Abstract

Proton extrusion into an extracellular resorption compartment is an essential component of bone degradation by osteoclasts. Chronic metabolic acidosis is known to induce negative calcium balance and bone loss by stimulating osteoclastic bone resorption, but the underlying mechanism is not known. The present studies were undertaken to evaluate whether chronic acidosis affects proton extrusion mechanisms in osteoclasts cultured on glass coverslips. Acidosis, mimicked experimentally by maintaining the cells at extracellular pH 6.5, rapidly lowered intracellular pH to 6.8. However, after 2 hours, a proportion of cells demonstrated the capacity to restore intracellular pH to near normal levels. To define the mechanism responsible for this recovery, the activity of individual H+ transport pathways was analyzed. We found that chronic acid treatment for up to 6 h did not significantly affect the cellular buffering power or Na+/H+ antiport activity. In contrast, chronic acidosis activated vacuolar H+ pumps in the osteoclasts. Although only approximately 5% of the control cells displayed proton pump activity, about 40% of cells kept at extracellular pH 6. 5 for 4-6 h were able to recover from the acute acid load by means of bafilomycin A1-sensitive proton extrusion. Conversely, the H+-selective conductance recently described in the plasma membrane of osteoclasts was clearly inhibited in the cells exposed to chronic acidosis. Following acid treatment, the activation threshold of the H+ conductance was shifted to more positive potentials, and the current density was significantly reduced. Considered together, these results suggest that induction of plasmalemmal vacuolar type ATPase activity by chronic acidosis, generated either systemically due to metabolic disease or locally at sites of inflammation, is likely to stimulate osteoclastic bone resorption and thus to promote bone loss.

Highlights

  • Proton extrusion into an extracellular resorption compartment is an essential component of bone degradation by osteoclasts

  • Only ϳ5% of the control cells displayed proton pump activity, about 40% of cells kept at extracellular pH 6.5 for 4 – 6 h were able to recover from the acute acid load by means of bafilomycin A1-sensitive proton extrusion

  • The activation threshold of the H؉ conductance was shifted to more positive potentials, and the current density was significantly reduced. Considered together, these results suggest that induction of plasmalemmal vacuolar type ATPase activity by chronic acidosis, generated either systemically due to metabolic disease or locally at sites of inflammation, is likely to stimulate osteoclastic bone resorption and to promote bone loss

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Summary

Introduction

Proton extrusion into an extracellular resorption compartment is an essential component of bone degradation by osteoclasts. The activation threshold of the H؉ conductance was shifted to more positive potentials, and the current density was significantly reduced Considered together, these results suggest that induction of plasmalemmal vacuolar type ATPase activity by chronic acidosis, generated either systemically due to metabolic disease or locally at sites of inflammation, is likely to stimulate osteoclastic bone resorption and to promote bone loss. Parathyroid hormone and 1,25-dihydroxyvitamin D3 are known to stimulate bone resorption indirectly by inducing osteoblasts to release osteoclast-activating factors into the local milieu [8, 9]. It has been reported, that a decrease in environmental pH can directly increase the resorptive activity of osteoclasts in vitro (10 –16). Low extracellular pH could favor direct proton leakage into the resorption lacunae or alternatively could increase the availability of intracellular protons destined for V-ATPase-mediated translocation into the extracellular resorption zone

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