Inhibition of osteoclast bone resorption activity through osteoprotegerin-induced damage of the sealing zone

  • Authors:
    • Ruilong Song
    • Jianhong Gu
    • Xuezhong Liu
    • Jiaqiao Zhu
    • Qichao Wang
    • Qian Gao
    • Jiaming Zhang
    • Laiyang Cheng
    • Xishuai Tong
    • Xinyi Qi
    • Yan Yuan
    • Zongping Liu
  • View Affiliations

  • Published online on: July 10, 2014     https://doi.org/10.3892/ijmm.2014.1846
  • Pages: 856-862
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Abstract

Bone remodeling is dependent on the dynamic equilibrium between osteoclast-mediated bone resorption and osteoblast-mediated osteogenesis. The sealing zone is an osteoclast-specific cytoskeletal structure, the integrity of which is critical for osteoclast-mediated bone resorption. To date, studies have focused mainly on the osteoprotegerin (OPG)‑induced inhibition of osteoclast differentiation through the OPG/receptor activator of the nuclear factor kappa-B ligand (RANKL)/RANK system, which affects the bone resorption of osteoclasts. However, the effects of OPG on the sealing zone have not been reported to date. In this study, the formation of the sealing zone was observed by Hoffman modulation contrast (HMC) microscopy and confocal laser scanning microscopy. The effects of OPG on the existing sealing zone and osteoclast-mediated bone resorption activity, as well as the regulatory role of genes involved in the formation of the sealing zone were examined by immunofluorescence staining, HMC microscopy, quantitative reverse transcription polymerase chain reaction (RT-qPCR), western blot analysis and scanning electron microscopy. The sealing zone was formed on day 5, with belt-like protuberances at the cell edge and scattered distribution of cell nuclei, but no filopodia. The sealing zone was intact in the untreated control group. However, defects in the sealing zone were observed in the OPG-treated group (20 ng/ml) and the structure was absent in the groups treated with 40 and 80 ng/ml OPG. The podosomes showed a scattered or clustered distribution between the basal surface of the osteoclasts and the well surface. Furthermore, resorption lacunae were not detected in the 20 ng/ml OPG-treated group, indicating the loss of osteoclast-mediated bone resorption activity. Treatment with OPG resulted in a significant decrease in the expression of Arhgef8/Net1 and DOCK5 Rho guanine nucleotide exchange factors (RhoGEFs), 10 of 18 RhoGTPases (RhoA, RhoB, cdc42v1, cdc42v2, RhoU/Wrch1, RhoF/Rif, Rac2, RhoG, Rnd1 and RhoBTB1), ROCK1 and ROCK2. In conclusion, podosome distribution was affected by the OPG-induced inhibition of the expression of genes in the RhoGTPase signaling pathway. This resulted in damage to or destruction of the sealing zone, thus inhibiting osteoclast-mediated bone resorption activity.

Introduction

Osteoclasts have unique bone resorption activity. The dynamic equilibrium between osteoclast-mediated bone resorption and osteogenesis plays an important role in the bone remodeling process. Excessive bone resorption can cause a variety of diseases, such as osteoporosis, rheumatoid arthritis, multiple myeloma and periodontitis (1,2). Therefore, investigation of bone absorption by osteoclasts is crucial for the development of effective therapeutic strategies.

The sealing zone is a cytoskeletal structure unique to osteoclasts that consists of a tight arrangement of the actin belt formed by podosomes (3,4). The sealing zone provides a closed microenvironment for osteoclast-mediated bone resorption, thus, defining the area of bone resorption. Osteoclasts secrete protons and proteinases, which enter the microenvironment formed by the sealing zone to participate in the dissolution and absorption of the bone matrix and minerals (57). Furthermore, the sealing zone allows the tight adherence of osteoclasts to the surface of bone (8,9).

The podosome, which is the structural unit of the sealing zone (6), is formed by the F-actin-binding core and the radiating actin fibers. During the osteoclast maturation process, the arrangement of podosomes changes from a spot-like to a cluster-like pattern that eventually transforms into a podosome belt or the sealing zone (10,11). There is no essential difference between the podosome belt and the sealing zone, apart from the difference in density (4,6). Myeloid cells, such as mononuclear macrophages and osteoclasts produce podosomes instead of the stress fibers and focal adhesions that are produced in other cells. Podosomes, focal adhesions and stress fibers share many common components (5,12). The podosome has actin at its center, surrounded by scaffold proteins, kinases and integrins (6). Previous studies have indicated that the integrity of the sealing zone plays a decisive role in osteoclast-mediated bone resorption (4,13).

