2016
DOI: 10.1111/acel.12564
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PAPP-A: a promising therapeutic target for healthy longevity

Abstract: SummaryPregnancy‐associated plasma protein‐A (PAPP‐A) is a proteolytic enzyme that was discovered to increase local insulin‐like growth factor (IGF) availability for receptor activation through cleavage of inhibitory IGF binding proteins (IGFBPs). Reduced IGF signaling has been associated with increased lifespan and healthspan. Therefore, inhibition of PAPP‐A represents a novel approach to indirectly decrease the availability of bioactive IGF. Here, we will review data in support of PAPP‐A as a therapeutic tar… Show more

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Cited by 37 publications
(34 citation statements)
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“…We found higher levels of peptides for pregnancy‐associated plasma protein A (PAPP‐A) to be associated with increased mortality. Elevations in PAPP‐A levels are present in acute coronary syndromes (Bayes‐Genis et al., ) and have been associated with a number of age‐related disorders, as well as inflammation, prompting a recent suggestion that therapeutic reduction on PAPP‐A may be a strategy to promote healthy aging (Conover & Oxvig, ). The biological underpinnings of other peptides for which levels were positively associated with mortality are less clear but may be worth further investigation.…”
Section: Discussionmentioning
confidence: 99%
“…We found higher levels of peptides for pregnancy‐associated plasma protein A (PAPP‐A) to be associated with increased mortality. Elevations in PAPP‐A levels are present in acute coronary syndromes (Bayes‐Genis et al., ) and have been associated with a number of age‐related disorders, as well as inflammation, prompting a recent suggestion that therapeutic reduction on PAPP‐A may be a strategy to promote healthy aging (Conover & Oxvig, ). The biological underpinnings of other peptides for which levels were positively associated with mortality are less clear but may be worth further investigation.…”
Section: Discussionmentioning
confidence: 99%
“…Future studies will be needed to determine whether Igfbp5 acts by binding to Igf2b to activate Igf1ra and/or Igf1rb in NaR cells. Mammalian cell culture and biochemical studies suggest that IGFBP5 can potentiate IGF action by bringing IGF to the IGF1R through the proteolysis of IGFBP5 or through association with the cellular membrane or extracellular matrix proteins (37,42,43). Whether these mechanisms are involved in Igfbp5a action in NaR cells need to be elucidated with future studies.…”
Section: Discussionmentioning
confidence: 99%
“…To date, two known proteases have been identified. They include the pregnancy-associated plasma proteins, PAPP-A, and PAPP-A2, which are inhibited by the stanniocalcins (8,9). In addition, the ligands, as well as binding proteins, have been shown to interact with IGF family receptors to exert unique effects that are cell and tissue dependent (10,11).…”
Section: The Igf Systemmentioning
confidence: 99%