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Tomomura, A. Caldecrin Purification and Biological Function. Encyclopedia. Available online: (accessed on 18 June 2024).
Tomomura A. Caldecrin Purification and Biological Function. Encyclopedia. Available at: Accessed June 18, 2024.
Tomomura, Akito. "Caldecrin Purification and Biological Function" Encyclopedia, (accessed June 18, 2024).
Tomomura, A. (2021, August 27). Caldecrin Purification and Biological Function. In Encyclopedia.
Tomomura, Akito. "Caldecrin Purification and Biological Function." Encyclopedia. Web. 27 August, 2021.
Caldecrin Purification and Biological Function

Blood calcium homeostasis is critical for biological function. Caldecrin, or chymotrypsin-like elastase, was originally identified in the pancreas as a serum calcium-decreasing factor. The serum calcium-decreasing activity of caldecrin requires the trypsin-mediated activation of the protein. Protease activity-deficient mature caldecrin can also reduce serum calcium concentration, indicating that structural processing is necessary for serum calcium-decreasing activity. Caldecrin suppresses the differentiation of bone-resorbing osteoclasts from bone marrow macrophages (BMMs) by inhibiting receptor activator of NF-κB ligand (RANKL)-induced nuclear factor of activated T-cell cytoplasmic 1 expression via the Syk–PLCγ–Ca2+ oscillation-calcineurin signaling pathway. It also suppresses mature osteoclastic bone resorption by RANKL-stimulated TRAF6–c-Src–Syk–calcium entry and actin ring formation. Caldecrin inhibits lipopolysaccharide (LPS)-induced osteoclast formation in RANKL-primed BMMs by inducing the NF-κB negative regulator A20. 

calcium metabolism bone metabolism protease osteoclast macrophage RANKL LPS TLR4 TREM2

1. Introduction

Calcium homeostasis is controlled by calcium absorption in the intestine and reabsorption along the renal tubules, as well as by bone formation and resorption. Calcium homeostasis is regulated by parathyroid hormone (PTH) and thyroid gland-derived calcitonin, and activated vitamin D3 produced in the kidney. In addition, the pancreas is involved in calcium metabolism. Hypocalcemia is frequently observed in acute pancreatitis [1]. Glucagon [2][3], amylin [4][5], and calcitonin gene-related peptides [6][7] secreted from the pancreas may be responsible for hypocalcemia. While the exact pathological mechanisms of hypocalcemia are unknown, the pancreas may secrete hypocalcemic factors.

2. Purification and Cloning of Caldecrin

In the 1960s, Takaoka et al. first demonstrated that a pancreatic extract of porcine had hypocalcemic activity [8][9]. In 1992, Tomomura et al. purified a hypocalcemic factor, calcium-decreasing factor (caldecrin), from a porcine pancreatic extract [10]. Caldecrin was purified from acetone powder of porcine pancreas via fractionation with acetone (30–60%) and saturated ammonium sulfate (45–60%), followed by ion-exchange chromatography on Q Sepharose Fast–Flow (pH 5.5), gel filtration on Superdex 75 fast protein liquid chromatography (FPLC), and ion-exchange chromatography on Mono Q FPLC (pH 5.5). The isolated caldecrin was confirmed as a single peak by high-performance liquid chromatography. To identify caldecrin, each fraction of the purification steps was injected into the tail vein of fasted mice, and serum calcium concentrations were measured 4 h post-injection. The serum calcium concentration decreased in a dose-dependent manner as the products of subsequent purification steps were administered, and the hypocalcemic activity increased as a result of the purification process (Figure 1).

Figure 1. Purification of porcine caldecrin and its serum calcium-decreasing activity. The caldecrin was isolated from porcine pancreas following the following purification steps: porcine acetone powder was extracted (1), and active fraction was separated with acetone (CH3)2CO precipitation (2), saturated ammonium sulfate (NH4)2SO4 precipitation (3), and then Q Sepharose Fast–Flow ion-exchange chromatography (4), Superdex 75 size–exclusion fast protein liquid chromatography (FPLC) (5), and Mono Q ion–exchange FPLC (6). Dose–dependent curves of serum calcium decreased activity and its half maximal effective concentration (EC50) values, as shown by arrows on the x-axis, were prepared from the representative preparation.
In 1995, we first isolated rat caldecrin cDNA by immunoscreening with an anti-caldecrin antibody [11]. The nucleotide sequence was almost identical to that of a PCR clone named rat elastase IV (ELA4) [12]. A frame shift caused by a minor nucleotide change in both genes resulted in the difference of the amino acid sequences of the central region of caldecrin from that of ELA4. Thus, the lysine-X bond of purified rat caldecrin was digested with a metal endopeptidase in the presence of the chymotrypsin inhibitor phenylmethylsulfonyl fluoride (PMSF). The partial amino acid sequence of caldecrin fragments purified from rat pancreas completely matched that encoded by cDNA.
It is now known that chymotrypsin C, caldecrin, and ELA4 are the same protein encoded by the CTRC gene. The CTRC gene is located on chromosome 1p36.21 of the human genome [13]. The rat and mouse CTRC genes are located on 5q36 and 4E1 of each genome, respectively [14].

