Effect of Anti-c-fms Antibody on Osteoclast Formation and Proliferation of Osteoclast Precursor In Vitro

Summary

This protocol includes dissection of murine long bones and bone marrow isolation, to generate bone marrow macrophages and produce osteoclasts using macrophage colony stimulating factor (M-CSF) and receptor activator of nuclear factor Kappa-B ligand (RANKL) or tumor necrosis factor alpha (TNF-α) and their arrest by anti-c-fms antibody, M-CSF receptor.

Abstract

Bone remodeling is a complex process and it involves periods of deposition and resorption. Bone resorption is a process by which bone is broken down by osteoclasts in response to different stimuli. Osteoclast precursors differentiate into multinuclear osteoclasts in response to macrophage colony stimulating factor (M-CSF) and receptor activator of nuclear factor Kappa-B ligand (RANKL). Under pathologic conditions, the cytokine profile is different and involves a mixture of inflammatory cytokines. Tumor necrosis factor alpha (TNF-α) is one of the most important cytokines as it is found in large amounts in areas involved with inflammatory osteolysis. The purpose of this protocol is to provide a method by which murine bone marrow is isolated to generate osteoclasts through induction with M-CSF and either RANKL or TNF-α which will be subsequently inhibited by increasing doses of anti-c-fms antibody, the receptor for M-CSF. This experiment highlights the therapeutic value of anti-c-fms antibody in diseases of inflammatory bone resorption.

Introduction

Osteoclasts are highly specialized cells, and they differentiate from hematopoietic stem cells through the fusion of multiple osteoclast precursors. They are essential for healthy bone remodeling and contribute to pathologic bone resorption associated with inflammatory osteolytic diseases such as rheumatoid arthritis and periodontal disease¹.

Osteoclastogenesis and osteoclast function are mediated by two key factors; macrophage colony stimulating factor (M-CSF) and receptor activator of nuclear factor kappa-B ligand (RANKL). Both M-CSF and RANKL are important for osteoclast differentiation². Another factor which has been shown to induce osteoclast formation from bone marrow macrophages in vitro is tumor necrosis factor alpha (TNF-α)^3,4,5. TNF-α mediated osteoclast formation has been shown to be critical for osteolysis in destructive bone diseases such as rheumatoid arthritis⁶, periodontal disease⁷, and postmenopausal osteoporosis⁸.

C-fms is the membrane receptor of M-CSF and mediates its action. The role of c-fms is well documented in the literature as it was demonstrated that the administration of an antibody against c-fms (anti-c-fms antibody) completely arrested osteoclastogenesis in an arthritis model as well as in TNF-α induced bone erosions while osteoclastogenesis distant from the inflamed joint was still robust⁹. Administration of anti-c-fms antibody inhibited osteoclast formation and bone resorption induced by lipopolysaccharide (LPS) in mouse calvariae¹⁰ as well as in LPS-induced  periodontitis model¹¹. Moreover, anti-c-fms antibody inhibited mechanical stress-induced root resorption during orthodontic tooth movement¹², as well as orthodontic tooth movement and bone resorption associated with orthodontic tooth movement¹³.

M-CSF has been reported to have other functions which are essential to the host immune response. The absence of M-CSF in op/op mice with bacterial pneumonia lead to the increase of bacterial burden and bacterial dissemination to the liver with hepatic necrosis¹⁴. Therefore, M-CSF is important for immunological response in the protection from infection.

This study demonstrates the effect of anti-c-fms antibody on M-CSF and RANKL or TNF-α induced osteoclast formation in vitro and M-CSF induced proliferation of osteoclast precursors. This protocol demonstrates the isolation of murine bone marrow cells from long bones, and the steps to generate bone marrow macrophages (BMM) which are regarded as osteoclast precursors and to induce the differentiation of BMM into multinuclear osteoclasts by two methods; either RANKL or TNF-α. The protocol also compares the arrest of osteoclastogenesis in both methods using anti-c-fms antibody.

The process by which bone marrow is extracted and subsequently used to generate osteoclast precursors is reliable in producing large quantities of pure osteoclast cultures which can be used in multiple downstream applications such as drug testing. The use of either RANKL or TNF-α to induce osteoclastogenesis in this protocol distinguishes osteoclastogenesis as a physiologic process (RANKL) from osteoclastogenesis as a pathologic process (TNF-α), which in turn provides two alternative procedures to guide the decision of which one is superior in terms of the reagents to be used in downstream applications. This protocol also provides a method by which we can determine a suitable concentration of anti-c-fms antibody that can be safely used for later studies involved in bone resorption and osteolytic diseases.

