Cells of the mononuclear phagocyte lineage have the capability to adhe
re to and fuse with each other and to differentiate into osteoclasts a
nd giant cells. To investigate the macrophage adhesion/fusion mechanis
m, we focused our attention on CD44, a surface glycoprotein known to p
lay a role in hematopoietic cell-cell adhesion. We report that CD44 ex
pression by macrophages is highly and transiently induced by fusogenic
conditions both in vitro and in vivo. We show that CD44 ligands, hyal
uronic acid, chondroitin sulfates, and osteopontin prevent macrophage
multinucleation. In addition, we report that the recombinant extracell
ular domain of CD44 binds fusing macrophages and prevents multinucleat
ion in vitro. These data suggest that CD44 may control the mononucleat
ed status of macrophages in tissues by virtue of mediating cell-cell i
nteraction.