Doctor of Philosophy, The Ohio State University, 2015, Comparative and Veterinary Medicine
Cathepsin K (CatK), a cysteine protease, has been implicated in the process of bone resorption and inflammation. Selective inhibitors of CatK are promising therapeutic agents for the treatment of diseases associated with excessive bone loss and osseous inflammation, such as osteoarthritis, rheumatoid arthritis, periodontitis, osteoporosis, and multiple myeloma. Multiple reports have emerged over the last several years demonstrating the effect of different CatK inhibitors on osteo-inflammatory conditions. Therefore, the study of CatK inhibition as a target to prevent bone loss and inflammation, and influence bone marrow osseous progenitor cells, in a large animal model, is the subject of this dissertation. The horse was selected as the large animal model because this species suffers from ailments of adaptive bone remodeling in their sport performance and CatK inhibitors may serve as therapeutics in this species as well as serve as a large animal model for human applications.
In the first phase of this work, we determined an optimal dose and dose interval for a CatK inhibitor (CatKI), VEL-0230, in healthy adult horses. Plasma pharmacokinetic (PK) and bone resorption biomarker [carboxy-terminal cross-linking telopeptide of type I collagen (CTX-1)] analyses were performed following single and multiple oral dose protocols of a CatKI (VEL-0230) in horses. Weekly administration of VEL-0230, at a dose of 4 mg/ kg body weight, provided effective inhibition of bone resorption in young exercising horses that returned to baseline within 7 days after drug withdrawal even after multiple doses.
In the second phase of this work, we evaluated bone structure and turnover in healthy young exercising horses receiving repeated oral dosing of a CatKI in a randomized, controlled, double-blinded, prospective, sufficiently powered clinical trial. With the objectives of: 1. To determine whether repeated dosing of a CatKI produced a desired inhibition of the bone resorption biomarker (open full item for complete abstract)
Committee: Alicia Bertone PhD (Advisor); Maxey Wellman PhD (Committee Member); Prosper Boyaka PhD (Committee Member); Teresa Burns PhD (Committee Member)
Subjects: Biology; Biomedical Research; Cellular Biology