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The Journal of Immunology, 2004, 173: 4669-4674.
Copyright © 2004 by The American Association of Immunologists

Absence of Procarboxypeptidase R Induces Complement-Mediated Lethal Inflammation in Lipopolysaccharide-Primed Mice1

Suzuka Asai*, Tomoo Sato*,§, Toyohiro Tada{dagger}, Tomomi Miyamoto{ddagger}, Noriaki Kimbara*, Noboru Motoyama, Hidechika Okada*,§ and Noriko Okada2,*

* Department of Biodefense, Graduate School of Medical Sciences, {dagger} School of Nursing, and {ddagger} Animal Center, Nagoya City University, Nagoya, Japan; § Choju Medical Institute, Fukushimura Hospital, Toyohashi, Japan; and National Institute for Longevity Sciences, Ohbu, Japan

Carboxypeptidase R (CPR) is a heat-labile enzyme found in serum in addition to stable carboxypeptidase N. CPR cleaves the C-terminal basic amino acids, arginine and lysine, from inflammatory peptides such as complement C3a and C5a, bradykinin, and enkephalin. This enzyme is generated from procarboxypeptidase R (proCPR), also known as thrombin-activatable fibrinolysis inhibitor, following cleavage by proteolytic enzymes such as thrombin, plasmin, and trypsin. We generated proCPR-deficient mice by knocking out exons 4 and 5 of the proCPR gene, which are regarded as essential for CPR function. At LPS challenge, there was virtually no difference in lethality among proCPR+/+, proCPR+/–, and proCPR–/– mice. However, challenge with cobra venom factor, which can activate and deplete almost all complement in vivo, induced a lethal effect on proCPR–/– mice following LPS sensitization which up-regulates C5a receptor expression. In contrast, proCPR+/+ and proCPR+/– mice were able to tolerate the cobra venom factor challenge with the limited dose (30 U). Although carboxypeptidase N plays a role in inactivation of inflammatory peptides in vivo, CPR may also be important in the regulation of hyperinflammation.




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