Target intelligence / Profile preview

Kallikrein protein (KLK)

Target
KLK
Molecular classification
Enzyme, Serine protease, Peptidase (family S1)
01

Overview

Kallikreins are a family of secreted serine proteases involved in essential physiological processes, including regulation of blood pressure, inflammation, skin desquamation, semen liquefaction, and multiple cell signaling pathways. In humans, plasma kallikrein (encoded by KLKB1) participates in blood coagulation and inflammation via the kinin–kininogen system, while tissue kallikreins (KLK1–KLK15) have tissue-specific roles, particularly in skin and glands. Dysregulation of kallikrein activity is implicated in cancers, cardiovascular disorders, inflammatory and skin diseases, and they are both therapeutic targets and biomarkers. Certain kallikreins, especially PSA (KLK3), are widely used as tumor markers. Pharmacological interventions targeting kallikreins are in clinical use (e.g., in hereditary angioedema) and under investigation for broader indications, though high homology within the family poses specificity and safety challenges.

Other names
KallikreinKLKKLKB1 (for plasma kallikrein)tissue kallikreinglandular kallikreinkallikrein-related peptidaseskininogenasekininogeninkallidinogenase
02

Mechanism of action

Direct inhibition of serine protease activity (by reversible or irreversible binding to the active site); Blockade of kinin generation (thus reducing bradykinin/vasoactive peptide production); Immunomodulation (as in blockade to prevent angioedema attacks)

03

Biological functions

Proteolysis (cleavage of peptide bonds)Kinins (bradykinin and kallidin) production (blood pressure regulation, inflammation)Blood coagulation (especially for plasma kallikrein)Skin desquamationSemen liquefactionCell signaling (including in cancer and viral infection contexts)
04

Disease associations

Cancer (dysregulation, biomarkers, tumor progression)Inflammation (e.g., Hereditary Angioedema, atopic dermatitis, Netherton syndrome)Cardiovascular disease (hypertension, blood pressure regulation, coagulation, stroke)Skin disease (e.g., atopic dermatitis, psoriasis, Netherton syndrome)Infection (interaction with viral proteins)
05

Safety considerations

Off-target inhibition of other serine proteases due to high similarity between KLKsDisruption of physiological proteolysis risks affecting homeostasis (e.g., blood pressure, coagulation, skin barrier)Risk of hypersensitivity or immunogenicity with biologic inhibitors (e.g., monoclonal antibodies)
06

Interacting drugs

Ecallantide (kallikrein inhibitor)

3 more in the full profile.

07

Biomarkers

Prostate-specific antigen (PSA), which is KLK3 (commonly used in prostate cancer)Serum kallikrein levels for angioedema, and skin kallikrein activity in skin diseases

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