenytoin decreases MMP-1 by increasing the expression of TIMP-1.
“The result is that phenytoin decreases the MMP-1 by increasing the expression of TIMP-1.”
From An Update on the Mechanisms of Phenytoin Induced Gingival Overgrowth (2019) · cites this paper as [50]
Cites
TFEB Links Autophagy to Lysosomal Biogenesis
Settembre, C., Di Malta, C., Polito, V. A., Arencibia, M. G., Vetrini, F., Erdin, S., Erdin, S. U., Huynh, T., Medina, D., Colella, P., et al. (2011) · Science · doi:10.1126/science.1204592 · Cited by 3,365 · see citing works
The extracellular matrix: A dynamic niche in cancer progression
Lu, P., Weaver, V. M., & Werb, Z. (2012) · Journal of Cell Biology · doi:10.1083/jcb.201102147 · Cited by 3,024 · see citing works
Extracellular matrix structure
Theocharis, A. D., Skandalis, S. S., Gialeli, C., & Karamanos, N. K. (2016) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2015.11.001 · Cited by 2,598 · see citing works
Extracellular Matrix Assembly: A Multiscale Deconstruction
Mouw, J. K., Ou, G., & Weaver, V. M. (2014) · Nature Reviews Molecular Cell Biology · doi:10.1038/nrm3902 · Cited by 1,534 · see citing works
Macrophage Regulation of Tumor Responses to Anticancer Therapies
De Palma, M., & Lewis, C. E. (2013) · Cancer Cell · doi:10.1016/j.ccr.2013.02.013 · Cited by 1,079 · see citing works
Droga-Mazovec, G., Bojič, L., Petelin, A., Ivanova, S., Romih, R., Repnik, U., Salvesen, G. S., Stoka, V., Turk, V., & Turk, B. (2008) · Journal of Biological Chemistry · doi:10.1074/jbc.m802513200 · Cited by 399 · see citing works
Self-citationThe clinical utility of bone marker measurements in osteoporosis
Wheater, G., Elshahaly, M., Tuck, S. P., Datta, H. K., & van Laar, J. M. (2013) · Journal of Translational Medicine · doi:10.1186/1479-5876-11-201 · Cited by 322 · see citing works
Microglia, seen from the CX3CR1 angle
Wolf, Y., Yona, S., Kim, K.-W., & Jung, S. (2013) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2013.00026 · Cited by 316 · see citing works
Stat3 controls lysosomal-mediated cell death in vivo
Kreuzaler, P. A., Staniszewska, A. D., Li, W., Omidvar, N., Kedjouar, B., Turkson, J., Poli, V., Flavell, R. A., Clarkson, R. W. E., & Watson, C. J. (2011) · Nature Cell Biology · doi:10.1038/ncb2171 · Cited by 312 · see citing works
Wells, J. M., Gaggar, A., & Blalock, J. E. (2015) · Matrix Biology · doi:10.1016/j.matbio.2015.01.016 · Cited by 263 · see citing works
Matricryptins and matrikines: biologically active fragments of the extracellular matrix
Ricard‐Blum, S., & Salza, R. (2014) · Experimental Dermatology · doi:10.1111/exd.12435 · Cited by 224 · see citing works
Extracellular matrix proteomics identifies molecular signature of symptomatic carotid plaques
Langley, S. R., Willeit, K., Didangelos, A., Matic, L. P., Skroblin, P., Barallobre-Barreiro, J., Lengquist, M., Rungger, G., Kapustin, A., Kedenko, L., et al. (2017) · Journal of Clinical Investigation · doi:10.1172/jci86924 · Cited by 174 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
The Ins and Outs of Cathepsins: Physiological Function and Role in Disease Management
Yadati, T., Houben, T., Bitorina, A., & Shiri-Sverdlov, R. (2020) · Cells · doi:10.3390/cells9071679 · Cited by 466 · see citing works
“Due to the retained activity far outside the optimal pH range cathepsins have been identified with specific proteolytic functions even outside of the endo/lysosomal system [16,17].”
The extracellular matrix as a multitasking player in disease
Theocharis, A., Manou, D., & Karamanos, N. (2019) · The FEBS Journal · doi:10.1111/febs.14818 · Cited by 403 · see citing works
Cysteine Cathepsins and Their Extracellular Roles: Shaping the Microenvironment
Vidak, E., Javoršek, U., Vizovišek, M., & Turk, B. (2019) · Cells · doi:10.3390/cells8030264 · Cited by 365 · see citing works
“Once secreted, cathepsins can either remain bound to the plasma membrane or interact with molecules from the extracellular milieu [15].”
