A RANKL+/CXCR4+ B cell population accumulates in bone marrow and causes age-related osteoporosis in mice

Jinbo Li1,2,3, Jinxiao Fan4, Zhenqiang Yao5,6

  • 1Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, NY, USA. Jinbo_Li@hebmu.edu.cn.

Bone Research
|May 18, 2026
PubMed

Insights

Novel RANKL+CXCR4+ B cells (RCBs) drive bone loss in aging by increasing RANKL. Targeting these cells with CXCR4 antagonists may prevent or treat osteoporosis.

Area of Science:

  • Bone Biology
  • Immunology
  • Aging Research

Background:

  • Receptor Activator of Nuclear Factor kappa-B Ligand (RANKL) drives bone loss, partly via Tumor Necrosis Factor Receptor Associated Factor 3 (TRAF3) degradation.
  • TRAF3 levels decline in aging bone, but the cellular sources of RANKL in bone marrow during aging remain unidentified.

Purpose of the Study:

  • To identify the major cellular sources of RANKL in the bone marrow during aging.
  • To investigate the role of TRAF3 in mesenchymal progenitor cells (MPCs) in regulating RANKL-expressing B cells.
  • To explore therapeutic strategies targeting these cells for osteoporosis treatment.

Main Methods:

  • Identification of RANKL+CXCR4+ B cells (RCBs) as a novel source of RANKL in murine bone marrow.
  • Analysis of RCB numbers in aged mice and mice with TRAF3-deficient MPCs.
  • Assessment of the effects of RCBs from aged mice on bone loss in young recipient mice and an ovariectomized model.
  • Evaluation of the efficacy of the CXCR4 antagonist plerixafor in aged and ovariectomized mice.

Main Results:

  • RCBs were identified as a major source of RANKL in murine bone marrow, increasing with age.
  • TRAF3 deficiency in MPCs led to increased CXCL12 and RCB accumulation in bone marrow.
  • Aging-induced TRAF3 degradation in MPCs promoted CXCL12 expression, correlating with higher RCB numbers and bone resorption.
  • Plerixafor treatment reduced RCBs and increased bone mass in aged and ovariectomized mice.

Conclusions:

  • RANKL+CXCR4+ B cells (RCBs) are a significant source of RANKL in aging bone marrow.
  • TRAF3 in mesenchymal progenitor cells plays a crucial role in limiting RCBs in young mice.
  • Targeting CXCR4 with antagonists like plerixafor shows therapeutic potential for age-related bone loss and osteoporosis.