Endocrinology Vol. 141, No. 8 3006-3011
Copyright © 2000 by The Endocrine Society
Role of Ascorbic Acid in the Osteoclast Formation: Induction of Osteoclast Differentiation Factor with Formation of the Extracellular Collagen Matrix1
Eri Otsuka,
Yoshihisa Kato,
Shigehisa Hirose and
Hiromi Hagiwara
Research Center for Experimental Biology, Tokyo Institute of
Technology, Midori-ku, Yokohama 226-8501, Japan
Address all correspondence and requests for reprints to: Hiromi Hagiwara, Ph.D., Research Center for Experimental Biology, Tokyo Institute of Technology, 4259 Nagatsuta-cho, Midori-ku, Yokohama 226-8501, Japan. E-mail: hhagiwar{at}bio.titech.ac.jp
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Abstract
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Osteoclasts are bone-resorbing multinucleated cells.
Tartrate-resistant acid phosphatase-positive (TRAP-positive)
mononuclear and multinucleated cells, which are osteoclast-like cells
(OCLs), were formed as a result of the coculture of mouse bone marrow
cells and clonal stromal ST2 cells in the presence of
1
,25-dihydroxyvitamin D3. Removal of ascorbic acid
from the culture medium prevented the formation of TRAP-positive OCLs.
Addition of ascorbic acid to the medium formed TRAP-positive OCLs, and
the effect of ascorbic acid was dose-dependent. When we examined the
level of messenger RNA (mRNA) for osteoclast differentiation factor
(RANKL/ODF) in ST2 cells, we found that ascorbic acid caused an
approximately 5-fold increase in the level of this mRNA. The half-life
of the mRNA was unaffected by ascorbic acid. To characterize the
mechanism of action of ascorbic acid, we investigated the relationship
between formation of TRAP-positive OCLs and formation of the collagen
matrix. Inhibitors of the formation of collagen triple helices blocked
both the formation of TRAP-positive OCLs and the expression of the mRNA
for RANKL/ODF in response to ascorbic acid. Our findings suggest that
ascorbic acid might be essential for osteoclastogenesis and might
induce the formation of TRAP-positive OCLs via induction of the
synthesis of RANKL/ODF that is somehow mediated by the extracellular
matrix.
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Introduction
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OSTEOCLASTS ARE multinucleated cells that
are responsible for the resorption of bone. They are formed from
hematopoietic cells of the monocyte/macrophage lineage. The processes
of differentiation and fusion can be reproduced in a system in which
mouse bone marrow cells are cocultured with mouse
osteoblasts/osteogenic stromal cells (1). Several osteotropic hormones
and cytokines affect osteoclastogenesis at distinct stages of the
development of osteoclasts. These factors include
1
,25-dihydroxyvitamin D3
[1
,25(OH)2D3],
macrophage colony-stimulating factor (M-CSF), calcitonin, PTH,
interleukin 1, and interleukin 6. However, gene-disruption experiments
have demonstrated that none of these factors is essential for the
formation of osteoclasts in vivo.
Recently, genes for ODF (osteoclast differentiation factor)
[RANKL/ODF; receptor activator of NF-
B ligand (RANKL)/ODF] (2, 3, 4)
have been cloned and characterized (5, 6). RANKL/ODF is produced by
osteoblast/osteogenic stromal cells and plays important roles in
osteoclastogenesis. It is involved in the formation of osteoclast-like
cells (OCLs), the fusion of osteoclastic precursor cells, and the
resorption of bone (5, 6). Antibodies against RANKL/ODF abolish the
1
,25(OH)2D3-induced,
PTH-induced, and PG E2-induced resorption of bone
in mouse fetal long-bone cultures (7). In addition,
Odf-deficient mice exhibit severe osteopetrosis and defects
in tooth eruption (4). Furthermore, osteoprotegerin [OPG; also known
as osteoclastogenesis-inhibitory factor (OCIF)], which is a decoy
receptor for RANKL/ODF, inhibits osteoclastogenesis by interfering with
cell-to-cell signaling between osteoclast progenitors and
osteoblast/osteogenic stromal cells (8, 9). Thus, RANKL/ODF seems to be
essential for the development of osteoclasts both in vivo
and in vitro. By contrast, a recent study showed that
ascorbic acid induces the differentiation of osteoclasts in a coculture
system in which differentiation is activated by
1
,25(OH)2D3 and
dexamethasone (10). Ascorbic acid is required as a cofactor for enzymes
that are involved in the posttranslational modification of collagens;
for example, prolyl and lysyl hydroxylases (11). Ascorbic acid
deficiency caused a decrease in the corporation of sulfate into
proteoglycans of guinea pig costal cartilage (12). Ascorbic acid is
also involved in myogenesis, chondrogenesis, and osteogenesis
via formation of the collagen matrix (11). However, the
mechanism of action of ascorbic acid in osteoclastogenesis is not fully
understood. In this report, we describe a correlation between the
formation of OCLs and the expression of messenger RNA (mRNA) for
RANKL/ODF in response to ascorbic acid.