Protocol

All animal procedures and animal care were performed according to Tohoku University rules and regulations.

1. Murine Hindlimb Dissection and Handling

1. Before dissection, fill a plate with approximately 50 mL of α-MEM depending on the size of the container and place it on ice. This will serve as a collection container until the dissection of all bones is complete. For this and subsequent experiments, use α-MEM containing 10% fetal bovine serum (FBS), 100 IU/mL penicillin G, and 100 μg/mL streptomycin.
2. Euthanize C57Bl/6J mouse by inhalation of an overdose of 5% isoflurane.
3. Fix the mouse in a supine position using pins pierced through the palms and feet and spray thoroughly with 70% ethanol.
4. Make a skin incision using sterile surgical scissors and tweezers at the level of the hip and extend it down to the feet exposing the muscles.
5. Cut the tendon attaching the quadriceps muscle and the tendon attaching the hamstring muscle to the bone. Peel away the muscles exposing both hip and knee joints. Locating these tendons will ease freeing both muscles from their attachments without leaving soft tissue tags. Do not cut into the bone.
6. Position the scissors between the head of the femur and the joint space and cut into it freeing the femur but keeping the bone intact. This will enable detachment of the bones without the risk of exposing the bone marrow.
7. Similarly cut away the muscles attaching to the tibia. Cut the tibia free from its attachment at the ankle joint keeping the bone intact to avoid contamination.
8. Scrape any remaining soft tissue from the femur and tibia using the scissors blades and kimwipe and place it in a plate with α-MEM placed on ice.

2. Murine Hindlimb Bone Marrow Isolation

1. Fill a 30 G needle syringe with α-MEM.
2. Disconnect the tibia and femur away from the knee joint.
3. Cut the ends of the long bone from both sides using scissors.
4. Hold the bone from the shaft using tweezers, insert the needle into the marrow space of the bone and slowly flush the content of the marrow into a 6 cm culture dish. The bone will appear white, indicating the extraction of all bone marrow content. Repeat for all bones.
5. Strain the bone marrow extract using a 40 μm nylon cell strainer into a 50 mL conical centrifuge tube and centrifuge at 300 x g for 5 min.
6. Discard the supernatant, wash with 5 mL of α-MEM, and centrifuge at 300 x g for 5 min. Repeat wash for a total of 2 times.
7. Resuspend the pellet in 10 mL of α-MEM and perform a cell count using a hemocytometer as follows:
   1. Make a 1:1 dilution of cell suspension by adding 10 μL of cell suspension to 10 μL of 0.4% trypan blue in a 1.5 mL tube and pipette once.
   2. Cover the hemocytometer chamber with a slide cover and transfer the dye suspension to the hemocytometer. It is important not to overfill or underfill the chamber and allow the suspension to fill the chamber by capillary action.
   3. Place the hemocytometer on a microscope stage. Using 10x objective, focus on the center square. Count all cells bound by 3 lines. To make sure that cells are not counted twice, count the upper and right corners of each square. Dead cells will appear dark blue, these are excluded from the count.
8. Depending on the downstream application, seed the cells into an appropriate culture vessel. For this particular experiment, follow section 3.

3. Generation of BMM

1. Seed 1 x 10⁷ cells/10 mL in a 10 cm culture dish and add M-CSF 100 ng/mL. The final concentration of M-CSF is 100 ng/mL of culture medium. Incubate the culture at 37 °C, 5% CO₂ for 3 days.
2. After 3 days, remove the culture medium, wash the cells vigorously with 10 mL of phosphate buffered saline (PBS) twice to remove non-adherent cells, add 5 mL of room temperature 0.02% trypsin-EDTA in PBS and incubate at 37 °C, 5% CO₂ for 5 min.
3. Detach the cells by thorough pipetting. Make sure that the cells have been detached by observing the culture under a microscope (the cells should appear rounded and floating in media). If the cells remain attached, repeat pipetting thoroughly to detach them. When the cells have been detached, add 5 mL of α-MEM to inactivate the reaction.
4. Collect the cells into a 50 mL conical tube and centrifuge at 300 x g for 5 min. Discard the supernatant, and wash with 5 mL of α-MEM.
5. Centrifuge at 300 x g for 5 min and resuspend the pellet in 10 mL of α-MEM.
6. Perform a cell count as previously described in step 2.7.1.
7. Seed 1 x 10⁶ cells/10 mL in a 10 cm culture dish and add M-CSF 100 ng/mL. The final concentration of M-CSF is 100 ng/mL of culture medium. Incubate the culture at 37 °C, 5% CO₂ for 3 days.