3. Protein Structure and Protease Activity of Caldecrin

3.1. Structure of Chymotrypsin C (Caldecrin)

Chymotrypsin C, also termed caldecrin, is a 268-amino acid-long protein. Its sequence comprises a signal peptide (16 amino acids long, from residues 1 to 16), pro-peptide (13 amino acids, residues 17–29), and mature protein (239 amino acids, residues 30–268). The crystal structure of bovine Ctrc [15] revealed that rat and human caldecrin have five disulfide bridges: Cys17–Cys141, Cys59–Cys75, Cys155–Cys222, Cys186–Cys202, and Cys212–Cys243 [11][16] (Figure 2).

Figure 2. Schematic for domain structure of caldecrin. Black box (signal peptide: amino acid residue number 1–16); yellow box (pro-peptide:17–29 including 26–29 or 27–29 peptide removed by autoactivation); blue box (mature protein: 30–268); red lines (disulfide bridges with cysteine number); His74, Asp121, and Ser216 (charge relay system for serine protease activity).

3.2. Proteolytic Activity and Specificity of Chymotrypsin C (Caldecrin)

The enzyme classification of chymotrypsin C (caldecrin) is EC It shows hydrolytic activity that can cleave leucyl, tyrosyl, phenylalanyl, methionyl, tryptophanyl, glutamine, and asparagine bonds. Chymotrypsin C preferentially hydrolyzes leucyl bonds compared to chymotrypsin A [17]. Humans have five other chymotrypsin-like elastase genes that encode the structurally similar proteins chymotrypsin-like elastase family, member 1 (CELA1, EC3.4.21.36), pancreatic CELA2A and 2B (EC3.4.21.71), and pancreatic CELA3A and 3B (EC3.4.21.70). The protease activity of CELA2 preferentially cleaves leucine, methionyl, and phenylalanyl residues and hydrolyzes elastin [18]. CELA3B preferentially cleaves alanyl residues, but has little elastolytic activity [19]. Human caldecrin was more similar to CELA2A (63.4%), 2B (59.6%), 3A (52.2%), and 3B (53.0%) than with chymotrypsin B (42.5%) [16].

4. Non-Proteolytic Functions of Caldecrin

4.1. Caldecrin and Calcium Metabolism

As described above, purified porcine and rat caldecrin from the pancreas and produced recombinant rat and human caldecrin protein decreased serum calcium concentration in mice. Caldecrin dose-dependently decreased the serum calcium concentration. The effect resulted in a maximum decrease of 15–20% with 20–100 μg (about 0.7–3.5 nmol)/kg mice body weight. Procaldecrin did not exhibit serum calcium-decreasing activity, but acquired serum calcium-decreasing and protease activity after trypsin treatment. PMSF treatment after the trypsin activation of procaldecrin abolished its protease activity but did not affect the serum calcium-decreasing activity [10] (Figure 3a). The calcium-decreasing activity of porcine caldecrin was almost the same as that of porcine calcitonin (1 nmol/kg body weight) (Figure 3b).

Figure 3. Characterization of the serum calcium-decreasing activity of caldecrin. (a) PMSF treatment does not inhibit the serum calcium-decreasing activity of activated caldecrin; (b) comparison of the serum calcium decreasing activities of porcine caldecrin and calcitonin.

4.2. Caldecrin and Osteoclast

4.2.1. Caldecrin and RANK Signaling

The serum calcium concentration is affected by osteoclast activity. Osteoclasts execute bone resorption, which is differentiated from bone marrow by key molecules such as macrophage colony-stimulating factor (M-CSF) and receptor activator of nuclear factor-kappa B (NF-κB) ligand (RANKL) [20][21][22][23][24]. Osteoclast differentiation and maturation occur in the following stages: (i) osteoclast precursor cells are produced from bone marrow cells in response to M-CSF and begin to differentiate following stimulation by RANKL; and (ii) osteoclasts fuse with each other to form multinucleated giant cells. Multinucleated cells secrete protons and cathepsin K, which are required for bone resorption. Osteoclast differentiation is tightly regulated by many molecules to maintain bone homeostasis [25][26][27]. (Figure 4).

