Cathepsin K

Cathepsin K (CTSK) is a lysosomal cysteine protease highly expressed by bone-resorbing osteoclasts and shows potent collagenase activity in bone matrix degradation[1]. Mechanistically, CTSK supports osteoclastic resorption because it cleaves collagen I, whereas cathepsins B, S, and L show weaker or non-detected roles in osteoclast bone resorption contexts[2]. Heparan sulfate regulates CTSK by forming stable complexes, inducing dimerization, preserving peptidase activity, and selectively inhibiting collagenase activity without blocking the active site[3]. In osteoarthritis research, CTSK links to cartilage degradation through type II collagen cleavage, with increased serum CTSK in patients and upregulated CTSK in degraded cartilage in animal models[4]. In periodontitis models, CTSK inhibition with odanacatib reduced osteoclasts, macrophages, T cells, Toll-like receptor expression, bone loss, and immune activation[5]. Compared with related isoforms, CTSK has distinctive collagenolytic activity and selectivity challenges because homologous CTSK/S binding sites can cause unselective inhibition[6]. For experimental applications, CTSK inhibitors, heparan sulfate oligosaccharides, and light-activated inhibitors provide tools to study bone resorption, cartilage degradation, and collagen I degradation in 3D tumor spheroids[3][4][7].