General Information of Drug Off-Target (DOT) (ID: OT1K68KE)

DOT Name Cystatin-A (CSTA)
Synonyms Cystatin-AS; Stefin-A
Gene Name CSTA
Related Disease
Psoriasis ( )
Adenocarcinoma ( )
Advanced cancer ( )
Anxiety ( )
Anxiety disorder ( )
Asthma ( )
Atopic dermatitis ( )
Benign prostatic hyperplasia ( )
Brain neoplasm ( )
Breast carcinoma ( )
Chronic obstructive pulmonary disease ( )
Craniosynostosis ( )
Depression ( )
Ductal breast carcinoma in situ ( )
Esophageal squamous cell carcinoma ( )
Exanthem ( )
Generalized anxiety disorder ( )
Glaucoma/ocular hypertension ( )
Head-neck squamous cell carcinoma ( )
Hepatocellular carcinoma ( )
Invasive breast carcinoma ( )
Laryngeal carcinoma ( )
Lung cancer ( )
Lung carcinoma ( )
Lung neoplasm ( )
Maxillary sinusitis ( )
Melanoma ( )
Nasopharyngeal carcinoma ( )
Neoplasm ( )
Non-small-cell lung cancer ( )
Osteoarthritis ( )
Peeling skin syndrome 4 ( )
Post-traumatic stress disorder ( )
Squamous cell carcinoma ( )
Type-1/2 diabetes ( )
Glioblastoma multiforme ( )
Obesity ( )
Acral peeling skin syndrome ( )
Exfoliative ichthyosis ( )
Breast cancer ( )
Breast neoplasm ( )
Invasive ductal breast carcinoma ( )
Matthew-Wood syndrome ( )
Metastatic malignant neoplasm ( )
Pancreatic ductal carcinoma ( )
UniProt ID
CYTA_HUMAN
3D Structure
Download
2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
PDB ID
1CYU; 1CYV; 1DVC; 1DVD; 1GD3; 1GD4; 1N9J; 1NB3; 1NB5; 3K9M; 3KFQ; 3KSE; 8GT0; 8GT7
Pfam ID
PF00031
Sequence
MIPGGLSEAKPATPEIQEIVDKVKPQLEEKTNETYGKLEAVQYKTQVVAGTNYYIKVRAG
DNKYMHLKVFKSLPGQNEDLVLTGYQVDKNKDDELTGF
Function This is an intracellular thiol proteinase inhibitor. Has an important role in desmosome-mediated cell-cell adhesion in the lower levels of the epidermis.
Tissue Specificity Expressed in the skin throughout the epidermis.
Reactome Pathway
Formation of the cornified envelope (R-HSA-6809371 )

Molecular Interaction Atlas (MIA) of This DOT

45 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Psoriasis DIS59VMN Definitive Biomarker [1]
Adenocarcinoma DIS3IHTY Strong Altered Expression [2]
Advanced cancer DISAT1Z9 Strong Biomarker [3]
Anxiety DISIJDBA Strong Biomarker [4]
Anxiety disorder DISBI2BT Strong Biomarker [4]
Asthma DISW9QNS Strong Genetic Variation [5]
Atopic dermatitis DISTCP41 Strong Genetic Variation [5]
Benign prostatic hyperplasia DISI3CW2 Strong Biomarker [6]
Brain neoplasm DISY3EKS Strong Biomarker [7]
Breast carcinoma DIS2UE88 Strong Biomarker [8]
Chronic obstructive pulmonary disease DISQCIRF Strong Altered Expression [9]
Craniosynostosis DIS6J405 Strong Altered Expression [10]
Depression DIS3XJ69 Strong Biomarker [11]
Ductal breast carcinoma in situ DISLCJY7 Strong Biomarker [8]
Esophageal squamous cell carcinoma DIS5N2GV Strong Altered Expression [12]
Exanthem DISAFOQN Strong Biomarker [13]
Generalized anxiety disorder DISPSQCW Strong Biomarker [11]
Glaucoma/ocular hypertension DISLBXBY Strong Biomarker [14]
Head-neck squamous cell carcinoma DISF7P24 Strong Biomarker [15]
Hepatocellular carcinoma DIS0J828 Strong Biomarker [16]
Invasive breast carcinoma DISANYTW Strong Biomarker [8]
Laryngeal carcinoma DISNHCIV Strong Biomarker [17]
Lung cancer DISCM4YA Strong Altered Expression [2]
