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. Author manuscript; available in PMC: 2020 Jan 1.
Published in final edited form as: Methods Mol Biol. 2019;1871:313–392. doi: 10.1007/978-1-4939-8814-3_20

Table 9:

Cardiovascular and Metabolic Diseases, and Stroke

Protease/Inhibitor Uniprot Action
Factor VII (F7) P08709 Complexes with Tissue Factor
VIIa/TF converts/activates X to XA
VIIa/TF converts/activates IX to IXa
Factor IX (or Christmas factor) (F9) P00740 Converts/activates factor X
Activates factor VII to form factor VIIa
Activates factor X to form factor Xa
Factor X (Stuart–Prower factor) (F10) P00742 Converts/activates prothrombin to thrombin
Complexes with phospholipids & calcium
Activates factor VII to form factor VIIa
Thrombin (Prothrombin) P00734 Converts fibrinogen to fibrin
Activates factors V, VII, VIII, XI, XIII
Complexes with thrombomodulin
Thrombin/thrombomodulin activates protein C
Factor XI (Plasma thromboplastin antecedent) P03951 Activates factor IX
Inhibited by protein Z-dependent protease inhibitor (ZPI)
Coagulation factor XII (Hageman factor) P00748 Reciprocal activation of Prekallikrein
Prekallikrein (Plasma kallikrein) P03952 Reciprocal activation of factor XII
C1-inhibitor (Plasma protease C1 inhibitor)* P05155 Complexes with/Inactivates C1r, C1s, MASP 1, MASP 2, chymotrypsin, kallikrein, fXIa, FXIIa
* complement activation, blood coagulation, fibrinolysis and the generation of kinins
Protein C (Vitamin Kdependent protein C) P04070 Inactivates factors Va and VIIIa in the presence of calcium ions and phospholipids
Activated by Thrombin/thrombomodulin complex
Factor V P12259 Cofactor required by factor Xa
Activated by Thrombin
Degraded by protein C
Factor VIII (FVIII) P00451 Cofactor required by factor IXa
Deficiency results in hemophillia A
High levels implicated in deep vein thrombosis and pulmonary embolism
Antithrombin (Antithrombin-III) P01008 Inhibits thrombin & factors IXa, Xa and XIa
Activity enhanced by heparin
Heparin cofactor II P05546 Inhibits thrombin & factors IXa, Xa and XIa
Inhibits chymotrypsin
Alpha 2-antiplasmin (or α2-antiplasmin or plasmin inhibitor) P08697 Inhibits plasmin and trypsin
Inactivates matriptase-3/TMPRSS7 and chymotrypsin
Plasmin P00747 Dissolves the fibrin of blood clots
tPA (Tissue plasminogen activator) P00750 Converts plasminogen to plasmin on the fibrin surface
Displaces plasmin from fibrin, promoting inhibition by alpha-2-antiplasmin
Mast cell chymase P23946 Major secreted protease of mast cells
Release may promote inflammatory response
Converts angiotensin I to angiotensin II
Tryptase {6 isoforms, see previous list table} Major neutral protease present in mast cells
Resistant to endogenous proteinase inhibitors
Active only as heparin-stabilized tetramers
Six Isoforms: Tryptase alpha/beta-1(Q15661)
Tryptase beta-2(P20231), Tryptase delta(Q9BZJ3)
Tryptase gamma(Q9NRR2), Brain-specific serine protease 4(Q9GZN4)
pro-MMP-9 (MMP-9) P14780 Cleaves collagen IV and V and fibronectin
Implicated in neovascularization in malignant gliomas
pro-MMP-1 (MMP-1) P03956 Cleaves collagens I, II, III, VII, and X
Mediates neurotoxicity of HIV viral Tat protein
pro-MMP-2 (MMP-2) P08253 Degrades extracellular matrix proteins, including collagen I and IV
pro-MMP-3 (MMP-3) P08254 Degrades fibronectin, laminin, gelatins of type I, III, IV, and V; collagens III, IV, X, and IX, and cartilage proteoglycans
Activates MMPs 1, 7, and 9
Proteinase-3 (PRTN3) P24158 Degrades elastin, fibronectin, and collagen (in vitro)
Target antigen for anti-neutrophil cytoplasmic antibodies (ANCA)
Kallikrein 13 Q9UKR3 cleaves kininogen to the pro-inflammatory bradykinin
Cathepsin A P10619 Protects beta-galactosidase and neuraminidase
Cathepsin C (CTSC) P53634 Activates elastase, cathepsin G, granzymes A and B, neuraminidase, factor XIII, chymase, and tryptase
Cathepsin D P07339 Intracellular degradation and protein turnover
Used by macrophages to degrade bacterial proteins
Activates ADAM30, implicated in Alzheimer’s progression
Implicated in metastasis in breast cancer
Cathepsin L1 P07711 Intracellular degradation and protein turnover
Degrades collagen ad elastin
Degrades alpha-1 protease inhibitor
Cathepsin X/Z/P Q9UBR2 Lysosomal protease, cleaves C-terminal residue
Calpain-10 Q9HC96 Limited proteolysis of substrates involved in cytoskeletal remodeling and signal transduction
Cathepsin K P43235 Cleaves elastin, collagen, and gelatin
Involved in breakdown of bone for remodeling
Implicated in emphysema
Activated by inflammatory cytokines
Degraded by cathepsin S
Caspase-3 (CASP3) P42574 Activates caspases 6, 7, and 9
Activated by caspases 8 and 9
Cleaves poly(ADP-ribose) polymerase (PARP)
Cleaves and activates sterol regulatory element binding proteins (SREBPs)
Implicated in Huntington's disease
Caspase-6 P55212 Dis-inhibits immune system, cleaves interleukin-10 and interleukin-1 receptor-associated kinase 3
Cleaves poly(ADP-ribose) polymerase (PARP) and lamins
Implicated in Huntington's and Alzheimer's
Caspase-8 Q14790 Activates caspases 3, 4, 6, 7, 9, and 10
Activated by death receptors via FADD
Factor VII activating protease (FSAP) Q14520 Activates factor VII and pro-urokinase
May act as tumor suppressor
Tissue inhibitor of metalloproteinase-1 (TIMP-1) P01033 Irreversibly inhibits MMP 1, 2, 3, 7, 8, 9, 10, 11, 12, 13, and 16
Activates integrin signaling via CD63 and ITGB1

Cardiovascular and Metabolic Diseases, and Stroke: Activities and uniprot ID codes (where applicable) of proteases, protease inhibitors, and cofactors associated with cardiovascular disease, metabolic diseases, and stroke.