Abstract

Arginase is a widely known enzyme of the urea cycle that catalyzes the hydrolysis of L-arginine to L-ornithine and urea. The action of arginase goes beyond the boundaries of hepatic ureogenic function, being widespread through most tissues. Two arginase isoforms coexist, the type I (Arg1) predominantly expressed in the liver and the type II (Arg2) expressed throughout extrahepatic tissues. By producing L-ornithine while competing with nitric oxide synthase (NOS) for the same substrate (L-arginine), arginase can influence the endogenous levels of polyamines, proline, and NO•. Several pathophysiological processes may deregulate arginase/NOS balance, disturbing the homeostasis and functionality of the organism. Upregulated arginase expression is associated with several pathological processes that can range from cardiovascular, immune-mediated, and tumorigenic conditions to neurodegenerative disorders. Thus, arginase is a potential biomarker of disease progression and severity and has recently been the subject of research studies regarding the therapeutic efficacy of arginase inhibitors. This review gives a comprehensive overview of the pathophysiological role of arginase and the current state of development of arginase inhibitors, discussing the potential of arginase as a molecular imaging biomarker and stimulating the development of novel specific and high-affinity arginase imaging probes.

Highlights

  • The identification of the Krebs–Henseleit urea cycle in the early 1930s highlighted the importance of arginase, a manganese-containing enzyme that catalyzes the conversion of L-arginine to urea and L-ornithine

  • The design of isoform-specific arginase inhibitors has shown to be challenging since the difference between the active-site of Arg1 and Arg2 is limited to minor structural variations (Figure 2A)

  • The development of arginase inhibitors by structure-based drug design resulted in several potent compounds

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Summary

Introduction

The identification of the Krebs–Henseleit urea cycle in the early 1930s highlighted the importance of arginase, a manganese-containing enzyme that catalyzes the conversion of L-arginine to urea and L-ornithine. TDiteysipsitsehabreeindgbeynbcootdhedisobfyordmifsfe, raenndt galelnaecst,ivaep-psritoexrimesaidteuleys6i1n%voolvf ethdeinamsuinbostaractide sequence identity is shared by both isoforms, and all active-site residues involved in substrate binding, as well as the binuclear Mn2+ cluster core, are strictly conserved (Figure 2A). These Mn2+ ions are approximately 3.3 Å apart, bridged by an OH− ion, and mainly surrounded by negatively charged. Alongside the importance of a balanced M1/M2 polarization sequence, to maintain homeostasis, and of a regulatory feedback pathway (e.g., type 1 helper T cells stimulate NO levels but can be inhibited by this gas to prevent an exacerbated immune response), there is a microenvironment-dependent multifactorial signaling cascade able to regulate macrophage plasticity and to promote the development and differentiation of T cells and cytokines. The mapping of arginase expression holds high potential as a molecular imaging biomarker for the identification and follow up of neoplastic, inflammatory, and allergic disorders

Cardiovascular Endothelium
Neuronal Cells
Overview of the Pathologies Related to Arginase Deregulation
Development of Arginase Inhibitors
Arginase Inhibitors from the First and Second Generation
Third Generation of Arginase Inhibitors
Non-Amino Acid-Based Arginase Inhibitors
Molecular Imaging of Arginase
Molecular Imaging Modalities
Future Perspectives for Arginase-Directed Radiotracers
Findings
Conclusions
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