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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.
Abstract:
Postmenopausal osteoporosis (PMOP) represents the most prevalent metabolic bone disease among postmenopausal women worldwide. Cathepsin K (CTSK), a key mediator of osteoclastic bone resorption, serves as a critical therapeutic target for PMOP. Through structure-based virtual screening coupled with functional validation, we identified Tucatinib as a potent CTSK inhibitor. Microscale thermophoresis (MST), molecular docking, and CTSK activity assays confirmed that Tucatinib directly binds to and inhibits CTSK, effectively suppressing osteoclast-mediated bone resorption. Notably, Tucatinib attenuated NFATc1-driven osteoclast differentiation in bone marrow-derived monocytes/macrophages (BMMs). In ovariectomized mouse models, Tucatinib significantly prevented estrogen deficiency-induced bone loss. Mechanistic investigations revealed that Tucatinib maintains mitochondrial homeostasis by inhibiting dynamin-related protein 1 (DRP1) phosphorylation at Ser616 during early-stage osteoclast differentiation and reducing mitochondrial reactive oxygen species (mtROS) production, thereby stabilizing mitochondrial fission/fusion dynamics and suppressing NFATc1 activation. Our findings demonstrate that Tucatinib alleviates osteoporotic bone loss by simultaneously modulating the DRP1/NFATc1 axis and CTSK enzymatic activity, offering a promising dual-action therapeutic strategy for PMOP.
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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