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TNF-α induces osteoclastogenesis by direct stimulation of macrophages exposed to permissive levels of RANK ligand
Open accessAbstract
While TNF-alpha is pivotal to the pathogenesis of inflammatory osteolysis, the means by which it recruits osteoclasts and promotes bone destruction are unknown. We find that a pure population of murine osteoclast precursors fails to undergo osteoclastogenesis when treated with TNF-alpha alone. In contrast, the cytokine dramatically stimulates differentiation in macrophages primed by less than one percent of the amount of RANKL (ligand for the receptor activator of NF-kappaB) required to induce osteoclast formation. Mirroring their synergistic effects on osteoclast differentiation, TNF-alpha and RANKL markedly potentiate NF-kappaB and stress-activated protein kinase/c-Jun NH(2)-terminal kinase activity, two signaling pathways essential for osteoclastogenesis. In vivo administration of TNF-alpha prompts robust osteoclast formation in chimeric animals in which ss-galactosidase positive, TNF-responsive macrophages develop within a TNF-nonresponsive stromal environment. Thus, while TNF-alpha alone does not induce osteoclastogenesis, it does so both in vitro and in vivo by directly targeting macrophages within a stromal environment that expresses permissive levels of RANKL. Given the minuscule amount of RANKL sufficient to synergize with TNF-alpha to promote osteoclastogenesis, TNF-alpha appears to be a more convenient target in arresting inflammatory osteolysis.
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“TNF-α induces osteoclastogenesis in RANKL- and M-CSF-positive hematopoietic cell precursors [29,30], where its effects are mediated by TNF-α receptors type 1 (p55r) and type 2 (p75r), the former being the most effective in inducing the differentiation of TRAP-positive multinucleated cells [31].”
From Osteoclasts and Microgravity (2020) · cites this paper as [29]
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Phan, Q. T., Liu, R., Tan, W. H., Imangali, N., Cheong, B., Schartl, M., & Winkler, C. (2020) · JBMR Plus · doi:10.1002/jbm4.10409 · Cited by 11
“Earlier cell culture studies showed that TNFα induces osteoclast formation from mouse bone marrow-derived macrophages.((15,17)) Serum levels of TNFa are also increased in humans with low thyroid-stimulating hormone (TSH) levels and in mice carrying mutations in TSH receptor (Tshr).”
BackgroundIbrahim, N., Nabil, N., & Ghaleb, S. (2019) · Journal of Pharmacy And Bioallied Sciences · doi:10.4103/jpbs.jpbs_4_19 · Cited by 13
“[41] It is strongly supported that RANK/RANKL/OPG systems have a role in regulating bone resorption and the formation of osteoclasts.”
Identification of Genes Differentially Expressed in Simvastatin‐Induced Alveolar Bone Formation
Liu, J., Chanumolu, S. K., Krei, Z., Albahrani, M., Akhtam, A., Jia, Z., Wang, X., Wang, D., Otu, H. H., Reinhardt, R., et al. (2018) · JBMR Plus · doi:10.1002/jbm4.10122 · Cited by 12
“81 Inflammation-induced osteoclastogenic cytokine((28,29,44)) ENSRNOG00000012467 IL-17”
BackgroundC/EBPα and PU.1 exhibit different responses to RANK signaling for osteoclastogenesis
Jules, J., Li, Y., & Chen, W. (2017) · Bone · doi:10.1016/j.bone.2017.05.009 · Cited by 11
Guo, H., Zhang, J., HAO, S., & Jin, Q. (2013) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2013.1416 · Cited by 11
“TNF-α cannot promote the formation of osteoclasts in the absence of RANKL, but TNF-α promotes the formation of osteoclasts in the presence of RANKL, in accordance with previous studies (50,51).”
Labropoulou, V., Theocharis, A. D., Symeonidis, A. S., Skandalis, S. S., Karamanos, N. K., & Kalofonos, H. P. (2011) · Current Medicinal Chemistry · doi:10.2174/092986711795471275 · Cited by 10
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“TNF has been reported to act as a pro-osteoclastogenic cytokine, either through synergistic action with RANKL or possibly through an alternative RANKL-independent pathway (18, 19).”
