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Updated: May 29, 2026

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Differentiation of Functional Osteoclasts from Human Peripheral Blood CD14+ Monocytes
Published on: January 27, 2023
Lineage-committed osteoclast precursors circulate in blood and settle down into bone
Akinori Muto1, Toshihide Mizoguchi, Nobuyuki Udagawa
1Institute for Oral Science, Matsumoto Dental University, Nagano, Japan.
Summary
Quiescent osteoclast precursors (QOPs) circulate in the blood, identified by receptor activator of NF-κB (RANK). These RANK-positive cells settle in bone, differentiating into osteoclasts and offering new insights into bone remodeling.
Area of Science:
- Cell Biology
- Immunology
- Bone Biology
Background:
- Osteoclasts, crucial for bone resorption, originate from the monocyte/macrophage lineage.
- The identity and characteristics of circulating osteoclast precursors remain largely unknown.
- Previous work identified cell cycle-arrested quiescent osteoclast precursors (QOPs) on bone surfaces.
Purpose of the Study:
- To identify and characterize circulating osteoclast precursors.
- To investigate the role of receptor activator of NF-κB (RANK)-positive cells in osteoclast formation.
- To determine the origin and behavior of QOPs in vivo.
Main Methods:
- Isolation and characterization of receptor activator of NF-κB (RANK)-positive cells from mouse bone marrow and peripheral blood.
- Assessment of cell proliferation, phagocytosis, and differentiation potential.
- In vivo studies using bromodeoxyuridine labeling and implantation of bone morphogenetic protein-2 (BMP)-containing disks.
- Analysis of RANK-positive cell behavior in RANK ligand-deficient mice and following FYT720 administration.
Main Results:
- RANK-positive cells from bone marrow and blood exhibit QOP characteristics, expressing c-Fms but not other monocyte/granulocyte markers.
- These cells are non-phagocytic, non-proliferative, and differentiate into osteoclasts but not dendritic cells.
- In vivo, most newly formed osteoclasts in ectopic bone were bromodeoxyuridine-negative, indicating a quiescent origin.
- RANK-positive cells in circulation have a slower proliferation rate and longer lifespan than macrophages.
- FYT720 administration increased the presence of RANK-positive cells in the bloodstream, suggesting enhanced egress from hematopoietic tissues.
Conclusions:
- Lineage-determined quiescent osteoclast precursors (QOPs) circulate in the blood.
- These RANK-positive circulating cells possess the characteristics of osteoclast precursors and home to bone.
- Understanding circulating QOPs provides novel insights into bone remodeling and potential therapeutic targets.
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