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Vol. 290, Issue 3, 1054-1064, September 1999
Pharmaceutical Research Laboratories IV (K.N., T.O., M.G., T.S.,
H.M.), Drug Delivery System Research Laboratories (T.H., H.M.),
Pharmacology Laboratories (S.T.), Pharmaceutical Research Division,
Takeda Chemical Industries, Ltd., Drug Safety Research Laboratories
(H.N.), Pharmaceutical Development Division, Takeda Chemical
Industries, Ltd., Osaka, Japan
TAK-778
[(2R,4S)-(
)-N-(4-diethoxyphosphorylmethylphenyl)-1,2,4,5-tetrahydro-4-methyl-7,8-methylenedioxy-5-oxo-3-benzothiepin-2-carboxyamide; mw 505.53], a novel osteoblast differentiation promoting compound, was
characterized in vitro and in vivo models. TAK-778 at doses of
10
6 M and higher promoted potently bone-like
nodule formation in the presence of dexamethasone in rat bone marrow
stromal cell culture. This was accompanied by increases in cellular
alkaline phosphatase activity, soluble collagen release, and
osteocalcin secretion. Under the culture conditions, TAK-778 also
stimulated the secretion of transforming growth factor-
and
insulin-like growth factor-I, indicating that TAK-778 may exert
regulatory effects on osteoblast differentiation via
autocrine/paracrine mechanisms. Furthermore, the in vivo osteogenic
potential of TAK-778 was studied in bony defect and osteotomy animal
models, using sustained release microcapsules consisted of a
biodegradable polymer, poly (dl-lactic/glycolic) acid
(PLGA). Single local injection of TAK-778/PLGA-microcapsules (PLGA-MC)
(0.2-5 mg/site) to rat skull defects resulted in a dose-dependent
increase in new bone area within the defects after 4 weeks. When the
pellet containing TAK-778/PLGA-MC (4 mg/pellet) was packed into place
to fill the tibial segmental defect in rabbit, this pellet induced
osseous union within 2 months, whereas the placebo pellet did not. In addition, single local application of TAK-778/PLGA-MC (10 mg/site) to
rabbit tibial osteotomy site enhanced callus formation accompanied by an increase in breaking force after 30 days. These results reveal
for the first time that a nonendogenous chemical compound promotes
potently osteogenesis in vitro and enhances new bone formation during
skeletal regeneration and bone repair in vivo and should be useful
for the stimulation of fracture healing.