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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2022.12594</article-id>
<article-id pub-id-type="publisher-id">MMR-25-03-12594</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>C-X-C receptor 7 agonist acts as a C-X-C motif chemokine ligand 12 inhibitor to ameliorate osteoclastogenesis and bone resorption</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Nugraha</surname><given-names>Alexander Patera</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref>
<xref rid="af2-mmr-25-03-12594" ref-type="aff">2</xref>
<xref rid="fn1-mmr-25-03-12594" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Kitaura</surname><given-names>Hideki</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref>
<xref rid="c1-mmr-25-03-12594" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Ohori</surname><given-names>Fumitoshi</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref>
<xref rid="fn1-mmr-25-03-12594" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Pramusita</surname><given-names>Adya</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ogawa</surname><given-names>Saika</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Noguchi</surname><given-names>Takahiro</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Marahleh</surname><given-names>Aseel</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Nara</surname><given-names>Yasuhiko</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Kinjo</surname><given-names>Ria</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Mizoguchi</surname><given-names>Itaru</given-names></name>
<xref rid="af1-mmr-25-03-12594" ref-type="aff">1</xref></contrib>
</contrib-group>
<aff id="af1-mmr-25-03-12594"><label>1</label>Division of Orthodontics and Dentofacial Orthopedics, Tohoku University Graduate School of Dentistry, Aoba-ku, Sendai, Miyagi 980-8575, Japan</aff>
<aff id="af2-mmr-25-03-12594"><label>2</label>Orthodontics Department, Faculty of Dental Medicine, Airlangga University, Surabaya 60132, Indonesia</aff>
<author-notes>
<corresp id="c1-mmr-25-03-12594"><italic>Correspondence to</italic>: Dr Hideki Kitaura, Division of Orthodontics and Dentofacial Orthopedics, Tohoku University Graduate School of Dentistry, 4-1 Seiryo-Machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan, E-mail: <email>hideki.kitaura.b4@tohoku.ac.jp</email></corresp>
<fn id="fn1-mmr-25-03-12594"><label>&#x002A;</label><p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>03</month>
<year>2022</year></pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>01</month>
<year>2022</year></pub-date>
<volume>25</volume>
<issue>3</issue>
<elocation-id>78</elocation-id>
<history>
<date date-type="received"><day>06</day><month>09</month><year>2021</year></date>
<date date-type="accepted"><day>09</day><month>12</month><year>2021</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Nugraha et al.</copyright-statement>
<copyright-year>2022</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>The C-X-C receptor (CXCR) 7 agonist, VUF11207, is a chemical compound that binds specifically to CXCR7, and negatively regulates C-X-C motif chemokine ligand 12 (CXCL12) and CXCR4-induced cellular events. Lipopolysaccharide (LPS) can induce inflammatory cytokines and pathological bone loss. LPS also induces expression of CXCL12, enhancing sensitivity to receptor activator of NF-&#x03BA;B ligand (RANKL) and tumor necrosis factor-&#x03B1; (TNF-&#x03B1;) <italic>in vivo</italic>. RANKL and TNF-&#x03B1; induce the differentiation of osteoclasts into osteoclast precursors and bone resorption. The current study was performed to examine the effects of a CXCR7 agonist on osteoclastogenesis and bone resorption induced by LPS <italic>in vivo</italic>. In addition, the mechanisms underlying these <italic>in vivo</italic> effects were investigated by <italic>in vitro</italic> experiments. Eight-week-old male C57BL/6J mice were subcutaneously injected over the calvariae with LPS alone or LPS and CXCR7 agonist. After sacrifice, the number of osteoclasts and the bone resorption area were measured. <italic>In vitro</italic> experiments were performed to investigate the effects of CXCL12 and CXCR7 agonist on osteoclastogenesis induced by RANKL and TNF-&#x03B1;. Mice injected with LPS and CXCR7 agonist showed significantly reduced osteoclastogenesis and bone resorption compared with mice injected with LPS alone. Moreover, the CXCR7 agonist inhibited CXCL12 enhancement of RANKL- and TNF-&#x03B1;-induced osteoclastogenesis <italic>in vitro</italic>. Thus, CXCR7 agonist inhibited LPS-induced osteoclast-associated cytokines, such as RANKL and TNF-&#x03B1;, as well as RANKL- and TNF-&#x03B1;-induced osteoclastogenesis <italic>in vitro</italic> by modulating CXCL12-mediated enhancement of osteoclastogenesis. In conclusion, CXCR7 agonist reduced CXCL12-mediated osteoclastogenesis and bone resorption.</p>
</abstract>
<kwd-group>
<kwd>C-X-C receptor 7 agonist</kwd>
<kwd>C-X-C motif chemokine ligand 12</kwd>
<kwd>receptor activator of NF-&#x03BA;B ligand</kwd>
<kwd>tumor necrosis factor-&#x03B1;</kwd>
<kwd>osteoclast</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Japan Society for the Promotion of Science Grants-in-Aid for Scientific Research</funding-source>
</award-group>