RhoGTPases, which include at least 22 family members, affect the sealing zone by regulating the generation and arrangement of podosomes (4,5,1416). These enzymes are inactivated in the GDP-bound form and are activated in the GTP-bound form, playing an important role in cell signal transduction and the regulation of F-actin in the cytoskeleton (15,16). Rho guanine nucleotide exchange factors (RhoGEFs) induced the upstream activation of RhoGTPases (17). Studies have shown that the expression of only Arhgef8/Net1 and DOCK5 among the RhoGEFs is altered during the formation and maturation of osteoclasts (18,19); thus, it can be speculated that they play an important role in the regulation of the sealing zone. ROCK is the downstream effector of the Rho subfamily, the most extensively investigated member of this family, which includes ROCK1 and ROCK2 (20,21).

Osteoprotegerin (OPG) markedly inhibits the transformation of osteoclast precursor cells into osteoclasts. Studies on the effects of OPG on bone resorption by osteoclasts have focused mainly on the OPG-induced inhibition of osteoclast differentiation through the OPG/receptor activator of the nuclear factor kappa-B ligand (RANKL)/RANK system (2224). It has been reported that OPG promotes the separation of osteoclasts adhering to the bone matrix from the bone surface (25). However, the mechanisms involved have not yet been elucidated. In addition, to the best of our knowledge, the effects of OPG on the sealing zone and the underlying molecular mechanisms have not been reported to date.

In this study, the effects of OPG on the sealing zone of purified osteoclasts were observed. Furthermore, the expression of the RhoGTPase family members, Net1, DOCK5, ROCK (ROCK1 and ROCK2) was analyzed, in order to investigate the mechanisms responsible for OPG action on the sealing zone.

Materials and methods

Induction and purification of osteoclasts

Murine macrophage-like RAW264.7 cells were purchased from the Type Culture Collection of the Chinese Academy of Sciences, Shanghai, China. Studies have indicated that massive apoptosis of monocytes occurs during the generation of osteoclasts (26). According to this rule, the yield of osteoclasts can be increased by reducing the density of Raw264.7 cells (a mouse leukemic monocyte/macrophage cell line) at the early stage of inoculation and increasing the duration of induction. This will cause the greatest degree of apoptosis of undifferentiated monocytes. After the formation of a large number of osteoclasts, the monocytes can be removed by aspiration. This method was used for the generation of all osteoclasts used in this study.

For investigations of the formation of the sealing zone, RAW264.7 cells (1562.5 cells/cm2) were incubated in α-MEM culture medium containing 50 ng/ml M-CSF and 60 ng/ml RANKL (PeproTech, Rocky Hill, NJ, USA), 10% fetal bovine serum (FBS) (HyClone, Logan, UT, USA) and 100 U/ml penicillin/streptomycin (Sigma-Aldrich, St. Louis, MO, USA) for 1–5 days. Immunofluorescence (IF) staining (rhodamine phalloidin) were performed daily. IF staining was conducted to monitor the formation of the sealing zone. The time required for the formation of the sealing zone and the characteristics of the cells during the osteoclast differentiation process were observed using a Hoffman microscope (Leica, Wetzlar, Germany) on days 1–5.

For investigations of the effects of OPG (PeproTech) on the sealing zone, RAW264.7 cells (1,562.5 cells/cm2) were incubated in α-MEM culture medium containing 50 ng/ml M-CSF and 60 ng/ml RANKL (PeproTech), 10% FBS (HyClone) and 100 U/ml penicillin/streptomycin (Sigma-Aldrich). Based on the results of this staining protocol, osteoclasts with a visible sealing zone were incubated for 12 h with OPG (0, 20, 40 and 80 ng/ml). The changes of living osteoclasts in the sealing zone in these experiments were captured by Hoffman modulation contrast (HMC) microscopy. Moreover, IF staining (rhodamine phalloidin) was performed to monitor the effects of OPG (PeproTech) on the sealing zone.