Lung carcinoma DISTR26C Strong Altered Expression [2]
Lung neoplasm DISVARNB Strong Altered Expression [2]
Maxillary sinusitis DISTJ9C9 Strong Altered Expression [18]
Melanoma DIS1RRCY Strong Biomarker [19]
Nasopharyngeal carcinoma DISAOTQ0 Strong Biomarker [20]
Neoplasm DISZKGEW Strong Altered Expression [12]
Non-small-cell lung cancer DIS5Y6R9 Strong Altered Expression [9]
Osteoarthritis DIS05URM Strong Biomarker [21]
Peeling skin syndrome 4 DISVMXR0 Strong Autosomal recessive [22]
Post-traumatic stress disorder DISHL1EY Strong Biomarker [13]
Squamous cell carcinoma DISQVIFL Strong Biomarker [2]
Type-1/2 diabetes DISIUHAP Strong Altered Expression [23]
Glioblastoma multiforme DISK8246 moderate Biomarker [24]
Obesity DIS47Y1K moderate Altered Expression [23]
Acral peeling skin syndrome DIS7NJUZ Supportive Autosomal recessive [25]
Exfoliative ichthyosis DISH776B Supportive Autosomal recessive [26]
Breast cancer DIS7DPX1 Limited Biomarker [8]
Breast neoplasm DISNGJLM Limited Altered Expression [27]
Invasive ductal breast carcinoma DIS43J58 Limited Altered Expression [27]
Matthew-Wood syndrome DISA7HR7 Limited Biomarker [28]
Metastatic malignant neoplasm DIS86UK6 Limited Altered Expression [27]
Pancreatic ductal carcinoma DIS26F9Q Limited Altered Expression [28]
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⏷ Show the Full List of 45 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
29 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate increases the expression of Cystatin-A (CSTA). [29]
Ciclosporin DMAZJFX Approved Ciclosporin increases the expression of Cystatin-A (CSTA). [30]
Tretinoin DM49DUI Approved Tretinoin increases the expression of Cystatin-A (CSTA). [31]
Acetaminophen DMUIE76 Approved Acetaminophen increases the expression of Cystatin-A (CSTA). [32]
Doxorubicin DMVP5YE Approved Doxorubicin increases the expression of Cystatin-A (CSTA). [33]
Cupric Sulfate DMP0NFQ Approved Cupric Sulfate increases the expression of Cystatin-A (CSTA). [33]
Cisplatin DMRHGI9 Approved Cisplatin increases the expression of Cystatin-A (CSTA). [34]
Estradiol DMUNTE3 Approved Estradiol decreases the expression of Cystatin-A (CSTA). [35]
Quercetin DM3NC4M Approved Quercetin increases the expression of Cystatin-A (CSTA). [36]
Arsenic trioxide DM61TA4 Approved Arsenic trioxide increases the expression of Cystatin-A (CSTA). [37]
Methotrexate DM2TEOL Approved Methotrexate increases the expression of Cystatin-A (CSTA). [38]
Selenium DM25CGV Approved Selenium decreases the expression of Cystatin-A (CSTA). [39]
Progesterone DMUY35B Approved Progesterone decreases the expression of Cystatin-A (CSTA). [40]
Fulvestrant DM0YZC6 Approved Fulvestrant decreases the expression of Cystatin-A (CSTA). [35]
Demecolcine DMCZQGK Approved Demecolcine increases the expression of Cystatin-A (CSTA). [41]
Diethylstilbestrol DMN3UXQ Approved Diethylstilbestrol affects the expression of Cystatin-A (CSTA). [33]
Azathioprine DMMZSXQ Approved Azathioprine increases the expression of Cystatin-A (CSTA). [42]
Aspirin DM672AH Approved Aspirin increases the expression of Cystatin-A (CSTA). [43]
Cyclophosphamide DM4O2Z7 Approved Cyclophosphamide decreases the expression of Cystatin-A (CSTA). [44]