BackgroundSelf-citationZhong, X., He, X., Wang, Y., Hu, Z., Huang, H., Zhao, S., Wei, P., & Li, D. (2022) · Journal of Hematology & Oncology · doi:10.1186/s13045-022-01358-5 · Cited by 340 · see citing works
“The invasion of cancer cells into surrounding tissue depends on the digestion of extracellular matrix which is executed by a series of ECM-degrading proteases such as matrix metalloproteinases (MMPs) and cathepsins [136, 137].”
BackgroundNew insights into fibrosis from the ECM degradation perspective: the macrophage-MMP-ECM interaction
Zhao, X., Chen, J., Sun, H., Zhang, Y., & Zou, D. (2022) · Cell & Bioscience · doi:10.1186/s13578-022-00856-w · Cited by 237 · see citing works
“In addition to a series of MMPs, fibrolytic macrophages can secrete cathepsins to degrade collagen in the ECM in pulmonary fibrosis [40].”
BackgroundRadisky, E. S. (2024) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2024.107347 · Cited by 122 · see citing works
“The speci fi city of cysteine cathepsins is further in fl uenced by the S 1 and S 1 ʹ sites, formed by the a -helical and b -barrel domains, respectively (142, 150).”
BackgroundBrás, L. E. D. C., & Frangogiannis, N. (2020) · Matrix Biology · doi:10.1016/j.matbio.2020.04.006 · Cited by 105 · see citing works
MYC as a Multifaceted Regulator of Tumor Microenvironment Leading to Metastasis
Meškytė, E. M., Keskas, S., & Ciribilli, Y. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21207710 · Cited by 105 · see citing works
Mons, E., Jansen, I., Loboda, J., van Doodewaerd, B. R., Hermans, J., Verdoes, M., Boeckel, C. V. V., van Veelen, P. V., Turk, B., Turk, D., et al. (2019) · Journal of the American Chemical Society · doi:10.1021/jacs.8b11027 · Cited by 96 · see citing works
Self-citationFeng, D., Xiang, X., Guan, Y., Guillot, A., Lu, H., Chang, C., He, Y., Wang, H., Pan, H., Ju, C., et al. (2023) · Journal of Clinical Investigation · doi:10.1172/jci166954 · Cited by 93 · see citing works
“18 proteins and the extracellular matrix (50).”
Tumor vessel co-option probed by single-cell analysis.
Teuwen, L.-A., de Rooij, L. P. M. H., Cuypers, A., Rohlenova, K., Dumas, S. J., García-Caballero, M., Meta, E., Amersfoort, J., Taverna, F., Becker, L. M., et al. (2021) · Cell Reports · doi:10.1016/j.celrep.2021.109253 · Cited by 87 · see citing works
Drobny, A., Huarcaya, S. P., Dobert, J., Kluge, A., Bunk, J., Schlothauer, T., & Zunke, F. (2022) · Biochimica et biophysica acta. Molecular cell research · doi:10.1016/j.bbamcr.2022.119243 · Cited by 86 · see citing works
The Tumor Proteolytic Landscape: A Challenging Frontier in Cancer Diagnosis and Therapy
Vizovišek, M., Ristanovic, D., Menghini, S., Christiansen, M. G., & Schuerle, S. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22052514 · Cited by 85 · see citing works
“Metastasis and invasion MMP1, 14 ADAM10, 17 Kalikreins Cathepsin G PSA FAP, DPPIV, PEP Cathepsins B, L, K, S Legumain Cathepsin D, E Calpains ECM remodeling, barrier degradation, cancer cell migration, receptor signaling, metabolic signaling, epithelial-to mesenchymal transition, release and modulation of signaling mo…”
BackgroundInfluentialSelf-citationBrown, R., Nath, S., Lora, A., Samaha, G., Elgamal, Z., Kaiser, R., Taggart, C., Weldon, S., & Geraghty, P. (2020) · Respiratory Research · doi:10.1186/s12931-020-01381-5 · Cited by 82 · see citing works
A Review of Small Molecule Inhibitors and Functional Probes of Human Cathepsin L
Dana, D., & Pathak, S. K. (2020) · Molecules · doi:10.3390/molecules25030698 · Cited by 82 · see citing works
Piezo1 specific deletion in macrophage protects the progression of liver fibrosis in mice
Luo, S., Zhao, X., Jiang, J., Deng, B., Liu, S., Xu, H., Tan, Q., Chen, Y., Zhang, Z., Pan, X., et al. (2023) · Theranostics · doi:10.7150/thno.86103 · Cited by 76 · see citing works
“Its functions are best known for antigen processing and ECM remodeling [30, 31].”