4. Generation of Osteoclasts from BMM as Osteoclast Precursors

1. After 3 days, harvest the attached cells which represent BMM as osteoclast precursors, follwoing steps 3.2-3.7.
2. Seed BMM at 5 x 10⁴ cells/200 μL of α-MEM in a 96 well plate. Add RANKL for a final concentration of 50 ng/mL or TNF-α for a final concentration of 100 ng/mL. Add M-CSF for a final concentration of 100 ng/mL to each well.
3. Add anti-c-fms antibody (final concentrations of 0, 1, 10, 100, 1000 ng/mL) to each well.
4. Incubate at 37 °C, 5% CO₂ for 4 days. Change media every other day for 4 days.

5. Tartrate-resistant Acid Phosphatase (TRAP) Stain

1. After 4 days of incubation, gently aspirate the culture medium of each well. Wash each well once with 200 μL of room temperature 1x PBS.
2. Add 200 μL of 10% formalin to each well for fixation and incubate for 1 h at room temperature. Aspirate the formalin and wash each well 3 times with deionized water.
3. Add 200 μL of 0.2% Triton X-100 in PBS to each well for permeabilization and incubate for 1 h at room temperature. Aspirate the Triton X-100 and wash each well 3 times with deionized water.
4. Add 200 μL of TRAP stain solution to each well. Visualize the stain under the microscope. It will take from 10-30 min for the stain to develop properly.
5. Aspirate the stain and wash each well with deionized water 3 times, and air dry. Keep at room temperature to use in further observation.

6. Proliferation Assay

1. Seed BMM as osteoclast precursors at 5 x 10³ cells/200 μL of α-MEM in a 96 well plate. Add M-CSF for a final concentration of 100 ng/mL to each well.
2. Add anti-c-fms antibody (final concentrations of 0, 1, 10, 100, 1,000 ng/mL) and incubate at 37 °C, 5% CO₂ for 3 days without medium change.
3. After 3 days, wash the cells with 1x PBS. Add 100 μL of α-MEM to each well.
4. Add 10 μL of cell counting kit solution and incubate at 37 °C, 5% CO₂ for 2 h and determine the absorbance of each well at 450 nm using a microplate reader.

Results

The purpose of this protocol is to evaluate the effect of anti-c-fms antibody on osteoclast formation in the presence of RANKL or TNF-α, and to determine the effect of M-CSF on osteoclast precursors proliferation. In this protocol, we have provided a reliable process by which large quantities of pure osteoclast cultures are generated. We have also provided a way to test anti-c-fms antibody suitable concentration for inhibiting osteoclast formation under different culture conditions.

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Discussion

In this study, we investigated the effect of anti-c-fms antibody on RANKL-induced osteoclast formation, TNF-α-induced osteoclast formation and M-CSF-induced osteoclast precursor proliferation. We found that the effective amount of anti-c-fms antibody for the inhibition of osteoclastogenesis among RANKL-induced osteoclast formation, TNF-α induced osteoclast formation and M-CSF-induced proliferation of osteoclast precursors is different.

RANKL mediates osteoclastogenesis in the presenc...

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
Anti-c-Fms antibody			AFS98, a rat monoclonal, antimurine, c-Fms antibody (IgG2a)
TNF-α			Recombinant murine TNF-α prepared in our laboratory. TNF-α cDNA fragment cloned by RT-PCR and cloned into a pGEX-6P-I (Amersham Biosciences, Piscataway, NJ) to generate a GST-fusion protein. GST-TNF-α was expressed in Escherichia coli BL21 cells cells (Stratagene, La Jolla, CA). The cells were lysed under nondenaturing conditions and GST-TNF-α was purified over a glutathione-Sepharose column. GST was cleaved off by PreScission Protease (Amersham Biosciences) by manufacturer’s directions and was removed by a glutathione-Sepharose column.
RANKL	PEPROTECH	315-11	Recombinant Murine sRANK Ligand, Source: E. coli
M-CSF			Recombinant human M-CSF. 1/10 vol of CMG14–12 cell line culture supernatant at 5x106 cells in a 10 cm suspension culture dish.
α-MEM	Wako		with L-Glutamine and phenol red
Fetal Bovine Serum	Biowest	s1820-500	Fetal Bovine Serum French Origin
Culture dish	Corning		100 mm x 20 mm style dish
96-well plate	Thermofischer Scientific		Nun clon Delta surface
Cell counting kit-8	Dojindo, Kumamoto, Japan
Microplate reader	Sunrise REMOTE; Tekan Japan, Kawasaki, Japan
Cell strainer	Corning		40 μm Nylon
Centrifuge tube	Corning		50 mL CentriStar cap
Triton X-100	Wako		Polyoxyethylene (10) Octyphenyl ether