Dipeptidyl-peptidase IV (CD26)--role in the inactivation of regulatory peptides

Regul Pept. 1999 Nov 30;85(1):9-24. doi: 10.1016/s0167-0115(99)00089-0.


Dipeptidyl-peptidase IV (DPP IV/CD26) has a dual function as a regulatory protease and as a binding protein. Its role in the inactivation of bioactive peptides was recognized 20 years ago due to its unique ability to liberate Xaa-Pro or Xaa-Ala dipeptides from the N-terminus of regulatory peptides, but further examples are now emerging from in vitro and vivo experiments. Despite the minimal N-terminal truncation by DPP IV, many mammalian regulatory peptides are inactivated--either totally or only differentially--for certain receptor subtypes. Important DPP IV substrates include neuropeptides like neuropeptide Y or endomorphin, circulating peptide hormones like peptide YY, growth hormone-releasing hormone, glucagon-like peptides(GLP)-1 and -2, gastric inhibitory polypeptide as well as paracrine chemokines like RANTES (regulated on activation normal T cell expressed and secreted), stromal cell-derived factor, eotaxin and macrophage-derived chemokine. Based on these findings the potential clinical uses of selective DPP IV inhibitors or DPP IV-resistant analogues, especially for the insulinotropic hormone GLP-1, have been tested to enhance insulin secretion and to improve glucose tolerance in diabetic animals. Thus, DPP IV appears to be a major physiological regulator for some regulatory peptides, neuropeptides, circulating hormones and chemokines.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Catalysis
  • Chemokines / metabolism
  • Dipeptidyl Peptidase 4 / classification
  • Dipeptidyl Peptidase 4 / metabolism
  • Dipeptidyl Peptidase 4 / physiology*
  • Hormones / metabolism
  • Humans
  • Neuropeptides / metabolism
  • Peptides / metabolism*
  • Peptides / physiology
  • Tissue Distribution


  • Chemokines
  • Hormones
  • Neuropeptides
  • Peptides
  • Dipeptidyl Peptidase 4