Figure 4. Caldecrin inhibits RANKL signaling in the initial stage of osteoclast differentiation. RANKL binding to RANK activates both NF-κB and MAPKs, such as ERK, JNK, and p38. Activation of NF-κB and MAPK signals is then transmitted to c-Fos and NFATc1 induction. Caldecrin inhibits RANK-stimulated phosphorylation of Syk and PLCγ, abolishing Ca2+ oscillation and activation of calcineurin, and amplification of NFATc1 in the initial stage of osteoclast differentiation. AP-1: activator protein-1; ERK: extracellular signal-regulated kinase; IKK: IκB kinase; JNK: C-Jun N-terminal kinase; MAPK: mitogen-activated protein kinase; NFATc1, nuclear factor of activated T-cells cytoplasmic 1; NF-κB: nuclear factor-κB; PLCγ: phospholipase Cγ; RANK: receptor activator of NF-κB; RANKL: RANK ligand; Syk: spleen tyrosine kinase; TRAF6: tumor necrosis factor receptor-associated factor 6.
RANK signaling also activates phospholipase Cγ (PLCγ)-dependent Ca2+ signaling through splenic tyrosine kinase (Syk) [28][29][30]. Finally, calcineurin, a calcium/calmodulin-dependent serine/threonine phosphatase activated by intracellular Ca2+ concentration, causes the dephosphorylation of NFATc1 and induces translocation from the cytoplasm into the nucleus [31]. Thus, TRAF6, NF-κB, c-Fos and NFATc1 are required for the initiation stage of RANKL-induced osteoclast differentiation (Figure 4).
We found that caldecrin inhibits osteoclast differentiation by suppressing NFATc1 activity via the RANKL-mediated calcium signaling pathway at the initial stage of osteoclastogenesis (Figure 4).
In the late stage of osteoclastogenesis, amplified NFATc1 induces the expression of osteoclast-specific genes, leading to osteoclast differentiation (Figure 5).
Figure 5. Caldecrin inhibits RANKL signaling in mature osteoclasts. RANKL–RANK binding activates c-Fos and NFATc1. RANK also activates c-Src and the c-Src–Syk complex. Activated Syk phosphorylates PLCγ via SLP-76, which leads to the activation of TRPV4 channels and evokes Ca2+ influx. Increased Ca2+ levels activate Pyk2 and are associated with Src, leading to cytoskeletal organization. Caldecrin inhibits RANKL-induced phosphorylation of c-Src, Syk, PLCγ, SLP-76, and Pyk2 in mature osteoclasts. Caldecrin also abolishes Ca2+ entry into the cytoplasm through the TRPV4 channel and TRAF6–c-Src interaction. Akt: AKR mouse thymoma kinase; Src, sarcoma; SLP-76:SH2 domain containing leukocyte protein of 76kDa; TRPV4: Transient Receptor Potential Vanilloid 4.
Calcium signaling pathways have been shown to play a role in bone resorption, exerting effects on actin metabolism, cytoskeletal organization, and cell–matrix interactions. RANKL signaling activates PLCγ and enhances the production of inositol trisphosphate (IP3), which results in the release of Ca2+ from the ER through transient receptor potential vanilloid channel 2 (TRPV2), which subsequently causes oscillations in Ca2+ concentration [32]. Ca2+ oscillations disappear during differentiations and are replaced by RANKL-evoked Ca2+ influx via TRPV4 and 5 [33][34]. Thus, RANKL-triggered Ca2+ influx in multinucleated osteoclasts through TRPV channels maintains NFATc1 activity and activates Pyk2, which is essential for actin filament organization (Figure 5).
We found that caldecrin suppresses RANKL-mediated Ca2+ signaling and actin ring formation in mature osteoclasts via suppression of the TRAF6–c-Src-–Syk signaling pathway, resulting in the suppression of bone resorption (Figure 5).
We conclude that protease activity-deficient caldecrin inhibits both RANKL-stimulated osteoclast formation from bone marrow progenitors and pre-existing mature osteoclastic bone resorption, resulting in the serum calcium-decreasing activity of caldecrin in vivo. Next, we investigated the role of caldecrin in inflammation-induced bone loss.

4.2.2. Caldecrin and TLR4 Signaling

Inflammation is known to cause bone loss. Bacterial lipopolysaccharide (LPS), a major constituent of the outer membrane of Gram-negative bacteria, is a potent inducer of bone loss in inflammatory diseases, including periodontal disease, bacterial arthritis, and dental implant infections [35][36]. Toll-like receptor (TLR) family members, which are proteins homologous to the Drosophila Toll protein, play a critical role in the innate immune system. TLR (TLR1–9) is expressed in osteoclast progenitors, of which TLR2 and 4 are also expressed in osteoclasts [37]. LPS has been shown to stimulate osteoclast formation and bone resorption in vivo through TLR4 [38][39].

