Department of Orthopedic Surgery, Washington University School of Medicine and Shriners Hospital for Children, Saint Louis, MO, USA.
Department of Cell Biology & Physiology, Washington University School of Medicine and Shriners Hospital for Children, Saint Louis, MO, USA.
Methods Mol Biol. 2021;2366:267-282. doi: 10.1007/978-1-0716-1669-7_16.
The skeletal system is constantly undergoing turnover in order to create strong, organized structures, requiring the bone breakdown and building properties by osteoclasts and osteoblasts, respectively. However, in pathological disease states, excessive osteoclast activity can cause bone loss leading to increase in morbidity and mortality. Osteoclasts differentiate from macrophages in the presence of various factors. M-CSF is a cytokine that is required to maintain the survival of macrophages. However, RANKL is the critical factor required for differentiation of osteoclasts. RANKL is produced from a variety of different cell types such as osteoblasts and osteocytes. RANKL binds to RANK, its receptor, on the surface of osteoclast precursors, which activates various signaling pathways to drive the transcription and production of genes important for osteoclast formation. The major signaling pathway activated by RANKL-RANK interaction is the NF-κB pathway. The NF-κB pathway is the principle inflammatory response pathway activated by a variety of stimuli such as inflammatory cytokines, genotoxic stress, and other factors. This likely explains the finding that inflammatory diseases often present with some component of increased osteoclast formation and activity, driving bone loss. Determining the signaling mechanisms downstream of RANKL can provide valuable therapeutic targets for the treatment of bone loss in various disease states.
骨骼系统不断进行新陈代谢,以形成强壮、有组织的结构,分别需要破骨细胞和成骨细胞进行骨分解和骨形成。然而,在病理性疾病状态下,破骨细胞过度活跃会导致骨丢失,从而增加发病率和死亡率。破骨细胞是由巨噬细胞在各种因子存在的情况下分化而来的。M-CSF 是一种细胞因子,它是维持巨噬细胞存活所必需的。然而,RANKL 是破骨细胞分化所必需的关键因素。RANKL 由多种不同的细胞类型产生,如成骨细胞和骨细胞。RANKL 与破骨细胞前体表面的 RANK 结合,其受体,激活各种信号通路,驱动与破骨细胞形成相关的基因的转录和产生。RANKL-RANK 相互作用激活的主要信号通路是 NF-κB 通路。NF-κB 通路是由多种刺激物激活的主要炎症反应通路,如炎症细胞因子、遗传毒性应激和其他因素。这可能解释了炎症性疾病通常存在某些增加破骨细胞形成和活性的成分,导致骨丢失的发现。确定 RANKL 下游的信号机制可以为治疗各种疾病状态下的骨丢失提供有价值的治疗靶点。