CTSC Gene: Cathepsin C (Dipeptidyl Peptidase 1)

Key regulator of immune cell granule serine protease activation and associated with severe congenital disorders

Gene Information Card

Symbol CTSC
Full Name Cathepsin C
Gene Type protein-coding
Chromosomal Location 11q14.2
NCBI Gene ID 1075 ncbi.nlm.nih.gov/gene/1075
Ensembl ID ENSG00000109861
UniProt ID P53634
OMIM ID 602365
HGNC ID 2528
Aliases DPPI, DPP1, CPO, JP, PLS, HMS, PALS

Description

The CTSC gene encodes cathepsin C, also known as dipeptidyl peptidase I (DPPI). This lysosomal cysteine protease is a homotetramer that removes dipeptides from the N-terminus of proteins. It is essential for the activation of granule serine proteases in immune cells, including neutrophils, cytotoxic T lymphocytes, and natural killer cells. Mutations in CTSC cause Papillon-Lefèvre syndrome and Haim-Munk syndrome, characterized by severe periodontitis, palmoplantar keratoderma, and in some cases, pyogenic infections.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Papillon-Lefèvre syndrome Loss-of-function mutations in CTSC impair activation of granule serine proteases (e.g., cathepsin G, elastase, proteinase 3), leading to defective neutrophil-mediated killing and severe periodontitis with palmoplantar keratoderma. OMIM #245000; ClinVar
Haim-Munk syndrome Similar loss-of-function mechanism as Papillon-Lefèvre syndrome, with additional features such as arachnodactyly, acro-osteolysis, and onychogryphosis. OMIM #245010; ClinVar
Aggressive periodontitis CTSC mutations are a major genetic cause of prepubertal periodontitis; reduced DPPI activity leads to impaired host defense against periodontal pathogens. OMIM #170650; ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Bone marrow 12.5 High
Lung 8.2 Medium
Spleen 7.9 Medium
Whole blood 6.8 Medium
Kidney 4.1 Low
Cell Line Expression
Cell Line nTPM Notes
HL-60 (promyeloblast) 15.3 High expression; model for neutrophil differentiation
K-562 (lymphoblast) 9.7 Medium expression
HeLa (cervical carcinoma) 3.2 Low expression
A549 (lung carcinoma) 2.1 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.815G>C (p.Trp272Ser) Missense Common in Papillon-Lefèvre syndrome Loss of enzymatic activity
c.748C>T (p.Arg250*) Nonsense Reported in Haim-Munk syndrome Premature truncation, loss of function
c.1268G>A (p.Arg423Gln) Missense Rare Reduced DPPI activity
c.901G>A (p.Gly301Arg) Missense Found in aggressive periodontitis Impaired tetramerization and activity
Mutation functional classification

Loss of Function (LOF)

Most CTSC mutations are loss-of-function, leading to reduced or absent DPPI activity, defective granule serine protease activation, and impaired immune cell function.

Gain of Function (GOF)

No gain-of-function mutations have been reported for CTSC.

Dominant Negative (DN)

No dominant-negative mutations have been described; CTSC mutations are typically autosomal recessive.

Pathways

Lysosome (KEGG: hsa04142)
Immune system (Reactome: R-HSA-168256)
Granzyme A pathway (Reactome: R-HSA-202430)
Neutrophil degranulation (Reactome: R-HSA-6798695)

Protein Summary

Cathepsin C (DPPI) is a lysosomal cysteine protease composed of four identical subunits. It functions as a dipeptidyl peptidase, removing N-terminal dipeptides from protein substrates. In immune cells, it is critical for the activation of granule-associated serine proteases such as cathepsin G, neutrophil elastase, and proteinase 3. The enzyme is synthesized as an inactive zymogen and undergoes proteolytic processing to become active. Deficiency due to CTSC mutations leads to accumulation of inactive pro-proteases, resulting in impaired neutrophil bactericidal activity and the clinical features of Papillon-Lefèvre and Haim-Munk syndromes.

Related Products

Product name Cat.No. Species Gene ID
CTSC Knockout HEK293 Cell Line EDJ-KQ3284 Human 1075 Details Get a Quote
CTSC Knockout A-549 Cell Line EDJ-KQ24848 Human 1075 Details Get a Quote
CTSC Knockout HCT 116 Cell Line EDJ-KQ24849 Human 1075 Details Get a Quote
CTSC Knockout HeLa Cell Line EDJ-KQ24850 Human 1075 Details Get a Quote
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