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Sclerostin antibodies (anti-sclerostin antibodies) are a class of monoclonal antibodies designed to target and inhibit sclerostin (SOST), a glycoprotein primarily secreted by osteocytes. Sclerostin acts as an endogenous antagonist of the canonical Wnt/β-catenin signaling pathway by binding to LRP5/6 co-receptors on osteoblasts, thereby suppressing bone formation. By neutralizing sclerostin, these antibodies restore Wnt signaling, which stimulates osteoblast activity and promotes bone formation (anabolic effect) while simultaneously reducing bone resorption (anti-catabolic effect). This dual mechanism of action makes sclerostin antibodies highly effective therapeutic candidates for bone-loss disorders, such as postmenopausal osteoporosis and osteogenesis imperfecta (OI). Prominent clinical-stage and approved agents in this class include romosozumab, blosozumab, and setrusumab.
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