The signaling cascade of TLR4 has been extensively studied in macrophages [40][41][42]. LPS induces inflammation upon the production of pro-inflammatory cytokines, such as interleukin-1 (IL-1) β, TNF-α, and IL-6 in macrophages and lymphocytes. Activated TLRs, except for TLR3, induce pro-inflammatory cytokine production through the canonical myeloid differentiation factor 88 (MyD88), which recruits TRAF6 downstream and activates IKK and the NF-κB pathway [43], leading to osteoclast formation in vitro. Although LPS is known to induce bone loss in vivo, LPS can both inhibit and stimulate osteoclastogenesis in vitro. The simultaneous activation of TLR4 and RANK signaling by LPS and RANKL, respectively, inhibits osteoclast formation in BMMs [37][44]. In this context, LPS/TLR4 activates NF-κB, p38, ERK1/2, and JNK, but inhibits RANKL-induced Nfatc1 expression. In contrast, LPS treatment enhanced the osteoclast differentiation of BMMs primed with M-CSF and RANKL [44][45]. The expression of Nfatc1 in RANKL-committed preosteoclasts is no longer affected by subsequent LPS treatment [45]. Therefore, RANKL-primed NFATc1 expression is a prerequisite for LPS-stimulated osteoclast formation.

RANKL/RANK and LPS/TLR4 signaling pathways in osteoclast formation share TRAF6, a ubiquitin E3 ligase, and downstream signaling pathways such as NF-κB activation. The LPS response is regulated by negative feedback with an NF-κB-inducible A20, which is a deubiquitinating protease encoding tumor necrosis factor alpha-induced protein 3 (TNFAIP3) [46]. A20 removes lysine 63 (K63)-linked polyubiquitin chains from TRAF6 and promotes K48-polyubiquitination for proteasomal degradation; thus, NF-κB-stimulated A20 plays an anti-inflammatory role by inhibiting IκB phosphorylation and NF-κB activation [47]. LPS induces osteoclast formation from RANKL-pretreated macrophages and the expression of A20, which is associated with TRAF6 degradation and NF-κB inhibition [48].

4.2.3. Caldecrin and TREM2 Signaling

TREM2/DAP12 signaling contributes to macrophage activation. Tissue macrophages have two key functions: (1) to interact with pathogens such as LPS and modulate the adaptive immune responses, and (2) to facilitate tissue repair and tissue regeneration. These macrophage polarizations, categorized as M1 and M2, are modulated by the chemokine system [49][50][51]. Macrophages activated by LPS or interferon-γ alone or in combination are differentiated as classical M1 activation, which produces pro-inflammatory cytokines, whereas Th2-related cytokines IL-4 or IL-13, and anti-inflammatory molecules such as IL-10 and TGF-β, promote alternative M2 activation, which shows an anti-inflammatory and pro-healing phenotype [51][52]. TREM-2/DAP12 signaling contributes to the negative regulation of LPS/TLR4-mediated M1 macrophage polarization [53]. TREM-2-deficient macrophages enhanced the expression of pro-inflammatory cytokines and suppressed phagocytosis following TLR4 stimulation with LPS, demonstrating that TREM-2 suppresses inflammation and promotes bacterial clearance.

4.3. Caldecrin and Inflammation-Related Diseases

Rheumatoid arthritis (RA) is an autoimmune disease characterized by osteoclast-mediated bone and cartilage destruction resulting from inflammation in the synovium [54][55][56]. Osteoclast precursor cells are identified in areas of pannus invasion into the bone in RA. RANKL is expressed by both synovial fibroblasts and activated T lymphocytes derived from synovial tissues from patients with RA [57][58][59]. Pro-inflammatory cytokine levels, including TNF-α, IL1α, IL-1β, and IL-6, induce RANKL expression in synovial fibroblasts in RA, resulting in the enhancement of osteoclastogenesis in RA [60][61][62][63]. The A20 is decreased in monocytes and synovium from RA patients, suggesting that A20 may have a protective role in RA [64][65][66].

4.4. Caldecrin and Muscular Dystrophy

Recently, RANKL was reported to reduce muscular function when expressed in muscle cells. Anti-RANKL antibody treatment inhibits the NF-κB pathway and reduces muscle inflammation and damage in dystrophic mice [67]. Osteoprotegerin KO mice, which lack a secreted decoy receptor for RANKL, displayed reduced locomotor activity and signs of muscle weakness. Inhibiting RANKL improved the selective weakness and atrophy of fast-twitch IIb myofibers [68]. In addition, RANKL inhibition improved muscle strength and insulin sensitivity in osteoporotic mice and humans [69]. Therefore, caldecrin, by virtue of its anti-RANKL and anti-inflammatory activities, could be a suitable therapeutic approach for skeletal muscle dysfunction.

