Osteoclasts are highly specialized cells that resorb bone, and their abnormal activity is implicated in a variety of human bone diseases. In neoplastic bone metastasis, the bone destruction caused by osteoclasts is not only associated with the formation and progression of metastatic lesions, but also could contribute to frequent complications such as severe pain and pathological fractures, which greatly diminish the quality of life of patients. Bisphosphonates, potent antiresorptive drugs, have been shown to have efficacy for treating bone metastases in many types of cancer, and the development of various molecularly targeted agents is currently proceeding. Thus, inhibition of osteoclast function is now established as an important treatment strategy for bony metastases. This review focuses on promising small molecules that disrupt osteoclast function and introduces our chemical ⁄ biological approach for identifying osteoclast-targeting small molecular inhibitors. (Cancer Sci 2009; 100: 1999 B one is a dynamic organ that constantly repeats the cycle of formation by osteoblasts and destruction (resorption) by osteoclasts throughout life.(1) Bone remodeling is necessary for skeletal growth and to maintain normal bone tissue. Imbalances of remodeling can result in gross perturbations in skeletal structure and function, potentially causing morbidity. Most adult skeletal diseases are due to excess osteoclastic bone resorption, including osteoporosis, rheumatoid arthritis, and neoplastic bone metastasis.(2) Bone, as well as lung and liver, is one of the most preferential metastatic sites for common human malignancies, notably breast, prostate, and lung cancers.(3) Bone metastases are frequently associated with severe bone pain, pathological fractures, hypercalcemia, and spinal cord compression syndromes that greatly diminish the quality of life for patients. Although bone metastases are histopathologically classified as osteolytic, osteoblastic, or mixed lesions, accumulating evidence suggests that bone resorption by osteoclasts plays a pivotal role in the development and progression of all types of metastasis.(4) In fact, bone-residing metastatic cells are not directly able to destroy the hard bone tissue to enable them to survive and grow within bone. Instead, they secrete paracrine factors, such as parathyroid hormone-related peptide (PTHrP) and interleukin-6 (IL-6), which directly or indirectly stimulate osteoclast differentiation and activation. In turn, bone resorption by osteoclasts releases growth factors such as transforming growth factor-b (TGF-b) and insulin-like growth factor-1 (IGF-1) from the bone matrix that promote tumor growth. This interaction between tumor cells and the bony microenvironment results in a vicious cycle of bone destruction and tumor growth (Fig. 1).(4) Furthermore, excessive osteoclastic bone destruction could be a factor that causes the complications of metastases.The concept of the vicious cycle alters the approach to the treatment of bone metastases, because it means that antiresorp...