doi:10.1369/jhc.5A6630.2005
Volume 53 (12): 1525-1537, 2005 Copyright ©The Histochemical Society, Inc. Osteoclast Responses to Lipopolysaccharide, Parathyroid Hormone and Bisphosphonates in Neonatal Murine Calvaria Analyzed by Laser Scanning Confocal Microscopy
Department of Pharmacology, School of Dentistry, Showa University, Tokyo, Japan (KS,SY); Division of Pharmacology, Department of Oral Biology, Tohoku University Graduate School of Dentistry, Sendai, Japan (ST,TK,HS); and CIHR Group in Matrix Dynamics, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada (JS) Correspondence to: Keiko Suzuki, PhD, Department of Pharmacology, School of Dentistry, Showa University, 1-5-8 Hatanodai, Shinagawa, Tokyo 142-8555, Japan. E-mail: suzukik{at}dent.showa-u.ac.jp
Because the development and activity of osteoclasts in bone remodeling is critically dependent on cellcell and cellmatrix interactions, we used laser confocal microscopy to study the response of osteoclasts to lipopolysaccharide (LPS; 10 µg/ml), parathyroid hormone (PTH; 108 M), and bisphosphonates (BPs; 125 µM clodronate or 0.12.5 µM risedronate) in cultured neonatal calvaria. Following treatment with LPS or PTH (<48 hr), osteopontin (OPN) and the vß3 integrin were found colocalized with the actin ring in the sealing zone of actively resorbing osteoclasts. In contrast, non-resorbing osteoclasts in BP-treated cultures showed morphological abnormalities, including retraction of pseudopods and vacuolization of cytoplasm. In the combined presence of LPS and BP, bone-resorbing osteoclasts were smaller and the sealing zone diffuse, reflecting reduced actin, OPN, and ß3 integrin staining. Depth analyses of calvaria showed that the area of resorbed bone was filled with proliferating osteoblastic cells that stained for alkaline phosphatase, collagen type I, and bone sialoprotein, regardless of the presence of BPs. These studies show that confocal microscopy of neonatal calvaria in culture can be used to assess the cytological relationships between osteoclasts and osteoblastic cells in response to agents that regulate bone remodeling in situ, avoiding systemic effects that can compromise in vivo studies and artifacts associated with studies of isolated osteoclasts. (J Histochem Cytochem 53:15251537, 2005)
Key Words: calvarial cells bone remodeling bisphosphonates osteopontin
THE MODELING AND REMODELING that occurs throughout the growth and development of bones requires a close coordination between the activities of the bone-forming osteoblasts and the bone-resorbing osteoclasts. Loss of cooperativity between these cells can result in the development of an abnormal skeleton and, in the adult, decreased (osteoporosis) or increased (osteopetrosis) bone mass. Regulation of bone remodeling involves systemic control by hormones such as parathyroid hormone (PTH) and 1,25 di-hydroxyvitamin D3 (vitamin D3), and cytokines displaying autocrine and paracrine functions that provide local communication between osteoblasts and osteoclasts. Remodeling of adult bone occurs continuously as a requirement of functional adaptation and for calcium homeostasis. In response to decreased serum calcium, PTH and vitamin D3 restore calcium levels through their effects on the intestine, kidney, and bone. Both PTH and vitamin D3 increase bone resorption by osteoclasts to release calcium through the dissolution of the hydroxyapatite crystals. However, these effects are largely mediated by osteoblastic cells, which express cell surface and steroid receptors for the PTH and vitamin D3, respectively. The activity of osteoclasts is also targeted directly and indirectly by inflammatory mediators during fracture repair and in the formation of bone metastases, as well as in response to bacterial infection. Lipopolysaccharides (LPS) produced by bacteria are potent stimulators of osteoclastic resorption, functioning through toll-like receptor 4, which are expressed by osteoblasts as well as by both osteoclast precursors and mature osteoclasts. Stimulation of osteoclastogenesis by LPS, however, appears to involve direct effects on osteoblastic cells, which respond by parallel increases in RANKL expression and the suppression of osteoprotegerin (OPG), which is mediated by prostaglandin E2 production (Suda et al. 2004
Bone resorption initially involves the differentiation of large multinucleated tartrate-resistant acid phosphatase (TRACP)-positive osteoclasts from the fusion of TRACP-negative monocytic precursors, stimulated by receptor activator of nuclear factor B-ligand (RANK-L) and macrophage colony-stimulating factor (M-CSF) (Lacey et al. 1998
Results of numerous studies of osteoclasts and osteoblasts have been obtained from cells cultured on artificial substrates, such as plastic or glass. However, two-dimensional monolayer cultures are limited by distortions introduced by the cells having to adapt to artificial flat and rigid surfaces (Themistocleous et al. 2004
Organ cultures of fetal and neonatal bones, in which the patency of local interactions between osteoblastic and osteoclastic cells is retained within the context of a three-dimensional bone matrix (Stern and Krieger 1983
Calvaria Culture Organ culture of neonatal mouse calvaria has been described in detail previously (Stern and Krieger 1983
Fluorescent Staining of Calvaria
TRACP activity was detected as described previously (Mostafa et al. 1982
Osteoclast Culture and Fluorescent Staining For fluorescent staining, cells were fixed with 2% paraformaldehyde for 15 min at 4C. After washing with PBS and treating with 0.1% Triton X-100 in PBS for 5 min, cells were incubated with Alexa Fluor 488-conjugated phalloidin (diluted 1:100 in PBS; Molecular Probes) for 30 min.