5. Concluding Remarks

We have highlighted the serum calcium-decreasing factor caldecrin, which was first discovered in the pancreas, and its structure and protease activity were identical to those of chymotrypsin C (CTRC). Protease-deficient caldecrin inhibits RANKL-stimulated osteoclast differentiation of BMMs and bone resorption mediated by mature osteoclasts. Additionally, caldecrin inhibits osteoclast differentiation stimulated by LPS and inflammatory M1 macrophage polarization stimulated by LPS and IFNγ through the TREM-2 pathway. Furthermore, caldecrin ameliorates the symptoms of several diseases, including osteoporosis, RA, and muscular dystrophy. Thus, caldecrin is a protease with chymotryptic hydrolysis activity and non-proteolytic functions, which modulate physiological and pathological bone metabolism and inflammation via the TREM2 pathway.


  1. Stewart, A.F.; Longo, W.; Kreutter, D.; Jacob, R.; Burtis, W.J. Hypocalcemia associated with calcium-soap formation in a patient with a pancreatic fistula. N. Engl. J. Med. 1986, 315, 496–498.
  2. Williams, G.A.; Bowser, E.N.; Henderson, W.J. Mode of hypocalcemic action of glucagon in the rat. Endocrinology 1969, 85, 537–541.
  3. Stern, P.H.; Bell, N.H. Effects of glucagon on serum calcium in the rat and on bone resorption in tissue culture. Endocrinology 1970, 87, 111–117.
  4. Zaidi, M.; Datta, H.K.; Bevis, P.J.; Wimalawansa, S.J.; MacIntyre, I. Amylin-amide: A new bone-conserving peptide from the pancreas. Exp. Physiol. 1990, 75, 529–536.
  5. Alam, A.S.; Moonga, B.S.; Bevis, P.J.; Huang, C.L.; Zaidi, M. Amylin inhibits bone resorption by a direct effect on the motility of rat osteoclasts. Exp. Physiol. 1993, 78, 183–196.
  6. Pettersson, M.; Ahren, B.; Böttcher, G.; Sundler, F. Calcitonin gene-related peptide: Occurrence in pancreatic islets in the mouse and the rat and inhibition of insulin secretion in the mouse. Endocrinology 1986, 119, 865–869.
  7. D’Souza, S.M.; MacIntyre, I.; Girgis, S.I.; Mundy, G.R. Human synthetic calcitonin gene-related peptide inhibits bone resorption in vitro. Endocrinology 1986, 119, 58–61.
  8. Takaoka, Y.; Hiwaki, C.; Ozawa, H.; Ichinose, M.; Otsubo, Y.; Shikaya, T. A pancreatic protein anabolic extract. Proposal of a protein anabolic extract from pancreas. I. Preliminary report. Acta Med. Nagasaki 1966, 10, 51–57.
  9. Takaoka, Y.; Takamori, M.; Ichinose, M.; Shikaya, T.; Igawa, N. Hypocalcemic action of a pancreatic factor and its clinical significance on the myasthenic patients. Acta Med. Nagasaki 1969, 14, 28–35.
  10. Tomomura, A.; Fukushige, T.; Noda, T.; Noikura, T.; Saheki, T. Serum calcium-decreasing factor (caldecrin) from porcine pancreas has proteolytic activity which has no clear connection with the calcium decrease. FEBS Lett. 1992, 301, 277–281.
  11. Tomomura, A.; Tomomura, M.; Fukushige, T.; Akiyama, M.; Kubota, N.; Kumaki, K.; Nishii, Y.; Noikura, T.; Saheki, T. Molecular cloning and expression of serum calcium-decreasing factor (caldecrin). J. Biol. Chem. 1995, 270, 30315–30321.
  12. Kang, J.; Wiegand, U.; Müller-Hill, B. Identification of cDNAs encoding two novel rat pancreatic serine proteases. Gene 1992, 110, 181–187.
  13. CTRC Chymotrypsin C. Homo Sapiens (Human). Available online: (accessed on 28 May 2021).
  14. Chymotrypsin C|S1: Chymotrypsin|IUPHAR/BPS Guide to PHARMACOLOGY. Available online: (accessed on 28 May 2021).