IF staining

The cells obtained as described above were fixed for 15 min with 4% paraformaldehyde (Sigma-Aldrich), and washed 3 times with phosphate-buffered saline (PBS). Subsequently, the cells were washed with 0.2% Triton X-100 (Amresco, Solon, OH, USA) for 10 min, then washed 3 times with PBS. The cells were sealed for 1 h with 500 μl 2% bovine serum albumin (BSA; Sigma-Aldrich). Subsequently, the cells were stained for 1 h with rhodamine phalloidin (Invitrogen, Carlsbad, CA, USA) diluted in 2% BSA and washed 3 times with PBS. During the analysis of the sealing zone formation, the cells were photographed immediately using an inverted fluorescence microscope (LSM510; Carl Zeiss, Jena, Germany). However, during the analysis of the effects of OPG on the sealing zone, the cells were stained for 15 min with 4′,6-diamidino-2-phenylindole (DAPI), and washed 3 times with PBS. Finally, images were acquired using an inverted fluorescence microscope (Leica).

Quantitative reverse transcription polymerase chain reaction (RT-qPCR)

Total RNA was extracted from the cells treated with OPG using TRIzol reagent (Invitrogen) according to manufacturer’s instructions. Reverse transcription was performed using the PrimeScript RT reagent kit with gDNA eraser (Takara Bio, Inc., Shiga, Japan). Subsequently, the mRNA expression levels of Arhgef8/Net1, DOCK5, the RhoGTPase family members, DOCK2 and other genes (MMP-9 and CAII) associated with bone resorption were detected with the 7500 Real-Time PCR System using SYBR-Green (Applied Biosystems, Carlsbad, CA, USA) following the manufacturer’s instructions. The primers used in this study are presented in Table I.

Table I

Primers used in real-time PCR.

Table I

Primers used in real-time PCR.

Gene nameAccession no.UpstreamDownstream
RhoANM_016802 CAAGGACCAGTTCCCAGAGG CGCAGGCGGTCATAATCTTC
RhoBNM_007483 AAGTGGGTGCCCGAGGTA CGAGGTAGTCATAGGCTTGGAT
RhoCNM_007484 GGAAGACCTGCCTCCTCATT TCCACCTGCTTGCCATCCAC
Rac1NM_009007 GCCTGCTCATCAGTTACACG GACGCAATCTGTCATAATCTTC
Rac2NM_009008 TGTGATGGTGGACAGTAAGCC GAACCACTTGGCACGGACAT
Rac3NM_133223 TGGTGAGCCCAGCCTCCTTT CCGCAGCCGTTCAATCGTAT
RhoGNM_019566 CTGCTATACAACTAACGCCTTC GTCCCACAGGTTTAGGTTCACG
Cdc42v1NM_009861 CCTTTCTTGCTTGTTGGGAC TGCGGCTCTTCTTCGGTT
Cdc42v2NM_001243769.1 GTGGTCTCTCCATCCTCATT GCCTCATCAAACACATTCTTC
RhoU (Wrch1)NM_133955 GAGAAGCCGGTGCCTGAAGA GCTGGGAGTCTGAGTGCTGGAT
Rnd1NM_172612 AGTGGTGGTCAGGTGTAAGC GCACATAGGTCTCGGGATAG
Rnd2NM_009708 GGTGCTGGTTGGCTGTAAG CAGAAGATCGGGAGGAACA
RhoF (Rif)NM_175092 CCCGTCGGTGTTTGAGAAGTA GAGGACGTTGTCGTAACTGGTG
RhoBTB1NM_001252638 AAGGAGGAAGACCACTACCAG GGACGAATGCCAGAAACAC
ROCK2NM_009072.2 TTCACGTCCGACCTGTTAC GGCACCTACGGCACTCTA
DOCK5XM_619261 TGGACCTGCTAGGCTTACT GATGTCTCCTATCAGCGAAA
Arhgef8/Net1NM_019671 TGCCAGGCTTAAACGCTTGC TGAATGCAGAAGGCGAACCG
CAIIK00811.1 CATTACTGTCAGCAGCGAGCA GACGCCAGTTGTCCACCATC
MMP-9NM_013599.3 GCCCTGGAACTCACACGACA TTGGAAACTCACACGCCAGAAG
GAPDHGU214026 ATGGTGAAGGTCGGTGTG TGAAGGGGTCGTTGATGG

[i] PCR, polymerase chain reaction; GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Western blot analysis