Laser Scanning Confocal Microscopy and Image Processing
Statistical Analyses
TRACP Staining of Non-resorbing and Resorbing Osteoclasts in the Calvaria We have previously reported that monolayer cultures of prefusion osteoclasts extend many pseudopods and fuse into large multinuclear osteoclasts and that these processes are suppressed in the absence of OPN expression (Suzuki et al. 2002a 1.5 mm distant (a piece of parietal bone width 5 mm) from the suture (Figure 1B), indicating that the first mononuclear TRACP-positive cells are formed near the soft connective tissue suture and fuse into multinuclear TRACP osteoclasts further away from the suture. The morphological appearance of a typical osteoclast in unstimulated cultures is shown using a series of serial optical sections (Figure 1D). Multinucleated, non-resorbing osteoclasts could be identified extending numerous long pseudopods used for generation of larger, multinucleated osteoclasts (Figure 1C), as observed in monolayer cultures of osteoclasts (Suzuki et al. 2002a
To study whether BPs affect the formation and differentiation of osteoclasts in bone, TRACP-stained calvaria were examined by confocal microscopy after culturing in the presence or absence of clodronate. A wide range of morphological abnormalities was observed in the osteoclasts, ranging from mild (Figure 2A) to severe (Figure 2B) within individual calvaria, even at the same concentration of clodronate (1 µM). The frequency of osteoclast abnormalities, including retraction of pseudopods and vacuolization of cytoplasm, was increased with increasing concentrations of clodronate. Similar effects were observed when risedronate (Figures 2C and 2D) or alendronate (Suzuki et al. 2003
Fluorescent microscope images of serial fields covering the entire parietal bone stained with Alizarin Red S showed that LPS increased resorbed areas by 8-fold at 24 hr and by 15-fold at 48 hr. The LPS-induced resorption at both time points was dose-dependently and significantly decreased by both clodronate and risedronate (Table 1). Despite the increased resorption at 48 hr, both clodronate and risedronate suppressed the LPS-induced resorption to similar levels observed at the 24-hr time point. Notably, risedronate at one-tenth the concentration was more effective than clodronate. Furthermore, a reduction in the size and depth of resorption lacunae formed by osteoclasts in the presence of BPs was evident in the Nomarsky images (Figure 3, Figure 4, and Figure 8) and from the quantitative analysis of the size of individual resorption bays (Table 2).
Effects of BPs on the Colocalization of F-actin and ß3 Integrin/OPN in Resorbing Osteoclasts Although vß3 integrin and OPN are known to play an important role in the attachment of osteoclasts to bone, we have been unable to show the expression of either protein associated with the actin ring in mature osteoclasts generated from bone marrow or spleen mononuclear cells cultured on glass in the presence of M-CSF and RANKL (unpublished data). To investigate whether the difference in substrata to which the osteoclasts attach influences the expression of ß3 integrin and OPN, we examined resorbing osteoclasts in the calvaria after double staining for actin with ß3 integrin or OPN, by confocal microscopy. The actin (Figure 3B) and ß3 integrin (Figure 3C) show extensive colocalization (Figure 3D, yellow) and are concentrated in the actin ring bordering large resorption lacunae (Figures 3A3D) in resorbing osteoclasts of calvaria cultured for 48 hr in the presence of 10 µg/ml LPS. However, it is not clear whether the actin and ß3 integrin, colocalized inside the sealing zone (Figures 3B3D), are within the osteoclasts or are present in closely associated osteoblasts. In BP-treated calvaria (Figures 3E3P), the resorption lacunae were reduced in size and depth (Figures 3E, 3I, 3M) compared with the calvaria cultured with LPS alone (Figure 3A). Furthermore, the presence of actin and ß3 integrin along the edge of osteoclasts, which is required for cell attachment to the resorption site, was not readily observed (Figures 3F3H, 3J3L, 3N3P). Actin (Figure 4B) also colocalized with OPN (Figure 4C), as observed in resorbing osteoclasts stimulated by 10 µg/ml LPS. The colocalization was observed at the periphery of the bone-resorbing osteoclasts (Figure 4D) and coincided with the edges of resorption lacunae (Figure 4A), as seen with the actin and ß3 integrin. In cultures treated with 2.5 µM risedronate in combination with LPS (Figures 4E4J), the resorption lacunae were reduced in size and depth (Figure 4E), and the staining of actin (Figure 4F) and especially the OPN (Figure 4G) were markedly reduced and their peripheral colocalization lost (Figure 4I: merged image of Figures 4E and 4H). The loss of F-actin and OPN, which colocalized in multinucleated osteoclasts, was more clearly evident at higher magnification (Figure 4J).