  15. Gomis-Rüth, F.X.; Gómez, M.; Bode, W.; Huber, R.; Avilés, F.X. The three-dimensional structure of the native ternary complex of bovine pancreatic procarboxypeptidase A with proproteinase E and chymotrypsinogen C. EMBO J. 1995, 14, 4387–4394.
  16. Tomomura, A.; Akiyama, M.; Itoh, H.; Yoshino, I.; Tomomura, M.; Nishii, Y.; Noikura, T.; Saheki, T. Molecular cloning and expression of human caldecrin. FEBS Lett. 1996, 386, 26–28.
  17. Chymotrypsin, C. Available online: (accessed on 28 May 2021).
  18. Pancreatic Elastase II. Available online: (accessed on 28 May 2021).
  19. Pancreatic Endopeptidase E. Available online: (accessed on 28 May 2021).
  20. Wong, B.R.; Rho, J.; Arron, J.; Robinson, E.; Orlinick, J.; Chao, M.; Kalachikov, S.; Cayani, E.; Bartlett, F.S., III; Frankel, W.N.; et al. TRANCE is a novel ligand of the tumor necrosis factor receptor family that activates c-Jun N-terminal kinase in T cells. J. Biol. Chem. 1997, 272, 25190–25194.
  21. Yasuda, H.; Shima, N.; Nakagawa, N.; Yamaguchi, K.; Kinosaki, M.; Mochizuki, S.; Tomoyasu, A.; Yano, K.; Goto, M.; Murakami, A.; et al. Osteoclast differentiation factor is a ligand for osteoprotegerin/osteoclastogenesis-inhibitory factor and is identical to TRANCE/ RANKL. Proc. Natl. Acad. Sci. USA 1998, 95, 3597–3602.
  22. Lacey, D.L.; Timms, E.; Tan, H.L.; Kelley, M.J.; Dunstan, C.R.; Burgess, T.; Elliott, R.; Colombero, A.; Elliott, G.; Scully, S.; et al. Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell 1998, 93, 165–176.
  23. Fuller, K.; Wong, B.; Fox, S.; Choi, Y.; Chambers, T.J. TRANCE is necessary and sufficient for osteoblast-mediated activation of bone resorption in osteoclasts. J. Exp. Med. 1998, 188, 997–1001.
  24. Nakashima, T.; Hayashi, M.; Fukunaga, T.; Kurata, K.; Oh-Hora, M.; Feng, J.Q.; Bonewald, L.F.; Kodama, T.; Wutz, A.; Wagner, E.F.; et al. Evidence for osteocyte regulation of bone homeostasis through RANKL expression. Nat. Med. 2011, 17, 1231–1234.
  25. Suda, T.; Takahashi, N.; Martin, T.J. Modulation of osteoclast differentiation. Endocr. Rev. 1992, 13, 66–80.
  26. Teitelbaum, S.L. Bone resorption by osteoclasts. Science 2000, 289, 1504–1508.
  27. Asagiri, M.; Takayanagi, H. The molecular understanding of osteoclast differentiation. Bone 2007, 40, 251–264.
  28. Koga, T.; Inui, M.; Inoue, K.; Kim, S.; Suematsu, A.; Kobayashi, E.; Iwata, T.; Ohnishi, H.; Matozaki, T.; Kodama, T.; et al. Costimulatory signals mediated by the ITAM motif cooperate with RANKL for bone homeostasis. Nature 2004, 428, 758–763.
  29. Mócsai, A.; Humphrey, M.B.; van Ziffle, J.A.G.; Hu, Y.; Burghardt, A.; Spusta, S.C.; Majumdar, S.; Lanier, L.L.; Lowell, C.A.; Nakamura, M.C. The immunomodulatory adapter proteins DAP12 and Fc receptor gamma-chain (FcRgamma) regulate development of functional osteoclasts through the Syk tyrosine kinase. Proc. Natl. Acad. Sci. USA 2004, 101, 6158–6163.
  30. Asagiri, M.; Sato, K.; Usami, T.; Ochi, S.; Nishina, H.; Yoshida, H.; Morita, I.; Wagner, E.F.; Mak, T.W.; Serfling, E.; et al. Autoamplification of NFATc1 expression determines its essential role in bone homeostasis. J. Exp. Med. 2005, 202, 1261–1269.
  31. Hirotani, H.; Tuohy, N.A.; Woo, J.T.; Stern, P.H.; Clipstone, N.A. The calcineurin/nuclear factor of activated T cells signaling pathway regulates osteoclastogenesis in RAW264.7 cells. J. Biol. Chem. 2004, 279, 13984–13992.
  32. Kajiya, H.; Okamoto, F.; Nemoto, T.; Kimachi, K.; Toh-Goto, K.; Nakayana, S.; Okabe, K. RANKL-induced TRPV2 expression regulates osteoclastogenesis via calcium oscillations. Cell Calcium 2010, 48, 260–269.
