Target intelligence / Profile preview

Renal dehydropeptidase-1 (DPEP1)

Target
DPEP1
Molecular classification
Enzyme, Metalloenzyme, Hydrolase
01

Overview

Renal dehydropeptidase-1 (DPEP1) is a membrane-bound glycoprotein enzyme primarily expressed in the kidney. It hydrolyzes dipeptides and certain β-lactam antibiotics, notably imipenem. DPEP1 is anchored to the brush border of renal tubular epithelial cells via a glycosylphosphatidylinositol (GPI) anchor. It contains binuclear zinc ions at its active site and exists as a disulfide-linked homodimer. Clinically, cilastatin is co-administered with imipenem to inhibit DPEP1, preventing imipenem degradation and prolonging its antibiotic efficacy. DPEP1 may also be implicated in cancer progression and inflammatory responses.

Other names
Dipeptidase 1
02

Mechanism of action

Cilastatin inhibits renal dehydropeptidase-I activity, preventing the degradation of imipenem and increasing its bioavailability and efficacy.

03

Biological functions

Hydrolysis of dipeptidesβ-lactam antibiotic metabolismRegulation of peptide metabolismModulation of inflammatory responsesCell proliferation regulationTumor progression regulation
04

Disease associations

CancerInflammationAcute respiratory distress syndrome (ARDS)Multiple organ dysfunction syndrome (MODS)
05

Safety considerations

The primary safety concern revolves around the potential for reduced efficacy of carbapenem antibiotics like imipenem if DPEP1 is not adequately inhibited by cilastatin.
06

Interacting drugs

Imipenem

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