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Lysyl oxidase-like 3 (LOXL3) is a copper-dependent amine oxidase and a member of the lysyl oxidase (LOX) family, primarily responsible for the post-translational oxidative deamination of lysine residues in collagen and elastin [1, 8]. This enzymatic activity is essential for the formation of covalent cross-links that maintain the structural integrity and mechanical properties of the extracellular matrix (ECM) [2, 8]. Beyond its role in ECM remodeling, LOXL3 has been implicated in intracellular processes, including the regulation of the transcription factor STAT3 and the induction of epithelial-mesenchymal transition (EMT) through interactions with SNAIL [1, 4]. In clinical contexts, LOXL3 is frequently upregulated in various malignancies—such as melanoma, pancreatic cancer, and glioblastoma—where it promotes tumor invasion, metastasis, and genomic stability, often serving as a biomarker for poor prognosis [4, 5, 18]. It also plays a critical role in fibrotic diseases of the lung, liver, and heart by contributing to excessive tissue stiffening [1, 10, 17]. Therapeutic strategies targeting LOXL3 include the development of dual LOXL2/3 inhibitors (e.g., PXS-5153A) and pan-LOX inhibitors (e.g., PXS-5505), which aim to disrupt pathological ECM remodeling and sensitize tumors to other treatments [10, 11, 12]. However, therapeutic intervention must account for potential safety concerns, as loss-of-function mutations in LOXL3 are associated with Stickler syndrome, a connective tissue disorder characterized by craniofacial, ocular, and auditory defects [1, 16].
Irreversible inhibition of the amine oxidase activity by targeting the lysine tyrosylquinone (LTQ) cofactor, thereby preventing the oxidative deamination of lysine residues and the subsequent formation of covalent cross-links in the extracellular matrix [10, 11].
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