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Published on: June 24, 2018
Extracellular pH regulates bone cell function.
1Department of Anatomy and Developmental Biology, University College London, London WC1E 6BT, UK. t.arnett@ucl.ac.uk
Acidosis directly stimulates bone resorption by osteoclasts and inhibits bone mineralization by osteoblasts. Modulating acid-base balance may treat bone loss disorders.
Area of Science:
- Skeletal Physiology
- Bone Cell Biology
- Acid-Base Homeostasis
Background:
- Bone serves as a mineral reserve, buffering metabolic acid (H+).
- Acidosis negatively impacts bone, previously attributed to passive dissolution.
- Direct cellular responses of bone cells to pH were largely unknown.
Purpose of the Study:
- To review the direct functional responses of bone cells to extracellular pH.
- To elucidate the role of osteoclasts and osteoblasts in pH-mediated bone changes.
Main Methods:
- Review of studies on cultured osteoclasts and bone organ cultures.
- Investigation of osteoclast-mediated bone resorption and osteoblast mineralization in response to pH.
- Exploration of potential pH-sensing mechanisms in osteoclasts.
Main Results:
- Extracellular acidity directly stimulates osteoclast bone resorption, near-maximal at pH 7.0.
- Bone resorption is osteoclast-mediated, with acidification as a key requirement.
- Acidosis inhibits osteoblast mineralization by increasing hydroxyapatite solubility and inhibiting alkaline phosphatase.
Conclusions:
- Extracellular H+ acts as an osteoclast activation factor.
- Acidosis profoundly impacts bone remodeling through direct cellular effects.
- Alkaline-shifting therapies may benefit bone loss disorders.

