Abstract

The term osteoimmunology was coined many years ago to describe the research field that deals with the cross-regulation between bone cells and the immune system. As a matter of fact, many factors that are classically considered immune-related, such as InterLeukins (i.e., IL-6, -11, -17, and -23), Tumor Necrosis Factor (TNF)-α, Receptor-Activator of Nuclear factor Kappa B (RANK), and its Ligand (RANKL), Nuclear Factor of Activated T-cell, cytoplasmatic-1 (NFATc1), and others have all been found to be crucial in osteoclast and osteoblast biology. Conversely, bone cells, which we used to think would only regulate each other and take care of remodeling bone, actually regulate immune cells, by creating the so-called “endosteal niche.” Both osteoblasts and osteoclasts participate to this niche, either by favoring engraftment, or mobilization of Hematopoietic Stem Cells (HSCs). In this review, we will describe the main milestones at the base of the osteoimmunology and present the key cellular players of the bone-immune system cross-talk, including HSCs, osteoblasts, osteoclasts, bone marrow macrophages, osteomacs, T- and B-lymphocytes, dendritic cells, and neutrophils. We will also briefly describe some pathological conditions in which the bone-immune system cross-talk plays a crucial role, with the final aim to portray the state of the art in the mechanisms regulating the bone-immune system interplay, and some of the latest molecular players in the field. This is important to encourage investigation in this field, to identify new targets in the treatment of bone and immune diseases.

Highlights

  • Marco Ponzetti and Nadia Rucci*We will briefly describe some pathological conditions in which the bone-immune system cross-talk plays a crucial role, with the final aim to portray the state of the art in the mechanisms regulating the bone-immune system interplay, and some of the latest molecular players in the field

  • Evidence collected over the years draw bone researchers to the conclusion that bone accomplishes several unexpected functions besides its classical role in locomotion, protection of vital organs and in the regulation of calcium and phosphate homeostasis

  • Osteoblasts A pivotal work demonstrating a close connection between bone and the hematopoietic compartment came in 2003, when Calvi and colleagues demonstrated that mice genetically engineered to express a constitutively active PTH/PTHrP receptor in osteoblasts, had more Hematopoietic Stem Cells (HSCs)

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Summary

Marco Ponzetti and Nadia Rucci*

We will briefly describe some pathological conditions in which the bone-immune system cross-talk plays a crucial role, with the final aim to portray the state of the art in the mechanisms regulating the bone-immune system interplay, and some of the latest molecular players in the field. This is important to encourage investigation in this field, to identify new targets in the treatment of bone and immune diseases

INTRODUCTION
BONE BIOLOGY
Bone Cells and the Immune System
Immune Cells in Bone Physiology
Prostaglandins Bone marrow and bone cells
OSTEOIMMUNOLOGY IN BONE AND IMMUNE DISEASES
Rheumatoid Arthritis
Periodontal Disease
Bone Fracture Repair
Myelodysplasia and Acute Myeloid Leukemia
LATEST DEVELOPMENTS IN OSTEOIMMUNOLOGY
Findings
CONCLUSIONS
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