2-Hydroxyisocaproic acid: A novel in vitro protease activity modulator with potential benefits for arthritis treatment

Main Article Content

Tuomo Karila, MD, PhD, Orthopaedic Surgeona Taina Tervahartiala, DDS, Docent, PhD Beniamin Cohen, LLM Timo Sorsa, DDS, Professor, PhD, Dipl Perio

Abstract

Osteoarthritis affects approximately half a billion people worldwide and creates a significant economic burden, accounting for up to 2.5% of the national gross domestic product. Despite extensive research, a disease-modifying osteoarthritis drug remains unavailable. 2-hydroxyisocaproic acid is a physiological substance and the 2-hydroxy analogue of the essential amino acid leucine. This study investigates the potential of 2-hydroxyisocaproic acid to down-regulate key proteases involved in articular cartilage degradation. Specifically, we explore the use of 2-hydroxyisocaproic acid to inhibit the activity of matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin motifs 5, aiming to reduce the degradation of type II collagen and aggrecan, respectively, in osteoarthritis. Our findings demonstrate that 2-hydroxyisocaproic acid modulates and reduces the activity of both matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin motifs 5. Notably, 2-hydroxyisocaproic acid’s reversible inhibition of these enzymes does not involve covalent bonding, positioning it as an enzyme modulator or down-regulator rather than a direct inhibitor.

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How to Cite
KARILA, Tuomo et al. 2-Hydroxyisocaproic acid: A novel in vitro protease activity modulator with potential benefits for arthritis treatment. Medical Research Archives, [S.l.], v. 12, n. 7, july 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5468>. Date accessed: 21 dec. 2024. doi: https://doi.org/10.18103/mra.v12i7.5468.
Section
Research Articles

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