Cyclophilin B (CyPB), encoded by PPIB, is an endoplasmic reticulum (ER)-resident peptidyl-prolyl cis-trans isomerase that catalyzes proline isomerization and supports protein folding within the secretory pathway
[1][2]. Mechanistically, CyPB functions as a major folding catalyst for type I collagen by accelerating the rate-limiting cis-trans conversion of proline residues required for triple-helix formation
[3][4][5]. CyPB also operates within the P3H1/CRTAP/PPIB complex, which is essential for procollagen folding and prolyl 3-hydroxylation in the ER, linking its enzymatic activity to collagen biosynthesis and extracellular matrix assembly
[6][7]. In disease models, PPIB deficiency disrupts collagen post-translational modification, delays procollagen folding, alters collagen cross-linking, and causes recessive osteogenesis imperfecta with defective connective tissue formation
[8][9][10][2]. Compared with other rough ER-resident peptidyl-prolyl isomerases, CyPB has a particularly prominent role in collagen maturation because collagen molecules contain abundant proline residues that require efficient isomerization during biosynthesis
[5][11]. Structural and biochemical studies further demonstrate that CyPB interacts with calnexin-associated folding machinery and collagen-processing complexes, highlighting its specialized ER chaperone function rather than a generalized folding role
[2][6]. For experimental applications, cyclosporin A binds the active site of CyPB and inhibits its isomerase activity, providing a widely used pharmacological tool for investigating collagen folding, ER protein maturation, and connective tissue biology
[2][4].