We report the antihypercalcemic and antimetastatic effects of CLIK-148 in vivo, which is a specific inhibitor of
cathepsin L. The decalcification during bone absorption is followed by the degradation of type-1
collagen by osteoclastic
cathepsins.
Tumor-bearing osteoclasts or
TNF-alpha-activated osteoclasts secrete large amounts of
cysteine proteases, especially
procathepsin L, which powerfully degrade type-1
collagen leading to
tumor-associated bone absorption and release of bone
calcium. The bone pit formations in vitro, which are caused by osteoclasts derived from human bone marrow cells activated by RANKL and
M-CSF and also by mice osteoclasts activated by
TNF-alpha, are significantly prevented by CLIK-148 treatment. We evaluated the in vivo inhibitory effect of malignant
hypercalcemia induced by LJC-1 human mandibular
cancer inoculation by CLIK-148 treatment, and the CLIK-148 treatment significantly protected against the
tumor-induced
hypercalcemia. On the protection of bone
metastasis of colon 26 PMF-15 implanted to mouse calvaria, CLIK-148 treatment significantly inhibited calvaria bone absorption (direct
metastasis). The CLIK-148 treatment also reduced distant bone
metastasis to the femur and tibia of
melanoma A375
tumors implanted into the left ventricle of the heart.