2005
DOI: 10.2174/156802605775009676
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Design of Cathepsin K Inhibitors for Osteoporosis

Abstract: Osteoporosis is a progressive, debilitating bone disease resulting in increased cost and morbidity to the elderly. This review summarizes the therapeutic approaches taken in the treatment of osteoporosis with particular emphasis on cathepsin K inhibitors. Cathepsin K, a cysteine protease predominantly expressed in osteoclasts, is a key player involved in bone matrix degradation. Both genetic ablation and small molecule inhibitor strategies versus cathepsin K have validated the importance of this enzyme in bone… Show more

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Cited by 34 publications
(22 citation statements)
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“…A more detailed understanding of NiV activation by host cell proteases could be a further starting point for developing antivirals acting against cellular targets. Due to the impact of several cathepsins in pathophysiological processes, including cancer, osteoarthritis, and autoimmune disorders, some promising results for the effectiveness of cathepsin inhibitors in tumor invasion, in osteoporosis prevention, and as immunomodulators have been obtained (15,66,69). Short-term inhibition of cathepsins in the context of a potentially lethal Nipah virus infection might be a clinically feasible option.…”
Section: Discussionmentioning
confidence: 99%
“…A more detailed understanding of NiV activation by host cell proteases could be a further starting point for developing antivirals acting against cellular targets. Due to the impact of several cathepsins in pathophysiological processes, including cancer, osteoarthritis, and autoimmune disorders, some promising results for the effectiveness of cathepsin inhibitors in tumor invasion, in osteoporosis prevention, and as immunomodulators have been obtained (15,66,69). Short-term inhibition of cathepsins in the context of a potentially lethal Nipah virus infection might be a clinically feasible option.…”
Section: Discussionmentioning
confidence: 99%
“…Cat K destroys the organic fraction of bone through its potent collagenase activity, this process taking place in the acidic pit between the osteoclast and the bone surface and also intracellularly within lysosomes of the osteoclast (Saftig et al, 1998). A large volume of genetic and pharmacological data points to a pivotal role for Cat K in bone resorption, and Cat K inhibitors are presently being evaluated in clinical trials as a treatment of osteoporosis, a disease characterized by an imbalance of bone resorption over bone formation (performed by osteoblasts) (Deaton and Tavares, 2005;Grabowskal et al, 2005;Yasuda et al, 2005;Boyce et al, 2006;Close et al, 2006). Both physiological and pathological roles have been identified for the remaining 10 human papainlike cysteine proteases including apoptosis, antigen presentation, epidermal homeostasis, proenzyme activation, atherosclerosis and cancer growth (Lecaille et al, 2002).…”
Section: Introductionmentioning
confidence: 99%
“…In addition, osteoblast-secreted osteoprotegerin (OPG) acts as a decoy receptor inhibiting the interaction between RANKL and RANK (4). Conversely, gene products derived from the osteoclast and/or from the bone matrix during bone resorption can modulate osteoblasts (5)(6)(7).…”
mentioning
confidence: 99%