  33. Masuyama, R.; Vriens, J.; Voets, T.; Karashima, Y.; Owsianik, G.; Vennekens, R.; Lieben, L.; Torrekens, S.; Moermans, K.; Vanden Bosch, A.; et al. TRPV4-mediated calcium influx regulates terminal differentiation of osteoclasts. Cell Metab. 2008, 8, 257–265.
  34. Chamoux, E.; Bisson, M.; Payet, M.D.; Roux, S. TRPV-5 mediates a receptor activator of NF-kB (RANK) ligand-induced increase in cytosolic Ca2+ in human osteoclasts and down-regulates bone resorption. J. Biol. Chem. 2010, 285, 25354–25362.
  35. Nair, S.P.; Meghji, S.; Wilson, M.; Reddi, K.; White, P.; Henderson, B. Bacterially induced bone destruction: Mechanisms and misconceptions. Infect. Immun. 1996, 64, 2371–2380.
  36. Tobias, P.S.; Gegner, J.; Tapping, R.; Orr, S.; Mathison, J.; Lee, J.D.; Kravchenko, V.; Han, J.; Ulevitch, R.J. Lipopolysaccharide dependent cellular activation. J. Periodontal Res. 1997, 32, 99–103.
  37. Takami, M.; Kim, N.; Rho, J.; Choi, Y. Stimulation by toll-like receptors inhibits osteoclast differentiation. J. Immunol. 2002, 169, 1516–1523.
  38. Qureshi, S.T.; Larivière, L.; Leveque, G.; Clermont, S.; Moore, K.J.; Gros, P.; Malo, D. Endotoxin-tolerant mice have mutations in Toll-like receptor 4 (Tlr4). J. Exp. Med. 1999, 189, 615–625.
  39. Hou, L.; Sasaki, H.; Stashenko, P. Toll-like receptor 4-deficient mice have reduced bone destruction following mixed anaerobic infection. Infect. Immun. 2000, 68, 4681–4687.
  40. Satoh, T.; Akira, S. Toll-Like receptor signaling and its inducible proteins. Microbiol. Spectr. 2016, 4.
  41. Takeda, K.; Akira, S. TLR signaling pathways. Semin Immunol. 2004, 16, 3–9.
  42. Akira, S.; Takeda, K. Toll-like receptor signaling. Nat. Rev. Immunol. 2004, 4, 499–511.
  43. Medzhitov, R.; Preston-Hurlburt, P.; Kopp, E.; Stadlen, A.; Chen, C.; Ghosh, S.; Janeway, C.A., Jr. MyD88 is an adaptor protein in the hToll/IL-1 receptor family signaling pathways. Mol. Cell 1998, 2, 253–258.
  44. Zou, W.; Bar-Shavit, Z. Dual modulation of osteoclast differentiation by lipopolysaccharide. J. Bone Miner. Res. 2002, 17, 1211–1218.
  45. Liu, J.; Wang, S.; Zhang, P.; Said-Al-Naief, N.; Michalek, S.M.; Feng, X. Molecular mechanism of the bifunctional role of lipopolysaccharide in osteoclastogenesis. J. Biol. Chem. 2009, 284, 12512–12523.
  46. O’Reilly, S.M.; Moynagh, P.N. Regulation of Toll-like receptor 4 signaling by A20 zinc finger protein. Biochem. Biophys. Res. Commun. 2003, 303, 586–593.
  47. Ingrid, E.; Wertz, I.E.; O’Rourke, K.M.; Zhou, H.; Eby, M.; Aravind, L.; Seshagiri, S.; Wu, P.; Wiesmann, C.; Baker, R.; et al. De-ubiquitination and ubiquitin ligase domains of A20 downregulate NF-kappaB signalling. Nature 2004, 430, 694–699.
  48. Mabilleau, G.; Chappard, D.; Sabokbar, A. Role of the A20-TRAF6 axis in lipopolysaccharide-mediated osteoclastogenesis. J. Biol. Chem. 2011, 286, 3242–3249.
  49. Mantovani, A.; Sica, A.; Sozzani, S.; Allavena, P.; Vecchi, A.; Locati, M. The chemokine system in diverse forms of macrophage activation and polarization. Trends Immunol. 2004, 25, 677–686.
  50. Gordon, S.; Taylor, P.R. Monocyte and macrophage heterogeneity. Nat. Rev. Immunol. 2005, 5, 953–964.
  51. Mills, C.D.; Kincaid, K.; Alt, J.M.; Heilman, M.J.; Hill, A.M. M-1/M-2 macrophages and the Th1/Th2 paradigm. J. Immunol. 2000, 164, 6166–6173.
  52. Italiani, P.; Boraschi, D. From monocytes to M1/M2 macrophages: Phenotypical vs. functional differentiation. Front. Immunol. 2014, 5, 514.
  53. Turnbull, I.R.; Gilfillan, S.; Cella, M.; Aoshi, T.; Miller, M.; Piccio, L.; Hernandez, M.; Colonna, M. Cutting Edge: TREM-2 Attenuates Macrophage Activation. J. Immunol. 2006, 177, 3520–3524.
