We acknowledge the support of NIH grants R01 DE021683, R01 DE019434, U01 HL099776, The Oak Foundation and The Hagey Laboratory for Pediatric Regenerative Medicine.

NOTE: Ethical statement: All research involving vertebrate animals was performed in accordance protocols approved by the Stanford Administrative Panel on Laboratory Animal Care (APLAC).
1. Preparation
<ol>
	<li>Allow 10 ml of commercially available density gradient cell separation media (which contains polysucrose and sodium diatrizoate, adjusted to a density of 1.077 g/ml) to come to RT in a 50 ml conical tube.</li>
	<li>Prepare flow cytometry (FACS) buffer with 1x phosphate buffered saline (PBS) and 2% fetal calf serum (FCS). Take a 50 ml aliquot and maintain this aliquot at RT for use during the density gradient cell separation media step.</li>
	<li>Have a bucket of ice ready to maintain isolated tissue and cells in during the isolation procedure.</li>
</ol>
2. Prepare Culture Media
<ol>
	<li>Prepare basal media: MEM (Minimal Essential Medium), without phenol red (500 ml), glutamate (1x), FCS (10x), 10,000 units/ml penicillin (1x).</li>
	<li>Filter basal media with a 0.22 &#956;m filter.</li>
	<li>Prepare bone marrow macrophage induction media:
	<ol>
		<li>Take 50 ml of the basal media prepared in Step 2.1.</li>
		<li>Add Prostaglandin E2 (PGE2, Mr 352.465 g/mol) at 10-7 M final concentration.</li>
		<li>Add Macrophage-Colony Stimulating Factor (M-CSF) at 10 ng/ml.</li>
		<li>Do not filter the final solution of bone marrow macrophage stimulating media.</li>
	</ol>
	</li>
	<li>Prepare osteoclast induction media:
	<ol>
		<li>Take 50 ml of the basal media prepared in Step 2.1.</li>
		<li>Add Prostaglandin E2 (PGE2, Mr 352.465 g/mol) at 10-7 M final concentration</li>
		<li>Add Macrophage-Colony Stimulating Factor (M-CSF) at 10 ng/ml.</li>
		<li>Add RANKL at 10 ng/ml.</li>
		<li>Do not filter the final solution of osteoclast induction media.</li>
	</ol>
	</li>
</ol>
3. Bone Marrow Isolation
<ol>
	<li>Euthanize one C57BL/6 mouse using carbon dioxide inhalation method, followed by cervical dislocation. 
	NOTE: Rodents must be euthanized by trained personnel using appropriate technique, equipment and agents.</li>
	<li>Position and secure the mouse on a dissection board and spray with 70% alcohol.</li>
	<li>Dissect out the femurs, tibiae, humeri and spine.
	<ol>
		<li>Begin with the mouse in supine position. Make an incision vertically along the lower limb and begin by dissecting along the length of the femur and tibia by dividing soft tissue attachments. Finally, dislocate bones from the knee and hip joint to free bones fully from the skeleton.</li>
		<li>Proceed to make an incision along the length of the upper limb to isolate the humerus. Dislocate the humerus at the shoulder and elbow joints by dissecting soft tissue capsular attachment.</li>
		<li>Finally, turn the mouse over, so that the mouse lies prone. Make a skin incision along the length of the spine, in the midline. Observe the paravertebral soft tissue on each side of the spine and incise along the bony edge of the spine, dissecting through the paravertebral soft tissue mass. Using a scissors, make a horizontal cut across the spine at the base of the neck, and at the end of the spine, just proximal to the tail insertion, freeing the spine from soft tissue attachment.</li>
	</ol>
	</li>
	<li>Once the bones are harvested, keep them in FACS buffer on ice.</li>
	<li>Use tissue paper to clean muscle and soft tissue from the bones.</li>
	<li>Place the cleaned bones into a pestle and mortar with 3 ml of FACS buffer.</li>
	<li>Crush the bones gently in the pestle and mortar.</li>
	<li>Aspirate off the blood-stained fluid and transfer into a 50 ml conical tube by passing the solution through a 70 &#956;m cell strainer.</li>
	<li>Add 5 ml FACS buffer to the crushed bone and crush further. Again, remove the fluid using a pipette and transfer to the 50 ml conical tube through a 70 &#956;m strainer.</li>
	<li>Typically crush the bones twice to three times in fresh FACS buffer, using a mortar and pestle, each time adding a further 5 ml of fresh FACS buffer, until the fluid does not stain red.</li>
	<li>Centrifuge the bone marrow solution at 200 x g for 5 min at 4 &#176;C to yield a cell pellet.</li>
</ol>
4. Gradient Separation of Bone Marrow Cells
<ol>
	<li>Aspirate the supernatant and resuspend in 10 ml of FACS buffer (maintained at RT).</li>
	<li>Take the 50 ml conical tube containing 10 ml of commercially available density gradient cell separation media (RT).</li>
	<li>Layer the bone marrow solution onto the density gradient cell separation media. Do this slowly using an electric pipette. Angle the pipette tip against the inner surface near the top of the conical tube and tilt the conical tube to about 30&#176;. Using a slow speed setting on the pipette, gently expel the bone marrow solution so as not to disturb the density gradient cell separation media. 
