A Review of Alpha-1 Antitrypsin Binding Partners for Immune Regulation and Potential Therapeutic Application
Open accessAbstract
Alpha-1 antitrypsin (AAT) is the canonical serine protease inhibitor of neutrophil-derived proteases and can modulate innate immune mechanisms through its anti-inflammatory activities mediated by a broad spectrum of protein, cytokine, and cell surface interactions. AAT contains a reactive methionine residue that is critical for its protease-specific binding capacity, whereby AAT entraps the protease on cleavage of its reactive centre loop, neutralises its activity by key changes in its tertiary structure, and permits removal of the AAT-protease complex from the circulation. Recently, however, the immunomodulatory role of AAT has come increasingly to the fore with several prominent studies focused on lipid or protein-protein interactions that are predominantly mediated through electrostatic, glycan, or hydrophobic potential binding sites. The aim of this review was to investigate the spectrum of AAT molecular interactions, with newer studies supporting a potential therapeutic paradigm for AAT augmentation therapy in disorders in which a chronic immune response is strongly linked.
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SERPINA1 has anti-inflammatory properties, especially linked to neutrophils (by inhibiting neutrophil elastase) and is known to protect from tissue damage.
“SERPINA1 has anti-inflammatory properties, especially linked to neutrophils (by inhibiting neutrophil elastase) and is known to protect from tissue damage22.”
From A deep-learning framework reveals whole-body perturbations at cell level (2026) · cites this paper as [22]
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Self-citation
- Authors
- O’Brien, M. E., Murray, G., Gogoi, D., Yusuf, A., McCarthy, C., Wormald, M. R., Casey, M., Gabillard-Lefort, C., McElvaney, N. G., & Reeves, E. P.
- Affiliations
- Royal College of Surgeons in Ireland (IE)
- University of Oxford (GB)
- Corresponding author
- Reeves, Emer P.
- ORCID
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2022-02-23
- Volume
- 23
- Issue
- 5
- Pages
- 2441
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC8910375
- OpenAlex
- W4212904005
- Cited by
- 91
- References
- 192
- Citations by year
- 2026: 24 · 2025: 25 · 2024: 25 · 2023: 13 · 2022: 4
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion, cc-by)
- Funders
- US Alpha-1 Foundation (Grant # 615848)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Neutrophil, Myeloperoxidase and Oxidative Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › Biomarkers in Disease Mechanisms
- Keywords
- alpha-1-antitrypsin, serine protease inhibitors, neutrophil proteases, reactive center loop, protein-protein interaction, cytokine binding, glycan binding, hydrophobic binding site, innate immunity, anti-inflammatory activity, immunomodulation
- MeSH terms
- Protein Domains, COVID-19, SARS-CoV-2, alpha 1-Antitrypsin, Apolipoproteins, Binding Sites, Complement System Proteins, Glycosylation, Humans, Mutation, Protein Binding, Cytokines, alpha 1-Antitrypsin Deficiency, Caspases
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