Abstract

Nuclear factor-κB (NF-κB) is a transcription factor that regulates the expression of various genes involved in inflammation and the immune response. The activation of NF-κB occurs via two pathways: inflammatory cytokines, such as TNF-α and IL-1β, activate the “classical pathway”, and cytokines involved in lymph node formation, such as CD40L, activate the “alternative pathway”. NF-κB1 (p50) and NF-κB2 (p52) double-knockout mice exhibited severe osteopetrosis due to the total lack of osteoclasts, suggesting that NF-κB activation is required for osteoclast differentiation. These results indicate that NF-κB may be a therapeutic target for inflammatory bone diseases, such as rheumatoid arthritis and periodontal disease. On the other hand, mice that express the dominant negative form of IκB kinase (IKK)-β specifically in osteoblasts exhibited increased bone mass, but there was no change in osteoclast numbers. Therefore, inhibition of NF-κB is thought to promote bone formation. Taken together, the inhibition of NF-κB leads to “killing two birds with one stone”: it suppresses bone resorption and promotes bone formation. This review describes the role of NF-κB in physiological bone metabolism, pathologic bone destruction, and bone regeneration.

Highlights

  • As well as supporting and protecting the body, bones support movement in coordination with muscles, host hematopoiesis, and store minerals such as calcium [1,2]

  • IKKβ-deficient osteoclasts resulted in RANKL-induced apoptosis by the activation of c-Jun N-terminal kinase (JNK), and the addition of JNK inhibitor restored RANKL-induced apoptosis derived from IKKβcKO mice in vitro [33]

  • Bone resorption is enhanced in a state of inflammation, and bone mass is reduced when bone formation is inhibited

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Summary

Introduction

As well as supporting and protecting the body, bones support movement in coordination with muscles, host hematopoiesis, and store minerals such as calcium [1,2]. Synovial cells produce inflammatory cytokines, the T-cell immune reaction in the RA synovium causes an excessive biological reaction, and the suchsignal as interleukin (IL)-1, and tumor necrosis (TNF)-α, enzymes, in the synovial cellsIL-6, is continually activated. RelB/p52 is formed and and which has the same function as IκBs, is degraded, and a heterodimer of RelB/p52 is formed translocates into the nucleus This activation pathway is referred to as “the alternative NF-ĸB translocates into the nucleus. (Figure 1) [9,10,11] Since these two pathways play different roles, the p50/p65, p50/c-Rel, and p52/RelB and p52/RelB heterodimers are expected to bind to their specific DNA sequences. We will mainly explain the physiological and pathological roles of NF-κB in bone development and disease, focusing on osteoclasts and osteoblasts

The Role of NF-κB on Bone Metabolism
NF-κB Inhibition Suppresses Inflammatory Bone Diseases
Periodontal Disease
The Activation of NF-κB Suppresses Bone Formation
Conclusions
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