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Dipeptidyl peptidase 9 (DPP9) is a ubiquitous cytosolic serine protease belonging to the S9B family, characterized by its ability to cleave N-terminal dipeptides with a proline or alanine at the second position [7, 13]. It serves as a critical endogenous regulator of the innate immune system by repressing the activation of the NLRP1 and CARD8 inflammasomes through both its catalytic activity and a unique scaffolding function that sequesters their active C-terminal fragments [1, 5, 17]. Beyond its role in immunity, DPP9 is involved in the N-degron pathway, regulating the stability of proteins such as BRCA2 and adenylate kinase 2, which impacts DNA repair and cellular energy homeostasis [9, 12]. In the context of drug development, DPP9 is a significant safety target; off-target inhibition by early-generation DPP4 inhibitors was linked to severe toxicities, including skin lesions and hematological issues, in animal models [15, 18]. Conversely, selective DPP9 inhibition is being explored as a potential strategy for cancer immunotherapy to induce pyroptosis in malignant cells [6, 9]. Mutations in the DPP9 gene are associated with rare autoinflammatory syndromes and have been linked to increased susceptibility to severe COVID-19 and pulmonary fibrosis [3, 10, 17].
Competitive inhibition of the serine protease active site and disruption of the inhibitory scaffolding complex with NLRP1 and CARD8, leading to the release of active inflammasome fragments and subsequent pyroptosis [1, 5, 14].
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