	NOTE: Ultimately there will be a clear definition between the two solutions (cellular solution and density gradient cell separation media solution).</li>
	<li>Using a RT centrifuge, centrifuge the density gradient cell separation media and cell solution in a balanced centrifuge at 200 x g for 15 min. In addition, remove acceleration and deceleration on the centrifuge to ensure adequate phase separation using the density gradient cell separation media gradient.</li>
	<li>After centrifugation, aspirate off the cloudy middle layer which contains the bone marrow cells of interest.</li>
	<li>Transfer these cells into a new conical tube. Add 20 ml of additional FACS buffer (kept on ice) to wash the cells.</li>
	<li>Centrifuge at 200 x g for 5 min at 4 &#176;C to yield a cell pellet.</li>
	<li>Resuspend the final cell pellet in 1ml of macrophage stimulating media to allow for cell counting using a hemocytometer.</li>
</ol>
5. Cell Counting
<ol>
	<li>Take 10 &#181;l of the cell solution and mix with 10 &#956;l of trypan blue. Load 10 &#181;l of the resultant mix onto a hemocytometer and obtain the cell count per ml of solution.</li>
</ol>
6. Cell Culturing
<ol>
	<li>Place 2 ml of macrophage stimulating media into each well of a 24-well plate.</li>
	<li>Add 200,000 cells to each well. 
	NOTE: In our experience, cell-plating density is one of the most crucial requirements for adequate in vitro culturing of osteoclasts.</li>
	<li>Gently agitate the plate and place in a regular incubator at 37 &#176;C.</li>
	<li>Do not change the media for 3 days.</li>
	<li>After 3 days in macrophage stimulating media, change the media to osteoclast media.</li>
	<li>Hereafter, change the media daily for 5&#8211;7 days, at which point, large, multinucleated osteoclasts should be visible on the culture plate.</li>
</ol>
7. Staining with Tartrate Resistant Acid Phosphatase (TRAP)
<ol>
	<li>After 5&#8211;7 days of in vitro culture, aspirate the media from the culture well.</li>
	<li>Wash the wells gently with 1x PBS three times.</li>
	<li>Fix the cells by adding 4% paraformaldehyde solution and leave for 1 hr at 4 &#176;C.</li>
	<li>During this time, prepare the TRAP stain (which is commercially available) by pre-warming to 37 &#176;C.</li>
	<li>After 1 hr in paraformaldehyde, aspirate off paraformaldehyde and wash gently 3 times with 1x PBS.</li>
	<li>Add 1 ml of pre-warmed TRAP stain into each well of the plate to be stained.</li>
	<li>Place the plate in an incubator at 37 &#176;C for 1 hr, shielded from light.</li>
	<li>After 1 hr, aspirate off the TRAP stain.</li>
	<li>Wash the wells 3 times with pre-warmed deionized water.</li>
	<li>Counterstain the well with Gill&#8217;s Hematoxylin (CAUTION) for 1&#8211;2 min.</li>
	<li>Image osteoclasts using bright field microscopy.</li>
	<li>Wash wells with deionized water until an adequate color intensity of the stain is achieved, typically when nuclei appear blue.</li>
</ol>
8. Osteoclast Resorption Assay
<ol>
	<li>Use a commercially available 24-well polystyrene culture dish that is pre-coated with either bone substrate or an inorganic crystalline calcium phosphate coating.</li>
	<li>Place 2 ml of macrophage stimulating media into each well.</li>
	<li>Add 200,000 freshly isolated bone marrow cells obtained at the end of step 2 to each well.</li>
	<li>Gently agitate the plate prior to placing it in an incubator at 37 &#176;C for 3 days.</li>
	<li>On day 3, change the media to osteoclast differentiation media.</li>
	<li>Perform daily media changes with osteoclast differentiation media for 5&#8211;7 days.</li>
</ol>
9. Quantification of Osteoclast Resorption Activity
<ol>
	<li>After 5&#8211;7 days of in vitro culture in osteoclast differentiation media on a mineralized substrate, analyze the mineralized surface, as described below, to assess the ability of osteoclasts to form resorption pits, an indicator of osteoclastic activity.</li>
	<li>Aspirate media from the resorption assay plate and add 100 &#956;l of 10% bleach solution to each well.</li>
	<li>Incubate the cells with the 10% bleach solution for 15 min at RT.</li>
	<li>Wash the wells 3 times with distilled water.</li>
	<li>Aspirate off any remaining water and shake off excess water from the plate and allow to air dry for 3&#8211;5 hr.</li>
	<li>Counterstain the plate with a commercially available Von Kossa staining kit to allow for easier visualization of the un-resorbed substrate.</li>
	<li>Use bright field microscopy to take images of representative parts of the resorbed surface.</li>
	<li>Using image analysis software, calculate the percentage of the resorbed surface to allow for quantification of osteoclastic resorptive activity.</li>
</ol>

