“…It has been shown that OPG, through its heparin binding domain interacts with some proteoglycans such as syndecan-1 and that OPG binding to cells expressing high levels of membranous syndecan-1 is internalized, then degraded. 51,52 Similarly, with RANKL expressing cells, the binding of OPG to membranous RANKL is also internalized, yet through another process, the clathrin coat formation pathway, which occurs before proteasomal and lysosomal degradation (Fig. 3).…”