Target intelligence / Profile preview

A disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS)

Target
ADAMTS
Molecular classification
Enzyme, Metalloproteinase, Zinc-dependent protease, Extracellular matrix proteinase
01

Overview

"A disintegrin and metalloproteinase with thrombospondin motifs" (ADAMTS) refers to a family of secreted, zinc-dependent metalloproteinases structurally distinct from other metalloproteinases due to the presence of thrombospondin type 1 repeats (TSRs) in addition to a disintegrin-like and metalloprotease domain[1][2][6]. Humans express at least 19 ADAMTS genes, whose protein products are primarily involved in extracellular matrix remodeling and substrate-specific proteolysis of large proteoglycans such as aggrecan and versican. ADAMTS proteins are grouped into subfamilies by sequence similarity and substrate preference (notably the aggrecanase subfamily: ADAMTS1, -4, -5, -8, -15). Different ADAMTS family members are implicated in diverse biological processes, including development, angiogenesis, and the pathogenesis of diseases such as arthritis (via cartilage degradation), cancer, atherosclerosis, and bleeding/thrombotic disorders (notably the ADAMTS13-mediated cleavage of von Willebrand factor)[1][3][6][7]. **Key distinction:** The ADAMTS family is structurally related to—but molecularly distinct from—membrane-bound ADAMs due to the absence of a transmembrane region and the presence of multiple TSR domains. This family plays crucial roles in regulating tissue morphogenesis and disease via the controlled degradation of extracellular matrix components[1][6].

Other names
ADAMTS proteinsADAMTS proteasesA disintegrin-like and metalloprotease domain with thrombospondin type 1 motifs
02

Mechanism of action

Inhibition of protease catalytic activity (including zinc-chelation or blocking the active site); prevention of extracellular matrix degradation (e.g., aggrecanase inhibition in cartilage); restoration of normal substrate cleavage balance[6].

03

Biological functions

Extracellular matrix proteolysisTissue remodelingRegulation of cell adhesionCleavage of proteoglycans (aggrecan, versican, brevican)Involvement in development and organogenesisCell migration
04

Disease associations

CancerInflammationCardiovascular disease (including atherosclerosis)Arthritis and osteoarthritisThrombotic microangiopathies (ADAMTS13 in thrombotic thrombocytopenic purpura)Neurodegenerative disease (through extracellular matrix dysregulation)
05

Safety considerations

Potential off-target effects due to essential roles in physiologic tissue remodelingInhibition can impair normal matrix turnover and wound healingPossible impact on organ developmentRisk of impaired hemostasis (notably with ADAMTS13 inhibition)
06

Interacting drugs

broad-spectrum metalloproteinase inhibitors (such as TIMP-3, tissue inhibitor of metalloproteinases-3)

1 more in the full profile.

07

Biomarkers

Elevated ADAMTS protease activity or protein level (especially ADAMTS4 and ADAMTS5) is proposed as a biomarker for cartilage degradation in osteoarthritisADAMTS13 activity is a diagnostic marker for thrombotic thrombocytopenic purpura

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