Inappropriate proteolysis has been found to be critical component of various pathological processes, such as carcinogenesis, metastasis, inflammation, hypertension, skin disease, and osteoarthritis. Proteolytic activities are, therefore, considered to be promising targets for drug development
1. Matriptase, a type II transmembrane serine protease
2, has been implicated in many disease processes, and this enzyme may be an attractive drug target for treating various human diseases. Increased matriptase expression and an imbalance between matriptase and its endogenous inhibitor hepatocyte growth factor activator inhibitor 1 (HAI-1), a Kunitz-type serine protease inhibitor, are commonly observed in a wide variety of primary human carcinomas
3, 4. In some cases, this dysregulation is associated with poor patient outcome
5–7. Evidence for the oncogenic potential and a pro-metastatic role of matriptase has been provided by studies using animal models, including matriptase transgenic mice and tumor xenograft studies in nude mice
8, 9. Increased matriptase zymogen activation has also been seen in several distinct human skin diseases, and keratinocytes exhibiting increased matriptase activation have been observed in close proximity to areas of inflammation
10. In addition to expression in epithelial and carcinoma cells, matriptase is also expressed by chondrocytes
11, monocytes
12–14, and mast cells
15. Matriptase activity in chondrocytes may play an important role in the degradation of cartilage matrix and contribute to osteoarthritis
11. In atherosclerotic lesions, monocytic matriptase may stimulate endothelial cells to release pro-inflammatory cytokines and thereby contribute to the disease
14. Expression of matriptase in mast cells that play important roles in allergy-related diseases, such as asthma, suggests that the membrane protease may have the potential to contribute to these diseases as well
15.
Traditionally, strategies to control protease activity have been targeted directly against the proteolytic mechanism of the enzymes using synthetic inhibitors. Several catalytic inhibitors of matriptase have been developed, including small molecule and peptide-based inhibitors, which exhibit great potency against matriptase in
in vitro assays that, in most cases, have utilized a recombinant serine protease domain of matriptase
16–21. The specificity of these inhibitors has generally been investigated by testing them against a relatively small number of commonly available serine proteases. Targeting matriptase activity through the use of catalytic inhibitors presents several challenges, some of which relate to this approach in general, and some of which derive from the unique dynamics of the matriptase activation system. There are a great number of serine proteases, and there is significant structural homology between the catalytic domains of these enzymes, many of which exhibit overlapping specificity. This makes the task of designing truly specific catalytic inhibitors very difficult, and the goal of demonstrating that they are indeed specific almost impossible. The unusually tight control of the cellular matriptase proteolytic activity presents additional challenges. Matriptase, like most serine proteases, is synthesized as a zymogen and acquires its full proteolytic activity only after undergoing zymogen activation through a cleavage of the enzyme at the canonical activation motif
22–25. Instead of relying on other active proteases for the activating cleavage, as occurs during the activation of most serine proteases, matriptase undergoes autoactivation
26. This autoactivation process requires interactions between the matriptase zymogen molecules and HAI-1, and probably involves other proteins yet to be identified. The zymogen form of matriptase possesses unusually high intrinsic activity, which is characterized by a maximal activity at pH 6.0 and the inhibition by increased concentrations of sodium chloride
27. Both of these biochemical features mirror the key features of the induction of matriptase activation in cells, suggesting that this intrinsic activity is responsible for matriptase zymogen activation
28. The endogenous matriptase inhibitor HAI-1 is involved in matriptase autoactivation and has direct access to the nascent active matriptase
29. The tight coupling of matriptase zymogen activation with HAI-1-mediated inhibition means that the uncomplexed, free active matriptase is an extremely short-lived species
30. The events associated with matriptase processing, activation, and inhibition are summarized in . Interestingly, even with such rapid inhibition, matriptase is still able to activate its physiological substrate, prostasin, a glycosylphosphatidylinositol (GPI)-anchored serine protease
10. It seems that the activation of matriptase zymogen, the activation of prostasin by active matriptase, and the inhibition of active matriptase by HAI-1 take place at essentially the same time
10. As a result, the scarcity of free active matriptase as a target for catalytic inhibitors represents a major challenge that will limit the potential utility of matriptase catalytic inhibitors as a means to control matriptase function. The catalytic inhibitors may not find the desired target, the scarce active matriptase and significant dose-escalation may be required to produce an effect, which might produce off-target effects on other serine proteases. For example, the matriptase inhibitor CJ-730 was tested for its ability to inhibit cellular activation of pro-hepatocyte growth factor (HGF), a well known matriptase substrate
31, 32. In spite of the high potency of this inhibitor which has a Ki of 40 nM against matriptase
19, inhibition of pro-HGF activation required an inhibitor concentration of 50 μM, more than 1,000-fold higher than the Ki
33. Likewise, in the case of a matriptase inhibitory antibody which has a Ki of 15 pM against matriptase, more than 10,000-fold of the Ki (200 nM) was used to inhibit the P1-Arg proteolytic activity on the cell surface associated with several matriptase-expressing cancer cells
34. Furthermore, the inhibition of active matriptase by catalytic inhibitors may be too late to effectively suppress matriptase's biological action, since much of the function of active matriptase, such as the activation of prostasin, occurs at essentially the same time as the generation of active matriptase and its inhibition through binding to HAI-1.
In the light of the apparent disadvantages of matriptase catalytic inhibitors, we intend to develop a novel strategy to control matriptase activity with the goal of translating it into effective interventions in human diseases in the future. In the present study, a novel scheme, consisting of a cell-based, ELISA-like screening assay and a computational search approach, was established to identify novel small molecule inhibitors of matriptase, targeting its zymogen activation rather than the catalytic activity. Four lead compounds were identified and validated to target the activation mechanism directly, rather than the intracellular signaling that triggers activation. These matriptase activation inhibitors effectively inhibit not only matriptase activation but also matriptase-mediated prostasin activation. In contrast, the matriptase catalytic inhibitor CVS-3983
17 inhibits neither event. These data support our hypothesis that inhibition of matriptase activation would be a more efficient approach to suppress the actions of matriptase than directly inhibiting matriptase catalytic activity. Our compounds may have potential for development into drugs for the treatment of human diseases associated with dysregulated matriptase.