Endocrinology Vol. 138, No. 10 4160-4166
Copyright © 1997 by The Endocrine Society
Thrombopoietin Inhibits in Vitro Osteoclastogenesis from Murine Bone Marrow Cells
Takeshi Wakikawa,
Atsushi Shioi,
Masayuki Hino,
Masaaki Inaba,
Yoshiki Nishizawa,
Noriyuki Tatsumi,
Hirotoshi Morii and
Shuzo Otani
Departments of Biochemistry (T.W., S.O.) and Clinical Hematology
(M.H., N.T.) and Second Department of Internal Medicine (A.S., M.I.,
Y.N., H.M.), Osaka City University Medical School, Osaka 545,
Japan
Address all correspondence and requests for reprints to: Atsushi Shioi, M.D., Second Department of Internal Medicine, Osaka City University Medical School, 15-7 Asahi-machi, Abeno-ku Osaka 545, Japan. E-mail:
as{at}msic.med.osaka-cu.ac.jp
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Abstract
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To determine whether thrombopoietin (TPO) can modulate the osteoclastic
differentiation from hematopoietic stem cells, we investigated the
effect of TPO on in vitro osteoclastogenesis by using
the coculture of murine bone marrow cells with the stromal cell line
(ST2) in the presence of 1
,25-dihydroxyvitamin D3 and
dexamethasone. Recombinant human TPO inhibited the formation of
tartrate-resistant acid phosphatase-positive multinucleated cells in a
dose-dependent manner (0.02200 ng/ml). The effect of TPO on
differentiation of bone-resorbing capacity was investigated by pit
assay. TPO dose dependently decreased the areas of toluidine
blue-stained resorption pits (2.0200 ng/ml). To identify the cellular
target of TPO, we used a variety of bone marrow/stromal cell coculture
methods. Initially, we found that TPO mainly exerted its effect on the
early stage of osteoclastic differentiation in delayed addition
experiments. Consequently, the majority of TPOs inhibition of
osteoclastic cell formation was due to its effect on bone marrow cells.
Finally, we examined whether transforming growth factor-ß (TGFß)
and platelet-derived growth factor (PDGF), major cytokines produced by
megakaryocytes, mediate the inhibitory effect of TPO. The addition of
either anti-TGFß or anti-PDGF antibody to bone marrow cell culture
completely antagonized the effect of TPO on osteoclastogenesis.
Furthermore, treatment of bone marrow cells with TGFß or PDGF
mimicked the inhibitory effect of TPO. These data suggest that TPO
inhibits osteoclastogenesis through stimulating thrombopoiesis and that
TGFß and PDGF mediate the effect of TPO by impacting on
macrophage-lineage cells as osteoclast precursors.
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Introduction
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THROMBOPOIETIN (TPO) stimulates both
megakaryocyte colony formation and megakaryocyte maturation (1, 2, 3). TPO
is a novel cytokine composed of an N-terminal domain homologous to
erythropoietin and a glycosylated carboxy domain of unknown function
(1, 4, 5). TPO stimulates the formation of colony-forming
unit-megakaryocytes both alone and in combination with early acting
factors such as interleukin-3 and c-kit ligand (2). It also
stimulates the production of megakaryocytes and functional platelets
from enriched murine or human stem cell populations (6, 7). The
protooncogene c-mpl was originally isolated as the cellular
homology of v-mpl, the transforming gene of the mouse
myeloproliferative leukemia virus (8). Characterization of c-Mpl, the
receptor encoded by c-mpl, revealed structural homology with
the hematopoietic cytokine receptor family and its involvement in
megakaryocyte development (9, 10). Recently, TPO has been identified as
a ligand for c-Mpl (1, 2, 3, 4, 5). The physiological significance of
c-mpl in the regulation of thrombopoiesis in vivo
was demonstrated by the generation of c-mpl-deficient mice
(11). These mice exhibit a 85% reduction in peripheral platelet counts
and in marrow and spleen megakaryocytes. Expression of c-mpl
appears to be restricted to hematopoietic tissues, primitive
hematopoietic stem cells, megakaryocytes, and platelets (12).