Hydroxyurea DMOQVU9 Approved Hydroxyurea affects the expression of Cystatin-A (CSTA). [33]
Ampicillin DMHWE7P Approved Ampicillin decreases the expression of Cystatin-A (CSTA). [36]
Genistein DM0JETC Phase 2/3 Genistein increases the expression of Cystatin-A (CSTA). [45]
Afimoxifene DMFORDT Phase 2 Afimoxifene decreases the expression of Cystatin-A (CSTA). [35]
Formaldehyde DM7Q6M0 Investigative Formaldehyde increases the expression of Cystatin-A (CSTA). [41]
Coumestrol DM40TBU Investigative Coumestrol decreases the expression of Cystatin-A (CSTA). [48]
Acetaldehyde DMJFKG4 Investigative Acetaldehyde increases the expression of Cystatin-A (CSTA). [49]
3R14S-OCHRATOXIN A DM2KEW6 Investigative 3R14S-OCHRATOXIN A decreases the expression of Cystatin-A (CSTA). [44]
Nickel chloride DMI12Y8 Investigative Nickel chloride affects the expression of Cystatin-A (CSTA). [33]
OXYQUINOLINE DMZVS9Y Investigative OXYQUINOLINE decreases the expression of Cystatin-A (CSTA). [36]
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⏷ Show the Full List of 29 Drug(s)
2 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene decreases the methylation of Cystatin-A (CSTA). [46]
Bisphenol A DM2ZLD7 Investigative Bisphenol A decreases the methylation of Cystatin-A (CSTA). [47]
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References

1 Proteomics of skin proteins in psoriasis: from discovery and verification in a mouse model to confirmation in humans.Mol Cell Proteomics. 2015 Jan;14(1):109-19. doi: 10.1074/mcp.M114.042242. Epub 2014 Oct 28.
2 Cystatin A suppresses tumor cell growth through inhibiting epithelial to mesenchymal transition in human lung cancer.Oncotarget. 2017 Dec 20;9(18):14084-14098. doi: 10.18632/oncotarget.23505. eCollection 2018 Mar 6.
3 Stefin A-functionalized liposomes as a system for cathepsins S and L-targeted drug delivery.Biochimie. 2019 Nov;166:94-102. doi: 10.1016/j.biochi.2019.05.018. Epub 2019 Jun 1.
4 Determining Factors for Stress Perception Assessed with the Perceived Stress Scale (PSS-4) in Spanish and Other European Samples.Front Psychol. 2018 Jan 26;9:37. doi: 10.3389/fpsyg.2018.00037. eCollection 2018.
5 A nonsynonymous substitution of cystatin A, a cysteine protease inhibitor of house dust mite protease, leads to decreased mRNA stability and shows a significant association with atopic dermatitis.Allergy. 2007 May;62(5):514-9. doi: 10.1111/j.1398-9995.2007.01350.x.
6 Characterization of prostate cancer in needle biopsy by cathepsin B, cell proliferation and DNA ploidy.Anticancer Res. 2010 Mar;30(3):719-25.
7 Cathepsin B and its inhibitor stefin A in brain tumors.Pflugers Arch. 2000;439(3 Suppl):R122-3.
8 Myoepithelial cell-specific expression of stefin A as a suppressor of early breast cancer invasion.J Pathol. 2017 Dec;243(4):496-509. doi: 10.1002/path.4990. Epub 2017 Oct 31.
9 Modulation of cystatin A expression in human airway epithelium related to genotype, smoking, COPD, and lung cancer.Cancer Res. 2011 Apr 1;71(7):2572-81. doi: 10.1158/0008-5472.CAN-10-2046. Epub 2011 Feb 16.
10 Endogenous Protease Inhibitors in Airway Epithelial Cells Contribute to Eosinophilic Chronic Rhinosinusitis.Am J Respir Crit Care Med. 2017 Mar 15;195(6):737-747. doi: 10.1164/rccm.201603-0529OC.
