Rebamipide, an Amino Acid Analog of 2(1H)-Quinolinone, Inhibits the Formation of Human Osteoclasts

Biomed Res Int. 2016:2016:6824719. doi: 10.1155/2016/6824719. Epub 2016 Nov 14.

Abstract

Objectives. Drug repositioning or drug reprofiling (DR) has recently been growing in importance. DR has a significant advantage over traditional drug development because the repositioned drug has already passed toxicity tests; its safety is known, and the risk of adverse toxicology is reduced. In the current study, we investigated the role of rebamipide, a mucosa-protecting agent, with recently reported anti-inflammatory function, in human osteoclastogenesis. Methods. Peripheral blood mononuclear cells (PBMCs) were cultured in the presence of M-CSF and sRANKL. Osteoclast formation was evaluated by immunohistological staining for CD51/61 (vitronectin receptors). Osteoclast formation, in the presence or absence of rebamipide (0, 1, and 3 mM), was observed by time-lapse photography and actin ring formation. The number of absorption sites and area of absorption were calculated using Osteologic™ plates. Pit formation was studied by 3D-SEM. Results. Rebamipide inhibited human osteoclast formation at 3 mM, a pharmacological concentration, and inhibited resorbing activity dose-dependently. Rebamipide induced the degradation of actin rings in mature osteoclasts. This mechanism may involve inhibiting the osteoclast fusion pathway through reducing the expression of DC-specific transmembrane protein (DC-STAMP). Conclusions. The present study suggests that rebamipide would be useful as a novel agent for osteoporosis and rheumatoid arthritis.

MeSH terms

  • Alanine / administration & dosage
  • Alanine / analogs & derivatives*
  • Analgesics / administration & dosage
  • Cell Proliferation / drug effects
  • Cell Proliferation / physiology
  • Cells, Cultured
  • Dose-Response Relationship, Drug
  • Humans
  • Hydroquinones / administration & dosage
  • Leukocytes, Mononuclear / cytology*
  • Leukocytes, Mononuclear / drug effects*
  • Leukocytes, Mononuclear / physiology
  • Osteoclasts / cytology*
  • Osteoclasts / drug effects*
  • Osteoclasts / physiology
  • Osteogenesis / drug effects*
  • Osteogenesis / physiology
  • Quinolones / administration & dosage*

Substances

  • Analgesics
  • Hydroquinones
  • Quinolones
  • 3,4-dihydro-2(1H)-quinolinone
  • rebamipide
  • Alanine