The Key Role of Lysosomal Protease Cathepsins in Viral Infections
Scarcella, M., d'Angelo, D., Ciampa, M., Tafuri, S., Avallone, L., Pavone, L., & Pasquale, V. D. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23169089 · Cited by 76 · see citing works
“Extracellular cathepsins are involved in the regulation of extracellular matrix (ECM) remodeling, which plays a fundamental role in the control of cell adhesion, proliferation, polarity, migration, and activation of cell signaling [58,59].”
BackgroundTheranostic designs of biomaterials for precision medicine in cancer therapy.
Kim, H., Kwak, G., Kim, K., Yoon, H., & Kwon, I. (2019) · Biomaterials · doi:10.1016/j.biomaterials.2019.05.018 · Cited by 75 · see citing works
Majc, B., Sever, T., Zarić, M., Breznik, B., Turk, B., & Lah, T. T. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular Cell Research · doi:10.1016/j.bbamcr.2020.118782 · Cited by 81 · see citing works
Self-citationCan Cysteine Protease Cross-class Inhibitors Achieve Selectivity?
Cianni, L., Feldmann, C., Gilberg, E., Gütschow, M., Juliano, L., Leitão, A., Bajorath, J., & Montanari, C. (2019) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.9b00683 · Cited by 65 · see citing works
Heparan Sulfate Proteoglycan Signaling in Tumor Microenvironment
Pasquale, V. D., & Pavone, L. M. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21186588 · Cited by 77 · see citing works
Cathepsin regulation on microglial function.
Nakanishi, H. (2020) · Biochimica et Biophysica Acta - Proteins and Proteomics · doi:10.1016/j.bbapap.2020.140465 · Cited by 62 · see citing works
van de Vlekkert, D., Demmers, J., Nguyen, X.-X., Campos, Y., Machado, E., Annunziata, I., Hu, H., Gomero, E., Qiu, X., Bongiovanni, A., et al. (2019) · Science Advances · doi:10.1126/sciadv.aav3270 · Cited by 61 · see citing works
“, cathepsins) that degrade the ECM (35) and a high yield of exosomes, laden with TGF- and WNT signaling molecules that fuel the fibrotic process.”
BackgroundDrug-Induced Gingival Overgrowth—Molecular Aspects of Drug Actions
Droździk, A., & Droździk, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24065448 · Cited by 56 · see citing works
Leading the invasion: The role of Cathepsin S in the tumour microenvironment
McDowell, S. H., Gallaher, S. A., Burden, R. E., & Scott, C. J. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular Cell Research · doi:10.1016/j.bbamcr.2020.118781 · Cited by 65 · see citing works
Myocardial fibrosis from the perspective of the extracellular matrix: Mechanisms to clinical impact
Lunde, I. G., Rypdal, K. B., Linthout, S. V., Dı́ez, J., & González, A. (2024) · Matrix Biology · doi:10.1016/j.matbio.2024.08.008 · Cited by 54 · see citing works
Zhao, K., Sun, Y., Zhong, S., & Luo, J. (2024) · Biomarker Research · doi:10.1186/s40364-024-00711-9 · Cited by 50 · see citing works
Saidi, A., Kasabova, M., Vanderlynden, L., Wartenberg, M., Kara-Ali, G., Marc, D., Lecaille, F., & Lalmanach, G. (2019) · Scientific Reports · doi:10.1038/s41598-018-36858-3 · Cited by 48 · see citing works
The Role of Cysteine Protease Cathepsins B, H, C, and X/Z in Neurodegenerative Diseases and Cancer
Stoka, V., Vasiljeva, O., Nakanishi, H., & Turk, V. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242115613 · Cited by 47 · see citing works
Cathepsin H: Molecular characteristics and clues to function and mechanism
Wang, Y., Zhao, J., Gu, Y., Wang, H., Jiang, M., Zhao, S., Qing, H., & Ni, J. (2023) · Biochemical Pharmacology · doi:10.1016/j.bcp.2023.115585 · Cited by 52 · see citing works
Eosinophils promote pulmonary matrix destruction and emphysema via Cathepsin L
Xu, X., Yu, T., Dong, L.-L., Glauben, R., Wu, S., Huang, R., Qumu, S., Chang, C., Guo, J., Pan, L., et al. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01634-x · Cited by 45 · see citing works
Cysteine cathepsins: A long and winding road towards clinics
Biasizzo, M., Javoršek, U., Vidak, E., Zarić, M., & Turk, B. (2022) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2022.101150 · Cited by 48 · see citing works
Self-citationThe molecular etiology and treatment of glucocorticoid-induced osteoporosis
Peng, C.-H., Lin, W.-Y., Yeh, K.-T., Chen, I.-H., Wu, W.-T., & Lin, M. (2021) · Tzu-Chi Medical Journal · doi:10.4103/tcmj.tcmj_233_20 · Cited by 41 · see citing works
“As for osteoclast, it also secrets proteolytic enzymes, such as matrix metalloproteinases (MMP) [125] and cathepsins [126,127], for the degradation of the matrix protein of the ECM during bone resorption.”
