ADAMTS4 A disintegrin and metalloproteinase with thrombospondin motifs 4 is an enzyme that in humans is encoded by the ADAMTS4 gene . This gene encodes a member of the ADAMTS protein family . Members of the family share several distinct protein modules, including a propeptide region, a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 motif. Individual members of this family differ in the number of C-terminal TS motifs, and some have unique C-terminal domains . The enzyme encoded by this gene lacks a C-terminal TS motif. It can degrade aggrecan , a major proteoglycan of cartilage , brevican , a brain-specific extracellular matrix protein , neurocan and versican . The cleavage of aggrecan and brevican suggests key roles of this enzyme in arthritic disease and in the central nervous system , potentially, in the progression of glioma .Structure ADAMTS4 is the shortest known ADAMTS, lacking the C-terminal domain and is the only non-glycosylated ADAMTS. It also only has one thrombospondin type 1 motif, whereas all the other ADAMTS have two or more TSRs. The TSR is important for binding of the enzyme to the extracellular matrix and hence its substrate specificity . Adjacent to the C-terminal TSR is a disintegrin-like domain, a cysteine-rich region that stacks against the active-site of the enzyme when in its final folded tertiary structure .Function ADAMTS4 is capable of cleaving all the large chondroitin sulfate hyaluronan-binding proteoglycans, including aggrecan, brevican, neurocan and versican. Like ADAMTS5 , it can be effectively inhibited by tissue inhibitor of metalloproteinase-3 and this inhibition can be enhanced in the presence of aggrecan. In addition to TIMP3 , it can also be inhibited by calcium pentosan polysulfate . ADAMTS4 is expressed in ovary , spinal cord , adrenal cortex , ciliary ganglion , trigeminal ganglion , brain , retina , pancreas , fetal lung , breast myoepithelial cells , tendon and cartilage.Clinical Significance ADAMTS4 are the major proteinases responsible for the degradation of proteoglycans in articular cartilage in osteoarthritis . Which of these aggrecanases is more important in cartilage degradation appears to be species-specific, with ADAMTS4 more important in human disease .
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