Understanding Coupling between Bone Resorption and Formation
Open accessAbstract
Bone remodeling requires bone resorption by osteoclasts, bone formation by osteoblasts, and a poorly investigated reversal phase coupling resorption to formation. Likely players of the reversal phase are the cells recruited into the lacunae vacated by the osteoclasts and presumably preparing these lacunae for bone formation. These cells, called herein reversal cells, cover >80% of the eroded surfaces, but their nature is not identified, and it is not known whether malfunction of these cells may contribute to bone loss in diseases such as postmenopausal osteoporosis. Herein, we combined histomorphometry and IHC on human iliac biopsy specimens, and showed that reversal cells are immunoreactive for factors typically expressed by osteoblasts, but not for monocytic markers. Furthermore, a subpopulation of reversal cells showed several distinctive characteristics suggestive of an arrested physiological status. Their prevalence correlated with decreased trabecular bone volume and osteoid and osteoblast surfaces in postmenopausal osteoporosis. They were, however, virtually absent in primary hyperparathyroidism, in which the transition between bone resorption and formation occurs optimally. Collectively, our observations suggest that arrested reversal cells reflect aborted remodeling cycles that did not progress to the bone formation step. We, therefore, propose that bone loss in postmenopausal osteoporosis does not only result from a failure of the bone formation step, as commonly believed, but also from a failure at the reversal step.
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Reversal cells express osteoblast lineage cell markers Runx2, ALP, and Col3, but not TRAcP or CatK.
“Indeed, the reversal cells express osteoblast lineage cell markers such as Runx2, ALP, and Col3, but not TRAcP or CatK.265”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [265]
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- Authors
- Andersen, T. L., Abdelgawad, M. E., Kristensen, H. B., Hauge, E. M., Rolighed, L., Bollerslev, J., Kjærsgaard-Andersen, P., & Delaisse, J.-M.
- Affiliations
- University of Southern Denmark (DK)
- Aarhus University Hospital (DK)
- Oslo University Hospital (NO)
- Corresponding author
- Andersen, Thomas L.
- Venue
- The American Journal of Pathology
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 183
- Issue
- 1
- Pages
- 235-246
- ISSN
- 0002-9440 (ISSN-L)
- OpenAlex
- W117344629
- Cited by
- 137
- References
- 56
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 7 · 2023: 15 · 2022: 12 · 2021: 12 · 2020: 17 · 2019: 11 · 2018: 9 · 2017: 10 · 2016: 6 · 2015: 6 · 2014: 10 · 2013: 4
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal Of Pathology (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Alkaline Phosphatase Research Studies
- Keywords
- bone remodeling, bone resorption, bone formation, osteoclasts, osteoblasts, postmenopausal osteoporosis, primary hyperparathyroidism, trabecular bone volume, bone loss
- MeSH terms
- Aged, Bone Resorption, Female, Humans, Ilium, Immunohistochemistry, Male, Middle Aged, Osteogenesis, Biomarkers, Osteoporosis, Postmenopausal, Case-Control Studies, Hyperparathyroidism, Primary
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