Tucatinib alleviates postmenopausal osteoporosis by suppressing osteoclast differentiation via regulating the

Xin Liu1, Shuang Liu1, Guoqiang Xu1

  • 1State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, 250012, China.

Insights

Tucatinib, a potent Cathepsin K (CTSK) inhibitor, effectively treats postmenopausal osteoporosis by suppressing bone resorption and preventing bone loss in mouse models. It offers a dual-action therapeutic strategy by targeting both CTSK and the DRP1/NFATc1 axis.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Cell Biology

Background:

  • Postmenopausal osteoporosis (PMOP) is a widespread metabolic bone disease.
  • Cathepsin K (CTSK) is a crucial target for PMOP therapy due to its role in bone resorption.

Purpose of the Study:

  • To identify and validate Tucatinib as a potent inhibitor of CTSK for PMOP treatment.
  • To elucidate the dual-action mechanism of Tucatinib in alleviating osteoporotic bone loss.

Main Methods:

  • Structure-based virtual screening and functional validation.
  • In vitro assays including MST, molecular docking, and CTSK activity assays.
  • In vivo studies using ovariectomized mouse models.

Main Results:

  • Tucatinib was identified as a potent CTSK inhibitor, directly binding and suppressing osteoclast-mediated bone resorption.
  • Tucatinib attenuated osteoclast differentiation and prevented bone loss in ovariectomized mice.
  • Tucatinib maintained mitochondrial homeostasis by inhibiting DRP1 phosphorylation and reducing mtROS, stabilizing mitochondrial dynamics and suppressing NFATc1 activation.

Conclusions:

  • Tucatinib demonstrates a dual-action therapeutic strategy for PMOP by inhibiting CTSK and modulating the DRP1/NFATc1 axis.
  • Tucatinib effectively alleviates osteoporotic bone loss through simultaneous targeting of key pathways.

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