An orally active cathepsin K inhibitor, furan-2-carboxylic acid, 1-{1-[4-fluoro-2-(2-oxo-pyrrolidin-1-yl)-phenyl]-3-oxo-piperidin-4-ylcarbamoyl}-cyclohexyl)-amide (OST-4077), inhibits osteoclast activity in vitro and bone loss in ovariectomized rats

J Pharmacol Exp Ther. 2006 Aug;318(2):555-62. doi: 10.1124/jpet.106.102798. Epub 2006 May 12.

Abstract

Human cathepsin K, a cysteine proteinase of the papain family, has been recognized as a potential drug target for the treatment of osteoporosis. The predominant expression of cathepsin K in osteoclasts has rendered the enzyme into a major target for the development of novel antiresorptive drugs. Now, we report the pharmacological properties of OST-4077 [furan-2-carboxylic acid (1-{1-[4-fluoro-2-(2-oxo-pyrrolidin-1-yl)-phenyl]-3-oxo-piperidin-4-ylcarbamoyl}-cyclohexyl)-amide] as a novel selective cathepsin K inhibitor. Human and rat cathepsin K were inhibited in vitro by OST-4077 with the IC50 values of 11 and 427 nM, respectively. OST-4077 suppressed bone resorption induced by rabbit osteoclasts (IC50, 37 nM) but did not affect bone mineralization or cellular alkaline phosphatase activity in MC3T3-E1 cells. Parathyroid hormone-induced bone resorption was inhibited in a dose-dependent manner in thyroparathyroidectomized rats gavaged with a single dose of OST-4077 (ED50, 69 mg/kg). When given orally twice daily for 4 weeks to 3-month-old ovariectomized (OVX) rats, OST-4077 dose-dependently prevented bone loss, as monitored by bone densitometry, ash content, and urinary excretion of deoxypyridinoline. No change in serum osteocalcin in the OVX rats by OST-4077 suggested that bone formation might not be affected by the agent. In summary, OST-4077 selectively inhibited bone resorbing activities of osteoclasts and prevented bone loss induced by estrogen deficiency but did not affect bone formation. OST-4077, an orally active selective human cathepsin K inhibitor, may have the therapeutic potential for the treatment of diseases characterized by excessive bone loss including osteoporosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alkaline Phosphatase / metabolism
  • Amides / pharmacology*
  • Amides / therapeutic use*
  • Animals
  • Biomarkers
  • Bone Density / drug effects
  • Bone Density Conservation Agents / pharmacology*
  • Bone Density Conservation Agents / therapeutic use*
  • Bone Resorption / drug therapy*
  • Bone Resorption / metabolism
  • Cathepsin K
  • Cathepsins / antagonists & inhibitors*
  • Cathepsins / genetics
  • Cloning, Molecular
  • Enzyme Inhibitors / pharmacology*
  • Enzyme Inhibitors / therapeutic use*
  • Estrogens / deficiency
  • Female
  • Furans / pharmacology*
  • Furans / therapeutic use*
  • Humans
  • Osteoclasts / drug effects*
  • Ovariectomy
  • Parathyroid Hormone / pharmacology
  • Rabbits
  • Rats
  • Rats, Sprague-Dawley

Substances

  • 1-(1-(4-fluoro-2-(2-oxopyrrolidin-1-yl)phenyl)-3-oxopiperidin-4-ylcarbamoyl)cyclohexyl furan-2-carboxylic acid amide
  • Amides
  • Biomarkers
  • Bone Density Conservation Agents
  • Enzyme Inhibitors
  • Estrogens
  • Furans
  • Parathyroid Hormone
  • Alkaline Phosphatase
  • Cathepsins
  • CTSK protein, human
  • Cathepsin K
  • Ctsk protein, rat