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Matrix metalloproteinase-2, hemopexin domain (MMP-2, hemopexin domain)

Target
MMP-2, hemopexin domain
Molecular classification
Enzyme (matrix metalloproteinase), Protease, Zinc-dependent endopeptidase, MMP superfamily member, Hemopexin-like domain (protein domain classification)
01

Overview

The hemopexin domain of matrix metalloproteinase-2 (MMP-2) is a C-terminal, four-bladed β-propeller structure critical for substrate specificity, dimerization, and protein–protein interactions[1][3][4]. MMP-2, also known as gelatinase A, is a secreted, zinc-dependent endopeptidase that degrades components of the extracellular matrix (notably type IV collagen). The hemopexin domain is required for collagen triple helix degradation, efficient assembly and activation of the enzyme, and tissue invasion[3][4]. Mutations affecting this domain can lead to severe developmental phenotypes such as multicentric osteolysis, nodulosis, and arthropathy (MONA syndrome)[4]. Pharmacological inhibition of the hemopexin domain is an emerging strategy to achieve greater specificity in targeting MMP-2’s pathological roles in cancer, fibrosis, and vascular disease, while potentially reducing the adverse effects observed with broad-spectrum MMP inhibition[2].

Other names
MMP-2 hemopexin domainGelatinase A hemopexin domain72 kDa type IV collagenase hemopexin domain
02

Mechanism of action

Inhibition of proteolytic activity (by chelating zinc or binding the active site); Allosteric inhibition or direct binding to the hemopexin domain (modulates substrate binding and dimerization, emerging therapeutic strategy); Interference with protein–protein interactions (blocking hemopexin-mediated substrate specificity and tissue invasion)

03

Biological functions

Extracellular matrix (ECM) degradation and remodelingCollagen breakdownTissue invasionRegulation of substrate specificityCell migration and tissue remodeling in development and disease
04

Disease associations

Cancer (tumor progression, metastasis)Inflammatory diseasesCardiovascular diseases (e.g., atherosclerosis, aneurysm)Developmental disorders (mutations causing skeletal dysplasias, e.g., MONA syndrome)Other (tissue fibrosis, chronic wound healing)
05

Safety considerations

Off-target effects with broad-spectrum MMP inhibitors (e.g., musculoskeletal toxicity)Impaired tissue repair (due to essential functions in normal ECM turnover)Potential for developmental defects (as seen in genetic loss-of-function)Lack of specificity in older MMP inhibitor drugs
06

Interacting drugs

Doxycycline (broad-spectrum MMP inhibitor)

3 more in the full profile.

07

Biomarkers

Circulating MMP-2/gelatinase A levels (as prognostic markers in cancer, cardiovascular, and inflammatory diseases)Degradation products of ECM associated with MMP-2 activityMutations or loss of the hemopexin domain in congenital syndromes (e.g., MONA syndrome)

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