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sclerostin (SOST)

Function: - bone homeostasis (putative) - osteocyte-derived inhibitor of osteoblast activity [3] Structure: 1) belongs to the sclerostin family 2) contains 1 CTCK domain (C-terminal cystine knot-like domain) Compartment: secreted Alternative splicing: named isoforms=2 Expression: - widely expressed at low levels - highest expression in bone, cartilage, kidney, liver, bone marrow, & primary osteoblasts differentiated for 21 days (osteocytes) Physiology: - osteocytes make sclerostin [4] - sclerostin generally inhibits bone formation - when osteocytes sense bone-loading activities, sclerostin secretion diminishes, allowing for increased bone formation [4] Pathology: - defects in SOST are assosiated with sclerosteosis Pharmacology: - romosozumab a monoclonal antibody that binds to sclerostin & increases bone formation may be useful for treatment of osteoporosis [3]

General

glycoprotein secreted protein

Properties

SIZE: MW = 24 kD entity length = 213 aa COMPARTMENT: extracellular compartment MOTIF: signal sequence {1-23} N-glycosylation site {N53} C-terminal cystine knot {82-172} N-glycosylation site {N175}

Database Correlations

OMIM correlations MORBIDMAP 605740 UniProt Q9BQB4 Pfam PF05463

References

  1. UniProt :accession Q9BQB4
  2. GeneReviews https://www.genecards.org/cgi-bin/carddisp.pl?gene=SOST
  3. McClung MR et al Romosozumab in Postmenopausal Women with Low Bone Mineral Density. N Engl J Med. Jan 1, 2014 PMID: 24382002 http://www.nejm.org/doi/full/10.1056/NEJMoa1305224 - Becker CB Sclerostin Inhibition for Osteoporosis - A New Approach. PMID: 24382003 http://www.nejm.org/doi/full/10.1056/NEJMe1315500
  4. Misra M Which Exercise Is Best for Bone Health? Medscape. Nov 14, 2022 https://www.medscape.com/viewarticle/983792