“…Most of the Cathepsin L-targeted agents developed so far are a series of different classes of antagonist, including active site-directed low-molecular weight inhibitors many of which are endowed with a preferential selectivity for Cathepsin L [79,106,120,[153][154][155][156][157][158]. Endogenous inhibitors [159] or alternative forms of these molecules [160,161], antibodies [149,150], antisense oligonucleotides [126,139,162,163], specific ribozymes targeting Cathepsin L [90,163] or natural products [60,61] have also been proposed as potential therapeutic agents in the treatment of these diseases. Preclinical studies show that some of these molecules are effective, in vitro, in inhibiting the digestion of bone matrix proteins [60,61,67,71,79,106] at the level of resorption lacuna and in promoting bone mineralization; in vivo, these agents have been shown to suppress RANKL or M-CSF or TNF-a stimulated bone pit formation [13,67,79,120].…”