Abstract

Bone homeostasis is maintained by a balance between osteoblast-mediated bone formation and osteoclast-driven bone resorption. Hypoxia modulates this relationship partially via direct and indirect effects of the hypoxia-inducible factor-1 alpha (HIF-1α) transcription factor on osteoclast formation and bone resorption. Little data is available on the role(s) of the HIF-2α isoform of HIF in osteoclast biology. Here we describe induction of HIF-1α and HIF-2α during the differentiation of human CD14+ monocytes into osteoclasts. Knockdown of HIF-1α did not affect osteoclast differentiation but prevented the increase in bone resorption that occurs under hypoxic conditions. HIF-2α knockdown did not affect bone resorption but moderately inhibited osteoclast formation. Growth of osteoclasts in 3D gels reversed the effect of HIF-2α knockdown; HIF-2α siRNA increasing osteoclast formation in 3D. Glycolysis is the main HIF-regulated pathway that drives bone resorption. HIF knockdown only affected glucose uptake and bone resorption in hypoxic conditions. Inhibition of glycolysis with 2-deoxy-d-glucose (2-DG) reduced osteoclast formation and activity under both basal and hypoxic conditions, emphasising the importance of glycolytic metabolism in osteoclast biology. In summary, HIF-1α and HIF-2α play different but overlapping roles in osteoclast biology, highlighting the importance of the HIF pathway as a potential therapeutic target in osteolytic disease.

Highlights

  • Bone homeostasis is maintained by a balance between osteoblast-mediated bone formation and osteoclast-driven bone resorption

  • We and others have previously described induction of hypoxia-inducible factor (HIF)-1α during osteoclastogenesis induced with macrophage colony-stimulating factor (M-CSF) and ­RANKL17,19,27,30

  • HIF-1α, HIF-2α and the HIF-regulated proteins Glut-1 and lactate dehydrogenase A (LDHA) were induced during the differentiation of CD14+ human monocytes into osteoclasts (Fig. 1b)

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Summary

Introduction

Bone homeostasis is maintained by a balance between osteoblast-mediated bone formation and osteoclast-driven bone resorption. Hypoxia modulates this relationship partially via direct and indirect effects of the hypoxia-inducible factor-1 alpha (HIF-1α) transcription factor on osteoclast formation and bone resorption. Knockdown of HIF-1α did not affect osteoclast differentiation but prevented the increase in bone resorption that occurs under hypoxic conditions. Bone homeostasis is maintained throughout life by a balance between osteoblast-mediated bone formation and osteoclast-driven bone resorption Hypoxia modulates this homeostatic relationship during development, in response to mechanical trauma (e.g. fracture) and in bone pathologies such as osteoporosis, rheumatoid arthritis and cancer, via the hypoxia-inducible factor (HIF) transcription factor. The reason for the difference between these observations is unclear

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