KLK5

Kallikrein-related peptidase 5 (KLK5) is a serine protease predominantly expressed in the epidermis, where it regulates desquamation and maintains skin barrier homeostasis[1][2]. Mechanistically, KLK5 initiates a proteolytic cascade by activating downstream kallikreins such as KLK7, which amplifies epidermal proteolytic activity[1]. Dysregulated KLK5 activity contributes to skin pathologies, including Netherton syndrome and rosacea, by promoting overproduction of antimicrobial peptide LL-37 and inducing inflammatory signaling via TLR4/NF-κB pathways[2]. In experimental models, genetic ablation of KLK5 in Spink5-deficient mice attenuates disease phenotypes, confirming KLK5 as a critical driver of proteolytic and inflammatory processes in vivo[1]. Compared with related isoforms such as KLK7 and KLK8, KLK5 exhibits a unique substrate specificity and tissue localization, distinguishing its functional contributions to epidermal homeostasis and disease[1][3]. Small molecule inhibitors and natural compounds like lithospermic acid have demonstrated selective KLK5 inhibition, reducing pro-inflammatory cytokines and restoring metabolic balance in experimental rosacea models[2]. These pharmacological tools enable precise modulation of KLK5 activity, supporting its utility in preclinical studies and potential therapeutic development[2][1]. Overall, KLK5 serves as a central regulatory node in skin proteolytic cascades, offering mechanistic insight and intervention points for inflammatory dermatological conditions.