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G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Bone+resorption+restored+in+osteopetrotic+mice+by+transplants+of+normal+bone+marrow+and+spleen+cells.">Bone resorption restored in osteopetrotic mice by transplants of normal bone marrow and spleen cells.</a> Science. 190, 784-785 (1975).</li><li>Burger, E. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=In+vitro+formation+of+osteoclasts+from+long-term+cultures+of+bone+marrow+mononuclear+phagocytes.">In vitro formation of osteoclasts from long-term cultures of bone marrow mononuclear phagocytes.</a> The Journal of experimental medicine. 156, 1604-1614 (1982).</li><li>Underwood, J. 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L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hyperglycemia+induced+and+intrinsic+alterations+in+type+2+diabetes-derived+osteoclast+function.">Hyperglycemia induced and intrinsic alterations in type 2 diabetes-derived osteoclast function.</a> Oral diseases. 19, 303-312 (2013).</li><li>Schueler, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intratibial+injection+of+human+multiple+myeloma+cells+in+NOD/SCID+IL-2Rgamma(null)+mice+mimics+human+myeloma+and+serves+as+a+valuable+tool+for+the+development+of+anticancer+strategies.">Intratibial injection of human multiple myeloma cells in NOD/SCID IL-2Rgamma(null) mice mimics human myeloma and serves as a valuable tool for the development of anticancer strategies.</a> PloS one. 8, (2013).</li><li>Xing, L., Boyce, B. 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None of the authors has disclosure or conflict of interest to declare.

An ability to easily isolate and cultivate large numbers of osteoclasts in vitro has been responsible for helping to advance understanding of bone biology and osteoclast-mediated diseases. It was the identification of RANKL that lead to this, when it was recently identified as the major regulator of osteoclast formation, differentiation and survival16-18.
It has been our experience that the in vitro cultivation of osteoclasts from bone marrow is largely dependent o...

Bone remodeling is dynamic and involves the coupling of bone formation with bone resorption1. This tightly regulated process is responsible for maintaining the skeleton during normal homeostasis, and in response to injury and disease.
Osteoclasts are unique, multinucleated cells that are capable of resorbing both the organic and inorganic matrices of bone. Osteoclasts are derived from the monocyte/macrophage lineage of the bone marrow2-5. Abnormalities in the function or formation of osteoclasts can result in a variety of clinical pathologies, including common conditions like osteoporosis.
The ability to generate osteoclasts in vitro has allowed for significant advances in our understanding of bone biology6. As a result, new therapeutic agents are emerging to treat osteoclast-related diseases which are responsible for significant morbidities and mortalities7. Homeostatic maintenance of bone mass and strength requires the concerted action of bone-forming osteoblasts and bone-resorbing osteoclasts8,9. Bone homeostasis is altered in a number of diseases, including post-menopausal osteoporosis, in which increased osteoclast activity leads to pathogenic loss of bone mass and density10. With increasing availability of transgenic murine models of human disease, there is more opportunity to decipher the role of the osteoclasts in human bone disease11-13.
Numerous protocols for osteoclast culturing techniques appear in the literature, with many variations described9,12,14. Xing and colleagues describe similar methodology to the protocol described below, in their description of osteoclastogenic assays from murine bone marrow cells. However to release the bone marrow cells following long bone harvest, Xing et al. flush the marrow cavity with &#945;-MEM complete media14. Catalfamo examines the effect of hyperglycemia on osteoclast function and describes a method in which all cells mobilized by bone marrow flushing are cultured for 24 hr, at which point the non-adherent cells are discarded12, a technique also used by Boyle et al.9 These previously published protocols necessitate the practice of flushing the bone marrow, a tedious practice, which also introduces the risk of a needle stick injury and loss of valuable bone marrow, as one must cut both ends of the bone. The protocol, which we describe, implements the use of a mortar and pestle to isolate osteoclasts, which is similar to the method of macrophage isolation described by Weischenfeldt et al.15 
Our experience, however, is that osteoclast isolation and in vitro culture using previously published techniques results in variable outcomes in terms of osteoclast production, often resulting in an inability to cultivate osteoclasts. Therefore, we have devised a protocol that allows for the consistent isolation of mouse bone marrow to produce large numbers of multinucleated osteoclasts in vitro, with an approximate yield of 70-80% of cells initially plated forming macrophages and subsequently osteoclasts, in the presence of osteoclast induction media.