Megakaryocytes and platelets can produce cytokines and growth
factors such as transforming growth factor-ß (TGFß) and
platelet-derived growth factor (PDGF), which may be involved in the
development of myelofibrosis (13, 14, 15, 16). In this condition,
osteosclerosis of trabecular bones has been often noted. Moreover,
megakaryocytes express bone matrix proteins such as osteocalcin and
osteonectin (17, 18), suggesting that they may play a role in skeletal
metabolism.
Osteoclasts are derived from the hematopoietic progenitors, and various
cytokines and colony-stimulating factors can modulate
osteoclastogenesis. As the early stages of hematopoiesis and
osteoclastogenesis proceed along similar pathways, it is likely that
the same cytokines and colony-stimulating factors that are involved in
hematopoiesis are also involved in the development of osteoclasts (19).
Therefore, we hypothesized that TPO may modulate the osteoclastic
differentiation from hematopoietic progenitors. To prove this
hypothesis, we used an in vitro model of murine
osteoclastogenesis by coculture of bone marrow cells with stromal cells
(20, 21). In this study, we found that TPO inhibits osteoclastogenesis
in vitro through acting on the early stages of osteoclastic
differentiation and that the cellular target of TPO is present in bone
marrow cells. Furthermore, we demonstrated that TPO exerts its
inhibitory effect through stimulating thrombopoiesis and that TGFß
and PDGF, major cytokines elaborated by megakaryocytes, mediate the
effect of TPO by impacting on macrophage lineage cells as osteoclast
precursors.
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Materials and Methods
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Mice and cell lines
C3H/HeN mice were obtained from Japan SLC, Inc. (Shizuoka,
Japan). ST2 cells (mouse stromal cell line) were obtained from RIKEN
Cell Bank (Tsukuba, Japan), maintained in
MEM supplemented with 10%
FCS containing 100 U/ml penicillin and 100 µg/ml streptomycin,
passaged weekly using trypsin-EDTA (Sigma Chemical Co., St. Louis, MO),
and used up to passage 10.
Reagents
Recombinant human TPO (22, 23) and affinity-purified rabbit
anti-TPO polyclonal antibody (blocking type) were provided by
Pharmaceutical Research Laboratory, Kirin Brewery Co. (Tokyo, Japan).
Recombinant human macrophage colony-stimulating factor (M-CSF) was
provided by Green Cross Co. (Osaka, Japan). Pronase was purchased from
Boehringer Mannheim (Indianapolis, IN). 1
,25-Dihydroxyvitamin
D3 [1,25-(OH)2D3] was provided by
Chugai Pharmaceutical Co. (Tokyo, Japan). Mouse anti-TGFß monoclonal
and rabbit antihuman PDGF polyclonal antibodies were obtained from
Genzyme (Cambridge, MA). Human TGFß and PDGF were purchased from
Calbiochem (La Jolla, CA). Unless otherwise indicated, all other
reagents were obtained from Wako Pure Chemical Industries (Osaka,
Japan).
Bone marrow cell preparation
Murine bone marrow cells were prepared with a slight
modification of the method described previously (20, 21). Briefly, the
bone marrow of C3H/HeN mice was flushed from femurs and tibiae with
ice-cold
MEM. The cells were collected, pelleted, resuspended in
MEM containing 10% FCS, plated in a 150-mm tissue culture dish, and
subsequently incubated for 24 h at 37 C in the presence of 5%
CO2. The nonadherent cells were then collected, pelleted
(1, 500 rpm, 7 min, 4 C), and resuspended (1 x 107
cells/ml) in pronase solution (0.02% pronase and 1.5 mM
EDTA in PBS, pH 7.4). After a 15-min incubation at 37 C, the reaction
was stopped by adding 200 µl FCS, and the suspension was layered onto
15 ml heat-inactivated horse serum and sedimented at 1 x
g for 15 min at 4 C. The cell suspension from the top of the
gradient was carefully transferred onto 15 ml of another
heat-inactivated horse serum gradient and centrifuged for 10 min at
3000 rpm at 4 C, and the cell pellet was suspended in
MEM containing
10% FCS.