BackgroundCysteine Cathepsins as Therapeutic Targets in Immune Regulation and Immune Disorders
Senjor, E., Kos, J., & Nanut, M. P. (2023) · Biomedicines · doi:10.3390/biomedicines11020476 · Cited by 39 · see citing works
“In the extracellular space, cysteine cathepsins participate in extracellular matrix remodeling [27] and processing of cytokines and chemokines [28,29], leading to disruption of signalling pathways, changes to the microenvironment, and generation of neoantigens, which in turn leads to development of multiple pathologie…”
BackgroundCathepsin L promotes angiogenesis by regulating the CDP/Cux/VEGF-D pathway in human gastric cancer
Pan, T., Jin, Z.-J., Yu, Z.-J., Wu, X.-Y., Chang, X., Fan, Z.-Y., Li, F.-Y., Wang, X.-F., Li, Z., Zhou, Q., et al. (2020) · Gastric Cancer · doi:10.1007/s10120-020-01080-6 · Cited by 39 · see citing works
“CTSL belongs to the papain-like family of cysteine proteases and is essential in the terminal degradation of proteins [33].”
BackgroundCysteine cathepsins as therapeutic targets in inflammatory diseases
Vizovišek, M., Vidak, E., Javoršek, U., Mikhaylov, G., Bratovš, A., & Turk, B. (2020) · Expert opinion on therapeutic targets · doi:10.1080/14728222.2020.1746765 · Cited by 39 · see citing works
“The common denominator of inflammatory diseases is the activation of immune cells, which secrete high amounts of cathepsins that cleave different components of the extracellular matrix, process different chemokines, cytokines and transmembrane receptors and activate other proteases [11,31].”
BackgroundSelf-citationPanwar, P., Hedtke, T., Heinz, A., Andrault, P.-M., Hoehenwarter, W., Granville, D., Schmelzer, C., & Brömme, D. (2020) · Biochimica et Biophysica Acta - General Subjects · doi:10.1016/j.bbagen.2020.129544 · Cited by 39 · see citing works
Therapeutic potential of targeting cathepsin S in pulmonary fibrosis.
Yoo, Y., Choi, E., Kim, Y.-R., Cha, Y., Um, E.-S., Kim, Y., Kim, Y., & Lee, Y.-S. (2021) · Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · doi:10.1016/j.biopha.2021.112245 · Cited by 38 · see citing works
The role of proteases in epithelial-to-mesenchymal cell transitions in cancer
Mitschke, J., Burk, U., & Reinheckel, T. (2019) · Cancer Metastasis Review · doi:10.1007/s10555-019-09808-2 · Cited by 38 · see citing works
Egea, G., Jiménez-Altayó, F., & Campuzano, V. (2020) · Antioxidants · doi:10.3390/antiox9101013 · Cited by 36 · see citing works
Matthews, I., Birnbaum, A., Gromova, A., Huang, A., Liu, K.-L., Liu, E. A., Coutinho, K., McGraw, M., Patterson, D., Banks, M. T., et al. (2023) · bioRxiv · doi:10.1016/j.celrep.2023.113436 · Cited by 34 · see citing works
The Molecular Mechanisms of Systemic Sclerosis-Associated Lung Fibrosis
Mouawad, J. E., & Feghali‐Bostwick, C. A. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24032963 · Cited by 54 · see citing works
Merchant, M., Barati, M., Caster, D. J., Hata, J., Hobeika, L., Coventry, S., Brier, M., Wilkey, D. W., Li, M., Rood, I. M., et al. (2020) · Journal of the American Society of Nephrology · doi:10.1681/asn.2019070696 · Cited by 32 · see citing works
Tendinopathy: The Interplay between Mechanical Stress, Inflammation, and Vascularity
Gehwolf, R., Tempfer, H., Cesur, N., Wagner, A., Traweger, A., & Lehner, C. (2025) · Advancement of science · doi:10.1002/advs.202506440 · Cited by 31
New Insights into the Role of Cysteine Cathepsins in Neuroinflammation
Pišlar, A. H., Bolčina, L., & Kos, J. (2021) · Biomolecules · doi:10.3390/biom11121796 · Cited by 37 · see citing works
Chen, J., Huang, Z.-B., Liao, C., Hu, X.-W., Li, S.-L., Qi, M., Fan, X.-G., & Huang, Y. (2020) · Cellular Signalling · doi:10.1016/j.cellsig.2020.109738 · Cited by 30 · see citing works
Significance of nuclear cathepsin V in normal thyroid epithelial and carcinoma cells.