XZ (Depth) Analyses of Double-stained Calvaria by Using a Laser Scanning Confocal Microscope From XZ (depth)-scans of the calvaria double stained for actin and mineral after culturing under various conditions (Figure 8), it was evident from the actin staining that cell proliferation had been stimulated in LPS-treated calvaria (Figure 8J). In control (Figure 8B) and clodronate-treated calvaria (Figure 8F), little accumulation of cells was observed, indicating that the proliferation of bone-forming cells occurs in response to accelerated bone resorption induced by LPS. The area of the remaining bone mineral and proliferation of bone-forming cells were measured from the mineral staining in XZ images of calvaria stained with Alizarin Red S and actin staining in XZ images of calvaria stained with Alexa Fluor 488-conjugated phalloidin, respectively, assuming that the ALPase-positive and collagen-producing cells were bone-forming cells. The area of the remaining bone mineral in control and LPS was 12.6 ± 2.6 (mean ± SD; n=40) and 7.0 ± 1.8 µm2 (mean ± SD; n=49), respectively. The areas of proliferation of bone-forming cells were 0.2 ± 0.3 (mean ± SD; n=40) and 12.7 ± 6.0 µm2 (mean ± SD; n=49), respectively. There was a statistically significant correlation between these parameters in the LPS group (r = 0.699, p=0.002, n=49). Furthermore, it was evident from the Alizarin Red staining of mineral (Figures 8O and 8S) and the immunostaining of actin (Figures 8N and 8R), that LPS-induced resorption was decreased in the presence of BPs whereas the accumulation of osteoblastic cells was still evident, albeit not as marked as in calvaria treated with LPS only (Figure 8J).
Together these observations suggest that the cells occupying areas where bone resorption has taken place are ALP-positive, collagen type I-, and BSP-producing osteoblastic cells, and that there is an induction of bone formation coupled with LPS-stimulated bone resorption. Notably, similar results were obtained when 108 M PTH was used to stimulate bone resorption (Suzuki et al. 2003
To study bone resorption in situ, we used laser scanning confocal microscopy to analyze the effects of PTH and LPS alone or in combination with BPs on osteoclasts in organ cultures of mouse calvaria. To our knowledge, this is the first report examining bone resorption in cultured calvaria using confocal microscopy. Although confocal microscopy has been used to study combined effects of osteoclasts and osteoblasts in vitro (Mulari et al. 2004
Regulation of osteoclastic activity by BPs is used extensively in the treatment of metabolic bone diseases associated with increased bone resorption. However, the precise mechanism of action on bone metabolism of BPs is still unclear. BPs cause osteoclast retraction, condensation, cellular fragmentation, and induce apoptosis, recognized by morphological changes (Schenk et al. 1973
Although there have been many investigations on the effect of BPs on osteoclast differentiation and formation, the results remain controversial. In our studies, BP caused vacuolarization (Figures 2B2D, 2G2I) and the retraction of pseudopods (Figures 2B2D, 2F2I) in some osteoclasts. Although cytoplasmic vacuolarization could reflect toxic effects of BPs, whether it is associated with apoptosis or causes the suppression of bone resorption activity is not clear at present. As observed previously (Gravel et al. 1994
That cell adhesion molecules play an important role in skeletal growth, development, and homeostasis is well established. Cell attachment molecules such as OPN and its
OPN, which interacts with the
OPN secreted from the basolateral surfaces of osteoclasts during bone resorption (Chellaiah et al. 2003
There have been few reports regarding the effects of BPs on the expression of OPN and
In this study, we also assessed bone formation using the phalloidin-stained actin in combination with ALP, collagen type I and BSP as an indicator of the proliferation and activity of bone-forming cells (Figure 5Figure 8). Notably, bone formation activity was increased in association with bone resorptive activity induced by LPS and PTH (Suzuki et al. 2003 In conclusion, examination of fluorescent-stained calvaria by laser scanning confocal microscope provides a valuable approach for studying cellular mechanisms of bone remodeling and evaluating the effects of biological agents on bone cells, maintained in their natural environment for a relatively short and controlled experimental time period. Using this approach we have shown the relationship between cell attachment molecules involved in osteoclast activity and how these relationships are influenced by LPS and PTH that stimulate osteoclast activity and BPs that suppress osteoclast activity.
This study was funded by a Grant-in-Aid for Scientific Research from the Japanese Ministry of Education, Science, Sports, Culture and Technology (14571776) to K.S. and by a Canadian Institutes of Health Research Grant MOP-36333 to J.S. We are grateful to Prof. Yasushi Sakai (Division of Physiology, School of Nursing and Rehabilitation Science, Showa University) for providing the confocal microscope facilities and for helpful suggestions for the experiments.
Received for publication January 19, 2005; accepted July 11, 2005
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