11 Real-World Evidence from the Integrative Medicine Primary Care Trial (IMPACT): Assessing Patient-Reported Outcomes at Baseline and 12-Month Follow-Up.Evid Based Complement Alternat Med. 2019 Jun 26;2019:8595409. doi: 10.1155/2019/8595409. eCollection 2019.
12 Clinicopathological significance of cystatin A expression in progression of esophageal squamous cell carcinoma.Medicine (Baltimore). 2018 Apr;97(15):e0357. doi: 10.1097/MD.0000000000010357.
13 Mental health effects following the eruption in Eyjafjallajkull volcano in Iceland: A population-based study.Scand J Public Health. 2019 Mar;47(2):251-259. doi: 10.1177/1403494817751327. Epub 2018 Jan 9.
14 Cystatin a, a potential common link for mutant myocilin causative glaucoma.PLoS One. 2012;7(5):e36301. doi: 10.1371/journal.pone.0036301. Epub 2012 May 15.
15 Cysteine proteinase inhibitor cystatin C in squamous cell carcinoma of the head and neck: relation to prognosis.Br J Cancer. 2004 May 17;90(10):1961-8. doi: 10.1038/sj.bjc.6601830.
16 Tissue Levels of Stefin A and Stefin B in Hepatocellular Carcinoma.Anat Rec (Hoboken). 2016 Apr;299(4):428-38. doi: 10.1002/ar.23311. Epub 2016 Feb 8.
17 Expression and clinical significance of cathepsin B and stefin A in laryngeal cancer.Oncol Rep. 2011 Oct;26(4):869-75. doi: 10.3892/or.2011.1344. Epub 2011 Jun 9.
18 Differential protein expression in the secretory fluids of maxillary sinusitis and maxillary retention cyst.Eur Arch Otorhinolaryngol. 2017 Jan;274(1):215-222. doi: 10.1007/s00405-016-4167-2. Epub 2016 Jul 15.
19 Contact of high-invasive, but not low-invasive, melanoma cells to native collagen I induces the release of mature cathepsin B.Int J Cancer. 2006 Jun 1;118(11):2735-43. doi: 10.1002/ijc.21700.
20 Identification of candidate nasopharyngeal carcinoma serum biomarkers by cancer cell secretome and tissue transcriptome analysis: potential usage of cystatin A for predicting nodal stage and poor prognosis.Proteomics. 2010 Jul;10(14):2644-60. doi: 10.1002/pmic.200900620.
21 Protein interaction and microRNA network analysis in osteoarthritis meniscal cells.Genet Mol Res. 2013 Mar 13;12(1):738-46. doi: 10.4238/2013.March.13.2.
22 The Gene Curation Coalition: A global effort to harmonize gene-disease evidence resources. Genet Med. 2022 Aug;24(8):1732-1742. doi: 10.1016/j.gim.2022.04.017. Epub 2022 May 4.
23 Increased levels of the megakaryocyte and platelet expressed cysteine proteases stefin A and cystatin A prevent thrombosis.Sci Rep. 2019 Jul 3;9(1):9631. doi: 10.1038/s41598-019-45805-9.
24 The regulation of cysteine cathepsins and cystatins in human gliomas.Int J Cancer. 2012 Oct 15;131(8):1779-89. doi: 10.1002/ijc.27453. Epub 2012 Mar 9.
25 Acral peeling skin syndrome associated with a novel CSTA gene mutation. Clin Exp Dermatol. 2016 Jun;41(4):394-8. doi: 10.1111/ced.12777. Epub 2015 Dec 18.
26 Mutations in CSTA, encoding Cystatin A, underlie exfoliative ichthyosis and reveal a role for this protease inhibitor in cell-cell adhesion. Am J Hum Genet. 2011 Oct 7;89(4):564-71. doi: 10.1016/j.ajhg.2011.09.001. Epub 2011 Sep 22.
27 Primary tumour expression of the cysteine cathepsin inhibitor Stefin A inhibits distant metastasis in breast cancer.J Pathol. 2008 Feb;214(3):337-46. doi: 10.1002/path.2265.
28 Clinical features of cystatin A expression in patients with pancreatic ductal adenocarcinoma.Cancer Sci. 2017 Nov;108(11):2122-2129. doi: 10.1111/cas.13396. Epub 2017 Oct 8.