Al-Hashimi, A., Venugopalan, V., Sereesongsaeng, N., Tedelind, S., Pinzaru, A., Hein, Z., Springer, S., Weber, E., Führer, D., Scott, C. J., et al. (2020) · Biochimica et biophysica acta. Molecular cell research · doi:10.1016/j.bbamcr.2020.118846 · Cited by 27 · see citing works
Janiszewski, T., Kolt, S., Ciastoń, I., Vizovišek, M., Poręba, M., Turk, B., Drąg, M., Kozieł, J., & Kasperkiewicz, P. (2023) · Cell Chemical Biology · doi:10.1016/j.chembiol.2023.01.001 · Cited by 25 · see citing works
Self-citationLin, H.-H., Chen, S.-J., Shen, M., Huang, Y.-T., Hsieh, H., Lin, S.-Y., Lin, C.-C., Chang, W., & Chang, J.-Y. (2019) · Biochimica et biophysica acta. Molecular cell research · doi:10.1016/j.bbamcr.2019.07.012 · Cited by 24
Cysteine Cathepsins: From Diagnosis to Targeted Therapy of Cancer.
Rot, A. E., Hrovatin, M., Bokalj, B., Lavrih, E., & Turk, B. (2024) · Biochimie · doi:10.1016/j.biochi.2024.09.001 · Cited by 23 · see citing works
Self-citationGlycosylated Cathepsin V Serves as a Prognostic Marker in Lung Cancer
Yang, L.-W., Zeng, Q., Deng, Y., Qiu, Y.-Q., Yao, W., & Liao, Y. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.876245 · Cited by 23
Lin, C.-L., Hung, T., Ying, T.-H., Lin, C.-J., Hsieh, Y.-H., & Chen, C.-M. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21082919 · Cited by 23
“In the context of carcinogenesis, cysteine cathepsins secreted into the extracellular environment contribute to tumor ECM degradation [30].”
BackgroundZhu, L., Zeng, Q., Wang, J., Deng, F., & Jin, S. (2023) · Aging · doi:10.18632/aging.205278 · Cited by 22 · see citing works
Cathepsins: emerging targets in the tumor ecosystem to overcome cancers
Fujii, Y., Asadi, Z., & Mehla, K. (2025) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2025.04.001 · Cited by 21 · see citing works
Huber, R. J. (2020) · Journal of Biomedical Sciences · doi:10.1186/s12929-020-00653-y · Cited by 21 · see citing works
“Many lysosomal enzymes have been detected extracellularly and their roles outside the cell are gaining increased attention with respect to disease development and progression [106].”
BackgroundAltered protein secretion in Batten disease
Huber, R. J. (2021) · Disease Models & Mechanisms · doi:10.1242/dmm.049152 · Cited by 20 · see citing works
Broadening Horizons: Exploring the Cathepsin Family as Therapeutic Targets for Alzheimer's Disease
Liu, X.-H., Liu, X.-T., Wu, Y., Li, S.-A., Ren, K.-D., Cheng, M., Huang, B., Yang, Y., & Liu, P.-P. (2024) · Aging and Disease · doi:10.14336/ad.2024.0456 · Cited by 19 · see citing works
“In humans, the amino acid sequences of cathepsins are similar to those of papain, featuring a conserved active site consisting of the Cys25, His159, and Asn175 residues [20].”
Dang, H., Harryvan, T. J., Liao, C.-Y., Danen, E., Spalburg, V. N. L. N., Kiełbasa, S., Mei, H., Goeman, J., de Jonge-Muller, E. D., Janson, S. G., et al. (2023) · Cellular and Molecular Gastroenterology and Hepatology · doi:10.1016/j.jcmgh.2023.04.004 · Cited by 19 · see citing works
Chazeirat, T., Denamur, S., Bojarski, K., Andrault, P.-M., Sizaret, D., Zhang, F.-M., Saidi, A., Tardieu, M., Linhardt, R., Labarthe, F., et al. (2021) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2020.117261 · Cited by 19
An Update on the Mechanisms of Phenytoin Induced Gingival Overgrowth
Farook, F. F., M. Nizam, M. N., & Alshammari, A. (2019) · The Open Dentistry Journal · doi:10.2174/1874210601913010430 · Cited by 18 · see citing works
Berdowska, I., & Matusiewicz, M. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i39.6590 · Cited by 18 · see citing works
The roles of intracellular proteolysis in cardiac ischemia–reperfusion injury
Hartley, B., Bassiouni, W., Schulz, R., & Julien, O. (2023) · Basic Research in Cardiology · doi:10.1007/s00395-023-01007-z · Cited by 19 · see citing works
“Cathepsins that are activated during ischemia may retain their activity upon the restoration of physiological pH [279, 281].”