Bone marrow/stromal cell coculture
Coculture of bone marrow cells and ST2 cells were performed in
two different ways, both of which resulted in the formation of
osteoclastic cells (21). In the first method, termed the continuous
coculture method, fractionated nonadherent bone marrow cells (1 x
106 cells/well) were cocultured with ST2 cells (1 x
105 cells/well) in 24-well tissue culture plates in
MEM
supplemented with 10% FCS in the presence of 10-8
M 1,25-(OH)2D3 and
10-7 M dexamethasone. The cultures were
maintained for 10 days, with medium changed twice weekly. TPO and other
reagents at the indicated concentrations were added at the times of
coculture initiation and medium change.
In the second method, termed the two-step coculture method, the
nonadherent bone marrow cells (1 x 106 cells/well)
were grown on 24-well tissue culture plates in
MEM supplemented with
10% FCS in the presence of 5000 U/ml of M-CSF (macrophage
differentiation; step 1). After 4 days, nonadherent cells were rinsed
away, and the remaining adherent cells were cocultured with ST2 cells
(105 cells/well) in
MEM supplemented with 10% FCS in
the presence of 10-8 M
1,25-(OH)2D3 and 10-7
M dexamethasone. The cultures were maintained for
additional 10 days, with medium changed twice weekly (osteoclast
differentiation; step 2).
Bone resorption assay (pit assay)
Thin disc-shaped wafers (7 x 7 x 0.5 mm) of cortical
bone were prepared from transverse slices of bovine femurs (diaphysis)
with a low speed diamond saw (Maruto, Kyoto, Japan), cleaned by
sonication, and stored in absolute ethanol at 4 C. Before use, the
slices were washed with sterile PBS and placed in 48-well plate wells.
The nonadherent bone marrow cells (1 x 106
cells/well) were cocultured with ST2 cells (1 x 105
cells/well) in
MEM containing 10% FCS in the presence of
10-8 M 1,25-(OH)2D3
and 10-7 M dexamethasone. After a 10-day
incubation with medium changed twice weekly, the bone pits (resorption
lacunae) were visualized using a slight modification of the previously
described method (24). The slices were fixed with 10% formalin, washed
with PBS twice, and exposed to 0.1 M sodium hydroxide for
1 h. The slices were then washed with PBS twice, sonicated twice
for 30 sec to remove the cell layer from the bone, and stained with
toluidine blue solution [1% (wt/vol) in 1% (wt/vol) sodium borate]
for 10 min. The slices were air-dried and mounted on glass slides with
Eukitt mounting medium (O. Kindler Co., Freiburg, Germany). Resorptive
pits appeared as darkly stained, clearly marginated areas using light
microscopy.
Cytochemical staining for tartrate-resistant acid phosphatase
The number of formed osteoclasts was evaluated by cytochemical
detection of tartrate-resistant acid phosphatase (TRAP) using a
commercial kit (Sigma Chemical Co.). TRAP-positive cells with three or
more nuclei (TRAP-positive MNC) were counted as osteoclastic cells.
Image analysis
Toluidine blue-stained bone pits were viewed with an Olympus
BX50 microscope interfaced with an image-analyzing system
(OsteoMeasure, OsteoMetric, Atlanta, GA). Pit image was projected onto
a television screen via a camera mounted on the microscope.
Measurements of the total area of generated pits of consecutive 25
fields were made on the screen by tracing with the assistance of a
digital tablet and image analysis software (OsteoMeasure version 2.2,
OsteoMetric).
Statistics
In certain experiments, data were analyzed for statistical
significance by ANOVA with post-hoc analysis, unless
otherwise stated. These analyses were performed with the assistance of
a computer program (StatView version 4.11, Abacus Concepts, Berkeley,
CA).