29 Integrative omics data analyses of repeated dose toxicity of valproic acid in vitro reveal new mechanisms of steatosis induction. Toxicology. 2018 Jan 15;393:160-170.
30 Comparison of HepG2 and HepaRG by whole-genome gene expression analysis for the purpose of chemical hazard identification. Toxicol Sci. 2010 May;115(1):66-79.
31 Pharmacogenomic analysis of acute promyelocytic leukemia cells highlights CYP26 cytochrome metabolism in differential all-trans retinoic acid sensitivity. Blood. 2007 May 15;109(10):4450-60.
32 Predictive toxicology using systemic biology and liver microfluidic "on chip" approaches: application to acetaminophen injury. Toxicol Appl Pharmacol. 2012 Mar 15;259(3):270-80.
33 Quantitative analysis of gene expression changes in response to genotoxic compounds. Toxicol In Vitro. 2017 Mar;39:15-28. doi: 10.1016/j.tiv.2016.11.004. Epub 2016 Nov 5.
34 Activation of AIFM2 enhances apoptosis of human lung cancer cells undergoing toxicological stress. Toxicol Lett. 2016 Sep 6;258:227-236.
35 Estrogen regulation in human breast cancer cells of new downstream gene targets involved in estrogen metabolism, cell proliferation and cell transformation. J Mol Endocrinol. 2004 Apr;32(2):397-414.
36 Comparison of phenotypic and transcriptomic effects of false-positive genotoxins, true genotoxins and non-genotoxins using HepG2 cells. Mutagenesis. 2011 Sep;26(5):593-604.
37 Essential role of cell cycle regulatory genes p21 and p27 expression in inhibition of breast cancer cells by arsenic trioxide. Med Oncol. 2011 Dec;28(4):1225-54.
38 Gene expression profiling of rheumatoid arthritis synovial cells treated with antirheumatic drugs. J Biomol Screen. 2007 Apr;12(3):328-40. doi: 10.1177/1087057107299261. Epub 2007 Mar 22.
39 Selenium and vitamin E: cell type- and intervention-specific tissue effects in prostate cancer. J Natl Cancer Inst. 2009 Mar 4;101(5):306-20.
40 Coordinate up-regulation of TMEM97 and cholesterol biosynthesis genes in normal ovarian surface epithelial cells treated with progesterone: implications for pathogenesis of ovarian cancer. BMC Cancer. 2007 Dec 11;7:223.
41 Characterization of formaldehyde's genotoxic mode of action by gene expression analysis in TK6 cells. Arch Toxicol. 2013 Nov;87(11):1999-2012.
42 A transcriptomics-based in vitro assay for predicting chemical genotoxicity in vivo. Carcinogenesis. 2012 Jul;33(7):1421-9.
43 Effects of aspirin on metastasis-associated gene expression detected by cDNA microarray. Acta Pharmacol Sin. 2004 Oct;25(10):1327-33.
44 Transcriptome-based functional classifiers for direct immunotoxicity. Arch Toxicol. 2014 Mar;88(3):673-89.
45 Quantitative proteomics and transcriptomics addressing the estrogen receptor subtype-mediated effects in T47D breast cancer cells exposed to the phytoestrogen genistein. Mol Cell Proteomics. 2011 Jan;10(1):M110.002170.
46 Air pollution and DNA methylation alterations in lung cancer: A systematic and comparative study. Oncotarget. 2017 Jan 3;8(1):1369-1391. doi: 10.18632/oncotarget.13622.
47 DNA methylome-wide alterations associated with estrogen receptor-dependent effects of bisphenols in breast cancer. Clin Epigenetics. 2019 Oct 10;11(1):138. doi: 10.1186/s13148-019-0725-y.
48 Pleiotropic combinatorial transcriptomes of human breast cancer cells exposed to mixtures of dietary phytoestrogens. Food Chem Toxicol. 2009 Apr;47(4):787-95.
49 Transcriptome profile analysis of saturated aliphatic aldehydes reveals carbon number-specific molecules involved in pulmonary toxicity. Chem Res Toxicol. 2014 Aug 18;27(8):1362-70.