<award-group>
<funding-source>(JSPS KAKENHI</funding-source>
<award-id>16K11776</award-id>
<award-id>19K10397</award-id>
<award-id>18K09862</award-id>
</award-group>
<funding-statement>This research was funded by the Japan Society for the Promotion of Science Grants-in-Aid for Scientific Research (JSPS KAKENHI; grant nos. 16K11776, 19K10397 and 18K09862).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteoclasts are multinucleated cells formed by the fusion of hematopoietic bone marrow precursors and are typically present in the bone marrow adjacent to the bone surface (<xref rid="b1-mmr-25-03-12594" ref-type="bibr">1</xref>). Osteoclasts play a pivotal role in bone resorption in several bone-related diseases, such as rheumatoid arthritis and periodontitis (<xref rid="b2-mmr-25-03-12594" ref-type="bibr">2</xref>,<xref rid="b3-mmr-25-03-12594" ref-type="bibr">3</xref>). Receptor activator of NF-&#x03BA;B ligand (RANKL), macrophage colony stimulating factor (M-CSF) and tumor necrosis factor (TNF)-&#x03B1; are cytokines known to promote osteoclastogenesis <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b4-mmr-25-03-12594" ref-type="bibr">4</xref>&#x2013;<xref rid="b6-mmr-25-03-12594" ref-type="bibr">6</xref>).</p>
<p>Lipopolysaccharide (LPS) can induce inflammatory cytokine production and pathological bone loss (<xref rid="b7-mmr-25-03-12594" ref-type="bibr">7</xref>). Various inflammatory cytokines induced by LPS, such as TNF-&#x03B1;, play important roles in the maturation of osteoclast progenitors (<xref rid="b8-mmr-25-03-12594" ref-type="bibr">8</xref>,<xref rid="b9-mmr-25-03-12594" ref-type="bibr">9</xref>). These cytokines are related to osteoclastogenesis and bone resorption induced by LPS <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b10-mmr-25-03-12594" ref-type="bibr">10</xref>). Furthermore, LPS may also lead to osteoclastogenesis and promote the fusion and survival of osteoclasts (<xref rid="b11-mmr-25-03-12594" ref-type="bibr">11</xref>). In addition, the expression of RANKL in osteoblasts is stimulated by LPS (<xref rid="b12-mmr-25-03-12594" ref-type="bibr">12</xref>).</p>
<p>Chemokines, which are various small chemotactic cytokines, are potentially related to the physiological development, pathological recruitment and function of osteoclasts (<xref rid="b13-mmr-25-03-12594" ref-type="bibr">13</xref>&#x2013;<xref rid="b15-mmr-25-03-12594" ref-type="bibr">15</xref>). C-X-C motif chemokine ligand 12 (CXCL12) is widely recognized as stromal cell-derived factor 1 and belongs to the CXC chemokine family. CXCL12 is a 68-residue chemokine with a molecular weight of 8 kDa that exists in both secreted and membrane-bound forms, and is abundantly expressed in bone marrow and several other tissues (<xref rid="b16-mmr-25-03-12594" ref-type="bibr">16</xref>,<xref rid="b17-mmr-25-03-12594" ref-type="bibr">17</xref>). CXCL12 has strong chemotactic effects on lymphocytes and has been shown to be associated with osteoclast progenitor cell survival, function and fusion (<xref rid="b18-mmr-25-03-12594" ref-type="bibr">18</xref>,<xref rid="b19-mmr-25-03-12594" ref-type="bibr">19</xref>).</p>
<p>The crucial roles of CXCR4 and its ligand CXCL12 have been extensively studied (<xref rid="b20-mmr-25-03-12594" ref-type="bibr">20</xref>). CXCR4 is a 352-residue G protein-coupled receptor with seven transmembrane helices (<xref rid="b21-mmr-25-03-12594" ref-type="bibr">21</xref>). CXCR4 is broadly expressed by both mononuclear cells and progenitor cells in the bone marrow (<xref rid="b18-mmr-25-03-12594" ref-type="bibr">18</xref>). CXCL12 was shown to indirectly increase osteoclastogenesis and bone resorption <italic>in vivo</italic> by LPS-stimulated TNF-&#x03B1; in macrophages, and LPS-enhanced RANKL in osteoblasts in mice injected with LPS (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>). Furthermore, CXCL12 was shown to directly enhance both RANKL- and TNF-&#x03B1;-induced osteoclastogenesis (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>). As shown in studies using the CXCR4 antagonist, AMD3100, the interaction of CXCL12 and CXCR4 induces osteoclastogenesis and regulates osteoclast function (<xref rid="b18-mmr-25-03-12594" ref-type="bibr">18</xref>,<xref rid="b23-mmr-25-03-12594" ref-type="bibr">23</xref>,<xref rid="b24-mmr-25-03-12594" ref-type="bibr">24</xref>).</p>
<p>CXCR7 is a G protein-coupled receptor with seven membrane-spanning helices (<xref rid="b16-mmr-25-03-12594" ref-type="bibr">16</xref>). A previous study showed that a CXCR7 agonist negatively regulates CXCL12-CXCR4-induced cellular events, such as angiogenesis (<xref rid="b25-mmr-25-03-12594" ref-type="bibr">25</xref>). However, the functions and roles of CXCR7 in this process remain unclear. To understand the mechanisms of bone resorption relevant to disease, it is important to investigate the role of CXCR7 agonists in LPS-induced osteoclastogenesis. However, to the best of our knowledge, there have been no studies to evaluate the effects of CXCR7 agonists on osteoclastogenesis induced by LPS <italic>in vivo</italic>. Therefore, the present study was performed to investigate the effects of the CXCR7 agonist, VUF11207, on LPS-induced osteoclastogenesis in an animal model <italic>in vivo</italic>.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Reagents and animals</title>