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Results
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TPO effect on murine osteoclastogenesis
To investigate the effect of TPO on osteoclastogenesis, we used
the continuous coculture method (1 in Fig. 1
) (20, 21). The nonadherent bone marrow
cells were cultured with ST2 cells in the presence of various
concentrations of human TPO. After 10 days of coculture, osteoclastic
cell number was determined. As shown in Fig. 2
, TPO dose dependently inhibited
osteoclast formation at a concentration range from 0.02200 ng/ml;
maximal inhibition (61%) occurred at 200 ng/ml, and the 50%
inhibitory dose (ID50) of TPO was approximately 0.5
ng/ml.

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Figure 1. Cell culture methods used for osteoclastic cell
development (see Materials and Methods). 1) Continuous
coculture method. 2) Two-step coculture method. a and d, TPO treatment
during coculture; b and c, treatment of ST2 and bone marrow cells with
TPO, respectively. BMC, Bone marrow cells; OC, osteoclastic cells.
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Figure 2. The effect of TPO on in vitro
osteoclastogenesis. The nonadherent bone marrow cells were cocultured
with ST2 cells in the presence of 10-8 M
1,25-(OH)2D3 and 10-7
M dexamethasone as described. Various concentrations of TPO
were added at the times of coculture initiation and medium change.
After 10 days, the cultures were cytochemically stained for TRAP.
Osteoclastic cells were counted as described and are presented as the
mean (n = 4) ± SEM. The differences compared with
untreated control were statistically significant (*,
P < 0.05, by Fishers protected least significant
difference test). CTL and TRAP(+)MNC indicate untreated control and
TRAP-positive multinucleated cells, respectively.
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To confirm the specificity of TPO effect, we used rabbit antihuman TPO
polyclonal antibody that had been proven to inhibit TPO binding to its
receptor (c-mpl; data not shown). This antibody dose
dependently neutralized the inhibitory effect of TPO on
osteoclastogenesis, whereas equivalent amounts of rabbit IgG had no
effect (data not shown), confirming that the inhibitory effect is
specific for TPO.
As osteoclasts are the principal cells for bone resorption, we next
examined the effect of TPO on the differentiation of bone-resorbing
capacity by pit assay. Osteoclastic cells were induced on the bone
slices in the presence of various concentrations of TPO by the 10-day
coculture described above. The pit areas were evaluated by image
analysis after the bone slices had been appropriately stained.
Resorption pits appeared as darkly stained, clearly marginated areas
using light microscopy, and TPO dramatically inhibited bone resorption,
as shown in Fig. 3
. Quantitatively, the
total areas of pits were dose dependently decreased by treatment with
TPO, and maximal inhibition (80%) was observed at 200 ng/ml (Fig. 4
). These results suggest that TPO
inhibits the differentiation of bone-resorbing capacity as well.

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Figure 3. Photomicrographs of resorption pits
(magnification, x74). a, Control; b, 2 ng/ml TPO; c, 20 ng/ml TPO; d,
200 ng/ml TPO. Osteoclastic cells were induced on the bone slices.
After 10 days of culture, the slices were processed and stained to
demonstrate resorption pits.
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Figure 4. Effect of TPO on formation of resorption pits.
Osteoclastic cells were induced, and bone slices were processed and
stained as described. Total pit area and total bone area were measured
in each bone slice by image analysis, and the percent pit area in each
group was calculated and plotted. Data are presented as the mean
(n = 3) ± SEM, and the differences compared with
untreated control were statistically significant (*,
P < 0.05, by Fishers protected least significant
difference test). CTL, Untreated control.
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TPO cellular target in osteoclastogenesis
To clarify the target cells of TPO in osteoclastogenesis, we first
examined whether its effect is dependent on the time of addition using
the continuous coculture method. TPO was added at the time of culture
initiation or on days 4 and 7 thereafter, and osteoclastic cell number
was determined on day 10. As shown in Fig. 5
, TPO inhibited osteoclast formation
only when it was added at the time of coculture (day 1). The addition
of TPO, when delayed to either day 4 or 7 of coculture, failed to
impair osteoclastic differentiation. These results suggest that the
principal effects of TPO occurred during the first 4 days of the
coculture period.

