Inhibits serine proteases (e.g., cathepsin G, chymases), modulating extracellular matrix remodeling and inflammation .
Attenuates angiotensin-1 conversion to angiotensin-2, influencing blood pressure regulation .
Neurogenesis: Overexpression in mice increases outer radial glia (oRG) proliferation, upper-layer neurons, and neocortical folding .
Cognitive Enhancement: Linked to improved cognitive abilities in murine models via Glo1-mediated pathways .
Pro-Inflammatory Role:
Anti-Inflammatory Role:
Coronary Artery Disease (CAD):
Aortic Aneurysm: Reduced expression in abdominal aortic aneurysm (AAA) tissues .
Liver Disease: Mutations linked to α-1-antitrypsin deficiency and cirrhosis .
Cancer: Overexpressed in malignant fibrous histiocytoma and gliomas .
NF-κB Activation: Drives pro-inflammatory cytokine production in endothelial cells .
Glo1 Regulation: SERPINA3 binds the Glo1 promoter, enhancing glyoxalase-1 activity and reducing neurotoxic methylglyoxal .
Oxidative Stress: Modulates KEAP1-NRF2 and SOD2 pathways, impacting cellular redox balance .
Biomarker Utility:
Therapeutic Targets:
SERPINA3 is a gene encoding for a member of the serine protease inhibitor family of acute phase proteins. Although serpins are predominantly produced in the liver, SERPINA3 is also synthesized in the brain, primarily by astrocytes, and has been implicated in neuroinflammation and neurodegeneration . Beyond its canonical role as a protease inhibitor, recent research has revealed that SERPINA3 functions as a transcriptional regulator, influencing gene expression related to neurogenesis .
Human SERPINA3 shares approximately 61% homology with murine Serpina3n . A critical distinction is that SERPINA3 is highly expressed in radial glial cells during human neurodevelopment, whereas Serpina3n is not expressed in the brain during mouse neurodevelopment . This significant difference suggests that SERPINA3 may have evolved specific functions in human cortical development that are absent in mice, potentially contributing to the evolutionary expansion of the human neocortex.
SERPINA3 exhibits dramatic up-regulation in all forms of human prion diseases, though with varying magnitudes across different disease subtypes. Research data reveals the following fold changes (FC) in SERPINA3 expression relative to healthy controls:
Group | Number (n=) | SERPINA3 FC | p value |
---|---|---|---|
CTRL | 30 | — | — |
sCJD | 23 | 40.28 | 0.0000000003 |
GSS | 4 | 12.17 | 0.0870036245 |
FFI | 9 | 52.66 | 0.0000648544 |
gCJD | 17 | 39.12 | 0.0000000019 |
vCJD | 20 | 38.80 | 0.0000001227 |
iCJD | 11 | 347.07 | 0.0000000458 |
AD | 14 | 6.72 | 0.0023142762 |
The most pronounced up-regulation occurs in iatrogenic CJD (iCJD) patients, with an extraordinary fold change of 347 . This up-regulation is consistently observed at both mRNA and protein levels across all prion disease variants.
The differential expression of SERPINA3 between prion diseases and Alzheimer's disease (AD) is striking and potentially diagnostically valuable. While prion diseases show massive up-regulation of SERPINA3 (FC ranging from approximately 12 to 347), Alzheimer's disease exhibits only modest up-regulation (FC = 6.7) . This substantial difference suggests that SERPINA3 expression levels could serve as a molecular signature to differentiate prion diseases from AD in research and potentially clinical contexts. The protein expression level in CJD samples was found to be six-fold higher than those of controls, providing further evidence of this distinction .
Both SERPINA3 and GFAP (a marker of astrogliosis) show parallel patterns of up-regulation in prion diseases, although GFAP up-regulation is less pronounced than SERPINA3. The highest GFAP up-regulation was observed in gCJD (FC = 5.2) and iCJD (FC = 5) patients, followed by sCJD (FC = 3), GSS (FC = 2.9, not statistically significant), vCJD (FC = 2.8), and FFI (FC = 2.2) . No significant changes in GFAP expression were detected in AD samples. Immunohistochemical analysis revealed diffuse and strong immunoreactivity for both proteins in vCJD and iCJD samples, while in sCJD and AD specimens, the reactivity was more confined to astrocytes and less pronounced .
SERPINA3 has been identified as a key factor in promoting neocortical expansion and folding (gyrification), processes that are linked to higher cognitive functions in humans. Experimental evidence shows that when overexpressed in the embryonic mouse neocortex, SERPINA3:
Promotes the generation and self-renewal of basal progenitors (BPs)
Increases cortical thickness and induces gyrification
Enhances the abundance of neurons, particularly upper-layer neurons
The conditional expression of SERPINA3 in mice led to a cerebral cortex with featured sulci and gyri, increasing the gyrification index from 1.0 (wild-type) to 1.05 . These findings suggest SERPINA3's involvement in the evolutionary expansion of the human neocortex.