<table border="0" cellpadding="0" cellspacing="0" width="1017">
	<tbody>
		<tr height="21">
			<td height="21" style="height:21px;width:503px;">Name of the Material/Equipment</td>
			<td style="width:165px;">Company</td>
			<td style="width:175px;">Catalog Number</td>
			<td style="width:175px;">Comments/Description</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">MEM, no glutamine, no phenol red</td>
			<td>Gibco</td>
			<td>51200-038</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">M-CSF, recombinant mouse</td>
			<td>Gibco</td>
			<td>PMC2044</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Recombinant Mouse TRANCE/RANK L/TNFSF11 (E. coli expressed)</td>
			<td>R&#38;D Systems</td>
			<td>462-TEC-010</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Prostaglandin E2</td>
			<td>Sigma-Aldrich</td>
			<td></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Histopaque-1077</td>
			<td>Sigma-Aldrich</td>
			<td>10771</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Acid Phosphatase, Lekocyte (TRAP) kit</td>
			<td>Sigma-Aldrich</td>
			<td>387A</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Osteoassay bone resorption plates, 24 well plates</td>
			<td>Corning Life Sciences</td>
			<td>3987</td>
			<td></td>
		</tr>
	</tbody>
</table>

osteoclast derivation from mouse bone marrow

Osteoclasts are highly specialized cells that are derived from the monocyte/macrophage lineage of the bone marrow. Their unique ability to resorb both the organic and inorganic matrices of bone means that they play a key role in regulating skeletal remodeling. Together, osteoblasts and osteoclasts are responsible for the dynamic coupling process that involves both bone resorption and bone formation acting together to maintain the normal skeleton during health and disease.
As the principal bone-resorbing cell in the body, changes in osteoclast differentiation or function can result in profound effects in the body. Diseases associated with altered osteoclast function can range in severity from lethal neonatal disease due to failure to form a marrow space for hematopoiesis, to more commonly observed pathologies such as osteoporosis, in which excessive osteoclastic bone resorption predisposes to fracture formation.
An ability to isolate osteoclasts in high numbers in vitro has allowed for significant advances in the understanding of the bone remodeling cycle and has paved the way for the discovery of novel therapeutic strategies that combat these diseases. 
Here, we describe a protocol to isolate and cultivate osteoclasts from mouse bone marrow that will yield large numbers of osteoclasts.

The aim of this method was to easily isolate large numbers of osteoclasts in vitro, typically in one week. Successful isolation of large numbers of osteoclasts was confirmed using tartrate-resistant acid phosphatase staining (Figure 1A). Large osteoclasts are visualized as large purple cells with multiple nuclei (typically &#8805; 3 nuclei). Using this protocol, it is common to isolate osteoclasts with as many as 30 nuclei per osteoclast (Figure 1B).
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Osteoclast Derivation from Mouse Bone Marrow

Osteoclasts are the principal bone-resorbing cell in the body. An ability to isolate osteoclasts in large numbers has resulted in significant advances in the understanding of osteoclast biology. In this protocol, we describe a method for isolation, cultivating and quantifying osteoclast activity in vitro.

Osteoclasts are highly specialized cells that are derived from the monocyte/macrophage lineage of the bone marrow. Their unique ability to resorb both the ...

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23.9K Views.  Stanford University School of Medicine. Osteoclasts are the principal bone-resorbing cell in the body. An ability to isolate osteoclasts in large numbers has resulted in significant advances in the understanding of osteoclast biology. In this protocol, we describe a method for isolation, cultivating and quantifying osteoclast activity in vitro.