The New Human Tissue Kallikrein Gene Family: Structure, Function, and Association to Disease1
George M. Yousef and
Eleftherios P. Diamandis
Department of Pathology and Laboratory Medicine, Mount Sinai
Hospital, Toronto, Ontario, Canada M5G 1X5; and Department of
Laboratory Medicine and Pathobiology, University of Toronto, Toronto,
Ontario, Canada M5G 1L5
The human tissue kallikrein gene family was, until recently,thought to
consist of only three genes. Two of these human kallikreins,
prostate-specificantigen and human glandular kallikrein 2, are
currently usedas valuable biomarkers of prostatic carcinoma. More
recently,new kallikrein-like genes have been discovered. It is now
clearthat the human tissue kallikrein gene family contains at least15
genes. All genes share important similarities, includingmapping at the
same chromosomal locus (19q13.4), significanthomology at both the
nucleotide and protein level, and similargenomic organization. All
genes encode for putative serine proteasesand most of them are
regulated by steroid hormones. Recent datasuggest that at least a few
of these kallikrein genes are connectedto malignancy. In this review,
we summarize the recently accumulatedknowledge on the human tissue
kallikrein gene family, includinggene and protein structure, predicted
enzymatic activities,tissue expression, hormonal regulation, and
alternative splicing.We further describe the reported associations of
the human kallikreinswith various human diseases and identify future
avenues forresearch.
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