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Figure 5. TPOs inhibitory effect on osteoclastic cell
formation requires early exposure. Bone marrow/ST2 coculture was
established as described in Fig. 2 , and TPO (200 ng/ml) was added at
culture initiation or on days 4 and 7 thereafter. Osteoclastic cells
were enumerated, and the results are presented as the mean (n = 4)
± SEM. The 110 group was statistically different from
all other groups (*, P < 0.05, by Fishers
protected least significant difference test). CTL and TRAP(+)MNC
indicate untreated control and TRAP-positive multinucleated cells,
respectively.
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To further delineate the cell population impacted by TPO, we designed a
two-step coculture experiment (2 in Fig. 1
) (21). As we previously
reported, a M-CSF-dependent adherent cell population consisting
principally of macrophages was isolated by the treatment with 5000 U/ml
M-CSF for 4 days (macrophage differentiation; step 1). Then, bone
marrow macrophages were cocultured with ST2 cells in the presence of
1,25-(OH)2D3 and dexamethasone for additional
10 days, yielding multinucleated TRAP-positive cells with features
identical to those generated in the previous experiments (osteoclast
differentiation; step 2). By using this method, we examined the effects
of TPO on ST2 cells, bone marrow cells, and the coculture of
macrophages with ST2 cells. Pretreatment of ST2 cells with TPO (Fig. 1b
) did not affect osteoclastogenesis (Fig. 6
). Together with the data presented in
Fig. 5
, these findings suggest that the main effect of TPO is on
macrophage differentiation from bone marrow cells. To confirm this
hypothesis, we examined the effect of TPO on step 1 culture in
osteoclastogenesis (Fig. 1c
). Bone marrow cells were inoculated for 4
days with TPO (0.2200 ng/ml) in the presence of M-CSF (5000 U/ml) and
then cocultured for additional 10 days with ST2 cells in the presence
of 1,25-(OH)2D3 and dexamethasone. As shown in
Fig. 7a
, osteoclastogenesis was dose
dependently inhibited by TPO (0.2200 ng/ml), and maximal inhibition
was 39.4% at 200 ng/ml. To exclude the possibility that the
differentiation of adherent bone marrow macrophages into osteoclasts is
affected by TPO, we examined the effect of TPO on step 2 (Fig. 1d
). TPO
did not exert its inhibitory effect on osteoclastogenesis from bone
marrow macrophages (Fig. 7b
). These data suggest that the main target
of TPO in osteoclastogenesis is the differentiation stage from bone
marrow cells into macrophages in the presence of M-CSF.

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Figure 6. Pretreatment of ST2 with TPO has no effect on
osteoclastogenesis. ST2 cells were pretreated for 72 h with the
indicated concentrations of TPO. After treatment, nonadherent bone
marrow cells were added to the ST2 cell layer and cultured for an
additional 10 days as described in Fig. 2 . Osteoclastic cells were
counted as described and are presented as the mean (n = 3) ±
SEM. No statistical difference was observed compared with
the control. CTL and TRAP(+)MNC indicate untreated control and
TRAP-positive multinucleated cells, respectively.
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Figure 7. TPOs effect on osteoclastogenesis in two-step
coculture. Nonadherent bone marrow cells were cultured for 4 days in
the presence of 5000 U/ml M-CSF (macrophage differentiation; step 1).
After 4 days, the adherent bone marrow cells were cocultured with ST2
cells for an additional 10 days as described. The number of
osteoclastic cells was determined, and the results are presented as the
mean (n = 4) ± SEM. TPO treatment was performed in
step 1 (a) and step 2 (b) cultures, respectively. The differences
compared with the control were statistically significant (*,
P < 0.05, by Fishers protected least significant
difference test). CTL and TRAP(+)MNC indicate untreated control and
TRAP-positive multinucleated cells, respectively.
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TGFß and PDGF mediate the inhibitory effect of TPO on
osteoclastogenesis
As bone marrow cells prepared with the described method contain
stem cells capable of differentiating into megakaryocytes, it is likely
that the effect of TPO on step 1 culture in osteoclastogenesis may be
exerted by the formation of megakaryocytes. In fact, TPO stimulated
megakaryocyte formation during macrophage differentiation (step 1
culture) as detected by May-Giemsa staining (data not shown).