BackgroundSelf-citationTranslating basic research into clinical rheumatology.
van der Woude, D., & Huizinga, T. (2008) · Baillière's Best Practice & Research : Clinical Rheumatology · doi:10.1016/j.berh.2008.01.009 · Cited by 10
Pre-arthritis: a concept whose time has come
Smolen, J. S., Aletaha, D., Machold, K. P., Nell, V. P. K., Redlich, K., Schett, G. A., Stamm, T., & Steiner, G. E. (2006) · Future Rheumatology · doi:10.2217/17460816.1.1.1 · Cited by 11
“All these data, in conjunction with the high propensity and rapidity of erosive disease and the potential to reverse RA from destructive to nondestructive arthritis by TNF blockade [32], presumably by reducing TNF levels below a threshold concentration promoting osteoclastogenesis [8], support the concept of an ‘osteo…”
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McNamara, L. M. (2011) · Elsevier eBooks · doi:10.1016/b978-0-08-055294-1.00068-4 · Cited by 31
Nrf2 signaling pathway: focus on oxidative stress in osteoporosis
Gu, H.-Y., Liu, N., Lin, F.-X., & Yin, J. (2025) · Osteoporosis International · doi:10.1007/s00198-025-07592-0 · Cited by 10
Alterations in bone fracture healing associated with TNFRSF signaling pathways
Dong, Y., Zhou, H., Alhaskawi, A., Wang, Z., Lai, J., Abdullah Ezzi, S. H., Kota, V. G., Abdulla Hasan Abdulla, M. H., Sun, Z., & Lu, H. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.905535 · Cited by 9
A nationwide cohort study of inflammatory bowel disease, histological activity and fracture risk
Mårild, K., Söderling, J., Axelrad, J., Halfvarson, J., Forss, A., Michaëlsson, K., Olén, O., & Ludvigsson, J. (2024) · Alimentary Pharmacology and Therapeutics · doi:10.1111/apt.18275 · Cited by 9
“47 In CD, T-cells have been shown to influence bone resorption by triggering osteoclasts.”
Garcia-Hernandez, M. D. L. L., Rangel-Moreno, J., García-Castañeda, M., Kenney, H., Paine, A., Thullen, M., Anandarajah, A., Schwarz, E., Dirksen, R., & Ritchlin, C. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1026574 · Cited by 9
“Thus, the differentiation and activation of OCs is the result of RANKL-RANK interaction along with secondary ITAM-ITIM signals involved in generating calcium signaling, which is analogous to mechanisms operative in inflammatory and immune cells (12, 31, 32).”
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Korkosz, M., Czepiel, M., Guła, Z., Stec, M., Węglarczyk, K., Rutkowska-Zapała, M., Gruca, A., Lenart, M., Baran, J., Gąsowski, J., et al. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2356-4 · Cited by 9
“On the other hand, in combination with low concentrations of RANKL (100 times lower than normally required for osteoclast differentiation) TNFα potently stimulated osteoclastogenesis [16].”
BackgroundConstitutive Activation of β-Catenin in Differentiated Osteoclasts Induces Bone Loss in Mice
Sui, X., Deng, S., Liu, M., Fan, L., Wang, Y., Xu, H., Sun, Y., Kishen, A., & Zhang, Q. (2018) · Cellular Physiology and Biochemistry · doi:10.1159/000492549 · Cited by 12
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“For example, PAI-1 deficiency attenuates bone loss in estrogen-deficient [28] and diabetic mice [29] and in LLC-bearing mice [24]; TNF-α promotes osteoclastogenesis and osteoclast activation [30, 31].”
BackgroundCommunication between the skeletal and immune systems
Lee, S.-H., & Choi, Y. (2015) · Osteoporosis and Sarcopenia · doi:10.1016/j.afos.2015.09.004 · Cited by 9
OsteoRheumatology: a new discipline?
