PMID- 31995266 OWN - NLM STAT- MEDLINE DCOM- 20210517 LR - 20210517 IS - 1742-4658 (Electronic) IS - 1742-464X (Linking) VI - 287 IP - 18 DP - 2020 Sep TI - Human proteinase 3 resistance to inhibition extends to alpha-2 macroglobulin. PG - 4068-4081 LID - 10.1111/febs.15229 [doi] AB - Polymorphonuclear neutrophils contain at least four serine endopeptidases, namely neutrophil elastase (NE), proteinase 3 (PR3), cathepsin G (CatG), and NSP4, which contribute to the regulation of infection and of inflammatory processes. In physiological conditions, endogenous inhibitors including alpha2-macroglobulin (alpha2-M), serpins [alpha1-proteinase inhibitor (alpha1-PI)], monocyte neutrophil elastase inhibitor (MNEI), alpha1-antichymotrypsin, and locally produced chelonianins (elafin, SLPI) control excessive proteolytic activity of neutrophilic serine proteinases. In contrast to human NE (hNE), hPR3 is weakly inhibited by alpha1-PI and MNEI but not by SLPI. alpha2-M is a large spectrum inhibitor that traps a variety of proteinases in response to cleavage(s) in its bait region. We report here that alpha2-M was more rapidly processed by hNE than hPR3 or hCatG. This was confirmed by the observation that the association between alpha2-M and hPR3 is governed by a k(ass) in the