Reverse Proteolysis Uncovers a Hidden Dimension of the Peptidome
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Proteases are classically viewed as degradative enzymes, yet they can also catalyze reverse proteolysis - a process known for decades but rarely examined in disease contexts. Here, we show that cysteine cathepsins efficiently form multi-generation cis/transpeptides, including chimeras between viral/bacterial, and human proteins, revealing a hidden layer of the peptidome complexity with direct relevance to autoimmunity. Importantly, we identified cathepsin S-generated type 1 diabetes super-agonists, directly linking reverse proteolysis to a clinically established autoantigen. Moreover, we demonstrated that this activity is pH dependent, favored by citrullination, and may represent up to 4.5% of total protease activity. To capture these products in a cellular environment, we developed a click chemistry-based technology. These findings expand the protease functional paradigm and uncover a hidden source of disease-relevant antigens.