CTSC and osteoarthritis: Among the proteases that were also regulated by OP-1 were cathepsins B, C, and S. So far, these lysosomal cysteine proteases have been less studied in cartilage, though cathepsin C appears to be a central coordinator for activation of many serine proteases in immune/inflammatory cells [29], while cathepsin B was thought to play an important role in the development of osteoarthritis [30].