<p>A total of 20 8&#x2013;10-week-old healthy 20&#x2013;25 g male C57BL/6J mice (wild-type/WT) purchased from CLEA Japan, Inc., were used. Mice were kept in cages that were maintained at 25&#x00B0;C, 50&#x0025; relative humidity under a 12 h light/dark cycle with free access to food and water. A total of five mice were assigned to each experimental group by simple random sampling. All experimental procedures conformed to &#x2018;Regulations for Animal Experiments and Related Activities at Tohoku University&#x2019;, and were reviewed by the Institutional Laboratory Animal Care and Use Committee of Tohoku University and approved by the President of Tohoku University (approval no. 2019DnA-047-05; Miyagi, Japan).</p>
<p>CXCL12 was obtained from R&#x0026;D Systems, Inc. The CXCR7 agonist, VUF11207, was purchased from MilliporeSigma. LPS from <italic>Escherichia coli</italic> was purchased from Sigma-Aldrich (Merck KGaA). Recombinant mouse RANKL (<xref rid="b26-mmr-25-03-12594" ref-type="bibr">26</xref>) and TNF-&#x03B1; (<xref rid="b27-mmr-25-03-12594" ref-type="bibr">27</xref>) were produced as described previously. Recombinant mouse M-CSF was produced by the M-CSF-expressing cell line, CMG14-12, as described previously (<xref rid="b28-mmr-25-03-12594" ref-type="bibr">28</xref>).</p>
<p>Mouse experiments and histological examination. Mice in each group received subcutaneous injections over the crown of the head for 5 days with one of the following: i) Phosphate-buffered saline (PBS, 100 &#x00B5;l); ii) LPS (100 &#x00B5;g/day); iii) LPS (100 &#x00B5;g/day) &#x002B; CXCR7 agonist (100 &#x00B5;g/day); or iv) CXCR7 agonist (100 &#x00B5;g/day).</p>
<p>The mice were sacrificed by inhalation of an overdose of 5&#x0025; isoflurane on day 6. Inhalation was continued until a pulse could not be detected, breathing had ceased and there was an absence of reflexes observed in combination. The calvariae of mice were isolated and cut into three pieces. After fixation with 4&#x0025; formaldehyde in PBS at 4&#x00B0;C for 3 days, the samples were demineralized in 14&#x0025; EDTA for 3 days. The samples were embedded in paraffin blocks and cut into sections 5-&#x00B5;m thick using a microtome (REM-710; Yamato Kohki Industrial Co., Ltd.). The sections were stained for tartrate-resistant acid phosphatase (TRAP) and counterstained with hematoxylin according to the protocol described previously (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>,<xref rid="b29-mmr-25-03-12594" ref-type="bibr">29</xref>). Osteoclasts were recognized as TRAP-positive cells with more than three nuclei. The number of TRAP-positive cells (cells/section) was counted in the sagittal sutures of calvariae according to previously described methods (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>,<xref rid="b29-mmr-25-03-12594" ref-type="bibr">29</xref>,<xref rid="b30-mmr-25-03-12594" ref-type="bibr">30</xref>).</p>
</sec>
<sec>
<title>Measurement of bone destruction</title>
<p>Mice were injected as described above and sacrificed on day 6. Bone destruction was assessed by micro-computed tomography (CT) (ScanXmate-E090; Comscantecno Co., Ltd.). The dissected calvariae were fixed with 4&#x0025; formaldehyde in PBS at 4&#x00B0;C for 3 days. The calvariae were scanned by micro-CT to create three-dimensional images using TRI/3D-BON64 version R7.00 software (Ratoc System Engineering Co., Ltd.). The bone resorption areas were measured around the bregma 45 pixels in the sagittal plane and 50 pixels in the coronal plane. The bone resorption areas (&#x0025;) to total areas were measured using ImageJ version 1.51 (National Institutes of Health) as described previously (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>,<xref rid="b29-mmr-25-03-12594" ref-type="bibr">29</xref>,<xref rid="b30-mmr-25-03-12594" ref-type="bibr">30</xref>). Shaded areas of the same color density were considered bone resorption areas.</p>
</sec>
<sec>
<title>Preparation of RNA and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis</title>
<p>Mice received subcutaneous injections into the crown of the head for 5 days as described above. The mice were then sacrificed, and their calvariae were isolated, frozen in liquid nitrogen and homogenized (Micro Smash MS-100R; Tomy Seiko Co., Ltd.). Total RNA was obtained from samples using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.). Total RNA was purified by the RNeasy Mini Kit (Qiagen, Inc.). After purification of total RNA, cDNA was synthesized from each total RNA sample (2 &#x00B5;g) with oligo(dT) primers by using the SuperScript IV First-Strand Synthesis System according to the manufacturer&#x0027;s protocol (Invitrogen; Thermo Fisher Scientific, Inc.). The levels of TRAP, Cathepsin K, RANKL and TNF-&#x03B1; transcripts were quantified by qPCR (Thermal Cycler Dice Real Time system; Takara Bio, Inc.). The reaction consisted of a volume of 25 &#x00B5;l containing 2 &#x00B5;l cDNA as a template, 23 &#x00B5;l TB Green Premix Ex Taq II (Takara Bio, Inc.) and 50 pmol/&#x00B5;l each primer. The thermocycling conditions consisted of an initial denaturation step at 95&#x00B0;C for 10 sec, followed by 50 cycles of denaturation for 5 sec at 95&#x00B0;C and annealing for 30 sec at 60&#x00B0;C. The levels