Localized apoptosis of osteocytes, the tissue-resident cells within bone, occurs with fatigue microdamage and activates bone resorption. Osteoclasts appear to target and remove dying osteocytes, resorbing damaged bone matrix as well. Osteocyte apoptosis similarly activates bone resorption with estrogen loss and in disuse. Apoptotic osteocytes trigger viable neighbor (ie, bystander) osteocytes to produce RANKL, the cytokine required for osteoclast activation. Signals from apoptotic osteocytes that trigger this bystander RANKL expression remain obscure. Studying signaling among osteocytes has been hampered by lack of in vitro systems that model the limited communication among osteocytes in vivo (ie, via gap junctions on cell processes and/or paracrine signals through thin pericellular fluid spaces around osteocytes). Here, we used a novel multiscale fluidic device (the Macro-micro-nano, or Mμn) that reproduces these key anatomical features. Osteocytes in discrete compartments of the device communicate only via these limited pathways, which allows assessment of their roles in triggering osteocytes RANKL expression. Apoptosis of MLOY-4 osteocytes in the Mμn device caused increased osteocyte RANKL expression in the neighboring compartment, consistent with in vivo findings. This RANKL upregulation in bystander osteocytes was prevented by blocking Pannexin 1 channels as well as its ATP receptor. ATP alone caused comparable RANKL upregulation in bystander osteocytes. Finally, blocking Connexin 43 gap junctions did not abolish osteocyte RANKL upregulation, but did alter the distribution of RANKL expressing bystander osteocytes. These findings point to extracellular ATP, released from apoptotic osteocytes via Panx1 channels, as a major signal for triggering bystander osteocyte RANKL expression and activating bone remodeling. n 966 MCCUTCHEON ET AL.
Journal of Bone and Mineral ResearchAPOPTOTIC OSTEOCYTES INDUCE RANKL IN BYSTANDERS 967 nFig. 2. Osteocyte process ingrowth and gap junction functionality. (A) Confocal photomicrograph showing MLOY-4 osteocyte dendritic processes growing into the nanochannel array at 7 days culture in the Mμn device, visualized by AlexaFluor488-labeled phalloidin staining for F-Actin. (B) Parachute dye transfer assay image, showing Calcein-AM (green) transfer from donor compartment osteocytes to acceptor osteocytes in the "bystander" compartment of Mμn device. (C) Fluorescence and corresponding phase-contrast micrographs showing dye transfer across the channel array in osteocytes cultured under control conditions (top row), while no transfer to the acceptor side of the Mμn occurred when the connexin 43 blocker AGA was added, confirming gap junction communication between compartments. MLO-Y4 cells, labeled with gap junction permeable dye Calcein-AM (green) and gap junction impermeable membrane dye DiI (red), were parachuted onto one side of a previously MLO-Y4-seeded Mμn. Calcein-only labeled cells indicate gap junctional transfer from parachuted cells (donors) to cells on same side of the channe...