Review

Nature Clinical Practice Rheumatology (2008) 4, 420-427
doi:10.1038/ncprheum0841  
Received 31 January 2008 | Accepted 12 May 2008 | Published online: 24 June 2008

Drug Insight: aggrecanases as therapeutic targets for osteoarthritis

Amanda J Fosang* and Christopher B Little

Correspondence *University of Melbourne Department of Paediatrics and Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville, Victoria 3052, Australia

Email
 amanda.fosang@mcri.edu.au

High concentrations of intact aggrecan are required for effective weight-bearing in healthy cartilage. Aggrecanases from the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) enzyme family, particularly ADAMTS-4 and ADAMTS-5, are thought to be involved in the pathogenesis of osteoarthritis. In this Review, Drs Fosang and Little discuss potential disease-modifying agents for osteoarthritis that could trigger the downregulation of ADAMTS enzymes.

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