of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) mRNA were used for normalization. Relative expression of mRNA was analyzed by the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b31-mmr-25-03-12594" ref-type="bibr">31</xref>). All primers were designed by our laboratory (Division of Orthodontics and Dentofacial Orthopedics, Tohoku University Graduate School of Dentistry). The primers used for analysis are listed in <xref rid="tI-mmr-25-03-12594" ref-type="table">Table I</xref>. Preparation of osteoclast precursors and cultures for osteoclastogenesis. Mouse bone marrow cells were used for the <italic>in vitro</italic> study. After sacrifice, the femora and tibiae of mice were dissected aseptically. Both ends of these bones were cut off to obtain bone marrow cells. Bone marrow cells were seeded (5&#x00D7;10<sup>6</sup> cells) into 10-cm culture dishes with &#x03B1;-modified minimal essential medium (&#x03B1;-MEM; FUJIFILM Wako Pure Chemical Corporation) containing 100 ng/ml M-CSF, 10&#x0025; fetal bovine serum (FBS; Biowest, Inc.), 100 IU/ml penicillin G (Meiji Seika Kaisha, Ltd.) and 100 &#x00B5;g/ml streptomycin (Meiji Seika Kaisha, Ltd.). Bone marrow cells were incubated at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub> for 4 days. Floating cells were eliminated by rinsing with PBS. After elimination of floating cells, adherent cells were detached using trypsin/EDTA solution (Sigma-Aldrich; Merck KGaA) and collected. The obtained cells were recognized as osteoclast precursors (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>,<xref rid="b29-mmr-25-03-12594" ref-type="bibr">29</xref>,<xref rid="b30-mmr-25-03-12594" ref-type="bibr">30</xref>). Osteoclast precursors were seeded into 96-well plates and cultured in an atmosphere of 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C for 5 days containing the following for RANKL analysis: i) M-CSF (100 ng/ml); ii) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml); iii) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCL12 (100 ng/ml); iv) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); v) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); or vi) M-CSF (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). Cultures for TNF-&#x03B1; analysis contained the following: i) M-CSF (100 ng/ml); ii) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml); iii) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCL12 (100 ng/ml); iv) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); v) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); or vi) M-CSF (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). After fixation with 4&#x0025; formaldehyde at room temperature for 1 h, the cultured cells were stained with TRAP as described previously (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>,<xref rid="b29-mmr-25-03-12594" ref-type="bibr">29</xref>,<xref rid="b30-mmr-25-03-12594" ref-type="bibr">30</xref>). Osteoclasts were identified as TRAP-positive cells with three or more nuclei. The number of osteoclasts (cells/well) was counted under a light microscope.</p>
</sec>
<sec>
<title>Immunoblotting</title>
<p>Osteoclast precursors prepared from bone marrow cells were incubated for 6 h (5&#x00D7;10<sup>6</sup> cells) in 60-mm cell culture dishes (Corning, Inc.) using serum-free &#x03B1;-MEM for culture under conditions of serum starvation. After serum starvation for 6 h, osteoclast precursors were cultured with the following for RANKL analysis: i) RANKL (100 ng/ml); ii) RANKL (100 ng/ml) &#x002B; CXCL12 (100 ng/ml); or iii) RANKL (100 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). Cultures for TNF-&#x03B1; analysis contained the following: i) TNF-&#x03B1; (100 ng/ml); ii) TNF-&#x03B1; (100 ng/ml) &#x002B; CXCL12 (100 ng/ml); or iii) TNF-&#x03B1; (100 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). They were added to the dishes for specific periods (0, 15 or 30 min). Osteoclast precursors treated with the specified reagents were gently rinsed twice with PBS. Radioimmunoprecipitation (RIPA) lysis buffer (MilliporeSigma) with phosphatase inhibitor and 1&#x0025; protease (Thermo Fisher Scientific, Inc.) was added to the cell culture dishes. The cells were scraped from the dishes. Measurement of total protein concentrations was performed using a Pierce BCA protein assay kit (Thermo Fisher Scientific, Inc.). &#x03B2;-Mercaptoethanol and Laemmli sample buffer (Bio-Rad Laboratories, Inc.) were added to protein samples. The samples were denatured at 95&#x00B0;C for 5 min for SDS-PAGE. The same amounts of proteins (40 &#x00B5;g) and marker were loaded into the wells using 4&#x2013;15&#x0025; Mini-PROTEAN TGX Precast Gels (Bio-Rad Laboratories, Inc.) and the gels were run at 120 V for 1 h. The proteins were transferred from the gels onto polyvinylidene difluoride (PVDF) membranes using a PVDF Trans-Blot Turbo Transfer System (Bio-Rad Laboratories, Inc.). After transfer, nonspecific binding sites on the membranes were blocked by incubation with Block-Ace (KAC Co., Ltd.) at room temperature for 120 min. After blocking, the membranes were reacted overnight at 4&#x00B0;C with the following primary antibodies (all, 1:1,000): Monoclonal anti-&#x03B2;-actin mouse antibody (cat. no. A1978; Sigma-Aldrich; Merck KGaA), phosphorylated (p)-p44/42 