Time-lapse video microscopy was used to assess the temporal morphologi
cal events undergone by rat osteoclasts after exposure to a variety of
agents that promote cell death. Direct observations revealed that the
re were two morphologically distinguishable forms of cell death, which
resembled apoptosis and necrosis, respectively. Marked changes in mor
phology became apparent after 2-4 h exposure to a variety of agents, i
ncluding cyclosporine A, tamoxifen, corticosterone and dexamethasone.
The cells began to shrink rapidly and within 25 min appeared as small
round spheres. At this time, the cell membranes underwent violent dist
ortive boiling, or zeiosis, accompanied by the formation of small memb
rane buds. The cells maintained a spherical configuration and the memb
rane appeared to remain intact for several hours. These observations a
re consistent with the process of physiological cell death or apoptosi
s. In some cases, post-apoptotic changes or secondary necrosis could b
e seen, including membrane blebbing and degeneration. In contrast, whe
n cells were exposed to hydrogen peroxide or sodium azide, there was a
marked deterioration of the cell membrane after 1-4 h. This included
the formation of spikes and/or blebbing with the release of intracellu
lar debris, resulting in an overall spattered appearance. This type of
appearance is characteristic of degenerative cell death or necrosis.
The significance of the mode of osteoclast death is discussed.