A significant number of exciting papain-like cysteine protease structures h
ave been determined by crystallographic methods over the last several years
. This trove of data allows for an analysis of the structural features that
empower these molecules as they efficiently carry out their specialized ta
sks. Although the structure of the paradigm for the family, papain, has bee
n known for twenty years, recent efforts have reaped several structures of
specialized mammalian enzymes. This review first covers the commonalities o
f architecture and purpose of the papain-like cysteine proteases. From that
broad platform, each of the lysosomal enzymes for which there is an X-ray
structure (or structures) is then examined to gain an understanding of what
structural features are used to customize specificity and activity. Struct
ure-based design of inhibitors to control pathological cysteine protease ac
tivity will also be addressed.