SERPINA3 is expressed in human radial glial cells during brain development, particularly in the ventricular zone (VZ) and subventricular zone (SVZ), where it colocalizes with SOX2 . Its expression is higher in neural progenitor cells (NPCs) than in differentiated neurons. Functionally, SERPINA3 overexpression increases:
The number of PAX6+GFP+ neural progenitor cells
The percentage of HOPX+GFP+ cells, indicating enhanced generation of outer radial glia (oRG)
Cell proliferation, demonstrated by increased phosphorylated histone H3 (PH3) staining
The proportion of cells entering S-phase, as shown by bromodeoxyuridine (BrdU) pulse experiments
These findings collectively indicate that SERPINA3 promotes NPC proliferation and oRG generation, which are critical processes for cortical expansion.
Research has identified that SERPINA3 functions as a transcription factor or cofactor to promote the expression of Glo1, a gene previously implicated in basal progenitor proliferation . Specifically, SERPINA3 increases the proliferation of outer radial glia (oRG) by binding to the Glo1 promoter. This transcriptional regulatory function represents a novel mechanism beyond SERPINA3's canonical role as a protease inhibitor. The subcellular localization of SERPINA3 in human neural progenitor cells is primarily nuclear, consistent with its role in transcriptional regulation .
For comprehensive analysis of SERPINA3 expression in brain tissue, researchers should employ multiple complementary approaches:
RT-qPCR for mRNA quantification: Use multiple reference genes (ACTB, RPL19, GAPDH, and B2M) for normalization. In control samples, SERPINA3 mRNA is typically present at very low levels (average Ct of 31.2), sometimes barely detectable .
Western blot analysis for protein quantification: Normalize against β-actin levels. Look for both the main SERPINA3 band and lower molecular weight bands that may represent poorly glycosylated isoforms, which are visible only in prion-infected samples .
Immunohistochemistry and immunofluorescence: For spatial distribution analysis and cellular localization. When examining prion diseases, consider co-staining with GFAP to assess correlation with astrogliosis .
For cerebrospinal fluid analysis, protein levels can be assessed, though significant differences between AD and sCJD samples have not been observed in current studies .
Based on current research protocols, effective approaches for investigating SERPINA3 function in neural development include:
In utero electroporation (IUE): For temporal and spatial-specific manipulation of SERPINA3 expression in the developing mouse brain. This technique has been successfully used to transfer SERPINA3 overexpression vectors into neural progenitor cells at embryonic day 13.5 .
Conditional knock-in mouse models: To express human SERPINA3 in specific cell populations. These models allow examination of phenotypic consequences, including cortical folding and cognitive enhancements .
Human brain organoids: For studying SERPINA3 expression and function in a human-specific developmental context. This approach can validate findings from immunostaining of human brain sections .
Single-cell RNA sequencing (scRNA-Seq): To comprehensively analyze cell-type-specific changes resulting from SERPINA3 manipulation. This technique has revealed increased proportions of layer II/III neurons in SERPINA3 knock-in mice .
ShRNA knockdown experiments: To investigate the consequences of reduced SERPINA3 expression in human neural progenitor cells and their differentiated progeny .
To investigate SERPINA3's role as a transcriptional regulator, researchers should consider:
Chromatin immunoprecipitation (ChIP) assays: To identify direct binding of SERPINA3 to target gene promoters, such as the Glo1 promoter .
Reporter gene assays: To quantify the effects of SERPINA3 on the transcriptional activity of target promoters.
Subcellular localization studies: High-resolution immunofluorescence staining to confirm nuclear localization of SERPINA3 in relevant cell types .
Transcriptomic analyses: To identify broader gene expression changes associated with SERPINA3 manipulation, potentially revealing additional transcriptional targets.
Protein-protein interaction studies: To identify potential cofactors that may collaborate with SERPINA3 in transcriptional regulation.
The dramatically different levels of SERPINA3 up-regulation across prion disease subtypes—particularly the extraordinary levels in iCJD (FC = 347)—raise important questions about underlying pathogenic mechanisms. This differential expression may reflect:
Variations in astrocytic responses to different prion strains
Differences in inflammatory processes or microglial activation
Disease-specific patterns of neuronal damage
Varying rates of disease progression or duration
The presence of lower molecular weight SERPINA3 isoforms (likely representing poorly glycosylated forms) exclusively in prion-infected samples suggests disease-specific post-translational modifications that may affect protein function . Future research should investigate whether these differential expression patterns correlate with specific clinical features or neuropathological findings, and whether targeting SERPINA3 could modify disease progression.
