Target intelligence / Profile preview

Chymase 1 (CMA1)

Target
CMA1
Molecular classification
Enzyme, Serine protease, Peptidase family S1
01

Overview

Chymase 1 is a serine protease enzyme encoded by the *CMA1* gene, primarily expressed in mast cells, and plays a central role in the local generation of angiotensin II from angiotensin I, independent of angiotensin-converting enzyme (ACE)[1][2][3][4]. It is involved in numerous biological processes including degradation of the extracellular matrix, regulation of submucosal gland secretion, activation of TGF-β, and modulation of inflammatory cytokines[1][2][3][6]. Through these actions, chymase 1 contributes to tissue remodeling, blood pressure regulation, and the pathogenesis of various diseases, particularly fibrosis and cardiovascular disease. Because of its role in converting angiotensin I to angiotensin II, chymase 1 has emerged as a therapeutic target, especially in cardiovascular and fibrotic diseases, though approved drugs specifically targeting chymase are still under development and not widely available for clinical use[2][4][6].

Other names
ChymaseCYHCYMAlpha-chymaseMast cell protease IMCT1mast cell chymasechymase 1 preproprotein (various transcripts)heart chymase
02

Mechanism of action

Inhibition of chymase enzymatic activity, thereby blocking conversion of angiotensin I to angiotensin II Inhibition of extracellular matrix degradation Prevention of TGF-β and matrix metalloproteinase activation Attenuation of local inflammatory/fibrotic processes

03

Biological functions

Extracellular matrix degradationRegulation of submucosal gland secretionGeneration of vasoactive peptides (notably angiotensin II)Activation of transforming growth factor-beta (TGF-β)Activation of pro-inflammatory cytokines (e.g., interleukin-1β)Regulation of tissue remodeling and fibrosisImmune response (mast cell-mediated processes)
04

Disease associations

Cardiovascular disease (hypertension, heart failure, cardiac hypertrophy)InflammationFibrosis (including hepatic and renal fibrosis)Diabetic kidney diseaseNon-alcoholic steatohepatitis (NASH)UrticariaMastocytosis
05

Safety considerations

Incomplete understanding of long-term effects of systemic chymase inhibition on physiological tissue remodeling and immunity[2]Potential redundancy with ACE (angiotensin-converting enzyme), complicating prediction of efficacy[4]Limited clinical data to date; most inhibitors have not shown efficacy in chronic cardiovascular disease in humans[2][4]
06

Interacting drugs

Fulacimstat (BAY1142524)

7 more in the full profile.

07

Biomarkers

Chymase activity (as measured in tissue or plasma)Angiotensin II levels (tissue-specific)Levels of extracellular matrix breakdown productsTGF-β activation stateMast cell counts in affected tissue

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