Favero, M., Giusti, A., Geusens, P., Goldring, S. R., Lems, W. F., Schett, G. A., & Bianchi, G. (2015) · RMD Open · doi:10.1136/rmdopen-2015-000083 · Cited by 15
Osteoimmunological Aspects on Inflammation and Bone Metabolism
Lange, U., Dischereit, G., Neumann, E., Frommer, K., Tarner, I., & Kerckhoff-Klinik, M.-L. (2015) · Journal of Rheumatic Diseases and Treatment · doi:10.23937/2469-5726/1510008 · Cited by 9
“The influence of pro-inflammatory cytokines on bone metabolism in the form of bone mass loss is especially evident with the occurrence of inflammation since TNF-α, IL-1, IL-6 and IL-17 contribute to increased osteoclastogenesis [5,9-12].”
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Understanding osteoclast formation and function: implications for future therapies for osteoporosis
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Mechanisms of bone resorption and new bone formation in spondyloarthropathies
Huang, W., & Schwarz, E. (2002) · Current Rheumatology Reports · doi:10.1007/s11926-002-0059-0 · Cited by 9
Mechanisms of Estrogen Action in Bone
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Identification the role of necroptosis in rheumatoid arthritis by WGCNA network
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“In addition, pro-inflammatory cytokines such as IL-17 and TNF-α have been found to promote osteoclast production [59,60].”
The miR‐29‐3p family suppresses inflammatory osteolysis
Shin, B., Hrdlicka, H. C., Karki, S., Fraser, B., Lee, S., & Delany, A. M. (2024) · Journal of Cellular Physiology · doi:10.1002/jcp.31299 · Cited by 8
“Classical osteoclast differentiation requires RANKL and can be amplified by TNF ‐ α signaling (Cao et al., 2017; Kobayashi et al., 2000; Lam et al., 2000; Yao et al., 2006).”
The Role of Tocotrienol in Arthritis Management—A Scoping Review of Literature
Singh, T., Aminuddin, A. A., Pang, K.-L., Ekeuku, S. O., & Chin, K. (2023) · Pharmaceuticals · doi:10.3390/ph16030385 · Cited by 9
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“At the cellular level, TNF-α strengthens body responses such as inflammation, immunoregulation, proliferation, apoptosis, and antiviral activity (Lam et al., 2000).”
Background
Metadata
- Authors
- Lam, J., Takeshita, S., Barker, J. E., Kanagawa, O., Ross, F. P., & Teitelbaum, S. L.
- Affiliations
- Washington University in St. Louis (US)
- Barnes-Jewish Hospital (US)
- Corresponding author
- Teitelbaum, Steven L.
- Venue
- Journal of Clinical Investigation
- Published
- 2000-12-15
- Volume
- 106
- Issue
- 12
- Pages
- 1481-1488
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC387259
- OpenAlex
- W2132933661
- Cited by
- 1,440
- References
- 0
- Citations by year
- 2026: 45 · 2025: 63 · 2024: 48 · 2023: 53 · 2022: 60 · 2021: 72 · 2020: 57 · 2019: 61 · 2018: 59 · 2017: 75 · 2016: 61 · 2015: 56 · 2014: 49 · 2013: 64 · 2012: 58
- FWCI
- 11.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The Mouseion at the JAXlibrary (Jackson Laboratory) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of General Medical Sciences (T32GM007200)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK027726)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-32788, AR-07033, R01AR032788, R37AR046523, T32AR007033, R01AR046852, AR46523, R01AR046523)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Rheumatology › Osteomyelitis and Bone Disorders Research
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Keywords
- TNF-α, osteoclastogenesis, RANK ligand, macrophages, osteoclast precursors, NF-κB signaling, JNK signaling, inflammatory osteolysis, bone destruction, chimeric mice, cytokine synergy
- MeSH terms
- Animals, Carrier Proteins, Cell Differentiation, Cells, Cultured, Drug Synergism, Enzyme Activation, Flow Cytometry, Histocytochemistry, Macrophages, Membrane Glycoproteins, Osteoclasts, Stem Cells, Tumor Necrosis Factor-alpha, Bone Marrow Transplantation, NF-kappa B, Mitogen-Activated Protein Kinases, JNK Mitogen-Activated Protein Kinases, Mice, RANK Ligand, Receptor Activator of Nuclear Factor-kappa B
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