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Materials and Methods
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Materials
L-ascorbic acid and
1
,25(OH)2D3 were
purchased from Wako Pure Chemical Industries, Ltd. (Osaka,
Japan). 3,4-Dehydro-L-proline (DHP) and
ethyl-3,4-dihydroxybenzoate (EDHB) were obtained from
Sigma (St. Louis, MO). 32P-labeled
nucleotides were obtained from Amersham Pharmacia Biotech
(Buckinghamshire, UK). FBS and penicillin/streptomycin antibiotic
mixture were obtained from Life Technologies (Grand
Island, NY). Ascorbic acid-free
-MEM was purchased from Kojin Bio,
Ltd. (Sakado, Japan).
Formation of OCLs in vitro
Bone marrow cells were collected from the femurs and tibias of
6-week-old male ddY mice, as described by Takahashi et al.
(13). Mouse bone marrow-derived stromal ST2 cells were supplied by the
RIKEN Cell Bank (Tsukuba, Japan) and were cocultured (2 x
104 cells/well) with bone marrow cells (5 x
104 cells/well) in
-MEM that contained 10%
FBS and 10-8 M
1
,25(OH)2D3 in 48-well
plates (0.98 cm2/well; IWAKI, Tokyo, Japan). The
cultures were maintained at 37 C in a humidified atmosphere of 5%
CO2 in air. Fresh medium was supplied at 3-day
intervals, and fresh ascorbic acid was added in the medium every
time.
Localization of tartrate-resistant acid phosphatase (TRAP)
After coculture for 68 days, adherent cells were fixed in 10%
formalin for 5 min and then in a mixture of ethanol and acetone (1:1,
vol/vol) for 1 min. Then they were stained for TRAP activity, as
described by Udagawa et al. (14). TRAP-positive mononuclear
cells and TRAP-positive multinucleated cells (three or more nuclei)
were counted under a microscope (IX70; Olympus Corp.,
Tokyo, Japan).
Semiquantitative RT-PCR
We detected mRNAs for RANKL/ODF, OPG, and M-CSF in ST2
cells by semiquantitative RT-PCR. RNA was extracted from ST2 cells that
had been exposed to ascorbic acid by the acid
guanidinium-phenol-chloroform method (15). Total RNA (5 µg) was
reverse transcribed by Moloney murine leukemia virus reverse
transcriptase, Superscript (200 U; Life Technologies),
with random primers (50 ng) in a 20-µl reaction mixture. The
complementary DNA (cDNA) was amplified in 20 µl Taq DNA
polymerase mixture (Takara, Tokyo, Japan) that contained 1
µM sense primer, 5'-CAGGTTTGCAGGACTCGAC-3', and
antisense primer, 5'-AGCAGGGAAGGGTTGGACA-3', for mouse RANKL/ODF
(accession number AF013170, 4341,034: 601 bp) (3); 1
µM sense primer, 5'-CCACTCTTATACGGACAGCT-3',
and antisense primer, 5'-TCTCGGCATTCACTTTGGTC-3', for mouse OPG
(accession number U94331, 291796: 506 bp); 1
µM sense primer, 5'-TTGCCAAGGAGGTGTCAGAA-3',
and antisense primer, 5'-TATTGGAGAGTTCCTGGAGC-3', for mouse M-CSF
(accession number M21952, 251511: 261 bp) (16); or 1
µM sense primer, 5'-ACTTTGTCAAGCTCATTTCC-3',
and antisense primer, 5'-TGCAGCGAACTTTATTGATG-3', for mouse
glyceraldehyde-3-phosphate dehydrogenase (GAPDH)(accession number
M32599, 957-1223: 267 bp). Each reaction cycle (performed 25, 25, 30,
and 25 times for amplification of the cDNA for RANKL/ODF, OPG, M-CSF,
and GAPDH, respectively) consisted of incubation at 94 C for 30 sec, at
60 C for 30 sec, and at 72 C for 30 sec. Products of PCR were subjected
to electrophoresis on a 2% agarose gel and visualized by staining with
ethidium bromide. DNA marker fragments (molecular weight marker V;
Roche Molecular Biochemicals, Tokyo, Japan) were used as
size markers.
