Related Experiment Video
Updated: Jun 23, 2026

Using Inducible Osteoblastic Lineage-Specific Stat3 Knockout Mice to Study Alveolar Bone Remodeling During Orthodontic Tooth Movement
Published on: July 21, 2023
Nicotine modulates bone metabolism-associated gene expression in osteoblast cells
David E Rothem1, Lilah Rothem, Michael Soudry
1Department of Orthopaedic Surgery A, Rambam Health Care Campus, Haifa, 31096, Israel. d_rothem@rambam.health.gov.il
Low nicotine levels stimulate osteoblast proliferation and bone metabolism, while high levels harm it. These effects are mediated by nicotinic acetylcholine receptors (nAChRs), impacting bone health in smokers.
Area of Science:
- Biochemistry
- Cell Biology
- Bone Metabolism
Background:
- Smoking is a risk factor for osteoporosis and impaired bone healing.
- Nicotine, a key component of tobacco, affects human osteoblast cells.
- Understanding nicotine's cellular mechanisms is crucial for bone health research.
Purpose of the Study:
- To investigate nicotine's effects on osteoblast proliferation and gene expression.
- To elucidate the mechanisms behind nicotine-induced changes in osteogenic metabolism.
- To correlate nicotine concentrations with observed effects on bone cells.
Main Methods:
- Treatment of human osteosarcoma cells (MG63) with varying nicotine concentrations.
- Analysis of cell proliferation rates.
- Measurement of gene expression for osteocalcin, type I collagen, and alkaline phosphatase.
- Use of nicotinic receptor antagonist D:-tubocurarine to identify receptor involvement.
Main Results:
- Low nicotine concentrations stimulated cell proliferation and upregulated key bone metabolism genes (osteocalcin, type I collagen, alkaline phosphatase).
- High nicotine concentrations exhibited toxic, antiproliferative effects and downregulated these genes.
- The effects of nicotine were blocked by D:-tubocurarine, indicating involvement of nicotinic acetylcholine receptors (nAChRs).
Conclusions:
- Nicotine exhibits a biphasic effect on osteoblasts: stimulatory at low doses (light-moderate smokers) and inhibitory at high doses (heavy smokers).
- These findings highlight the dose-dependent impact of nicotine on bone metabolism.
- Nicotine appears to exert its effects on bone cells via the nAChR pathway.
Related Concept Videos
Drugs Acting on Autonomic Ganglia: Stimulants
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating sympathetic or...
Osteoclasts in Bone Remodeling
Hormones and Bone Tissue
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Bone Remodeling
Transducer Mechanism: Nuclear Receptors
About 48 different soluble family members of nuclear receptors are identified that can be divided into two main classes:
Role of Vitamins in Maintaining Bone Health
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...