TSG-6 inhibits osteoclast activity via an autocrine mechanism and is functionally synergistic with osteoprotegerin

David J Mahoney1, Catherine Swales, Nicholas A Athanasou

  • 1University of Oxford, Oxford, UK.

Arthritis and Rheumatism
|December 17, 2010
PubMed
Abstract

Insights

Tumor necrosis factor-stimulated gene 6 (TSG-6) inhibits bone erosion by osteoclasts, acting in synergy with osteoprotegerin (OPG). This protein is produced by osteoclasts during inflammation, potentially limiting joint damage.

Area of Science:

  • Immunology
  • Rheumatology
  • Bone Biology

Background:

  • Tumor necrosis factor-stimulated gene 6 (TSG-6) is known to inhibit RANKL-mediated bone erosion.
  • Osteoclast formation and activation are critical processes in bone remodeling and are implicated in inflammatory joint diseases.

Purpose of the Study:

  • To compare the bone erosion inhibitory activity of TSG-6 with osteoprotegerin (OPG).
  • To investigate the role of TSG-6 as an autocrine modulator of cytokine-induced osteoclast formation and activation.
  • To assess TSG-6 expression in the context of inflammatory joint disease.

Main Methods:

  • Osteoclastogenesis assays using peripheral blood mononuclear cells and synovial fluid macrophages.
  • Measurement of osteoclast activity through tartrate-resistant acid phosphatase staining, lacunar resorption, and actin ring formation.
  • Quantification of TSG-6 protein levels via ELISA and assessment of synovial tissue expression using immunohistochemistry.

Main Results:

  • TSG-6 synergized with OPG to inhibit RANKL-mediated bone resorption.
  • Osteoclasts produced TSG-6 in response to inflammatory cytokines (TNFα, IL-1, IL-6).
  • TSG-6 expression correlated with reduced lacunar resorption, and this effect was blocked by an anti-TSG-6 antibody. Higher TSG-6 levels were observed in synovial fluid and tissue of patients with inflammatory arthritis, particularly rheumatoid arthritis.
  • TSG-6 inhibited osteoclast activation but not their formation from synovial fluid macrophages.

Conclusions:

  • Osteoclasts generate TSG-6 in inflammatory conditions at levels sufficient to inhibit bone resorption.
  • This suggests an autocrine mechanism where TSG-6 limits osteoclast-mediated bone erosion during joint inflammation.

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