For quantitative analysis of mRNAs for RANKL/ODF, OPG, M-CSF, and
GAPDH, the products of PCR were blotted onto nylon membranes
(MagnaGraph; Micron Separation Inc., Westborough, MA) after
electrophoresis. Blots were prehybridized at 42 C for 2 h in
6 x SSPE (1 x SSPE consists of 0.15 M NaCl,
8.65 mM
NaH2PO4·2H2O,
and 1.25 mM EDTA, pH 7.4) that contained 2 x
Denhardts solution (1 x Denhardts solution consists of 0.1%
each of BSA, polyvinylpyrrolidone, and Ficoll), 50% formamide, 100
µg herring sperm DNA, and 0.5% SDS. Then blots were allowed to
hybridize, at 42 C for 16 h, in the same solution with a
32P-labeled cDNA probe specific for RANKL/ODF,
OPG, M-CSF or GAPDH at 106 cpm/ml. Blots were
washed twice in 0.1 x SSC and 0.1% SDS at 60 C for 1 h.
Washed blots were analyzed with a Bioimage Analyzer (BAS 2000;
Fuji Photo Film Co., Ltd., Tokyo, Japan).
For analysis of stability of RANKL/ODF mRNA, ST2 cells were cultured
for 2 days, with or without 50 µg/ml ascorbic acid, before the
addition of 5 µg/ml actinomycin D, for the indicated times. Total RNA
was extracted from ascorbic acid-treated and untreated cultures. RNA
was analyzed by PCR and Southern blot analysis with
32P-labeled cDNA for RANKL/ODF as probe. The
stability of mRNA for GAPDH is also shown and was used to normalize the
results.
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Results
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Figure 1
shows that
TRAP-positive mononuclear and multinucleated cells were formed in
response to the addition of ascorbic acid to the medium, and the effect
of ascorbic acid was dose-dependent. Induction of formation of
TRAP-positive OCLs was observed upon inclusion of ascorbic acid, at
15 µg/ml, in the medium. The effects of ascorbic acid on
osteoclastogenesis could reproduce by using mouse calvarial primary
cells instead of ST2 cells. The effects of the slowly hydrolyzable form
2-P-ascorbic acid (Wako Pure Chemical Industries, Ltd.) on the formation of OCLs was also similar to
those of ascorbic acid.
We examined the expression of the mRNA for RANKL/ODF in ST2 cells that
had been treated with 50 µg/ml ascorbic acid, in the presence and in
the absence of 10-8 M
1
,25(OH)2D3, an inducer
of RANKL/ODF, by semiquantitative RT-PCR. We used this technique
because of the relatively low levels of this mRNA in ST2 cells. As
shown in Fig. 2A
, no mRNA for RANKL/ODF
was detectable in ST2 cells grown in the absence of
1
,25(OH)2D3. By
contrast, 1
,25(OH)2D3
markedly increased the level of mRNA for RANKL/ODF. Furthermore, the
combination of ascorbic acid and
1
,25(OH)2D3 increased
the level of mRNA for RANKL/ODF to 4.7 times the level obtained with
1
,25(OH)2D3 alone. The
level of mRNA for OPG also doubled after treatment of cells with 50
µg/ml ascorbic acid (Fig. 2B
). However, ascorbic acid had no effect
on the level of mRNA for M-CSF in ST2 cells (Fig. 2B
).

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Figure 2. The effects of ascorbic acid on the expression of
mRNAs for RANKL/ODF, OPG, and M-CSF in ST2 cells. Total RNA was
isolated from ST2 cells that had been cultured for 3 days in the
presence and in the absence of 10-8
M 1 ,25(OH)2D3 (VD3)
and 50 µg/ml ascorbic acid, as indicated (A). We also examined the
effects of ascorbic acid on the expression of mRNAs for RANKL/ODF, OPG,
and M-CSF in the presence of 1 ,25(OH)2D3 on
day 2 (B). The products of RT-PCR were subjected to electrophoresis in
a 2% agarose gel and were allowed to hybridize with
32P-labeled cDNAs for RANKL/ODF, OPG, M-CSF, and GAPDH. The
results shown are representative of the results of four experiments.
