Cathepsin K: its skeletal actions and role as a therapeutic target in osteoporosis

被引:223
|
作者
Costa, Aline G. [1 ]
Cusano, Natalie E. [1 ]
Silva, Barbara C. [1 ]
Cremers, Serge [1 ]
Bilezikian, John P. [1 ]
机构
[1] Columbia Univ, Dis Unit, Div Endocrinol, Coll Phys & Surg,Dept Med, New York, NY 10032 USA
关键词
BONE-MINERAL DENSITY; POSTMENOPAUSAL WOMEN; INHIBITOR ODANACATIB; MOLECULAR-CLONING; BREAST-CANCER; DOUBLE-BLIND; IN-VIVO; PYCNODYSOSTOSIS; COLLAGEN; GENE;
D O I
10.1038/nrrheum.2011.77
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bone remodeling consists of two phases-bone resorption and bone formation-that are normally balanced. When bone resorption exceeds bone formation, pathologic processes, such as osteoporosis, can result. Cathepsin K is a member of the papain family of cysteine proteases that is highly expressed by activated osteoclasts. Cathepsin K readily degrades type I collagen, the major component of the organic bone matrix. With such a major role in the initial process of bone resorption, cathepsin K has become a therapeutic target in osteoporosis. The antiresorptive properties of cathepsin K inhibitors have been studied in phase I and phase II clinical trials. Phase III studies are currently underway for odanacatib, a selective cathepsin K inhibitor.
引用
收藏
页码:447 / 456
页数:10
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