title: Proprotein convertase subtilisin/kexin type 4 in mammalian fertility: a review.
abstract: BACKGROUND
  Proprotein convertase subtilisin/kexin type 4 (PCSK4), also known as proprotein convertase 4, belongs to a family of endoproteinases involved in the proteolytic conversion of secretory precursor proteins to their active forms. Its amino acid sequence is highly conserved in mammals, an indication of its biological importance.
  
  
  METHODS
  We have searched PubMed and molecular biology databases for information relating to the structure, expression and biological functions of PCSK4.
  
  
  RESULTS
  PCSK4 is predominantly expressed in male germ cells and located on the plasma membrane overlying the acrosome of sperm. It is also present in ovary and placenta. Inactivation of its gene in mouse does not alter spermatogenesis, but renders sperm incapable of fertilizing oocytes. This incapacity results in part from sperm susceptibility to a premature acrosome reaction and their reduced ability to bind to the zona pellucida. In female mice, a lack of PCSK4 causes subfertility associated with impaired folliculogenesis. In addition, this enzyme has been shown to stimulate the invasiveness of human placental trophoblasts in culture, suggesting that it may facilitate placentation in vivo.
  
  
  CONCLUSIONS
  PCSK4 appears to be a crucial enzyme for reproduction. Alterations of PCSK4 expression or activity could be the underlying cause of some unexplained cases of human infertility. Conversely, inactivation of this protease represents a potential strategy for non-hormonal contraception.
authors.affiliation: Ottawa Health Research Institute, ON, Canada.
authors.forename: Charles
authors.initials: C
authors.lastname: Gyamera-Acheampong
authors.forename: Majambu
authors.initials: M
authors.lastname: Mbikay
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D015415:Biomarkers; D005260:Female; D005298:Fertility; D006801:Humans; D008297:Male; D051379:Mice; D008969:Molecular Sequence Data; D010053:Ovary / Q000201:enzymology; D043484:Proprotein Convertases / Q000737:chemistry / Q000235:genetics / Q000378:metabolism / Q000502:physiology*; D017434:Protein Structure, Tertiary; D016415:Sequence Alignment; D013094:Spermatozoa / Q000201:enzymology; D013381:Subtilisins / Q000737:chemistry / Q000235:genetics / Q000378:metabolism / Q000502:physiology*; D013737:Testis / Q000201:enzymology
chemical_list: D015415:Biomarkers; C489716:PCSK4 protein, human; D043484:Proprotein Convertases; D013381:Subtilisins