The effect of prostaglandin E(2) (PGE(2)) on osteoclast (OC) different
iation is unclear, either stimulator or inhibitor, depending on the in
vitro system used. This probably reflects indirect mechanisms through
intermediate cells. We have investigated the direct effect of PGE(2)
on human OC differentiation from cord blood monocytes (CBMs) in the ab
sence of stromal cells. Macrophages and multinucleated cells (MNCs) re
sembling OCs form in cultures of CBMs stimulated by 1,25-dihydroxyvita
min D-3. In the present study, CBMs were cultured for 3 weeks, as prev
iously described, in the presence or absence of PGE(2). The number of
MNCs was significantly reduced in the presence of PGE(2) as was the pr
oliferation of cultured CBMs, assessed on day 7. Immunohistochemistry
was performed to evaluate macrophage markers (CD11b and CD14) and OC m
arker (beta(3)-chain). PGE(2) significantly increased the numbers of C
D11b-positive and CD14-positive cells, whereas the number of beta(3)-c
hain-positive cells was significantly decreased. beta(3)-Chain, c-fos,
and human calcitonin receptor (h-CTR) messenger RNA (mRNA) expression
s were evaluated by reverse transcription-PCR with RNA extracted from
cultured CBMs. In the presence of PGE(2), expression of beta(3)-chain
and c-fos mRNA was reduced from the first week of culture. h-CTR mRNA
expression was also reduced, and only the h-CTR1 isoform was detected
in the presence of PGE(2). In addition, when PGE(2) was added only dur
ing the last week of culture, when no CBM proliferation occurred, the
number of CD11b- and beta(3)-positive cells was unchanged compared to
that in the control culture, as were the proportion of MNCs, the fusio
n index, and the expression of c-fos mRNA. In conclusion, our results
suggest that PGE(2) has an inhibitory effect on human OC differentiati
on from CBMs, possibly by reducing precursor proliferation in these cu
ltures. We also hypothesize that PGE(2) may reduce OC differentiation
by increasing the proportion of precursor cells that differentiate int
o macrophages. In addition, this may be the result of inhibition of th
e c-fos expression in CBMs.