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Updated: Jul 2, 2026

Multimodal Approach to Assess Bone Regeneration and Scaffold Performance
Published on: February 13, 2026
Bone remodeling: Multiple cellular interactions required for coupling of bone formation and resorption
Natalie A Sims1, Jonathan H Gooi
1St. Vincent's Institute and the Department of Medicine at St. Vincent's Hospital, The University of Melbourne, Australia. nsims@svi.edu.au
Abstract:
The dynamic nature of the skeleton is achieved by a process called "remodeling" which involves the co-ordinated actions of osteoclasts, osteoblasts, osteocytes within the bone matrix and osteoblast-derived lining cells that cover the surface of bone. Remodeling commences with signals that initiate osteoclast formation followed by osteoclast-mediated bone resorption, a reversal period, and then a long period of bone matrix formation mediated by osteoblasts, followed by mineralisation of the matrix. This review will discuss each of these steps with particular emphasis on the communication pathways between each cell type involved and the roles of ephrins, sclerostin, RANKL and PTHrP.
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