Megakaryocytes produce cytokines and growth factors, such as TGFß and
PDGF, which are known to impact on skeletal metabolism (25, 26).
Therefore, it is likely that TGFß and/or PDGF mediate the inhibitory
effect of TPO on osteoclastogenesis as the result of increased
thrombopoiesis in step 1 culture (Fig. 1c
). To test this hypothesis, we
used mouse anti-TGFß monoclonal and rabbit antihuman PDGF-BB
polyclonal antibodies to antagonize the effect of TPO on step 1 culture
in osteoclastogenesis. Mouse anti-TGFß monoclonal antibody has been
proven to neutralize mouse TGFß1, -ß2, and -ß3 (27).
Neutralization of mouse PDGF-BB and PDGF-AB with rabbit antihuman
PDGF-BB antibody has also been reported (28). Anti-TGFß and anti-PDGF
antibodies dose dependently antagonized the inhibitory effect of TPO on
osteoclastogenesis (Figs. 8a
and 9a
,
respectively). Interestingly, high doses of anti-TGFß and anti-PDGF
antibodies (25 and 5 µg/ml, respectively) almost completely restored
the osteoclast-forming potential. Moreover, neither anti-TGFß nor
anti-PDGF antibodies affected megakaryocyte formation in the presence
of TPO (data not shown). Furthermore, to confirm mediation of the
effect of TPO by TGFß and PDGF, we examined the effects of TGFß and
PDGF on step 1 culture in osteoclastogenesis. TGFß and PDGF dose
dependently inhibited osteoclast formation, and maximal inhibition
occurred at 41.9% (1.0 ng/ml) and 47.9% (100 ng/ml), respectively
(Figs. 8b
and 9b
). Additionally, neither
TGFß nor PDGF stimulated megakaryocyte formation from bone marrow
cells in step 1 culture (data not shown). These data evidently suggest
that TPO exerts its inhibitory effect on osteoclastogenesis through
stimulating thrombopoiesis and that TGFß and PDGF, major cytokines
produced by megakaryocytes, mediate the effect of TPO by impacting on
macrophage-lineage cells as osteoclast precursors.

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Figure 8. TGFß mediates the effect of TPO on
osteoclastogenesis. Osteoclastic cells were generated by the two-step
coculture method. The step 1 culture was treated with TPO, mouse
anti-TGFß monoclonal antibody, and mouse IgG1 (a) or TGFß (b) as
indicated, respectively. The number of osteoclastic cells was counted
as described, and the results are presented as the mean (n = 3) ±
SEM. The differences compared with the control were
statistically significant (*, P < 0.05, by
Fishers protected least significant difference test). TRAP(+)MNC
indicates TRAP-positive multinucleated cells.
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Figure 9. PDGF mediates the effect of TPO on
osteoclastogenesis. Osteoclastic cells were generated by the two-step
coculture method. The step 1 culture was treated with TPO, rabbit
anti-PDGF polyclonal antibody, and rabbit IgG (a) or PDGF (b) as
indicated, respectively. The number of osteoclastic cells was counted
as described, and the results are presented as the mean (n = 3) ±
SEM. The differences compared with the control were
statistically significant (*, P < 0.05, by
Fishers protected least significant difference test). TRAP(+)MNC
indicates TRAP-positive multinucleated cells.
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Discussion
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In this study, we have shown that the inhibitory effects of TPO on
osteoclastic cell formation using the continuous coculture model of
osteoclastogenesis occurred early in the culture period. Based on the
two-step coculture experiments, the TPO cellular target was present in
the bone marrow cells. As the expression of TPO receptor
(c-mpl) is restricted to primitive hematopoietic stem cells,
megakaryocytes, and platelets (12), we hypothesized that TPO exerts its
inhibitory effect on osteoclastogenesis through stimulation of
thrombopoiesis as the result of acting on early hematopoietic
progenitor cells. TPO actually stimulated megakaryocyte formation in
step 1 culture, as detected by May-Giemsa staining (data not shown).
