Biology:Cathepsin K

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Short description: Protein-coding gene in the species Homo sapiens


A representation of the 3D structure of the protein myoglobin showing turquoise α-helices.
Generic protein structure example

Cathepsin K, abbreviated CTSK, is an enzyme that in humans is encoded by the CTSK gene.[1][2]

Function

The protein encoded by this gene is a cysteine cathepsin, a lysosomal cysteine protease involved in bone remodeling and resorption. This protein, which is a member of the peptidase C1 protein family, is expressed predominantly in osteoclasts.

Cathepsin K is a protease, which is defined by its high specificity for kinins, that is involved in bone resorption. The enzyme's ability to catabolize elastin, collagen, and gelatin allows it to break down bone and cartilage. This catabolic activity is also partially responsible for the loss of lung elasticity and recoil in emphysema. Cathepsin K inhibitors show great potential in the treatment of osteoporosis. Cathepsin K is degraded by Cathepsin S, in a process referred to as Controlled Cathepsin Cannibalism.

Cathepsin K expression is stimulated by inflammatory cytokines that are released after tissue injury.

Clinical significance

Cathepsin K is expressed in a significant fraction of human breast cancers, where it could contribute to tumor invasiveness.[3] Mutations in this gene are the cause of pycnodysostosis, an autosomal recessive disease characterized by osteosclerosis and short stature.[4] Cathepsin K has also been found to be over-expressed in glioblastoma.[5]

That the expression of cathepsin K is characteristic for some cancers and not others has been documented.[6] Cathepsin K antibodies are marketed for research into expression of this enzyme by various cells.[7][8][9]

Merck had a cathepsin K inhibitor, odanacatib, in Phase III clinical trials for osteoporosis. In September, 2016, Merck announced they were discontinuing development of odanacatib after their own assessment of adverse events and an independent assessment showed increased risk of stroke.[10][11] Other cathepsin K inhibitors are in various stages of development.[12][13][14] Medivir has a cathepsin K inhibitor, MIV-711 (L-006235[15][16][17]), in Phase IIa clinical trial, as a disease modifying osteoarthritis drug, as of October 2017.

References

  1. "Entrez Gene: CTSK cathepsin K". https://www.ncbi.nlm.nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=1513. 
  2. "Molecular cloning of human cDNA for cathepsin K: novel cysteine proteinase predominantly expressed in bone". Biochemical and Biophysical Research Communications 206 (1): 89–96. January 1995. doi:10.1006/bbrc.1995.1013. PMID 7818555. 
  3. "Efficacy of a Cathepsin K Inhibitor in a Preclinical Model for Prevention and Treatment of Breast Cancer Bone Metastasis". Molecular Cancer Therapeutics 13 (12): 2898–909. 23 September 2014. doi:10.1158/1535-7163.MCT-14-0253. PMID 25249554. http://mct.aacrjournals.org/content/13/12/2898.long. Retrieved 2 October 2016. 
  4. "CTSK cathepsin K [ Homo sapiens (human) "]. NCBI Gene. National Center for Biotechnology Information, U.S. National Library of Medicine. 4 September 2016. https://www.ncbi.nlm.nih.gov/gene?cmd=Retrieve&dopt=full_report&list_uids=1513. 
  5. "Expression Analysis of All Protease Genes Reveals Cathepsin K to Be Overexpressed in Glioblastoma". PLOS ONE 9 (10): e111819. 30 October 2014. doi:10.1371/journal.pone.0111819. PMID 25356585. Bibcode2014PLoSO...9k1819V. 
  6. Argani, Pedram (1 February 2013). "A Broad Survey of Cathepsin K Immunoreactivity in Human Neoplasms". American Journal of Clinical Pathology 139 (2): 151–159. doi:10.1309/AJCPDTRTO2Z4UEXD. PMID 23355199. 
  7. "Cathepsin K Antibodies". Novus Biologicals online catalog. Novus Biologicals, LLC. 2016. https://www.novusbio.com/primary-antibodies/cathepsin-k. 
  8. "Anti-Cathepsin K antibody (ab19027)". Abcam plc online catalog. Abcam plc. 2016. http://www.abcam.com/cathepsin-k-antibody-ab19027.html. 
  9. "Anti-Cathepsin K Antibody (A5871)". Antibodies.com online catalog. Antibodies.com Ltd. 2018. https://www.antibodies.com/cathepsin-k-antibody-a15026. 
  10. Brömme, Dieter; Lecaille, Fabien (24 April 2009). "Cathepsin K inhibitors for osteoporosis and potential off-target effects". Expert Opinion on Investigational Drugs 18 (5): 585–600. doi:10.1517/13543780902832661. PMID 19388876. 
  11. "Merck Provides Update on Odanacatib Development Program". Merck Sharp & Dohme Corp.. 2 September 2016. http://investors.merck.com/investors/financial-news/press-release-details/2016/Merck-Provides-Update-on-Odanacatib-Development-Program/default.aspx. 
  12. Asagiri M, Hirai T, Kunigami T, Kamano S, Gober HJ, Okamoto K, Nishikawa K, Latz E, Golenbock DT, Aoki K, Ohya K, Imai Y, Morishita Y, Miyazono K, Kato S, Saftig P, Takayanagi H,. (2008). Cathepsin K-dependent toll-like receptor 9 signaling revealed in experimental arthritis. Science, 319(5863), 624-627.
  13. Hussein, H., Ishihara, A., Menendez, M., & Bertone, A. (2014). Pharmacokinetics and bone resorption evaluation of a novel Cathepsin K inhibitor (VEL‐0230) in healthy adult horses. Journal of veterinary pharmacology and therapeutics.
  14. Ren, Zhong-Yuan; Machuca-Gayet, Irma; Domenget, Chantal; Buchet, Rene; Wu, Yuqing; Jurdic, Pierre; Mebarek, Saida (2015-07-13). "Azanitrile Cathepsin K Inhibitors: Effects on Cell Toxicity, Osteoblast-Induced Mineralization and Osteoclast-Mediated Bone Resorption". PLOS ONE 10 (7): e0132513. doi:10.1371/journal.pone.0132513. PMID 26168340. Bibcode2015PLoSO..1032513R. 
  15. "MIV-711 for the treatment of ostheoarthritis" (in en). http://www.medivir.se/v5/en/RnD/proj_miv-711.cfm. 
  16. "The Cathepsin K Inhibitor L-006235 Demonstrates Both Disease Modification and Attenuation of Pain Behaviour in the in the [sic Mia Model of Osteoarthritis"]. April 2016. http://www.medivir.se/v5/images/pdf/2016/OARSI-poster-2016.pdf. 
  17. "Data monitoring committee gives "Go Ahead" in the MIV-711 osteoarthritis extension study". 14 September 2017. http://mb.cision.com/Main/652/2346448/722499.pdf. 

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