Will the real aggrecanase(s) step up: evaluating the criteria that define aggrecanase activity in osteoarthritis

M D Tortorella1, A M Malfait

  • 1Pfizer Global Research and Development, 700 Chesterfield Parkway, St. Louis MO 60013, USA. micky.d.tortorella@pfizer.com

Insights

Aggrecan loss in osteoarthritis is driven by aggrecanase activity. This review redefines aggrecanase activity to identify genuine aggrecanases, crucial for developing osteoarthritis treatments.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Rheumatology

Background:

  • Aggrecan degradation in articular cartilage is a key event in osteoarthritis (OA) pathogenesis.
  • This degradation is mediated by aggrecanase activity, primarily attributed to ADAMTS-4 and ADAMTS-5.
  • Other ADAMTS family members (ADAMTS-1, -8, -9, -15, -16) also exhibit aggrecanase activity, necessitating clarification.

Purpose of the Study:

  • To critically evaluate the current definition of "aggrecanase activity" for identifying OA-relevant ADAMTS enzymes.
  • To propose a refined, comprehensive definition of aggrecanase activity based on biochemical and biological criteria.
  • To identify specific ADAMTS members that qualify as genuine aggrecanases and potential therapeutic targets for OA.

Main Methods:

  • Review and analysis of existing literature on aggrecanase activity and ADAMTS proteinases.
  • Development of a 6-criterion framework for defining "aggrecanase activity" encompassing in vitro and in vivo characteristics.
  • Application of the proposed criteria to classify ADAMTS members based on their role in aggrecan catabolism.

Main Results:

  • The current definition of aggrecanase activity has limitations in accurately identifying in vivo aggrecanases.
  • A proposed 6-criterion definition provides a more robust framework for classifying aggrecanases.
  • Specific ADAMTS members are identified as likely genuine aggrecanases based on the proposed criteria.

Conclusions:

  • Accurate identification of aggrecanases involved in OA is essential for targeted drug development.
  • The proposed comprehensive definition of aggrecanase activity aids in classifying relevant ADAMTS enzymes.
  • This classification will guide the development of chondroprotective therapies for osteoarthritis.

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