The discovery that SERPINA3 promotes cortical folding and enhanced cognitive abilities has significant implications for understanding human brain evolution. Since human SERPINA3 is expressed in neural progenitors while its murine homolog is absent from the developing mouse brain, it may represent a human-specific adaptation contributing to neocortical expansion .
Advanced research questions include:
Does the sequence or regulation of SERPINA3 show evidence of positive selection in the human lineage?
How does SERPINA3 expression correlate with the degree of cortical folding across primate species?
What evolutionary changes in the SERPINA3 gene or its regulatory elements might have contributed to human-specific cortical development?
Could SERPINA3's dual roles in neuroinflammation and cortical development represent an evolutionary trade-off?
SERPINA3 conditional knock-in mice exhibit enhanced learning and memory abilities in behavioral tests, suggesting a direct link between SERPINA3 expression and cognitive enhancement . This raises sophisticated questions about the cellular and circuit-level mechanisms by which SERPINA3-induced changes in cortical structure translate to improved cognitive function:
Which specific cognitive domains are enhanced by SERPINA3 expression?
How do the increased numbers of upper-layer neurons affect neural circuit formation and function?
What are the electrophysiological properties of neurons in SERPINA3-induced cortical folds?
Are there critical developmental windows during which SERPINA3 expression most significantly impacts cognitive outcomes?
Could modulation of SERPINA3 or its downstream targets have therapeutic potential for neurodevelopmental disorders characterized by intellectual disability?
Addressing these questions requires sophisticated behavioral testing paradigms combined with electrophysiological recordings, circuit tracing, and temporally controlled gene expression manipulations.
Sample accessibility: While brain tissue shows clear differences, CSF levels showed no significant differences between AD and sCJD in current studies .
Sensitivity and specificity: Comprehensive analysis across larger cohorts including other neurodegenerative conditions is needed.
Temporal dynamics: Understanding how SERPINA3 levels change throughout disease progression would inform optimal timing for biomarker assessment.
Detection methods: Development of highly sensitive assays for detecting SERPINA3 in accessible biofluids would be necessary for clinical application.
Future research should investigate whether blood or CSF SERPINA3 levels, particularly specific isoforms, could serve as accessible biomarkers with sufficient sensitivity and specificity for clinical utility.
The discovery that SERPINA3 induces neocortical folding suggests potential therapeutic applications for lissencephaly syndromes (disorders characterized by smooth brain surface) . Research considerations include:
Developmental timing: Identifying critical windows during which SERPINA3-based interventions might be effective.
Delivery methods: Developing approaches to deliver SERPINA3 or activate its downstream pathways in the developing brain.
Target specificity: Determining whether broad SERPINA3 expression or targeted activation in specific progenitor populations would be more effective and safer.
Downstream effectors: Identifying whether targeting Glo1 or other downstream factors might provide more precise intervention options.
Safety profile: Assessing potential unintended consequences of SERPINA3 upregulation, given its roles in inflammation and neurodegeneration.
These translational efforts would require extensive preclinical testing in appropriate animal models of lissencephaly before any clinical applications could be considered.
Alpha-1 Antichymotrypsin (AACT), also known as SERPINA3, is a glycoprotein and a member of the serpin (serine protease inhibitor) superfamily. It is encoded by the SERPINA3 gene located on chromosome 14 in humans . AACT plays a crucial role in inhibiting the activity of certain proteases, such as cathepsin G and chymases, which are involved in various physiological and pathological processes .
AACT is composed of 423 amino acids and has a molecular weight of approximately 47.651 kDa . The protein structure includes an α-helix, β-folded sheets, and a reaction center loop (RCL) . It is primarily synthesized in the liver and then secreted into the bloodstream . Additionally, AACT is expressed in other organs, including the brain and aorta, and is secreted by astrocytes .
As a serine protease inhibitor, AACT’s primary function is to inhibit proteases like neutrophil cathepsin G and mast cell chymase . This inhibition is essential for protecting cells and tissues from damage caused by proteolysis during inflammation . AACT is also involved in maintaining intracellular homeostasis and extracellular matrix reconstruction .
AACT is an acute-phase protein, meaning its levels increase in response to inflammation . It is associated with several clinical conditions, including liver disease, Parkinson’s disease, chronic obstructive pulmonary disease (COPD), and Alzheimer’s disease . In Alzheimer’s disease, AACT is tightly associated with amyloid plaques and enhances the formation of amyloid-fibrils .
Recent studies have highlighted the potential of AACT as a biomarker for cancer diagnosis, prognosis, and therapy prediction . Dysregulation of AACT and its glycosylation levels are linked to tumor progression and recurrence . AACT expression levels have been associated with overall survival in patients with various cancers, including liver, pancreatic, and lung cancers .