PMID- 23592138 OWN - NLM STAT- MEDLINE DCOM- 20140911 LR - 20211021 IS - 1672-0733 (Print) IS - 1672-0733 (Linking) VI - 33 IP - 2 DP - 2013 Apr TI - Inhibitory effects of high glucose/insulin environment on osteoclast formation and resorption in vitro. PG - 244-249 LID - 10.1007/s11596-013-1105-z [doi] AB - Patients with type 2 diabetes mellitus (T2DM) exhibit hyperglycemia and hyperinsulinemia and increased risk of fracture at early stage, but they were found to have normal or even enhanced bone mineral density (BMD). This study was aimed to examine the molecular mechanisms governing changes in bone structure and integrity under both hyperglycemic and hyperinsulinemic conditions. Monocytes were isolated from the bone marrow of the C57BL/6 mice, induced to differentiate into osteoclasts by receptor activator of nuclear factor kappa-B ligand (RANKL) and macrophage colony-stimulating factor (M-CSF) and exposed to high glucose (33.6 mmol/L), high insulin (1 mumol/L), or a combination of high glucose/high insulin (33.6 mmol/L glucose and 1 mumol/L insulin). Cells cultured in alpha-MEM alone served as control. After four days of incubation, the cells were harvested and stained for tartrate resistant acid phosphatase (TRAP). Osteoclast-related genes including RANK, cathepsin K and TRAP were determined by using real-time PCR. The resorptive activity of osteoclasts was measured by using a pit formation assay. Osteoclasts that were derived from monocytes were of multinucleated nature and positive for TRAP, a characteristic marker of osteoclasts. Cell counting showed that the number of osteoclasts was much less in high glucose and high glucose/high insulin groups than in normal glucose and high insulin groups. The expression levels of RANK and cathepsin K were significantly decreased in high glucose, high insulin and high glucose/high insulin groups as compared with normal glucose group, and the TRAP activity was substantially inhibited in high glucose environment. The pit formation assay revealed that the resorptive activity of osteoclasts was obviously decreased in high glucose group and high glucose/high insulin group as compared with normal group. It was concluded that osteoclastogenesis is suppressed under hyperglycemic and hyperinsulinemic conditions, suggesting a disruption of the bone metabolism in diabetic patients. FAU - Xu, Fei AU - Xu F AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Ye, Ya-Ping AU - Ye YP AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Dong, Yong-Hui AU - Dong YH AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Guo, Feng-Jing AU - Guo FJ AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Chen, An-Min AU - Chen AM AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Huang, Shi-Long AU - Huang SL AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. doctorhsl@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130417 PL - China TA - J Huazhong Univ Sci Technolog Med Sci JT - Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban JID - 101169627 RN - 0 (Insulin) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Bone Resorption/*metabolism/*pathology MH - Cells, Cultured MH - Cellular Microenvironment MH - Diabetes Mellitus, Type 2/*metabolism/pathology MH - Glucose/*metabolism MH - Humans MH - Insulin/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Osteoclasts/*metabolism/*pathology EDAT- 2013/04/18 06:00 MHDA- 2014/09/12 06:00 CRDT- 2013/04/18 06:00 PHST- 2012/10/08 00:00 [received] PHST- 2013/04/18 06:00 [entrez] PHST- 2013/04/18 06:00 [pubmed] PHST- 2014/09/12 06:00 [medline] AID - 10.1007/s11596-013-1105-z [pii] AID - 10.1007/s11596-013-1105-z [doi] PST - ppublish SO - J Huazhong Univ Sci Technolog Med Sci. 2013 Apr;33(2):244-249. doi: 10.1007/s11596-013-1105-z. Epub 2013 Apr 17.