Total proteins were extracted from the OPG-treated cells. The concentration of protein was determined using the BCA protein assay kit (Beyotime, Shanghai, China). Equal amounts of proteins were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis [SDS-PAGE; 12% gel for glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and 6% gel for ROCK1]. The proteins were then transferred onto nitrocellulose membranes and non-specific binding was blocked by incubation with 5% non-fat milk for 2 h at room temperature. Subsequently, the cells were incubated overnight at 4°C with primary anti-rabbit monoclonal antibodies (GAPDH and ROCK1) (Cell Signaling Technology, Beverly, MA, USA) diluted with 5% BSA in TBST. The membranes were then washed 6 times in TBST piror to incubation with HRP-coupled goat anti-rabbit monoclonal antibody (Cell Signaling Technology) diluted with 5% BSA in TBST. The membranes were then washed 6 times with TBST. The immune complexes were detected using the ECL system by standard scanning densitometry with the normalization of desitometry measures to GAPDH. The gray values of the blots were detected using Image Lab software.

Observation of bone resorption lacunae by scanning electron microscopy

Osteoclast purification and induction from the RAW264.7 cells was performed as described above, with the modification of cells being plated in 24-well plates containing bovine cortical bone slices. Following the formation of the sealing zone in osteoclasts, the cells were treated with 0 ng/ml and 20 ng/ml OPG for 12 h. Finally, the bone resorption lacunae of osteoclasts were observed by scanning electron microscopy.

Statistical analysis

In this study, each reaction was carried out in triplicate. The data of mRNA expression were analyzed by comparing their 2−ΔΔCt values. The results are presented statistically as the means ± standard deviation (SD). Significance was assessed by one-way ANOVA. The results were compared between groups using ANOVA and the least significant difference (LSD) post-hoc test following the appropriate transformation to normalized data and equalized variance where necessary. Statistical analysis was performed using SAS 9.1.3 software (SAS Institute Inc., Cary, NC, USA); Values of P<0.05 and P<0.01 were considered to indicate statistically significant and highly significant differences, respectively.

Results

Differentiation and purification of osteoclasts

In order to reduce the effects of monocytes on the experimental results, the osteoclasts were purified at the stage where large quantities of osteoclasts were produced. When the sealing zone was formed, very few monocytes were found in the culture plate (Fig. 1A; HMC, day 5). Therefore, the presence of monocytes had little impact on the research results.

The characteristics of the osteoclasts were observed at the stage where the sealing zone was formed, which provided a reference for the addition of OPG. During the process of osteoclast differentiation, phalloidin-based IF staining was performed together with photographing live osteoclasts using an HMC microscope.

The sealing zone is composed of F-actin, to which phalloidin specifically binds. IF staining revealed that the formation of the sealing zone was mostly complete on day 5. HMC microscopy revealed that the cell morphology at this stage was characterized by a smooth cell edge, belt-like protuberances, no filopodia and a scattered arrangement of nuclei (Fig. 1A; HMC, day 5). In the subsequent experiments, OPG was added at the time at which the sealing zone had just appeared.

Effects of OPG on the sealing zone of osteoclasts

The evaluation of IF staining using an inverted fluorescence microscope revealed that, in the control group without the addition of OPG, the podosomes of the osteoclasts showed a strip-like, compact arrangement. On the inner side of the edge of cell, there were no podosomes; the sealing zone was intact (Fig. 1B, IF), and the strip-like protuberances on the edge of the living cell were intact (Fig. 1B, HMC). By contrast, following treatment with 20 ng/ml OPG, the sealing zone of the osteoclasts showed defects (Fig. 1B, IF). There were defects in the strip-like protuberances on the edge of the cell (Fig. 1B, HMC). It was surprising to note that the sealing zone of the osteoclasts in the 40 ng/ml and 80 ng/ml OPG-treated groups had completely disappeared. Between the basal surface of the osteoclasts and the well surface, the podosomes showed a scattered or clustered distribution (Fig. 1B).

Expression of Arhgef8/Net1, DOCK5, RhoGTPase family members, DOCK and other genes associated with bone resorption

Although no significant differences in the expression of RhoC, Rac1, Rac3 and Rnd2 were observed following treatment with OPG at different concentrations, the mRNA expression levels of Arhgef8/Net1, DOCK5, other RhoGTPases and ROCK2 were all significantly downregulated (Fig. 2). Following treatment with OPG at 40 and 80 ng/ml, the mRNA expression levels of MMP-9 and CAII were reduced to approximately 50% of the levels detected in the control group, while RhoU mRNA expression was reduced by approximately 80%. Western blot analysis revealed that ROCK1 protein expression was sharply reduced following treatment with OPG in a concentration-dependent manner (Fig. 3).

