Cathepsins are a type of endopeptidase present in the majority of cells, leading to cell autolysis and the autodigestion of tissues. They are categorized into serine (cathepsins A and G), aspartic (cathepsins D and E), and cysteine cathepsins (cathepsins B, C, F, H, K, L, O, S, V, W, and X) based on their structural characteristics and catalytic mechanisms (
1-
3). Among the various cathepsins, cathepsin B (CatB) holds significant relevance due to its critical involvement in numerous pathologies and carcinogenic processes (
2). The CatB is a lysosomal cysteine protease belonging to the papain family, which is essential for intracellular protein catabolism (
1,
4,
5). It is produced in the rough endoplasmic reticulum (RER) as a proenzyme consisting of 339 amino acids, accompanied by a 17 amino acid signal peptide. This enzyme plays a crucial role in degrading excess organelles and proteins within the acidic environment of lysosomes, thereby facilitating recycling processes (
3,
6). Additionally, it participates in various physiological functions, including antigen processing during the immune response, hormone activation, and the regulation of blood circulation (
1,
4,
7). The CatB is implicated in the pathogenesis of chronic inflammatory diseases (3,5) and is also associated with cancer (
7,
8). The CatB enzyme exhibits activity outside the cell in tumors and plasma (
1,
4,
6). Cathepsins serve a dual function in tumor progression, with this process being contingent upon the equilibrium between proteases and their inhibitors (
5). In numerous tumor cells, the expression of the enzyme CatB is elevated, serving as a prognostic and therapeutic marker for various cancers. Lysosomal cathepsins are frequently present in cancer cells to meet metabolic demands linked to heightened invasion and metastasis (
1,
5,
8,
9). The increased expression of CatB in many human cancers at both the mRNA and protein levels indicates that this enzyme may possess pro-apoptotic characteristics (
5,
8,
9). The CatB is located on chromosome 8p22, which is recognized as a tumor suppressor. Alternative splicing plays a significant role in the oncogenic potential of CatB (
2).
Considering the specific functional role of CatB in cancer cells, there are presently two methods to directly or indirectly influence cancer cell death by targeting it: (A) Inhibition of the proteolytic enzyme CatB's activity. As CatB is involved in cancer metastasis by modifying extracellular matrix remodeling and promoting angiogenesis, its inhibition leads to a decrease in the migration, invasion, and proliferation of cancer cells. RNA interference can be employed to inhibit CatB, thus diminishing the invasion, growth, and angiogenesis of gliomas (
1,
5); (B) Enhanced lysosomal permeability, which results in the release of CatB into the cytoplasm and subsequent apoptosis of tumor cells, has been extensively studied in therapeutic strategies targeting CatB for various cancer types. Nevertheless, since increased lysosomal permeability can induce cancer cell death, potential side effects must be assessed when utilizing these drugs (
1).
The application of CatB inhibitors in vitro has demonstrated a reduction in both the motility and invasion of tumor cells. The inhibitors employed encompass a range of protein inhibitors, some of which are of endogenous origin and serve as regulators of CatB activity within the cell, such as cystatins. Conversely, certain exogenous protein inhibitors have been extracted from various natural sources. The utilization of X-ray crystal structures of CatB in complex with these protein inhibitors has facilitated the design and synthesis of numerous new small molecular weight compounds that act as CatB inhibitors. Typically, these compounds feature an electrophilic moiety that interacts with CatB (
4).