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Dipeptidyl peptidase 4, Dipeptidyl peptidase 8, Dipeptidyl peptidase 9, Fibroblast activation protein alpha (DPP4, DPP8, DPP9, FAP)

Target
DPP4, DPP8, DPP9, FAP
Molecular classification
Enzyme, Serine protease, Exopeptidase, Type II transmembrane glycoprotein, Membrane protein, Dipeptidyl peptidase
01

Overview

This entry represents a grouping of four distinct but related serine protease enzymes: Dipeptidyl peptidase 4 (DPP4), Dipeptidyl peptidase 8 (DPP8), Dipeptidyl peptidase 9 (DPP9), and Fibroblast activation protein, alpha (FAP). While each is an individual therapeutic target with roles in metabolism, immunity, and tissue remodeling, considering them as a single canonical target is incorrect. They share common molecular classifications as serine exopeptidases of the DPP4 activity and structure homolog (DASH) family but possess distinct biological functions, disease associations, and therapeutic implications. DPP4 is a well-established target for type 2 diabetes. DPP8 and DPP9 are intracellular enzymes with significant safety concerns due to immune-related toxicities upon inhibition. FAP is a membrane-bound enzyme targeted in cancer and fibrotic diseases. Their mechanisms of action and safety profiles differ considerably, necessitating individual targeting strategies.

Other names
DPPIVCD26Adenosine deaminase complexing protein 2DPP-8DPP-9FAPASeprase
02

Mechanism of action

These enzymes, members of the DPP4 activity and structure homolog (DASH) family, are involved in cleaving dipeptides. Their specific mechanisms of action vary: DPP4 inhibition prevents degradation of incretin hormones, enhancing insulin secretion; DPP8/9 inhibition leads to immune cell pyroptosis and alters intracellular peptide turnover; FAP inhibition/payload delivery affects tumor microenvironment and fibrosis. Considering them as a single target's mechanism is inaccurate due to their distinct biological contexts and outcomes.

03

Biological functions

Immune regulationSignal transductionApoptosisGlucose metabolismDegradation of incretin hormonesIntracellular peptide processingImmunoregulationCell proliferationEnergy metabolismTissue remodelingExtracellular matrix degradationCell migrationFibrogenesisTumor stroma modulation
04

Disease associations

Type 2 diabetesCancerImmune disordersImmune diseasesInflammatory responseFibrosisPulmonary fibrosisChronic liver disease
05

Safety considerations

Hypoglycemia risk (when combined with other antidiabetics, mainly with DPP4 inhibition)Infections (associated with DPP4 inhibitors)Potential immune modulation (DPP4)Rare cardiovascular events (DPP4)Non-selective inhibition of DPP8/9 can induce pyroptosis and trigger systemic inflammationUnclear safety in humans for DPP8/9 inhibitionLethality in DPP9-inactive animal modelsPotential immune overactivation and inflammation with DPP8/9 inhibitorsOn-target toxicity due to roles in normal tissue repair/remodeling (FAP)Selectivity challenges in tumor targeting (FAP)
06

Interacting drugs

Sitagliptin

7 more in the full profile.

07

Biomarkers

Soluble DPP4 protein/activity levels in plasma (for monitoring DPP4 inhibitor efficacy)Biomarkers for DPP8/9 are under investigation; currently none established for patient selectionGenetic association with idiopathic pulmonary fibrosis (for DPP9)FAP expression in tumor stroma (for FAP)Circulating FAP levels in fibrosis (for FAP)

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