Effects of OPG on resorption lacunae in osteoclasts

Following treatment with OPG, no visible resorption lacunae were observed in the bovine cortical bone slices (Fig. 4). However, in the control group not treated with OPG, many bead-like resorption lacunae were observed in the osteoclasts. These observations indicated the loss of osteoclast bone resorption function following treatment with OPG.

Discussion

In this study, the effects of OPG on the existing sealing zones of osteoclasts were investigated. Variations in the expression of genes (Arhgef8/Net1, DOCK5, RhoGTPase family members and ROCK) that play key regulatory roles in the formation of the sealing zone were determined before and after treatment with OPG. It was found that OPG treatment caused damage or complete destruction of the existing sealing zones of the osteoclasts. The osteoclasts lost the bone resorption function during this time. The expression of Arhgef8/Net1 and DOCK5 belonging to the RhoGEF family, 10 of 18 RhoGTPase family members, as well as 2 members of the ROCK family (ROCK1 and ROCK2) was downregulated significantly following treatment with OPG.

During the osteoclast differentiation process, IF staining revealed that the formation of the sealing zone was complete on day 5 (approximately). At this stage, HMC microscopy revealed that the cell morphology was characterized by a smooth cell edge, no filopodia, a scattered distribution of nuclei and strip-like protuberances at the edge of cell. These characteristics were used as indicators for the addition of OPG in subsequent experiments to examine the effects of OPG on the existing sealing zone.

The sealing zone is a cytoskeletal structure unique to mature osteoclasts. It not only provides a favorable closed microenvironment for bone resorption, but also allows the firm adhesion of osteoclasts onto the bone surface. The integrity of the sealing zone is the prerequisite for the normal bone resorption function of osteoclasts (4,13). In our study, in the control group not treated with OPG, the sealing zone remained intact. Following treatment with OPG at different concentrations, the sealing zones showed defects or had completely disappeared, and there was a scattered or clustered arrangement of podosomes. In addition, investigations of the resorption lacunae showed that the osteoclasts had lost their bone resorption function in response to treatment with 20 ng/ml OPG. MMP-9 and CAII are genes involved in the process of osteoclast-mediated bone resorption. The proteins synthesized by the 2 genes are secreted into the sealing zone and participate in the decomposition of ossein and minerals (27,28). The downregulation of MMP-9 and CAII mRNA expression corresponded to the effects of OPG on the bone resorption activity of osteoclasts. All these findings suggested that OPG caused the fracture or disappearance of the sealing zone by altering the arrangement of podosomes. Hence, the bone resorption activity of the osteoclasts was affected.

RhoGTPases are the molecular switches of signal transduction pathways, allowing the regulation of a variety of functions of the cell (14,16). A number of studies have also confirmed that RhoGTPases control F-actin polymerization and adhesion, and play an important role in the formation of the sealing zone in osteoclasts (2933). As shown by our previous study (34) and a study by other researchers (18), RhoH, RhoJ/TCL and RhoE/Rnd3 are not expressed during osteoclast differentiation and maturation. In addition, the expression of RhoQ/TC10, RhoV/Chp1 and RhoBTB2 is markedly inhibited during the formation of osteoclasts. It is thus indicated that RhoH, RhoJ/TCL and Rnd3, as well as RhoQ/TC10, RhoV/Chp1 and RhoBTB2 play no role in the sealing zone formation process. Moreover, the effect of the Miro family on actin is not known (15). The mRNA expression of the remaining 14 members of the RhoGTPase family was analyzed in osteoclasts following the disruption or disappearance of the sealing zone as a result of OPG treatment. No significant changes were detected in the mRNA expression of RhoC, Rac1, RhoE/Rnd3 and Rnd2 following treatment with OPG; however, a significant downregulation was observed in the mRNA expression of all the remaining 10 members (RhoA, RhoB, cdc42v1, cdc42v2, RhoU/Wrch1, RhoF/Rif, Rac2, RhoG, Rnd1 and RhoBTB1) of the RhoGTPase family (P<0.01). In fact, RhoU expression was only approximately 20% of that observed in the control group following treatment with OPG. These results indicate that these 10 RhoGTPases play key a regulatory role in the OPG-induced defects or disappearance of the sealing zone in osteoclasts, with RhoU plays a more dominant role.