BackgroundChen, M., Meng, X., Zhu, Y., Wang, D.-P., Wang, M., Wang, Z., Tian, X., Zhang, J.-X., Yue, Z.-Y., Yang, Z., et al. (2025) · Advancement of science · doi:10.1002/advs.202413017 · Cited by 16 · see citing works
Afshar, K., Sanaei, M., Ravari, M. S., Pourbagheri‐Sigaroodi, A., & Bashash, D. (2023) · Cell Biochemistry and Function · doi:10.1002/cbf.3846 · Cited by 23 · see citing works
“50 The next effective enzyme in matrix degradation would be hyaluronidase.”
BackgroundWang, B., Wang, X., Kenneth, A., Drena, A., Pacheco, A., Kalvin, L., Ibrahim, E., Rossi, P. J., Thatcher, K., & Lincoln, J. (2023) · Biofabrication · doi:10.1088/1758-5090/acb1da · Cited by 16
Choi, E., Jeon, K., Lee, H., Mun, G., Kim, J., Shin, J., Kwon, Y., Na, Y., & Lee, Y. (2024) · Cancer Science · doi:10.1111/cas.16174 · Cited by 15 · see citing works
“CTSS has also been reported to be associated with extracellular matrix degradation, thus promoting cell migration and invasion, 27 but whether CTSS regulates other intracellular mechanisms during metastasis remains unknown.”
BackgroundSamaržija, I. (2023) · Biomedicines · doi:10.3390/biomedicines12010079 · Cited by 15 · see citing works
“Finally, cathepsins (CTS) are soluble lysosomal or secreted protease enzymes that are also involved in ECM remodeling and shaping the microenvironment [63,64].”
BackgroundCathepsins and SARS‐CoV‐2 infection: From pathogenic factors to potential therapeutic targets
Zhao, S., Jiang, M.-Z., Qing, H., & Ni, J.-J. (2023) · British Journal of Pharmacology · doi:10.1111/bph.16187 · Cited by 15 · see citing works
“The latter comprises several proteins (e.g., elastins, laminin, collagen and proteoglycans) that can be cleaved by cathepsins and that may lead to bone remodelling and neurodegeneration (Bonneh-Barkay & Wiley, 2009; Hayashi et al., 2013; Vizovisek et al., 2019; von Bernhardi et al., 2015).”
Extracellular Vesicles in the Tumor Microenvironment: Various Implications in Tumor Progression.
Boomgarden, A., Sheehan, C., & D'Souza-Schorey, C. (2020) · Advances in Experimental Medicine and Biology · doi:10.1007/978-3-030-43093-1_9 · Cited by 15 · see citing works
Kaartinen, M., Hang, A., Barry, A., Arora, M., Heinonen, S., Lundbom, J., Hakkarainen, A., Lundholm, N., Rissanen, A., Kaprio, J., et al. (2022) · Matrix Biology · doi:10.1016/j.matbio.2022.02.005 · Cited by 13 · see citing works
Matrisome Provides a Supportive Microenvironment for Skin Functions of Diverse Species.
Liu, B., Zhang, S., Wang, W.-J., Yun, Z.-M., Lv, L., Chai, M., Wu, Z.-H., Zhu, Y.-P., Ma, J., & Leng, L. (2020) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.0c00479 · Cited by 13 · see citing works
Carlsson, E., Supharattanasitthi, W., Jackson, M., & Paraoan, L. (2020) · Investigative Ophthalmology and Visual Science · doi:10.1167/iovs.61.2.9 · Cited by 13 · see citing works
Mary, D. J. J. J., Sikarwar, G., Kumar, A., & Limaye, A. M. (2019) · bioRxiv · doi:10.1101/679043 · Cited by 13
“They are involved in various cellular processes, such as protein turnover, antigen presentation, apoptosis, and matrix remodeling (Fonović and Turk, 2014; Turk et al., 2000, 2012; Vizovišek et al., 2019).”
BackgroundBoolean logic-gated protein presentation through autonomously compiled molecular topology
Gharios, R., Ross, M. L., Li, A., Kottantharayil, S. P., Hoye, J. W., & DeForest, C. (2025) · Nature Chemical Biology · doi:10.1038/s41589-025-02037-5 · Cited by 12 · see citing works
“Although we used five orthogonal proteases to serve as inputs, alternative protease inputs associated with overproduction in disease states could be easily incorporated for natural targeting and cargo release 74 .”
