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25 sources retrieved · Most recent: April 2026 · Index updated 14 days ago
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CTSL
cathepsin L
Chromosome 9 · 9q21.33
NCBI Gene: 1514Ensembl: ENSG00000135047.16HGNC: HGNC:2537UniProt: P07711
277PubMed Papers
20Diseases
0Drugs
0Pathogenic Variants
FUNCTIONAL ROLE
Protease
DATA QUALITY
✓ Experimental GO Evidence✓ Swiss-Prot Reviewed
cellular response to thyroid hormone stimulusGO:0005615lysosomemultivesicular bodyneurodegenerative diseaseCOVID-19Parkinson diseaseAlzheimer disease
✦AI Summary

CTSL encodes cathepsin L, a lysosomal cysteine protease with diverse cellular functions. The enzyme primarily functions in proteolytic processing, including cleavage of the CUX1 transcription factor to regulate cell cycle progression 1. CTSL demonstrates broad substrate specificity, processing complement component C3 into biologically active C3a and C3b fragments that support T cell homeostasis and effector differentiation 2. The protease also facilitates viral entry, particularly for SARS-CoV-2, by cleaving spike proteins to enable membrane fusion during endosomal entry 3. CTSL expression is elevated in various cancers including glioblastoma, gastric cancer, and lung cancer, where high expression correlates with poor overall survival 45. In the tumor microenvironment, macrophage-derived CTSL promotes epithelial-mesenchymal transition and cancer cell migration and metastasis 6. The enzyme's upregulation in cancer tissues may increase susceptibility to SARS-CoV-2 infection, as CTSL expression is significantly higher than ACE2 in both normal and malignant lung tissues 5. Therapeutically, CTSL inhibition shows promise for both cancer treatment and antiviral therapy, with compounds like cordycepin and UNC0638 effectively reducing CTSL activity 53.

Sources cited
1
CTSL processes CUX1 transcription factor to regulate cell cycle progression
PMID: 15099520
2
CTSL processes C3 complement into C3a and C3b fragments for T cell homeostasis
PMID: 24315997
3
CTSL cleaves SARS-CoV-2 spike proteins for viral entry via endosomal pathway
PMID: 40530850
4
High CTSL expression in glioblastoma correlates with poor survival
PMID: 34807310
5
CTSL is highly expressed in lung cancer and correlates with poor overall survival
PMID: 35414771
6
Macrophage-derived CTSL promotes epithelial-mesenchymal transition and cancer metastasis
PMID: 39713169
7
CTSL expression is higher than ACE2 in normal and malignant lung tissues
PMID: 35414771
Disease Associationsⓘ20
neurodegenerative diseaseOpen Targets
0.56Moderate
COVID-19Open Targets
0.39Weak
Parkinson diseaseOpen Targets
0.38Weak
Alzheimer diseaseOpen Targets
0.38Weak
severe acute respiratory syndromeOpen Targets
0.37Weak
lysosomal storage diseaseOpen Targets
0.37Weak
multiple sclerosisOpen Targets
0.37Weak
Genu valgumOpen Targets
0.27Weak
Genu varumOpen Targets
0.25Weak
neoplasmOpen Targets
0.12Weak
Alopecia-intellectual disability syndromeOpen Targets
0.11Weak
Alopecia universalisOpen Targets
0.11Weak
breast cancerOpen Targets
0.10Weak
head and neck squamous cell carcinomaOpen Targets
0.10Weak
ovarian cancerOpen Targets
0.10Weak
gastric cancerOpen Targets
0.10Weak
cancerOpen Targets
0.10Suggestive
Alymphoid cystic thymic dysgenesisOpen Targets
0.09Suggestive
hypotrichosis simplexOpen Targets
0.09Suggestive
balanoposthitisOpen Targets
0.09Suggestive
Pathogenic Variants
No pathogenic variants reported on ClinVar for this gene.
View on ClinVar ↗
Related Genes
CD74Protein interaction99%CST3Protein interaction95%CST7Protein interaction94%BCL2Protein interaction91%BCL2L1Protein interaction90%TMPRSS2Protein interaction84%
Tissue Expression6 tissues
Bone Marrow
100%
Liver
92%
Lung
74%
Heart
73%
Ovary
57%
Brain
20%
Gene Interaction Network
Click a node to explore
CTSLCD74CST3CST7BCL2BCL2L1TMPRSS2
PROTEIN STRUCTURE
Preparing viewer…
PDB2XU3 · 0.90 Å · X-ray
View on RCSB ↗
Constraintⓘ
LOEUFⓘ
0.93LoF Tolerant
pLIⓘ
0.00Tolerant
Observed/Expected LoF0.66 [0.47–0.93]
RankingsWhere CTSL stands among ~20K protein-coding genes
  • #1,311of 20,598
    Most Researched277 · top 10%
  • #8,610of 17,882
    Most Constrained (LOEUF)0.93
Genes detectedCTSL
Sources retrieved25 papers
Response time—
📄 Sources
25▼
1
Intracellular complement activation sustains T cell homeostasis and mediates effector differentiation.
PMID: 24315997
Immunity · 2013
1.00
2
Expressions and significances of CTSL, the target of COVID-19 on GBM.
PMID: 34807310
J Cancer Res Clin Oncol · 2022
0.90
3
Genomic, epigenomic, and immune subtype analysis of CTSL/B and SARS-CoV-2 receptor ACE2 in pan-cancer.
PMID: 33231569
Aging (Albany NY) · 2020
0.80
4
Phylogenetic relationships and gene expression pattern of three different cathepsin L (Ctsl) isoforms in zebrafish: Ctsla is the putative yolk processing enzyme.
PMID: 17027199
Gene · 2007
0.70
5
Cathepsin L induces cellular senescence by upregulating CUX1 and p16
PMID: 38944813
Aging (Albany NY) · 2024
0.64