“…Some key elements regulating this process are systemic hormones, nerve signals, vascular agents, and growth factors, such as cytokines, chemokines, cell adhesion molecules, molecules of the extracellular matrix, and proteinases. Interestingly, the pro-inflammatory cytokines, such as IL-1 and TNF-α have been implicated in the formation and functional activities of OCs [1,2,3,4,5,6]. The binding of RANKL to its receptor RANK, recruits the adapter molecule, TNF receptor associated factor 6 (TRAF6), resulting in the activation of a signal cascade of various mitogen activated protein kinases (MAPKs), including extracellular signal-regulated kinase (ERK), p38 MAPK, and c-Jun N-terminal kinase (JNK), which in turn activates nuclear factor of activated T cells 1 (NFATc1), a key step in RANKL-induced OC differentiation (Figure 1).…”