Development of circadian neurovascular function and its implications
Mitchell, J. W., & Gillette, M. U. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1196606 · Cited by 12 · see citing works
Rat cathepsin K: Enzymatic specificity and regulation of its collagenolytic activity.
Lecaille, F., Chazeirat, T., Bojarski, K., Renault, J., Saidi, A., Prasad, V. G. N. V., Samsonov, S., & Lalmanach, G. (2019) · Biochimica et Biophysica Acta - Proteins and Proteomics · doi:10.1016/j.bbapap.2019.140318 · Cited by 12
Wartenberg, M., Saidi, A., Galibert, M., Joulin-Giet, A., Burlaud-Gaillard, J., Lecaille, F., Scott, C. J., Aucagne, V., Delmas, A., & Lalmanach, G. (2019) · Biochimie · doi:10.1016/j.biochi.2019.03.013 · Cited by 12
Dipeptide-Derived Alkynes as Potent and Selective Irreversible Inhibitors of Cysteine Cathepsins
Behring, L., Ruiz-Gómez, G., Trapp, C., Morales, M., Wodtke, R., Köckerling, M., Kopka, K., Pisabarro, M. T., Pietzsch, J., & Löser, R. (2023) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.2c01360 · Cited by 11 · see citing works
Lysosomal Storage Disease Associated with a CNP Sequence Variant in Dalmatian Dogs.
Bullock, G., Johnson, G. S., Mhlanga-Mutangadura, T., Petesch, S., Thompson, S., Goebbels, S., & Katz, M. (2022) · Gene · doi:10.1016/j.gene.2022.146513 · Cited by 11 · see citing works
Helicobacter pylori and gastric cancer: a lysosomal protease perspective
Soond, S. M., & Zamyatnin, A. A. (2021) · Gastric Cancer · doi:10.1007/s10120-021-01272-8 · Cited by 15 · see citing works
Qiao, Q., Bouwman, F. G., van Baak, M. V., Renes, J., & Mariman, E. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20164055 · Cited by 11 · see citing works
Lockwood, T. (2019) · Biometals · doi:10.1007/s10534-019-00197-1 · Cited by 11 · see citing works
“2015; Vizovišek et al.”
BackgroundGomez, A. R., Byun, H. R., Wu, S., Muhammad, A. K. M. G., Ikbariyeh, J., Chen, J., Muro, A., Li, L., Bernstein, K. E., Ainsworth, R., et al. (2025) · Nature Aging · doi:10.1038/s43587-025-00879-1 · Cited by 13 · see citing works
“…of the cathepsin cysteine protease family ( Ctsb , Ctsc , Ctsl , Ctss and Ctsz ), which promote degradation and remodeling of the extracellular matrix 74 , and Serpine2 and Cd9 , which mediate turnover and formation of focal adhesions through integrin signaling 75,76 could influence migration.”
Vashisth, C., Kaushik, T., Vashisth, N., & Raghav, N. (2024) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2024.132684 · Cited by 10
Titmarsh, H., von Kriegsheim, A., Wills, J., O'Connor, R., Dhaliwal, K., Frame, M., Pattle, S. B., Dorward, D., Byron, A., & Akram, A. (2022) · bioRxiv · doi:10.3389/fonc.2023.1194515 · Cited by 10 · see citing works
“These proteinases target a wide range of ECM proteins, such as collagen, laminin and elastin (Lu et al. 2011; Vizovišek et al., 2019), almost all of which were depleted in tumour samples.”
BackgroundA humanized antibody inhibitor for cathepsin L
Shi, X., & Zhang, Y. (2020) · Protein Science · doi:10.1002/pro.3913 · Cited by 10
Vidak, E., Vizovišek, M., Kavčič, N., Biasizzo, M., Fonović, M., & Turk, B. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26083466 · Cited by 9 · see citing works
Self-citationLin, L.-Y., Wu, Z., Luo, H., & Huang, Y. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1394807 · Cited by 9 · see citing works
“In recent years, Cathepsins have been identified beyond the confines of lysosomes, exhibiting widespread presence in the cell nucleus, mitochondria, cytoplasm, and extracellular spaces (Vizovišek et al., 2019; Wang et al., 2023).”
BackgroundLiu, W.-X., Wu, J., Zhang, X.-R., Zhang, Y.-H., Zeng, X.-Q., & Peng, X.-C. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1588019 · Cited by 8 · see citing works
“For example, in ovarian cancer, when Cat-L is activated, it will degrade various components of the extracellular matrix (such as collagen) to create a pathway for the metastasis of ovarian cancer cells (93).”
