Agas D, Marchetti L, Capitani M, Sabbieti MG. The dual face of parathyroid hormone and prostaglandins in the osteoimmune system. Am J Physiol Endocrinol Metab 305: E1185-E1194, 2013. First published September 17, 2013 doi:10.1152/ajpendo.00290.2013.-The microenvironment of bone marrow, an extraordinarily heterogeneous and dynamic system, is populated by bone and immune cells, and its functional dimension has been at the forefront of recent studies in the field of osteoimmunology. The interaction of both marrow niches supports self-renewal, differentiation, and homing of the hematopoietic stem cells and provides the essential regulatory molecules for osteoblast and osteoclast homeostasis. Impaired signaling within the niches results in a pathological tableau and enhances disease, including osteoporosis and arthritis, or the rejection of hematopoietic stem cell transplants. Discovering the anabolic players that control these mechanisms has become warranted. In this review, we focus on parathyroid hormone (PTH) and prostaglandins (PGs), potent molecular mediators, both of which carry out a multitude of functions, particularly in bone lining cells and T cells. These two regulators proved to be promising therapeutic agents when strictly clinical protocols on dose treatments were applied. osteoimmunology; bone; parathyroid hormone; prostaglandins; immune system MESENCHYMAL STEM CELLS (MSCs) and hematopoietic stem cells (HSCs) reside within the bone marrow, which provides structures and molecular components for their homing, support of their various functions and states of differentiation, self-renewal, and quiescence. Several authors agree that HSCs are localized near the endosteal surface, albeit not exclusively adjacent to osteoblastic cells, probably with distinct distancedependent functions in the skeletal and immune systems (47,58,144). Likewise, recent findings revealed that mesenchymal progenitors residing in endosteal bone marrow adjacent to the sites of bone formation (such as trabecular bone and endosteum) behave differently than those in the central bone marrow (108). The bone marrow niches perform a fine-tuned sorting of molecular signals that control bone and hematopoietic cell homeostasis. Bone microenvironment is characterized by the elegant poise between osteoblasts and osteoclasts in a multifaceted bone remodeling process which occurs predominantly at the cancelous and endosteal surfaces in close proximity to the bone marrow. The current findings concur that osteoblasts are recruited in distinct areas called "basic multicellular units" by osteoclasts via cross-talk between both cell types and begin to lay down new bone matrixes (14,25). This complex and dynamic equilibrium of bone cells is regulated by several systemic factors, such as bone morphogenetic proteins (68,97,102,146), parathyroid hormone (PTH) (39,73,100), and prostaglandins (PGs) (3,4,99,101), as well as shared cytokines, transcription factors, and membrane receptors in the immune and skeletal systems (49,123). Modern research has argued...