ADAMTS

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Clinical findings and distribution of affected organs in individuals with Mendelian disorders caused by pathogenic mutations in different ADAMTS family genes.jpg

ADAMTS (A Disintegrin And Metalloproteinase with Thrombospondin Motifs) is a family of peptidase enzymes that play a crucial role in the extracellular matrix's structure and function. These enzymes are involved in various biological processes, including angiogenesis, coagulation, and the breakdown of proteoglycans, which are essential for the normal functioning of tissues. The ADAMTS family is characterized by the presence of a disintegrin domain, a metalloproteinase domain, and one or more thrombospondin type 1 motifs. These components allow ADAMTS enzymes to interact with and cleave components of the extracellular matrix.

Function[edit | edit source]

ADAMTS enzymes have a wide range of functions in the body, reflecting their diverse roles in tissue remodeling, inflammation, and pathological conditions such as arthritis and cancer. For example, ADAMTS13 is vital for the regulation of von Willebrand factor, a protein critical for blood clotting. Dysfunction in ADAMTS13 can lead to thrombotic thrombocytopenic purpura (TTP), a rare blood disorder.

Classification[edit | edit source]

The ADAMTS family consists of 19 members in humans, numbered ADAMTS1 through ADAMTS20 (with ADAMTS11 being an alternative name for ADAMTS5). These enzymes are classified based on their structure and the substrates they act upon. Despite their similarities, each ADAMTS enzyme has unique features and functions, often related to the cleavage of specific extracellular matrix components.

Genetics[edit | edit source]

The genes encoding ADAMTS enzymes are located on various chromosomes, reflecting their diverse evolutionary origins. Mutations in these genes can lead to a range of genetic disorders, underscoring the importance of ADAMTS enzymes in normal physiological processes and development.

Clinical Significance[edit | edit source]

Alterations in the expression or activity of ADAMTS enzymes have been implicated in numerous diseases. For instance, overexpression of certain ADAMTS enzymes has been observed in various forms of cancer, where they may contribute to tumor progression and metastasis by remodeling the extracellular matrix. Conversely, deficiencies in specific ADAMTS enzymes can lead to connective tissue disorders, highlighting their role in maintaining tissue integrity.

Research Directions[edit | edit source]

Ongoing research aims to further elucidate the functions of ADAMTS enzymes, their regulation, and their involvement in diseases. This includes the development of therapeutic strategies targeting ADAMTS enzymes to treat conditions such as cancer, fibrosis, and inflammatory diseases.

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Contributors: Prab R. Tumpati, MD