Proteinase inhibitors are proteins in the body that regulate the catalytic
activity of proteinases. They are important in a large variety of physiolog
ic processes including coagulation digestion, tumor metastasis and immunity
. Proteinase inhibitors are categorized as either nonspecific proteinase in
hibitors or class-specific proteinase inhibitors. Nonspecific proteinase in
hibitors are comprised soley of the alpha macroglobulins, most notably alph
a(2)-macroglobulin. Class-specific proteinase inhibitors are subcategorized
as serine proteinase inhibitors, aspartic proteinase inhibitors, metallopr
oteinase inhibitors, and cysteine proteinase inhibitors. Each subcategory i
s made up of numerous inhibitors. As the roles of individual proteinase inh
ibitors are determined, the therapeutic use of natural and synthetic protei
nase inhibitors is also being investigated. The purpose of this article is
to review the history and classification of proteinase inhibitors and their
relevance to veterinary medicine.