MAPK (Erk1/2) antibody (cat. no. 9101), p44/42 (Erk1/2) antibody (cat. no. 9102), p-p38 MAPK rabbit monoclonal antibody (cat. no. 4511), p38 MAPK antibody cat. no. 9212, p-SAPK/JNK rabbit monoclonal antibody (cat. no. 4671) and SAPK/JNK antibody (cat. no. 9252; Cell Signaling Technology, Inc.). The membranes were washed with Tris buffered saline (TBS) and TBS with Triton X-100 (TBST) with gentle agitation. The membranes were incubated at room temperature for 60 min with HRP-conjugated anti-rabbit IgG antibody (cat. no. 7074; Cell Signaling Technology, Inc.; 1:3,000) and anti-mouse antibody (cat. no. NA931; GE Healthcare; 1:10,000) as secondary antibodies. The membranes were washed in TBST and TBS with gentle agitation. After washing, SuperSignal West Femto Maximum Sensitivity Substrate (Thermo Fisher Scientific, Inc.) was added and incubated for 5 min. The signals on blots were imaged using the FUSION-FX7.EDGE Chemiluminescence Imaging System (Vilber Lourmat) (<xref rid="b32-mmr-25-03-12594" ref-type="bibr">32</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data are expressed as the mean &#x00B1; standard error of the mean (SEM) of more than three independent experiments. All data were analyzed using Statcel version 3 software (OMS Publishing Co., Ltd.). Differences between groups were examined using one-way ANOVA followed by Bonferroni/Dunn&#x0027;s test. F-values are shown in <xref rid="SD1-mmr-25-03-12594" ref-type="supplementary-material">Table SI</xref>. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>CXCR7 agonist inhibits LPS-induced osteoclastogenesis in vivo</title>
<p>LPS was administered for 5 consecutive days and calvariae were stained with TRAP to reveal osteoclast formation (<xref rid="f1-mmr-25-03-12594" ref-type="fig">Fig. 1A</xref>). Large numbers of osteoclasts formed in the sutures of calvariae in LPS-injected mice compared with the PBS-injected mice. The number of osteoclasts was significantly lower in mice treated with LPS&#x002B;CXCR7 agonist than in mice treated with LPS alone (<xref rid="f1-mmr-25-03-12594" ref-type="fig">Fig. 1B</xref>). Both TRAP and Cathepsin K mRNA expression levels were significantly lower in mice injected with LPS&#x002B;CXCR7 agonist than in mice injected with LPS alone (<xref rid="f1-mmr-25-03-12594" ref-type="fig">Fig. 1C and D</xref>).</p>
</sec>
<sec>
<title>CXCR7 agonist inhibits LPS-induced bone resorption in vivo</title>
<p>The bone resorption areas on mouse calvariae in each treated mouse were evaluated by micro-CT (<xref rid="f2-mmr-25-03-12594" ref-type="fig">Fig. 2A</xref>). LPS-treated mice showed a large area bone of resorption compared with the PBS-injected mice. The area of bone resorption was significantly smaller in mice treated with LPS&#x002B;CXCR7 agonist than in mice injected with LPS alone (<xref rid="f2-mmr-25-03-12594" ref-type="fig">Fig. 2B</xref>).</p>
</sec>
<sec>
<title>CXCR7 agonist inhibits LPS-induced production of RANKL and TNF-&#x03B1; in vivo</title>
<p>The expression levels of RANKL and TNF-&#x03B1; mRNAs were significantly increased in LPS-treated mice compared with the PBS-injected mice. Furthermore, RANKL and TNF-&#x03B1; mRNA levels were significantly lower in mice treated with LPS&#x002B;CXCR7 agonist compared with those administered with LPS alone (<xref rid="f3-mmr-25-03-12594" ref-type="fig">Fig. 3A and B</xref>).</p>
</sec>
<sec>
<title>CXCR7 agonist inhibits RANKL- and TNF-&#x03B1;-induced osteoclastogenesis through CXCL12 inhibition in vitro</title>
<p>The effects of CXCR7 agonist on RANKL- and TNF-&#x03B1;-induced osteoclastogenesis were assessed to investigate whether CXCR7 agonist affects osteoclast precursor cells via CXCL12. CXCL12 enhanced RANKL- and TNF-&#x03B1;-induced osteoclastogenesis. The number of osteoclasts was decreased in osteoclast precursor cells cultured with M-CSF&#x002B;RANKL&#x002B;CXCL12&#x002B;CXCR7 agonist compared with M-CSF&#x002B;RANKL&#x002B;CXCL12 (<xref rid="f4-mmr-25-03-12594" ref-type="fig">Fig. 4A</xref>). The number of TRAP-positive osteoclasts was also decreased in cultures with M-CSF&#x002B;TNF-&#x03B1;&#x002B;CXCL12&#x002B;CXCR7 agonist compared with M-CSF&#x002B;TNF-&#x03B1;&#x002B;CXCL12 (<xref rid="f4-mmr-25-03-12594" ref-type="fig">Fig. 4B</xref>).</p>
</sec>
<sec>
<title>Inhibitory effect of CXCR7 agonist on osteoclastogenesis via phosphorylation of MAPKs</title>
<p>The signal transduction pathway by which CXCR7 agonist inhibits osteoclastogenesis was examined. When RANKL or TNF-&#x03B1; was added to osteoclast precursors, the phosphorylation of MAPKs increased at 15 min. CXCL12 enhanced the phosphorylation of Erk when cells were treated with RANKL, but p-Erk expression was only slightly enhanced when cells were treated with TNF-&#x03B1; (<xref rid="f5-mmr-25-03-12594" ref-type="fig">Fig. 5A</xref>). Moreover, CXCR7 agonist reduced phosphorylation of Erk when cells were treated with RANKL or TNF-&#x03B1; and CXCL12 (<xref rid="f5-mmr-25-03-12594" ref-type="fig">Fig. 5A</xref>). However, no effect was observed on the phosphorylation of p38 and JNK (<xref rid="f5-mmr-25-03-12594" ref-type="fig">Fig. 5B and C</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, the effects of a CXCR7 agonist as a CXCL12 inhibitor on osteoclastogenesis and bone resorption induced by LPS was analyzed <italic>in vivo.</italic> The CXCR7 agonist ameliorated osteoclastogenesis and bone resorption induced by LPS. Moreover, it was found that CXCR7 agonist inhibited the induction of RANKL and TNF-&#x03B1; expression by LPS <italic>in vivo.</italic> CXCR7 agonist inhibited RANKL-induced and TNF-&#x03B1;-induced osteoclastogenesis by inhibiting CXCL12 stimulation <italic>in vitro.</italic> CXCL12-mediated enhancement of osteoclastogenesis was inhibited by the CXCR7 agonist reducing the phosphorylation of Erk.</p>
