Bacterial infection sometimes impairs bone metabolism. In this study, we infected the osteoblastic cell line MC3T3-E1 with Mycobacterium bovis bacillus CalmetteGué rin (BCG) and identified genes that were up-regulated in the BCG-infected cells by the suppression subtractive hybridization method. A gene encoding 4-1BB (CD137), a member of the tumor necrosis factor-␣ receptor family, was found to be one of the up-regulated genes. Up-regulation of 4-1BB was also observed by infection with Escherichia coli, Salmonella typhimurium, and Tuberculosis is an ancient disease but still ranks as one of the foremost killers of the 21st century. About one-third of the world's population is infected with Mycobacterium tuberculosis and more than two million people die annually from tuberculosis (1). Most tuberculosis cases are pulmonary, but the microorganism sometimes invades the central nervous system, the lymphatic system, and the musculoskeletal system, or is sometimes disseminated throughout the whole body. Mycobacterium infection in bones and joints presents ϳ10% of the extra-pulmonary cases (2). Vertebral osteomyelitis and osteitis also occur as a complication of vaccination with bacillus Calmette-Guérin (BCG) 1 or intravesical use of BCG (3, 4). Osteomyelitis and osteitis caused by M. tuberculosis or BCG infection sometimes lead to vertebral caries in some patients as a result of increased bone resorption.Bone is maintained by dynamic equilibrium between osteoblasts and osteoclasts in bone marrow cells. M. tuberculosis and BCG infection of bone alters this equilibrium, resulting in the loss of extracellular matrix and collapse of bone, especially vertebrae. Whether this bone resorption is attributable to direct effects of the bacteria on bone cells or infection-induced activation of inflammatory cells has not been clarified. However, a few studies have shown that mycobacterial antigens interfere with bone metabolism. Wax D, a mycobacterial cell wall peptidoglycan fragment-arabinogalactan-mycolic acid complex, induced reactive bone formation accompanied with osteomyelitis in Buffalo rats (5). Heat shock protein 10 of M. tuberculosis stimulates bone resorption in bone explanting cultures and induces osteoclast recruitment but inhibits proliferation of an osteoblast bone-forming cell line (6). The secreted protein MPB70 of BCG has significant homology with four repeat domains of osteoblast-specific factor 2/periostin (7). Epidemiological study suggests that MPB70-overproducing strains of BCG seem to be associated with an increased incidence of osteitis after BCG vaccination of neonates (7).Osteoblasts express various enzymatic markers such as alkaline phosphatase (ALP) and produce collagenous and noncol-