Sallai, R. C., Salu, B., Silva-Lucca, R. A., Alves, F., Napoleão, T., Paiva, P., Ferreira, R. D. S., Sampaio, M., & Oliva, M. L. V. (2020) · Plants · doi:10.3390/plants9121676 · Cited by 8
Toyama, S., Yamashita, T., Saigusa, R., Miura, S., Nakamura, K., Hirabayashi, M., Miyagawa, T., Fukui, Y., Omatsu, J., Yoshizaki, A., et al. (2020) · The Journal of Dermatology · doi:10.1111/1346-8138.15458 · Cited by 8 · see citing works
Inverse relationship between autophagy and CTSK is related to bovine embryo quality.
Balboula, A., Aboelenain, M., Li, J.-Y., Bai, H., Kawahara, M., Abdel-Ghani, M. A., & Takahashi, M. (2020) · Reproduction · doi:10.1530/rep-20-0036 · Cited by 8
Westermann, L., Fleischhauer, L., Vogel, J., Jenei-Lanzl, Z., Ludwig, N., Schau, L., Morellini, F., Baranowsky, A., Yorgan, T., Lorenzo, G. D., et al. (2020) · Disease Models & Mechanisms · doi:10.1242/dmm.046425 · Cited by 8
Park, S.-Y., Son, K., Kim, J., Kim, K., Joo, S., Kim, B., Lee, M., Kim, W., Jung, W.-J., Choi, B. K., et al. (2025) · Nature Communications · doi:10.1038/s41467-025-64500-0 · Cited by 8 · see citing works
Diagnostic value of serum TGF-β1 and CysC in type 2 diabetic kidney disease: a cross-sectional study
Kang, Y., Jin, Q., Zhou, M.-Q., Zheng, H.-J., Li, X.-B., Li, A., Zhou, J.-W., Lv, J., & Wang, Y. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1529648 · Cited by 7 · see citing works
Research progress of MUC1 in genitourinary cancers
Mao, W.-P., Zhang, H.-L., Wang, K.-Y., Geng, J., & Wu, J. (2024) · Cellular & Molecular Biology Letters · doi:10.1186/s11658-024-00654-x · Cited by 7
“Subse-quently, tumor cells degrade the basement membrane and matrix through proteases, leading to metastasis via the bloodstream and lymphatic system [52].”
BackgroundHuman cystatin C in fibrotic disease.
Lalmanach, G., Rigoux, B., David, A., Tahri-Joutey, M., Lecaille, F., Marchand-Adam, S., & Saidi, A. (2024) · Clinica chimica acta; international journal of clinical chemistry · doi:10.1016/j.cca.2024.120016 · Cited by 7 · see citing works
Paracha, M., Thakar, A., Darling, R. A., Wulff, S., Dan, R.-L. C., Nair, S., & Brown, T. E. (2022) · Scientific Reports · doi:10.1038/s41598-022-11043-9 · Cited by 7
Ranade, H., Paliwal, P., Chaudhary, A., Piplani, S., Rudayni, H., Al-zharani, M., Niraj, R. R., & Datta, M. (2021) · Biomolecules · doi:10.3390/biom12010053 · Cited by 7
Líbalová, H., Závodná, T., Vrbová, K., Sikorova, J., Vojtíšek-Lom, M., Beránek, V., Pechout, M., Kléma, J., Cigánek, M., Machala, M., et al. (2021) · Mutation Research. Genetic Toxicology and Environmental Mutagenesis · doi:10.1016/j.mrgentox.2021.503414 · Cited by 7
- Authors
- Vizovišek, M., Fonović, M., & Turk, B.
- Affiliations
- Jožef Stefan Institute (SI)
- University of Ljubljana (SI)
- Corresponding author
- Turk, Boris
- Venue
- Matrix Biology
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 75-76
- Pages
- 141-159
- ISSN
- 0945-053X (ISSN-L)
- OpenAlex
- W2791144662
- Cited by
- 200
- References
- 0
- Citations by year
- 2026: 22 · 2025: 26 · 2024: 26 · 2023: 31 · 2022: 21 · 2021: 19 · 2020: 35 · 2019: 19 · 2018: 1
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Matrix Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Slovenian Research Agency (P1-0140, N1-022)
- ICGEB (CRP/SVN16-01)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Calpain Protease Function and Regulation
- Health Sciences › Medicine › Oncology › Peptidase Inhibition and Analysis
- Keywords
- cysteine cathepsins, extracellular matrix remodeling, extracellular matrix degradation, extracellular proteolysis, cancer, rheumatoid arthritis, bone disease, heart disease, inflammatory diseases
- MeSH terms
- Arthritis, Rheumatoid, Cathepsins, Cysteine, Cysteine Endopeptidases, Extracellular Matrix, Heart Diseases, Humans, Inflammation, Lysosomes, Neoplasms, Proteolysis
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