<p>It has been reported that CXCL12-CXCR4-induced cellular events, such as angiogenesis, are negatively regulated by CXCR7 agonist (<xref rid="b25-mmr-25-03-12594" ref-type="bibr">25</xref>). There have been no studies of the effects of CXCR7 agonists on osteoclastogenesis and bone resorption. To the best of our knowledge, the present study was the first to elucidate the effects of a CXCR7 agonist on LPS-induced osteoclastogenesis and bone resorption. A previous study showed that VUF11207 was a high affinity and potent ligand of CXCR7 (<xref rid="b33-mmr-25-03-12594" ref-type="bibr">33</xref>), and this compound was used as a CXCR7 agonist in the present study.</p>
<p>CXCL12 plays important roles in patients with periodontitis and rheumatoid arthritis. CXCL12-CXCR4 signaling accelerates alveolar bone resorption (<xref rid="b34-mmr-25-03-12594" ref-type="bibr">34</xref>). The interaction of CXCL12 and CXCR4 in patients with rheumatoid arthritis is important for cytokine production, angiogenesis and local inflammatory cell recruitment (<xref rid="b35-mmr-25-03-12594" ref-type="bibr">35</xref>). Thus, CXCR4 signaling via CXCL12 enhances the differentiation and function of osteoclasts. However, whether CXCR7 agonists can inhibit the effects of CXCL12 is still unknown. VUF11207 is highly selective for CXCR7, suggesting that CXCR7 agonists may inhibit CXCL12-CXCR4 signaling (<xref rid="b25-mmr-25-03-12594" ref-type="bibr">25</xref>).</p>
<p>LPS can induce systemic inflammation through interaction with CXCR4, activating the CXCL12/CXCR4 pathway (<xref rid="b36-mmr-25-03-12594" ref-type="bibr">36</xref>). LPS can also modulate production of endogenous CXCL12 and CXCR4 (<xref rid="b7-mmr-25-03-12594" ref-type="bibr">7</xref>). Our previous study showed that both CXCL12 and CXCR4 mRNA levels were increased in LPS-injected mice (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>). In the present study, 100 &#x00B5;g/day of CXCR7 agonist was administered subcutaneously over the calvariae for 5 days. CXCR7 agonist inhibited osteoclastogenesis in the suture of the calvariae induced by LPS injection <italic>in vivo.</italic> TRAP and Cathepsin K mRNA levels were also lower in mice co-administered LPS and CXCR7 agonist compared with mice administered with LPS alone. The current study further investigated the inhibitory effect of CXCR7 agonist on bone resorption induced by LPS. The severity of bone destruction was evaluated by micro-CT through calculation of the ratio of bone destruction area to total area. It was found that the area of bone resorption was significantly lower in LPS and CXCR7 agonist-treated mice. These results suggested that CXCR7 agonist could attenuate osteoclastogenesis and bone resorption induced by LPS <italic>in vivo</italic>. These results regarding the effects of a CXCR7 agonist on osteoclastogenesis were similar to those of a previous study indicating that a CXCR7 agonist inhibited CXCL12-induced angiogenesis (<xref rid="b25-mmr-25-03-12594" ref-type="bibr">25</xref>).</p>
<p>LPS induces RANKL expression from osteoblasts and production of proinflammatory cytokines, such as TNF-&#x03B1; and IL-1, from macrophages and other cells (<xref rid="b37-mmr-25-03-12594" ref-type="bibr">37</xref>). It has been reported that periodontal ligament cells also express numerous types of proinflammatory cytokines to regulate osteoclastogenesis by LPS (<xref rid="b38-mmr-25-03-12594" ref-type="bibr">38</xref>). RANKL and TNF-&#x03B1; contribute to LPS-induced osteoclastogenesis and bone resorption (<xref rid="b39-mmr-25-03-12594" ref-type="bibr">39</xref>). In the present study, RANKL and TNF-&#x03B1; mRNA levels were significantly lower in mice co-administered LPS and CXCR7 agonist compared with mice administered with LPS alone. Furthermore, our previous study showed that CXCL12 directly enhanced both RANKL- and TNF-&#x03B1;-induced osteoclast differentiation (<xref rid="b22-mmr-25-03-12594" ref-type="bibr">22</xref>). In the present study, CXCR7 agonist was added to this culture system to investigate the effects of CXCR7 agonist on RANKL- and TNF-&#x03B1;-induced osteoclastogenesis. It was found that the CXCR7 agonist suppressed osteoclastogenesis enhanced by CXCL12. These results suggested that one of the mechanisms underlying the inhibitory effect of CXCR7 on osteoclastogenesis induced by LPS may be decreased levels of osteoclast-associated cytokines induced by LPS <italic>in vivo</italic>. Another mechanism may involve CXCR7 agonist-mediated inhibition of RANKL- and TNF-&#x03B1;-induced osteoclastogenesis via inhibition of CXCL12. Furthermore, CXCR7 agonists may indirectly inhibit osteoclastogenesis <italic>in vivo.</italic></p>