  54. Guo, Q.; Wang, Y.; Xu, D.; Nossent, J.; Pavlos, N.J.; Xu, J. Rheumatoid arthritis: Pathological mechanisms and modern. pharmacologic therapies. Bone Res. 2018, 6, 15.
  55. Auréal, M.; Machuca-Gayet, I.; Coury, F. Rheumatoid arthritis in the view of osteoimmunology. Biomolecules 2020, 11, 48.
  56. Sweeney, S.E.; Firestein, G.S. Rheumatoid arthritis: Regulation of synovial inflammation. Int. J. Biochem. Cell Biol. 2004, 36, 372–378.
  57. Gravallese, E.M.; Manning, C.; Tsay, A.; Naito, A.; Pan, C.; Amento, E.; Goldring, S.R. Synovial tissue in rheumatoid arthritis is a source of osteoclast differentiation factor. Arthritis Rheum. 2000, 43, 250–258.
  58. Takayanagi, H.; Iizuka, H.; Juji, T.; Nakagawa, T.; Yamamoto, A.; Miyazaki, T.; Koshihara, Y.; Oda, H.; Nakamura, K.; Tanaka, S. Involvement of receptor activator of nuclear factor kappaB ligand/osteoclast differentiation factor in osteoclastogenesis from synoviocytes in rheumatoid arthritis. Arthritis Rheum. 2000, 43, 259–269.
  59. Crotti, T.N.; Smith, M.D.; Weedon, H.; Ahern, M.J.; Findlay, D.M.; Kraan, M.; Tak, P.P.; Haynes, D.R. Receptor activator NF-kappaB ligand (RANKL) expression in synovial tissue from patients with rheumatoid arthritis, spondyloarthropathy, osteoarthritis, and from normal patients: Semiquantitative and quantitative analysis. Ann. Rheum. Dis. 2002, 61, 1047–1054.
  60. Wei, S.; Kitaura, H.; Zhou, P.; Ross, F.P.; Teitelbaum, S.L. IL-1 mediates TNF-induced osteoclastogenesis. J. Clin. Investig. 2005, 115, 282–290.
  61. Wang, T.; He, C. TNF-alpha and IL-6: The Link between Immune and Bone System. Curr. Drug Targets. 2020, 21, 213–227.
  62. Lam, J.; Takeshita, S.; Barker, J.E.; Kanagawa, O.; Ross, E.P.; Teitelbaum, S.L. TNF-alpha induces osteoclastogenesis by direct stimulation of macrophages exposed to permissive levels of RANK ligand. J. Clin. Investig. 2000, 106, 1481–1488.
  63. Hashizume, M.; Mihara, M. The roles of interleukin-6 in the pathogenesis of rheumatoid arthritis. Arthritis 2011.
  64. Elsby, L.M.; Orozco, G.; Denton, J.; Worthington, J.; Ray, D.W.; Donn, R.P. Functional evaluation of TNFAIP3 (A20) in rheumatoid arthritis. Clin. Exp. Rheumatol. 2010, 28, 708–714.
  65. Hah, Y.S.; Lee, Y.R.; Jun, J.S.; Lim, H.S.; Kim, H.O.; Jeong, Y.G.; Hur, G.M.; Lee, S.Y.; Chung, M.J.; Park, J.W.; et al. A20 suppresses inflammatory responses and bone destruction in human fibroblast-like synoviocytes and in mice with collagen-induced arthritis. Arthritis Rheum. 2010, 62, 2313–2321.
  66. Zhang, L.; Yao, Y.; Tian, J.; Jiang, W.; Zhou, S.; Chen, J.; Xu, T.; Wu, M. Alterations and abnormal expression of A20 in peripheral monocyte subtypes in patients with rheumatoid arthritis. Clin. Rheumatol. 2021, 40, 341–348.
  67. Hamoudi, D.; Marcadet, L.; Piette Boulanger, A.; Yagita, H.; Bouredji, Z.; Argaw, A.; Frenette, J. An anti-RANKL treatment reduces muscle inflammation and dysfunction and strengthens bone in dystrophic mice. Hum. Mol. Genet. 2019, 28, 3101–3112.
  68. Hamoudi, D.; Bouredji, Z.; Marcadet, L.; Yagita, H.; Landry, L.B.; Argaw, A.; Frenette, J. Muscle weakness and selective muscle atrophy in osteoprotegerin-deficient mice. Hum. Mol. Genet. 2020, 29, 483–494.
  69. Bonnet, N.; Bourgoin, L.; Biver, E.; Douni, E.; Ferrari, S. RANKL inhibition improves muscle strength and insulin sensitivity and restores bone mass. J. Clin. Investig. 2020, 130, 3329.
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