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To examine whether the effects of ascorbic acid on the level of mRNA
for RANKL/ODF were attributable to enhanced stability of the
transcript, we examined the half-life of the mRNA for RANKL/ODF in ST2
cells in which transcription was inhibited. ST2 cells were incubated
for 2 days in medium with and without 50 µg/ml ascorbic acid. Then
cells were incubated with 5 µg/ml actinomycin D for 0, 3, 6, and
12 h. There were no consistent or significant differences in the
half-life of the mRNA for RANKL/ODF between ascorbic acid-treated and
untreated cells (Fig. 3
).

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Figure 3. Effects of ascorbic acid on the stability of the
mRNA for RANKL/ODF in ST2 cells in which transcription was blocked by
actinomycin D. ST2 cells were cultured for 2 days, with or without 50
µg/ml ascorbic acid, before the addition of 5 µg/ml actinomycin D
for the indicated times. Total RNA was extracted from ascorbic
acid-treated and untreated cultures. RNA was analyzed by PCR and
Southern blot analysis with 32P-labeled cDNA for RANKL/ODF
as probe ( , untreated cells;
, ascorbic acid-treated cells). The
inset shows results of Southern blot analysis of PCR
products obtained after treatment with actinomycin D for 0, 3, 6, and
12 h. The stability of mRNA for GAPDH is also shown and was used
to normalize the results.
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Ascorbic acid is required for the formation of the collagen matrix. We
reported previously that ascorbic acid induces the osteoblastic
differentiation of ST2 cells by inducing the synthesis of the collagen
matrix (17). Therefore, we examined the effects of inhibitors of the
formation of the collagen matrix, such as the proline analog DHP
and a structural analog of
-ketoglutarate and ascorbic acid, EDHB
(18), on the induction by ascorbic acid of the formation of OCLs (Fig. 4
) and on the effect of ascorbic acid on
the level of mRNA for RANKL/ODF in ST2 cells (Fig. 5
). As shown in Fig. 4
, DHP and EDHB
inhibited the ascorbic acid-induced formation of TRAP-positive OCLs in
a dose-dependent manner. DHP at 0.5 mM and EDHB at 0.05
mM each completely inhibited the formation of TRAP-positive
OCLs. The ascorbic acid-induced increase in the level of the mRNA for
RANKL/ODF was also prevented by 0.5 mM DHP and by 0.05
mM EDHB (Fig. 5
).
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Discussion
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Our results suggest that ascorbic acid might induce the formation
of OCLs in cocultures of mouse bone marrow cells and ST2 cells through
its effects on the synthesis of RANKL/ODF in ST2 cells. Usually,
cocultures for the formation of TRAP-positive OCLs are maintained in
-MEM, which contains 50 µg/ml ascorbic acid. As a result, the
potential importance of ascorbic acid in osteoclastogenesis has been
overlooked. We found that ascorbic acid can induce the formation of
TRAP-positive OCLs at concentrations from 0.55 µg/ml. The normal
concentration of ascorbic acid in human plasma ranges from
approximately 510 µg/ml. Therefore, our results suggest that the
effect of ascorbic acid on osteoclastogenesis might be
physiological.
RANKL/ODF is a membrane-bound protein that is expressed on
osteoblast/osteogenic stromal cells (e.g. ST2 cells) and
that induces osteoclastogenesis in combination with M-CSF (5, 6).
Antibodies against RANKL/ODF completely abolish the
1
,25(OH)2D3-induced
resorption of bone (7). Conversely,
1
,25(OH)2D3 raises the
level of mRNA for RANKL/ODF (6, 7, 19). These results suggest that the
stimulation of osteoclastogenesis by
1
,25(OH)2D3 might occur
via enhancement of the expression of RANKL/ODF. However,
these effects of
1
,25(OH)2D3 were
recognized when cells were cultured in medium that contained ascorbic
acid. In this study,
1
,25(OH)2D3 in the
absence of ascorbic acid and, similarly, ascorbic acid in the absence
of 1
,25(OH)2D3 were
unable to induce the formation of TRAP-positive multinucleated cells in
a coculture system. By contrast, the combination of ascorbic acid and
1
,25(OH)2D3 resulted in
the formation of TRAP-positive OCLs. Furthermore, the combination of
ascorbic acid and
1
,25(OH)2D3 increased
the level of mRNA for RANKL/ODF to 4.7 times the level obtained with
1
,25(OH)2D3 alone. All
our findings together suggest that a high level of mRNA for RANKL/ODF,
expressed in response to exposure to both ascorbic acid and
1
,25(OH)2D3, might
promote the formation of OCLs in our coculture system.
