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Department of Orthodontics and Pediatric Dentistry, United Medical and Dental Schools of Guys and St. Thomas Hospitals, University of London, London, United Kingdom SE1 9RT
Address all correspondence and requests for reprints to: Dr. Peter A. Hill, Department of Orthodontics and Pediatric Dentistry, United Medical and Dental Schools of Guys and St. Thomas Hospitals, London Bridge, London, United Kingdom SE1 9RT.
Programed cell death (PCD) or apoptosis is a naturally occurring cell
suicide pathway induced in a variety of cell types. In many cases, PCD
apparently arises as a result of competition for limiting amounts of
survival signals. In this study, we have investigated the potential
role of growth factors (GF), cytokines, and osteotropic hormones on
osteoblast survival in vitro. Our results indicate that
in the absence of any of these factors, osteoblasts rapidly undergo
PCD, as determined by cell morphology, mitochondrial function, and
nuclei fragmentation. Osteoblast survival was promoted by insulin-like
growth factor I (IGF-I), IGF-II, insulin, and basic fibroblast growth
factor (bFGF). Platelet-derived growth factor had no effect on
osteoblast survival, but this GF potentiated the survival-promoting
effects of IGF-I, IGF-II, and insulin. A similar effect occurred when
bFGF was added in combination with either of the IGFs or insulin. The
effects of the IGFs were blocked by
IR-3, an antibody to the type I
IGF receptor, whereas the effects of insulin were only partially
blocked. This antibody blocked the potentiating effects of
platelet-derived growth factor on IGF-I-mediated osteoblast survival,
but only partially blocked those of bFGF. Although a 100% survival of
osteoblasts was seen in the presence of 2% FCS, the highest level
attained by any of the above GF combinations was
75%. The
monocyte-derived factor, tumor necrosis factor-
(TNF
) was the
only agent that enhanced PCD in this study. These results suggest that
osteoblast survival is promoted by those GFs sequestrated in bone
matrix and that the type I, but not the type II, IGF receptor is
involved in the response. Our data also indicate that other
unidentified GFs or components of the extracellular matrix may be
involved in promoting osteoblast survival and that TNF
may abrogate
their effects in vivo. We propose that these GFs may be
released from bone matrix during phases of bone resorption and promote
osteoblast survival, thereby playing an important role in bone
remodeling, and that PCD induced by TNF
may contribute to the bone
loss in inflammatory bone disease.
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