The structure is adisulfide rich alpha+beta fold. Bovine pancreatic trypsin inhibitor is an extensively studied model structure. Certain family members are similar to thetick anticoagulant peptide (TAP,P17726). This is a highly selective inhibitor offactor Xa in the blood coagulation pathways.[3] TAP molecules are highlydipolar,[4] and are arranged to form a twisted two-stranded antiparallelbeta sheet followed by analpha helix.[3]
The majority of the sequences having this domain belong to theMEROPS inhibitor family I2, clan IB; the Kunitz/bovine pancreatic trypsin inhibitor family, they inhibit proteases of the S1 family[5] and are restricted to themetazoa with a single exception:Amsacta moorei entomopoxvirus, a species ofpoxvirus. They are short (about 50 to 60 amino acid residues) alpha/beta proteins with few secondary structures. The fold is constrained by three disulfide bonds. The type example for this family is BPTI[6] (or basic protease inhibitor), but the family includes numerous other members,[7][8][9][10] such as snake venom basic protease; mammalianinter-alpha-trypsin inhibitors;trypstatin, a rat mast cell inhibitor of trypsin; a domain found in an alternatively spliced form of Alzheimer's amyloid beta-protein; domains at theC-termini of thealpha-1 andalpha-3 chains of type VI and type VIIcollagens; tissue factor pathway inhibitor precursor; andKunitz STI protease inhibitor contained inlegume seeds.
Kunitz domains are stable as standalonepeptides, able to recognise specific protein structures, and also work ascompetitive protease inhibitors in their free form. These properties have led to attempts at developingbiopharmaceutical drugs from Kunitz domains. Candidate domains are selected from molecular libraries containing over 10 million variants with the aid of display techniques likephage display,[11] and can be produced in large scale bygenetically engineered organisms.
^PDB:1KTH;Arnoux B, Ducruix A, Prangé T (July 2002). "Anisotropic behaviour of the C-terminal Kunitz-type domain of the alpha3 chain of human type VI collagen at atomic resolution (0.9 Å)".Acta Crystallogr. D.58 (Pt 7):1252–4.doi:10.1107/S0907444902007333.PMID12077460.
^Nixon, AE; Wood, CR (2006). "Engineered protein inhibitors of proteases".Current Opinion in Drug Discovery & Development.9 (2):261–8.PMID16566296.
^Wlodawer A, Housset D, Kim KS, Fuchs J, Woodward C (1991). "Crystal structure of a Y35G mutant of bovine pancreatic trypsin inhibitor".J. Mol. Biol.220 (3):757–770.doi:10.1016/0022-2836(91)90115-M.PMID1714504.
^Salier JP (1990). "Inter-alpha-trypsin inhibitor: emergence of a family within the Kunitz-type protease inhibitor superfamily".Trends Biochem. Sci.15 (11):435–439.doi:10.1016/0968-0004(90)90282-G.PMID1703675.
^Takahashi K, Ikeo K, Gojobori T (1992). "Evolutionary origin of a Kunitz-type trypsin inhibitor domain inserted in the amyloid beta precursor protein of Alzheimer's disease".J. Mol. Evol.34 (6):536–543.doi:10.1007/BF00160466.PMID1593645.S2CID26698630.
^abLehmann, A (2008). "Ecallantide (DX-88), a plasma kallikrein inhibitor for the treatment of hereditary angioedema and the prevention of blood loss in on-pump cardiothoracic surgery".Expert Opinion on Biological Therapy.8 (8):1187–99.doi:10.1517/14712598.8.8.1187.PMID18613770.S2CID72623604.
^Clinical trial numberNCT00455767 for "Safety and Efficacy Study of Depelestat in Acute Respiratory Distress Syndrome (ARDS) Patients" atClinicalTrials.gov
^Attucci, S; Gauthier, A; Korkmaz, B; Delépine, P; Martino, MF; Saudubray, F; Diot, P; Gauthier, F (2006). "EPI-hNE4, a proteolysis-resistant inhibitor of human neutrophil elastase and potential anti-inflammatory drug for treating cystic fibrosis".The Journal of Pharmacology and Experimental Therapeutics.318 (2):803–9.doi:10.1124/jpet.106.103440.PMID16627747.S2CID1771342.