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Updated: May 27, 2026

A RANKL-based Osteoclast Culture Assay of Mouse Bone Marrow to Investigate the Role of mTORC1 in Osteoclast Formation
Published on: March 15, 2018
Rapamycin inhibits osteoclast formation in giant cell tumor of bone through the C/EBPβ - MafB axis
Jeske J Smink1, Per-Ulf Tunn, Achim Leutz
1Max Delbrueck Center for Molecular Medicine, Robert-Roessle-Str.10, 13125 Berlin, Germany.
Abstract:
Giant cell tumor (GCT) of bone is a benign type of tumor, but the presence of hyperactive multinucleated giant osteoclasts cause local osteolytic lesions, increasing morbidity in patients. To specifically target hyperactive multinucleated giant osteoclasts in GCTs, one would envisage the usage of osteoclast inhibitors or genetic modulation of osteoclastogenesis. Recently, we have found that the translationally regulated balance between the transcription factor C/EBPβ long (LAP) and short (LIP) protein isoforms regulates osteoclast differentiation. Here, we report that GCTs express high levels of the LIP C/EBPβ isoform, which in mice cause giant osteoclast formation. In mice, inhibition of mTOR activity by rapamycin decreased osteoclast differentiation by shifting the alternative translation initiation of C/EBPβ isoforms towards LAP. Similarly, rapamycin treatment of GCT cell cultures derived from seven different patients strongly reduced formation of giant osteoclasts and bone resorption. This was accompanied by an increase in MafB, previously shown to be the mediator of the effect of rapamycin on osteoclast differentiation in mice. These data suggest that C/EBPβ is a determinant of giant osteoclast formation in GCT and that pharmacological adjustment of the C/EBPβ isoform ratio could serve as a potential novel therapeutic approach.
Insights
Giant cell tumors (GCTs) involve hyperactive osteoclasts. Targeting the C/EBPβ LIP isoform with rapamycin reduced giant osteoclast formation and bone resorption in GCTs, suggesting a novel therapeutic strategy.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Giant cell tumor (GCT) of bone is characterized by hyperactive osteoclasts leading to osteolytic lesions.
- The balance between C/EBPβ (CCAAT-enhancer-binding protein beta) LAP and LIP isoforms regulates osteoclast differentiation.
- Targeting osteoclastogenesis is a potential therapeutic strategy for GCTs.
Purpose of the Study:
- To investigate the role of C/EBPβ isoforms in GCT-associated giant osteoclast formation.
- To evaluate the efficacy of mTOR inhibition (rapamycin) in modulating C/EBPβ isoform balance and osteoclast activity in GCTs.
Main Methods:
- Analysis of C/EBPβ isoform expression in GCTs.
- Inhibition of mTOR activity using rapamycin in mouse models and patient-derived GCT cell cultures.
- Assessment of osteoclast differentiation, giant osteoclast formation, and bone resorption.
- Evaluation of MafB expression.
Main Results:
- GCTs exhibit high levels of the C/EBPβ LIP isoform, which promotes giant osteoclast formation in mice.
- Rapamycin treatment decreased osteoclast differentiation by shifting C/EBPβ translation towards the LAP isoform.
- Rapamycin treatment of patient-derived GCT cells reduced giant osteoclast formation and bone resorption.
- MafB expression increased following rapamycin treatment.
Conclusions:
- C/EBPβ isoform ratio is a key determinant of giant osteoclast formation in GCT.
- Pharmacological modulation of the C/EBPβ isoform ratio, such as with rapamycin, represents a potential therapeutic approach for GCTs.
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