Wang W, Ferguson D J, Quinn J M, Simpson A H, Athanasou N A
University of Oxford, Nuffield Department of Orthopaedic Surgery, U.K.
J Pathol. 1997 May;182(1):92-8. doi: 10.1002/(SICI)1096-9896(199705)182:1<92::AID-PATH813>3.0.CO;2-E.
Osteoclasts are multinucleated cells specialized for the function of lacunar bone resorption. Although they are known to be capable of phagocytosis of inert particles, it is not known whether this abolishes their ability to respond to hormones or to form resorption lacunae. Human and rat osteoclasts were isolated from giant cell tumours of bone and rat long bones, respectively, and cultured on coverslips and cortical bone slices, both in the presence and in the absence of particles of latex (1 micron diameter) and polymethylmethacrylate (PMMA) (< 50 microns). By light microscopy, it was evident that osteoclasts which had phagocytosed both latex and PMMA particles remained responsive to calcitonin. Osteoclast phagocytosis of particles was also evident on scanning electron microscopy, where it could also be seen that these cells were associated with the formation of resorption lacunae. These findings underline the fact that the osteoclast is a true member of the mononuclear phagocyte system and that phagocytosis does not abrogate either its hormonal response to calcitonin or its highly specialized function of bone resorption. That osteoclasts which have phagocytosed biomaterial particles such as PMMA are still able to carry out lacunar bone resorption is of interest in clinical conditions such as aseptic loosening, where a heavy foreign body particle load is often associated with extensive bone resorption.
破骨细胞是专门负责腔隙性骨吸收功能的多核细胞。尽管已知它们能够吞噬惰性颗粒,但尚不清楚这是否会消除它们对激素作出反应或形成吸收腔隙的能力。分别从骨巨细胞瘤和大鼠长骨中分离出人类和大鼠破骨细胞,并将其培养在盖玻片和皮质骨切片上,培养环境中既有直径1微米的乳胶颗粒和直径小于50微米的聚甲基丙烯酸甲酯(PMMA)颗粒,也有无颗粒的环境。通过光学显微镜观察,明显可见吞噬了乳胶和PMMA颗粒的破骨细胞对降钙素仍有反应。在扫描电子显微镜下也能明显看到破骨细胞对颗粒的吞噬作用,并且还能观察到这些细胞与吸收腔隙的形成有关。这些发现强调了破骨细胞是单核吞噬细胞系统的真正成员这一事实,并且吞噬作用不会消除其对降钙素的激素反应或其高度专业化的骨吸收功能。吞噬了诸如PMMA等生物材料颗粒的破骨细胞仍能进行腔隙性骨吸收,这在诸如无菌性松动等临床情况中具有重要意义,在这些情况下,大量的异物颗粒负荷通常与广泛的骨吸收相关。