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Cysteine-aspartic acid protease 3 (Caspase-3) (CASP3)

Target
CASP3
Molecular classification
Enzyme, Cysteine protease, Caspase, Cysteine-type endopeptidase [1, 11], Hydrolase
01

Overview

Caspase-3 is a pivotal member of the cysteine-aspartic acid protease family and serves as a primary executioner in the apoptotic cell death pathway [1, 14]. It is synthesized as an inactive 32 kDa zymogen (procaspase-3) that undergoes proteolytic cleavage by initiator caspases, such as Caspase-8 or Caspase-9, to form the active enzyme in response to internal or external death signals [1, 4, 11]. Once activated, Caspase-3 orchestrates the orderly dismantling of cellular components by cleaving a wide array of essential substrates, including poly(ADP-ribose) polymerase (PARP) and DNA repair enzymes [1, 14, 18]. In oncology, it is a significant therapeutic target for pro-apoptotic agents like PAC-1, which aim to selectively induce death in malignant cells that have evaded programmed cell death [3, 5, 13]. Conversely, the inhibition of Caspase-3 is a major clinical focus for neurodegenerative conditions—such as Alzheimer's, Parkinson's, and Huntington's diseases—and ischemic injuries like stroke, where its excessive activation leads to pathological cell loss [9, 10, 12, 16, 20]. Beyond its role in death, Caspase-3 also participates in non-apoptotic processes including tissue differentiation, stem cell physiology, and immune regulation, necessitating high specificity in drug targeting to avoid systemic toxicity [2, 17, 18].

Other names
CPP32SCA-1ApopainYamaCaspase 3Procaspase-3CPP-32CASP-3Cysteine-aspartic acid protease 3
02

Mechanism of action

Drugs modulate Caspase-3 through either direct inhibition of its catalytic cysteine residue to prevent apoptotic cell death or direct activation of the proenzyme form (procaspase-3) to induce apoptosis in malignant cells [3, 10, 14].

03

Biological functions

Apoptosis [1, 11]Cell death [1, 14]Proteolysis [1, 11]Cell cycle regulation [2, 18]Tissue differentiation [17, 18]Signal transduction [11]Inflammation [10, 12]
04

Disease associations

Cancer [3, 5, 13]Neurodegenerative disease (Alzheimer's, Parkinson's, Huntington's, ALS) [9, 10, 16]Cardiovascular disease (Heart failure, Myocardial infarction) [1, 17, 19]Ischemia and Stroke [10, 20, 22]Inflammation [10, 11, 12]Autoimmune disease [10]
05

Safety considerations

Off-target inhibition of normal tissue homeostasis [10]Risk of tumorigenesis with long-term apoptosis inhibition [11, 13]Potential developmental neurotoxicity due to its role in brain development [1, 18]Systemic toxicity associated with broad protease inhibitors [10]Disruption of non-apoptotic physiological signaling and differentiation [2, 18]
06

Interacting drugs

Emricasan (IDN-6556) [6]

8 more in the full profile.

07

Biomarkers

Cleaved Caspase-3 (p17/p12 fragments) [1, 4]Caspase-3 mRNA expression levels [19, 21, 22]Serum Caspase-3 levels [20]PARP cleavage [1, 14]

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