2016
DOI: 10.1517/17460441.2016.1160884
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Cathepsin K osteoporosis trials, pycnodysostosis and mouse deficiency models: Commonalities and differences

Abstract: Several selective cathepsin K inhibitors have been developed and evaluated in preclinical and clinical studies. Although all compounds were effective in reducing bone resorption markers, the development of some compounds was terminated either due to side effects or market competition. The most advanced compound is odanacatib, which significantly reduced bone fracture rates in a 5-year trial but still exhibits safety concerns. The analysis of mouse and human catK deficiencies sheds some light on the consequence… Show more

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Cited by 52 publications
(39 citation statements)
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References 165 publications
(244 reference statements)
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“…3,18 Cathepsin K is a lysosomal cysteine protease that is produced by activated osteoclasts. 19,20 Cathepsin K is involved in bone remodeling and resorption because it degrades the protein matrix of bone. 20,21 In the current study, we found that RANKL induced the expressions of TRAF6, c-Fos, NFATc1, and cathepsin K. However, the induction of these proteins caused by RANKL was suppressed significantly by daphnetin in a dose-dependent manner.…”
Section: Discussionmentioning
confidence: 99%
“…3,18 Cathepsin K is a lysosomal cysteine protease that is produced by activated osteoclasts. 19,20 Cathepsin K is involved in bone remodeling and resorption because it degrades the protein matrix of bone. 20,21 In the current study, we found that RANKL induced the expressions of TRAF6, c-Fos, NFATc1, and cathepsin K. However, the induction of these proteins caused by RANKL was suppressed significantly by daphnetin in a dose-dependent manner.…”
Section: Discussionmentioning
confidence: 99%
“…The inhibition of CTSs has been widely explored over the last decades in the field of chronic inflammatory diseases [27,37,204,205], cardiovascular diseases [10,19,181], osteoporosis [70][71][72][73], arthritis [28,206], kidney diseases [30][31][32]84], pancreatitis [207], obesity [208][209][210], cancer [25,34,48,74,82,211], neurodegenerative diseases [39,41,184,185,212,213], and many other pathological states. Multiple inhibitors are currently available, ranging from reversible covalent inhibitors to irreversible inhibitors [214][215][216][217][218] (Table 4).…”
Section: Cathepsin Inhibitors and Their Therapeutic Applicationsmentioning
confidence: 99%
“…Thus, in order to design a powerful and specific Cathepsin inhibitor, it is of fundamental importance to have detailed knowledge of the features of each sub-site of each Cathepsin [37][38][39]. In addition, it is worth highlighting that this class of enzyme is related to several pathological processes such as osteoporosis (Cathepsin K) [40,41], neurodegenerative disease (Cathepsin D) [42] and metastasis in several types of cancer (Cathepsins B, K, L and S) [43][44][45]. Hence, Cathepsins are promising targets for the treatment of such disorders [46].…”
Section: Decane (1) (3e)-2-chloro-3-(chloromethylidene)-2-(4-methoxymentioning
confidence: 99%