<p>CXCR7 transduces signals via the &#x03B2;-arrestin pathway rather than the G protein-mediated pathway (<xref rid="b40-mmr-25-03-12594" ref-type="bibr">40</xref>). It has been reported that CXCL12 leads to the phosphorylation of Erk in CXCR7-positive glioma cells (<xref rid="b41-mmr-25-03-12594" ref-type="bibr">41</xref>). We hypothesized that CXCL12 and CXCR7 agonist may regulate the phosphorylation of MAPKs in osteoclast precursors. In the present study, immunoblotting was performed to investigate signal transduction. CXCL12 enhanced phosphorylation of Erk when osteoclast precursors were treated with RANKL or TNF-&#x03B1;. This result suggested that CXCL12 enhanced phosphorylation in osteoclast precursors as well as in glioma cells. Moreover, CXCR7 agonist reduced phosphorylation of Erk. These results were consistent with the inhibitory effect of CXCR7 agonist on osteoclastogenesis <italic>in vitro</italic>. Therefore, suppression of CXCL12-enhanced phosphorylation of Erk was considered to play a major role in the inhibitory effect of CXCR7 agonist on osteoclastogenesis.</p>
<p>CXCL12 is associated with various diseases, and CXCR7 agonists have been shown to be useful in these diseases (<xref rid="b42-mmr-25-03-12594" ref-type="bibr">42</xref>). The findings of the present study suggested that CXCR7 agonists have the potential to suppress inflammation by CXCL12-enhanced osteoclastogenesis. To confirm the role of CXCR7 agonists in more detail, further analysis including knockout mice should be performed in the future. It was concluded that CXCR7 agonists inhibited osteoclastogenesis and bone resorption induced by LPS <italic>in vivo</italic>. Furthermore, CXCR7 agonists also inhibited RANKL- and TNF-&#x03B1;-induced osteoclastogenesis by inhibiting CXCL12-mediated enhancement of osteoclastogenesis <italic>in vitro</italic>. The underlying mechanisms through which CXCR7 agonists attenuated osteoclastogenesis and bone destruction induced by LPS <italic>in vivo</italic> appeared to be related to inhibitory effects on LPS-induced TNF-&#x03B1; and RANKL expression <italic>in vivo</italic>, as well as on RANKL- and TNF-&#x03B1;-induced osteoclastogenesis <italic>in vitro</italic> via inhibition of CXCL12-mediated upregulation of osteoclastogenesis.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-mmr-25-03-12594" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>APN, HK, FO and IM contributed to the conception and design of this study, data acquisition, analysis and interpretation, and drafting of the manuscript. HK, APN and FO contributed to critical revision of the manuscript. APN, HK and FO confirm the authenticity of all the raw data. AP, SO, TN, AM, YN and RK collected the samples and performed data analysis. HK and IM supervised the project. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>All experimental procedures conformed to &#x2018;Regulations for Animal Experiments and Related Activities at Tohoku University&#x2019;, and were reviewed by the Institutional Laboratory Animal Care and Use Committee of Tohoku University, and finally approved by the President of University (approval no. 2019DnA-047-05; Miyagi, Japan).</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-mmr-25-03-12594" position="float">
<label>Figure 1.</label>
<caption><p>CXCR7 agonist acts as a C-X-C motif chemokine ligand 12 inhibitor and ameliorates LPS-induced bone resorption. (A) Histological sections of mouse calvariae stained for TRAP and counterstained with hematoxylin. TRAP-positive cells were stained red. Scale bar, 50 &#x00B5;m. (B) Number of osteoclasts in the suture of mouse calvariae. (C) TRAP and (D) Cathepsin K mRNA transcript levels in mouse calvariae measured by reverse transcription-quantitative PCR. The statistical significance of differences was determined by one-way ANOVA followed by Bonferroni/Dunn&#x0027;s test (n=4; &#x002A;&#x002A;P&#x003C;0.01). Results are expressed as the mean &#x00B1; SEM. CXCR7, C-X-C receptor 7; LPS, lipopolysaccharide; TRAP, tartrate-resistant acid phosphatase; PBS, phosphate-buffered saline.</p></caption>
<graphic xlink:href="mmr-25-03-12594-g00.tiff"/>
</fig>
<fig id="f2-mmr-25-03-12594" position="float">
<label>Figure 2.</label>
<caption><p>CXCR7 agonist as a C-X-C motif chemokine ligand 12 inhibitor ameliorates bone resorption induced by LPS injection <italic>in vivo</italic>. (A) Three-dimensional reconstructed image of mouse calvariae by micro-computed tomography. Red dots show the bone resorption area. (B) Ratio of bone resorption area to total bone area. The statistical significance of differences was determined by one-way ANOVA followed by Bonferroni/Dunn&#x0027;s test (n=4; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01). Results are expressed as the mean &#x00B1; SEM. CXCR7, C-X-C receptor 7; LPS, lipopolysaccharide; PBS, phosphate-buffered saline.</p></caption>
<graphic xlink:href="mmr-25-03-12594-g01.tiff"/>
</fig>
<fig id="f3-mmr-25-03-12594" position="float">
<label>Figure 3.</label>
<caption><p>CXCR7 agonist inhibits the production of LPS-induced (A) RANKL and (B) TNF-&#x03B1; <italic>in vivo</italic>. The mRNA levels of RANKL and TNF-&#x03B1; in mouse calvariae were determined by reverse transcription-quantitative PCR. The statistical significance of differences was determined by one-way ANOVA followed by Bonferroni/Dunn&#x0027;s test (n=4; &#x002A;&#x002A;P&#x003C;0.01). Results are expressed as the mean &#x00B1; SEM. CXCR7, C-X-C receptor 7; LPS, lipopolysaccharide; PBS, phosphate-buffered saline; RANKL, receptor activator of NF-&#x03BA;B ligand; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;.</p></caption>
