Co-treatment with genistein (Gen) significantly suppressed MTX-induced ex vivo osteoclast formation. (A–C) Representative images (20×) of osteoclasts differentiated in the presence of macrophage colony stimulating factor (M-CSF) and receptor activator of NF-κB ligand (RANKL) from bone marrow mononuclear cells isolated from control, MTX-, and Gen + MTX-treated rats, respectively. Cells were subsequently stained with TRAP to identify osteoclasts; (D) Osteoclasts were identified as large, TRAP+, and multinucleated cells (≥3 nuclei) (black arrows in panels A–C) and quantified as osteoclasts/mm2 of culture dish. n = 6, ***
p < 0.001 vs. control.