Moreover, we confirmed that the expression of c-mpl in bone
marrow cells, but not in ST2 cells, was detected by reverse
transcription-PCR (data not shown). In adherent bone marrow
macrophages, c-mpl was barely expressed (data not shown).
Therefore, it is likely that the inhibitory effect of TPO on
osteoclastogenesis is associated with megakaryocyte formation. Finally,
we have demonstrated that TGFß and PDGF, major cytokines elaborated
by megakaryocytes, mediate the inhibitory effects of TPO on
osteoclastogenesis.
There is a possibility that TPO may inhibit the proliferation or
accelerate the death of osteoclast precursors by impacting on bone
marrow cells. In this regard, we observed that there is no remarkable
difference in the number of adherent macrophages present in step 1
culture between TPO-treated and -untreated groups (data not shown).
Furthermore, it is worth noting that the inhibitory effect of TPO on
the bone-resorbing capacity of osteoclasts, as evidenced by pit assay,
was greater than its effect on the number of in vitro
generated osteoclast, suggesting that TPO inhibits osteoclastogenesis
as well as the function of osteoclasts. Therefore, it is necessary to
clarify the effect of TPO on mature osteoclasts regarding
bone-resorbing capacity.
Megakaryocytes produce TGFß and PDGF, which may be involved in the
development of myelofibrosis (13, 14, 15). Recently, Yan et al.
demonstrated that plasma levels of TGFß1 and PDGF increase in
TPO-overexpressing mice and that these mice develop myelofibrosis and
osteosclerosis (16). It is, therefore, suggested that TPO may play an
important role in the development of these pathological conditions.
Osteosclerosis is often noted in myelofibrosis and is thought to be
induced mainly by increased osteogenic activity (29, 30). However,
whether derangement of osteoclastic bone resorption is involved in the
development of osteosclerosis remains unclear. The inhibitory effect of
TPO on osteoclastogenesis as shown in this study may contribute to the
pathogenesis of osteosclerosis. Additionally, whether TPO can prevent
bone loss in certain pathological conditions with increased bone
resorption also remains to be clarified.
As we have shown in this study, TGFß and PDGF mediate the inhibitory
effect of TPO on osteoclastogenesis and impact mainly on macrophage
lineage cells in the bone marrow cell population. TGFß has been shown
to inhibit the formation of osteoclast-like cells from human and mouse
bone marrow cells (31, 32) and may induce granulocyte-macrophage CFU to
differentiate preferentially to cells of the granulocytic lineage (31).
Additionally, TGFß has been recognized as a negative regulator of
several macrophage functions, including nitric oxide production and
immunological responses (33, 34, 35). Therefore, it is likely that TGFß
can impair the osteoclast-forming potential of macrophage-lineage
cells. However, the mechanism of TGFß action on macrophage lineage
cells still remains unclear.
On the other hand, PDGF has been reported to stimulate osteoclast-like
cell formation and bone resorption (36, 37). However, in these studies
PDGF exerts its stimulatory effect on osteoclastogenesis in the
coexistence with osteoblastic cells (26, 36). Surprisingly, as shown in
this study, PDGF inhibited osteoclastogenesis by directly acting on
bone marrow cells in the absence of stromal/osteoblastic cells.
Therefore, PDGF may directly impair the osteoclast-forming potential of
macrophage lineage cells.
Finally, anti-TGFß and anti-PDGF antibodies, as we have shown
in this study, each completely antagonized the effect of TPO on
macrophage lineage cells in osteoclastogenesis, suggesting that these
two factors interdependently act on these cells. However, the
relationship between TGFß and PDGF in their actions on
osteoclastogenesis remains to be clarified.
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Acknowledgments
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We thank Kirin Brewery Co., Chugai Pharmaceutical Co., and
Green Cross Co. for providing recombinant human TPO, rabbit antihuman
TPO polyclonal antibody, 1,25-(OH)2D3, and
human M-CSF, respectively.
Received March 24, 1997.
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