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CD26: a multi-purpose pharmacological target
Formica Vincenzo, Tesauro Manfredi, Cardillo Carmine
1Medical Oncology Unit, Internal Medicine Department, University Hospital 'Tor Vergata' , Viale Oxford, 81, 00133 Rome, Italy. v.formica1@gmail.com.
Abstract:
CD26 is a widely expressed transmembrane glycoprotein with peptidase activity in its extracellular domain and which regulates multiple biological processes. It acts mainly as catabolic enzyme for a number of circulating proteins involved in common pathological conditions such as diabetes and cardiovascular disease and may represent a target to modulate bioavailability of crucial substrates. The aim of the present review is to summarize data regarding CD26-based pharmacological interventions. Four main subtopics were identified:1) CD26 as the target of pharmacological inhibitors to increase bioavailability of glucagon-like petide-1 (GLP-1) and hence to enhance GLP-1 glucose-lowering activity in diabetic patients; 2) role of CD26 in the physiology and pathology of the cardiovascular system; 3) the adverse prognostic value of CD26 expression on cancer cells; 4) CD26 down-regulation on lymphocytes as a mechanism of TGF-beta immunomodulation.
Insights
This review explores CD26 (dipeptidyl peptidase-4) as a pharmacological target. Inhibiting CD26 can enhance glucagon-like peptide-1 (GLP-1) for diabetes treatment and impact cardiovascular disease and cancer.
Area of Science:
- Biochemistry
- Pharmacology
- Immunology
Background:
- CD26 is a transmembrane glycoprotein with peptidase activity.
- It regulates biological processes and catabolizes circulating proteins.
- CD26 is implicated in diabetes, cardiovascular disease, and cancer.
Purpose of the Study:
- To review pharmacological interventions targeting CD26.
- To summarize CD26's role in diabetes, cardiovascular health, cancer, and immune modulation.
Main Methods:
- Literature review of studies on CD26-based pharmacological interventions.
- Analysis of CD26's role in GLP-1 bioavailability, cardiovascular physiology/pathology, cancer prognosis, and immune responses.
Main Results:
- CD26 inhibitors can increase GLP-1 levels, improving glucose control in diabetes.
- CD26 plays a role in cardiovascular system function and pathology.
- CD26 expression on cancer cells has adverse prognostic value.
- CD26 downregulation on lymphocytes is linked to TGF-beta immunomodulation.
Conclusions:
- CD26 is a versatile pharmacological target with potential applications in metabolic, cardiovascular, and oncological diseases.
- Modulating CD26 activity offers therapeutic strategies for various pathological conditions.
- Further research into CD26-based interventions is warranted for clinical translation.
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