The upstream kinase, RhoGEF, activates RhoGTPases and catalyzes the conversion of GDP to GTP (17,35). In our study, Arhgef8/Net1 and DOCK5 were significantly downregulated following treatment with OPG. In light of the interaction between RhoGEF and RhoGTPases and their roles in the formation of the sealing zone, we hypothesized that Arhgef8/Net1 and DOCK5 are involved in the regulation of RhoGTPases and are responsible for the damaging effects of OPG on the sealing zone.

As the major effector of the Rho GTPase family, ROCK receives the activating signal transmitted by RhoGTPases, which provide conditions that are critical for dynamic changes in the cytoskeleton, in particular, the nucleation and polymerization of actin (36,37). The podosome contains an F-actin core, surrounded by scaffold proteins, kinases and integrins. The sealing zone is a large, compactly arranged F-actin ring composed of podosomes. Currently, there are no antibodies available for the detection of ROCK2; therefore, in our investigations, we detected the mRNA expression levels of ROCK1 protein and ROCK2, both of which were significantly downregulated following treatment with OPG. These results indicate that ROCK1 and ROCK2 are involved in the OPG-induced arrangement of podosomes, which result in defects or destruction of the sealing zone. However, further studies are required to investigate the complex mechanism of OPG action on the sealing zone through the RhoGTPase signaling pathway.

In conclusion, OPG inhibited the expression of Arhgef8/Net1 and DOCK5 (RhoGEF) and 10 of the 18 members of the RhoGTPase family (RhoA, RhoB, cdc42v1, cdc42v2, RhoU/Wrch1, RhoF/Rif, Rac2, RhoG, Rnd1 and RhoBTB1), all of which are involved in the RhoGTPase signaling pathway. OPG also inhibited the 2 members of the ROCK family, ROCK1 and ROCK2. The OPG-mediated effects on the arrangement and formation of podosomes, resulted in defects or the destruction of the sealing zone and concomitant reduction in the bone resorption activity of the osteoclasts.

Acknowledgements

This study was supported by grants from the National Natural Science Foundation of China (nos. 31172373, 31302154 and 31372495), the Specialized Research Fund for the Doctoral Program of Higher Education (no. 20113250110003), the Priority Academic Program Development of Jiangsu Higher Education Institutions and the Graduate Innovation Project of Jiangsu Province (CXZZ12_0917).

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September-2014
Volume 34 Issue 3

Print ISSN: 1107-3756
Online ISSN:1791-244X

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Copy and paste a formatted citation
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Spandidos Publications style
Song R, Gu J, Liu X, Zhu J, Wang Q, Gao Q, Zhang J, Cheng L, Tong X, Qi X, Qi X, et al: Inhibition of osteoclast bone resorption activity through osteoprotegerin-induced damage of the sealing zone. Int J Mol Med 34: 856-862, 2014
APA
Song, R., Gu, J., Liu, X., Zhu, J., Wang, Q., Gao, Q. ... Liu, Z. (2014). Inhibition of osteoclast bone resorption activity through osteoprotegerin-induced damage of the sealing zone. International Journal of Molecular Medicine, 34, 856-862. https://doi.org/10.3892/ijmm.2014.1846
MLA
Song, R., Gu, J., Liu, X., Zhu, J., Wang, Q., Gao, Q., Zhang, J., Cheng, L., Tong, X., Qi, X., Yuan, Y., Liu, Z."Inhibition of osteoclast bone resorption activity through osteoprotegerin-induced damage of the sealing zone". International Journal of Molecular Medicine 34.3 (2014): 856-862.
Chicago
Song, R., Gu, J., Liu, X., Zhu, J., Wang, Q., Gao, Q., Zhang, J., Cheng, L., Tong, X., Qi, X., Yuan, Y., Liu, Z."Inhibition of osteoclast bone resorption activity through osteoprotegerin-induced damage of the sealing zone". International Journal of Molecular Medicine 34, no. 3 (2014): 856-862. https://doi.org/10.3892/ijmm.2014.1846