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Peptidylarginine deiminase 2 (PADI2)

Target
PADI2
Molecular classification
Enzyme, Post-translational modification enzyme, Calcium-dependent hydrolase
01

Overview

Peptidylarginine deiminase 2 (PADI2) is a calcium-dependent protein-arginine deiminase that catalyzes the post-translational deimination (citrullination) of peptidyl-arginine residues to peptidyl-citrulline, changing protein charge, conformation, and function[1][3][5][6][8]. It is one of five mammalian PADI isozymes and is the most widely expressed family member, present in brain, spinal cord, skeletal muscle, secretory glands, and multiple immune cell types[1][3][5][8]. PADI2 acts on diverse substrates including myelin basic protein, vimentin, histones (such as histone H3 R26), the C-terminal domain of RNA polymerase II, fibrinogen, antithrombin, chemokines, cytokines, and transcription factors such as RUNX2[1][2][3][5]. Through citrullination, PADI2 regulates gene transcription, chromatin decondensation, antigen generation, extracellular trap formation, pyroptosis, apoptosis, macrophage differentiation, and osteoblast differentiation and bone formation[2][3][5]. Dysregulated PADI2 expression or activity has been implicated in autoimmune diseases (via generation of citrullinated autoantigens), inflammatory and thrombotic conditions, sepsis, neurodegeneration, and cancer biology, making it an active area of investigation as a therapeutic enzyme target with several experimental PAD inhibitors under preclinical study[3][4][5][7].

Other names
Peptidyl arginine deiminase type-2Protein-arginine deiminase type-2Protein-arginine deiminase 2PAD2Peptidylarginine deiminase type IIPDI2
02

Mechanism of action

Covalent or reversible inhibition of the active-site cysteine of PADI2, blocking calcium-dependent deimination of arginine residues to citrulline in target proteins, thereby modulating gene transcription, immune cell death pathways, and inflammatory signaling[4][5].

03

Biological functions

Protein citrullination (deimination)Regulation of gene transcriptionRegulation of chromatin structureImmune response and host defenseInflammation and pyroptosisExtracellular trap formation (NETosis/METosis contribution)Cell proliferation and cell cycle regulationOsteoblast differentiation and bone formationApoptosis regulation
04

Disease associations

InflammationAutoimmune disease (e.g., rheumatoid arthritis-related citrullination)CancerNeurodegenerative diseaseCardiovascular disease (thrombosis, sepsis-related injury)Infection and sepsisOther
05

Safety considerations

Potential impairment of normal immune responses and host defense when PADI2 is inhibited, given its role in ETosis, pyroptosis, macrophage function, and sepsis responses[5].Possible effects on bone homeostasis and osteogenesis, as Padi2 deficiency reduces bone mass and osteoblast differentiation in mice[2].Risk of broadly altering gene transcription and chromatin regulation due to reduced histone and RNA polymerase II citrullination[3][5].
06

Interacting drugs

Pan-PAD inhibitors such as Cl-amidine (research tool compound)[5]

1 more in the full profile.

07

Biomarkers

Expression level of PADI2 protein or mRNA in tissues or tumors (e.g., breast, colon, bone, immune cells) as a potential prognostic or mechanistic biomarker[3][5].Levels of citrullinated substrates (e.g., citrullinated histones, citrullinated vimentin, citrullinated myelin basic protein, citrullinated chemokines/cytokines, citrullinated RUNX2) as pharmacodynamic markers of PADI2 activity[1][2][3][5].Circulating anti-citrullinated protein antibodies (ACPAs) in autoimmune settings, reflecting PAD-driven citrullination including that mediated by PADI2[4][5].

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