The RANKL/ODF and OPG produced by osteoblast/osteogenic stromal cells
are key extracellular regulators of osteoclastogenesis (5, 6). OPG,
which is a decoy receptor for RANKL/ODF, inhibits formation of OCLs
both in vivo and in vitro. The ratio of levels of
RANKL/ODF and OPG in the microenvironment is critical in the regulation
of the formation of OCLs. In the present study, the level of mRNA for
OPG doubled after treatment of ST2 cells with ascorbic acid at 50
µg/ml. However, the increase in the level (4.7-fold) of the mRNA for
RANKL/ODF induced by ascorbic acid was considerably greater than that
(2-fold) in the level of the mRNA for OPG. Thus, coculture in the
presence of ascorbic acid might be expected to result in the formation
of OCLs.
Ascorbic acid did not affect the stability of the mRNA for RANKL/ODF.
Our results suggest that ascorbic acid might regulate osteoclast
differentiation via induction of the synthesis of the mRNA
for RANKL/ODF in ST2 cells. However, the mechanism by which ascorbic
acid controls the expression of the mRNA for RANKL/ODF by ascorbic acid
remains unclear. Ascorbic acid is necessary for the expression of
osteoblastic markers and for mineralization in a variety of osteoblast
culture systems, acting via induction of the formation of a
collagen-containing extracellular matrix (20, 21, 22, 23, 24, 25, 26). We found previously
that ascorbic acid induces the differentiation of ST2 cells into
osteoblast-like cells (OCLs) (17). We also showed that the formation of
a collagen matrix, in response to ascorbic acid, is essential for the
differentiation of ST2 cells (17). Type I collagen is detected in the
extracellular matrix of ST2 cells in response to ascorbic acid (data
not shown). Therefore, we postulated that ascorbic acid might induce
ST2 cells to proceed to a particular stage of differentiation through
the formation of a collagen-containing extracellular matrix that has
the capacity to support the differentiation of osteoclasts. We examined
the effects of the collagen-containing extracellular matrix on the
formation of OCLs, using two inhibitors of the formation of the
collagen matrix, namely, the proline analog DHP and a structural analog
of
-ketoglutarate and ascorbic acid, EDHB. Both compounds inhibited
the formation of OCLs in cocultures, as well as the expression of the
mRNA for RANKL/ODF in ST2 cells. These results suggest that induction
of the formation of the collagen matrix by ascorbic acid might be
essential for the formation of OCLs that involves the expression of
RANKL/ODF. Type I collagen interacts with various types of cells,
through binding to
2ß1-integrin (27).
Interactions between collagen and integrin induce the osteoblastic
differentiation of ST2 cells (17) and MC3T3-E1 cells (25, 26). It seems
possible that the formation of OCLs induced by ascorbic acid might be
mediated by signal transduction pathways that involve collagen and
integrin. In this context, it is of interest to note that the
interaction between type I collagen and
2-integrin in mouse preosteoblastic MC3T3-E1
cells stimulates the binding of Cbfa1 to DNA without affecting levels
of Cbfa1 mRNA (28). Cbfa1 is a mammalian transcription factor related
to the runt protein of Drosophila. There is, moreover, a
consensus binding site (AACCACT) for Cbfa1 in the 5'-flanking region of
the mouse gene for RANKL/ODF (29). Furthermore, mRNA for RANKL/ODF is
undetectable in calvarial cells from Cbfa1-deficient mice
(30). All these findings together suggest that ascorbic acid might
induce the formation of OCLs, at least in part, by regulating the
expression of RANKL/ODF. This regulation involves regulation of the
formation of the collagen matrix by ascorbic acid, which is supposedly
followed by the activation of Cbfa1. Further investigations, including
measurements of levels of RANKL/ODF itself during osteoclastogenesis,
are needed to validate such a suggestion.
In summary, we have shown that ascorbic acid is essential for
osteoclastogenesis and induces the formation of OCLs through the
expression of RANKL/ODF and, moreover, that ascorbic acid acts in
cooperation with
1
,25(OH)2D3. Our
findings suggest that ascorbic acid might play a key role in the
regulation of the balance, in terms of differentiation and activation,
between osteoclasts and osteoblasts.
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Acknowledgments
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The authors thank Dr. Atsuto Inoue (Tokyo Institute of
Technology) for helpful discussions.
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Footnotes
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1 This work was supported by Grants-in-Aid for Scientific Research from
the Ministry of Education, Science, Sports and Culture of Japan, and by
grants from the Smoking Research Foundation and the Ground
Research Announcement for the Space Utilization, promoted by
NASDA and Japan Space Forum. 
Received December 23, 1999.
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