Cathepsin C

Cathepsin C, also called dipeptidyl peptidase I, activates granular serine proteases from immune and inflammatory cells through a structural exclusion domain that supports terminal peptide processing[1]. It functions during neutrophilic differentiation by activating neutrophil serine proteases, including neutrophil elastase, cathepsin G, proteinase 3, and neutrophil serine protease 4[2]. These proteases regulate inflammatory and immune responses after activated neutrophils release them at inflammatory sites[2]. Therefore, Cathepsin C connects intracellular protease maturation with extracellular neutrophil activation, tissue injury, and NET-associated inflammatory pathology[3]. In disease models, Cathepsin C inhibition with MOD06051 reduced neutrophil elastase activity, lowered NET-forming ability, ameliorated MPO-ANCA-associated vasculitis, and decreased NETs in rats[3]. Mechanistically, Cathepsin C differs from related cathepsin isoforms because cathepsin S inhibition can block Cathepsin C maturation, while residual neutrophil serine protease activity indicates Cathepsin C-independent activation by NSPs-AAP-1[4]. Compared with cathepsin G, a neutrophil-derived serine protease that modulates integrin clustering and effector functions, Cathepsin C acts upstream as a protease-processing enzyme rather than a released effector protease[5]. For experimental applications, reversible nitrile Cathepsin C inhibitors and cathepsin S inhibitors provide tools to dissect neutrophil serine protease maturation and inflammatory tissue injury[4].