CorpusHuman Anatomy

Osteoclast

A large, multinucleated bone-resorbing cell derived from the monocyte–macrophage lineage. It dissolves mineral with acid and digests collagen with proteases in a sealed resorption compartment.

Overview

Nuclei≈5–50
Diameter≈50–100 µm
Resorption pit pH≈4.5

Osteoclasts form by fusion of haematopoietic monocyte–macrophage precursors (not mesenchymal cells) under the influence of M-CSF and RANKL; they typically have 5–50 nuclei and are 50–100 µm across. An active osteoclast attaches to bone via αvβ3 integrin forming a ring-like sealing zone (actin ring) that isolates a resorption compartment beneath a deeply folded ruffled border.

Into this compartment it pumps H⁺ via a vacuolar H⁺-ATPase (protons generated by carbonic anhydrase II, with Cl⁻ following via ClC-7), lowering the pH to ≈4.5 and dissolving hydroxyapatite; then cathepsin K and matrix metalloproteinases digest the exposed collagen. The excavated pit is a Howship lacuna (resorption bay); degradation products are endocytosed and released at the basolateral surface (transcytosis). Osteoclasts are rich in tartrate-resistant acid phosphatase (TRAP), a histochemical marker.

Calcitonin receptors on osteoclasts cause rapid retraction and inactivation; oestrogen promotes osteoclast apoptosis. Osteoclasts lack PTH receptors — PTH acts on them indirectly via osteoblast RANKL.

Location

Bone surfaces undergoing resorption — Howship lacunae on trabeculae, cutting cones in cortical bone, growth-plate metaphysis.

Anatomy

Histology

Large acidophilic multinucleated cells lying in shallow pits (Howship lacunae); ruffled border, clear zone and abundant lysosomes and mitochondria on electron microscopy.

Function

  • Resorb bone matrix and mineral
  • Release calcium and phosphate into the blood
  • Shape bones during growth (modelling) and clear damaged bone (remodelling)
  • Hollow out the medullary cavity
Regulation

Stimulated by RANKL, M-CSF, PTH (indirect), calcitriol (indirect), IL-1, IL-6, TNF-α; inhibited by OPG, calcitonin, oestrogen, bisphosphonates and denosumab.

Clinical significance

Bisphosphonates and denosumab

Bisphosphonates (pyrophosphate analogues) bind hydroxyapatite and are taken up by osteoclasts, inhibiting farnesyl pyrophosphate synthase → apoptosis. Denosumab is an anti-RANKL antibody. Both reduce fractures; rare adverse effects include osteonecrosis of the jaw and atypical femoral fractures.

Osteopetrosis

Defective osteoclast acidification (e.g. carbonic anhydrase II, TCIRG1 or CLCN7 mutations) → dense, brittle "marble" bones, marrow failure with extramedullary haematopoiesis and cranial nerve palsies.

Mnemonics

Blasts vs clasts

OsteoBlasts Build bone; osteoClasts Chew (or Cut) bone.

Test yourself

Parathyroid hormone increases osteoclastic bone resorption mainly by which mechanism?
  1. Binding directly to PTH receptors on mature osteoclasts
  2. Increasing osteoprotegerin secretion
  3. Inhibiting calcitriol synthesis
  4. Increasing RANKL expression by osteoblasts

Answer: Increasing RANKL expression by osteoblasts

Osteoclasts lack PTH receptors. PTH acts on osteoblasts (and osteocytes), raising RANKL and lowering OPG; RANKL binds RANK on osteoclast precursors, promoting their differentiation and activity. PTH also stimulates renal 1α-hydroxylase, increasing calcitriol.

More skeletal system questions

Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.