ONO-5334, a cathepsin K inhibitor, improves bone strength by preferentially increasing cortical bone mass in ovariectomized rats.

Abstract

This study compared the effects of ONO-5334, a cathepsin K inhibitor, with those of alendronate on bone mass and strength in ovariectomized rats. Ovariectomy resulted in significant elevation in urinary deoxypyridinoline and plasma C-terminal cross-linking telopeptide of type I collagen (CTX) 8 weeks after surgery. Peripheral quantitative computed tomography analysis showed that total, trabecular, and cortical bone mineral content (BMC) decreased in the proximal tibia, which was paralleled with a significant decline in bone strength. Treatment with ONO-5334 (0.12, 0.6, 3 or 15 mg/kg) once daily for 8 weeks dose-dependently restored the decrease in total BMC and bone mineral density (BMD) in the proximal tibia and suppressed urinary deoxypyridinoline and plasma CTX levels. Alendronate (1 mg/kg, once daily) also fully restored these bone mass parameters. Separate analysis of trabecular and cortical bones, however, showed that ONO-5334 only partially restored trabecular BMD and BMC at 15 mg/kg, whereas alendronate fully restored these parameters. On the other hand, ONO-5334 increased both cortical BMD and BMC with an effect more potent than that of alendronate. Bone geometric analysis indicated that ONO-5334 at 15 mg/kg decreased endosteal circumference without affecting periosteal circumference, resulting in marked increase in cortical thickness. Interestingly, the effects of ONO-5334 on bone strength parameters were more prominent than those of alendronate, although the two test compounds had a similar effect on total BMC. Taken together, our results indicate that ONO-5334 has pharmacological characteristics different from those of alendronate and may offer a unique therapy for patients with osteoporosis.

• Authors: Yasuo Ochi, Hiroyuki Yamada, Hiroshi Mori, Naoki Kawada, Ryoji Kayasuga, Yasutomo Nakanishi, Makoto Tanaka, Akira Imagawa, Kazuyuki Ohmoto, Kazuhito Kawabata
• Journal: Journal of bone and mineral metabolism (J Bone Miner Metab) Vol. 32 Issue 6 Pg. 645-52 (Nov 2014) ISSN: 1435-5604 [Electronic] Japan
• PMID: 24317478 (Publication Type: Journal Article)

Chemical References

• Bone Density Conservation Agents
• ONO-5334
• Thiazolidines
• Cathepsin K
• Ctsk protein, rat
• Alendronate

Topics

• Alendronate (pharmacology)
• Animals
• Bone Density (drug effects)
• Bone Density Conservation Agents (pharmacology)
• Cathepsin K (antagonists & inhibitors)
• Female
• Osteoporosis (drug therapy, metabolism, pathology)
• Ovariectomy
• Rats
• Thiazolidines (pharmacology)
• Tibia (metabolism, pathology)