<graphic xlink:href="mmr-25-03-12594-g02.tiff"/>
</fig>
<fig id="f4-mmr-25-03-12594" position="float">
<label>Figure 4.</label>
<caption><p>CXCR7 agonist inhibits RANKL-induced and TNF-&#x03B1;-induced osteoclastogenesis through CXCL12 inhibition. (A) Microscopic images and number of osteoclasts. Osteoclast precursors were treated for 5 days with one of the following and then stained for TRAP: i) M-CSF (100 ng/ml); ii) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml); iii) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCL12 (100 ng/ml); iv) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); v) M-CSF (100 ng/ml) &#x002B; RANKL (50 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); or vi) M-CSF (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). (B) Microscopic images and number of osteoclasts. Osteoclast precursors were treated for 5 days with one of the following and then stained for TRAP: i) M-CSF (100 ng/ml); ii) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml); iii) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCL12 (100 ng/ml); iv) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCL12 (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); v) M-CSF (100 ng/ml) &#x002B; TNF-&#x03B1; (50 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml); or vi) M-CSF (100 ng/ml) &#x002B; CXCR7 agonist (100 ng/ml). Scale bar, 500 &#x00B5;m. The statistical significance of differences was determined by one-way ANOVA followed by Bonferroni/Dunn&#x0027;s test (n=4; &#x002A;&#x002A;P&#x003C;0.01). Results are expressed as the mean &#x00B1; SEM. CXCR7, C-X-C receptor 7; CXCL12, C-X-C motif chemokine ligand 12; TRAP, tartrate-resistant acid phosphatase; RANKL, receptor activator of NF-&#x03BA;B ligand; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;; M-CSF, macrophage colony stimulating factor.</p></caption>
<graphic xlink:href="mmr-25-03-12594-g03.tiff"/>
</fig>
<fig id="f5-mmr-25-03-12594" position="float">
<label>Figure 5.</label>
<caption><p>CXCR7 agonist inhibits phosphorylation of Erk. Osteoclast precursors were incubated with RANKL, TNF-&#x03B1;, CXCL12 and CXCR7 agonist. Cells were lysed and the contents were analyzed by immunoblotting using the following antibodies: (A) p-Erk and Erk, (B) p-p38 and p38, and (C) p-JNK and JNK. CXCR7, C-X-C receptor 7; CXCL12, C-X-C motif chemokine ligand 12; RANKL, receptor activator of NF-&#x03BA;B ligand; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;; p-, phosphorylated.</p></caption>
<graphic xlink:href="mmr-25-03-12594-g04.tiff"/>
</fig>
<table-wrap id="tI-mmr-25-03-12594" position="float">
<label>Table I.</label>
<caption><p>Primers used in this study.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Sequence (5&#x2032;&#x2192;3&#x2032;)</th>
<th align="center" valign="bottom">Genbank number</th>
<th align="center" valign="bottom">Size, bp</th>
<th align="center" valign="bottom">Tm, &#x00B0;C</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">F: GGTGGAGCCAAAAGGGTCA</td>
<td align="left" valign="top">XM_017321385.1</td>
<td align="center" valign="top">138</td>
<td align="center" valign="top">67.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GGGGGCTAAGCAGTTGGT</td>
<td/>
<td/>
<td align="center" valign="top">64.0</td>
</tr>
<tr>
<td align="left" valign="top">TRAP</td>
<td align="left" valign="top">F: AACTTGCGACCATTGTTA</td>
<td align="left" valign="top">XM_011242384.2</td>
<td align="center" valign="top">159</td>
<td align="center" valign="top">56.5</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GGGGACCTTTCGTTGATGT</td>
<td/>
<td/>
<td align="center" valign="top">63.7</td>
</tr>
<tr>
<td align="left" valign="top">Cathepsin K</td>
<td align="left" valign="top">F: GCAGAGGTGTGTACTATGA</td>
<td align="left" valign="top">BC046320.1</td>
<td align="center" valign="top">73</td>
<td align="center" valign="top">50.3</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GCAGGCGTTGTTCTTATT</td>
<td/>
<td/>
<td align="center" valign="top">57.8</td>
</tr>
<tr>
<td align="left" valign="top">RANKL</td>
<td align="left" valign="top">F: CCTGAGGCCCAGCCATTT</td>
<td align="left" valign="top">NM_011613.3</td>
<td align="center" valign="top">107</td>
<td align="center" valign="top">63.9</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CTTGGCCCAGCCTCGAT</td>
<td/>
<td/>
<td align="center" valign="top">66.5</td>
</tr>
<tr>
<td align="left" valign="top">TNF-&#x03B1;</td>
<td align="left" valign="top">F: CTGTAGCCCACGTCGTAGC</td>
<td align="left" valign="top">NM_013693.3</td>
<td align="center" valign="top">97</td>
<td align="center" valign="top">56.4</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: TTGAGATCCATGCCGTTG</td>
<td/>
<td/>
<td align="center" valign="top">53.9</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-25-03-12594"><p>F, forward; R, reverse; Tm, temperature; TRAP, tartrate-resistant acid phosphatase; RANKL, receptor activator of NF-&#x03BA;B ligand; TNF-&#x03B1;, tumor necrosis factor-&#x03B1;.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
