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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1997 Jul;50(7):605–608. doi: 10.1136/jcp.50.7.605

Giant cells in pigmented villo nodular synovitis express an osteoclast phenotype.

S D Neale 1, R Kristelly 1, R Gundle 1, J M Quinn 1, N A Athanasou 1
PMCID: PMC500074  PMID: 9306944

Abstract

AIM: To determine the cytochemical and functional phenotype of multinucleated giant cells in pigmented villo nodular synovitis (PVNS). METHODS: Giant cells isolated from a patient with PVNS of the knee were assessed for a number of markers used to distinguish osteoclasts from macrophages/ macrophage polykaryons: evidence of tartrate resistant acid phosphatase (TRAP) activity; expression of CD11b, CD14, CD51, and calcitonin receptors; and the ability of the giant cells to carry out lacunar resorption. RESULTS: Isolated giant cells expressed an osteoclast antigenic phenotype (positive for CD51, negative for CD11b and CD14) and were TRAP and calcitonin receptor positive. They also showed functional evidence of osteoclast differentiation, producing numerous lacunar bone resorption pits on bone slices in short term culture. CONCLUSIONS: The giant cells in this case of PVNS express all the phenotypical features of osteoclasts including the ability to carry out lacunar resorption. This may account for the bone destruction associated with this aggressive synovial lesion.

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Selected References

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  1. Alguacil-Garcia A., Unni K. K., Goellner J. R. Giant cell tumor of tendon sheath and pigmented villonodular synovitis: an ultrastructural study. Am J Clin Pathol. 1978 Jan;69(1):6–17. doi: 10.1093/ajcp/69.1.6. [DOI] [PubMed] [Google Scholar]
  2. Athanasou N. A., Quinn J. M. Bone resorption by macrophage polykaryons of a pilar tumor of scalp. Cancer. 1992 Jul 15;70(2):469–475. doi: 10.1002/1097-0142(19920715)70:2<469::aid-cncr2820700215>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  3. Athanasou N. A., Quinn J., Ferguson D. J., McGee J. O. Bone resorption by macrophage polykaryons of giant cell tumour of tendon sheath. Br J Cancer. 1991 Apr;63(4):527–533. doi: 10.1038/bjc.1991.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Athanasou N. A., Quinn J., Horton M. A., McGee J. O. New sites of cellular vitronectin receptor immunoreactivity detected with osteoclast-reacting monoclonal antibodies 13C2 and 23C6. Bone Miner. 1990 Jan;8(1):7–22. doi: 10.1016/0169-6009(91)90136-n. [DOI] [PubMed] [Google Scholar]
  5. Athanasou N. A., Quinn J. Immunophenotypic differences between osteoclasts and macrophage polykaryons: immunohistological distinction and implications for osteoclast ontogeny and function. J Clin Pathol. 1990 Dec;43(12):997–1003. doi: 10.1136/jcp.43.12.997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Athanasou N. A., Wells C. A., Quinn J., Ferguson D. P., Heryet A., McGee J. O. The origin and nature of stromal osteoclast-like multinucleated giant cells in breast carcinoma: implications for tumour osteolysis and macrophage biology. Br J Cancer. 1989 Apr;59(4):491–498. doi: 10.1038/bjc.1989.102. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Bridge J. A., Neff J. R., Bhatia P. S., Sanger W. G., Murphey M. D. Cytogenetic findings and biologic behavior of giant cell tumors of bone. Cancer. 1990 Jun 15;65(12):2697–2703. doi: 10.1002/1097-0142(19900615)65:12<2697::aid-cncr2820651217>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  8. Bridge J. A., Neff J. R., Bhatia P. S., Sanger W. G., Murphey M. D. Cytogenetic findings and biologic behavior of giant cell tumors of bone. Cancer. 1990 Jun 15;65(12):2697–2703. doi: 10.1002/1097-0142(19900615)65:12<2697::aid-cncr2820651217>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  9. Choong P. F., Willén H., Nilbert M., Mertens F., Mandahl N., Carlén B., Rydholm A. Pigmented villonodular synovitis. Monoclonality and metastasis--a case for neoplastic origin? Acta Orthop Scand. 1995 Feb;66(1):64–68. doi: 10.3109/17453679508994643. [DOI] [PubMed] [Google Scholar]
  10. Flanagan A. M., Nui B., Tinkler S. M., Horton M. A., Williams D. M., Chambers T. J. The multinucleate cells in giant cell granulomas of the jaw are osteoclasts. Cancer. 1988 Sep 15;62(6):1139–1145. doi: 10.1002/1097-0142(19880915)62:6<1139::aid-cncr2820620617>3.0.co;2-8. [DOI] [PubMed] [Google Scholar]
  11. Flandry F., Hughston J. C. Pigmented villonodular synovitis. J Bone Joint Surg Am. 1987 Jul;69(6):942–949. [PubMed] [Google Scholar]
  12. Fujikawa Y., Quinn J. M., Sabokbar A., McGee J. O., Athanasou N. A. The human osteoclast precursor circulates in the monocyte fraction. Endocrinology. 1996 Sep;137(9):4058–4060. doi: 10.1210/endo.137.9.8756585. [DOI] [PubMed] [Google Scholar]
  13. Fujikawa Y., Sabokbar A., Neale S., Athanasou N. A. Human osteoclast formation and bone resorption by monocytes and synovial macrophages in rheumatoid arthritis. Ann Rheum Dis. 1996 Nov;55(11):816–822. doi: 10.1136/ard.55.11.816. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Harris M. Central giant cell granulomas of the jaws regress with calcitonin therapy. Br J Oral Maxillofac Surg. 1993 Apr;31(2):89–94. doi: 10.1016/0266-4356(93)90168-v. [DOI] [PubMed] [Google Scholar]
  15. Horton M. A., Lewis D., McNulty K., Pringle J. A., Chambers T. J. Monoclonal antibodies to osteoclastomas (giant cell bone tumors): definition of osteoclast-specific cellular antigens. Cancer Res. 1985 Nov;45(11 Pt 2):5663–5669. [PubMed] [Google Scholar]
  16. Joyner C. J., Quinn J. M., Triffitt J. T., Owen M. E., Athanasou N. A. Phenotypic characterisation of mononuclear and multinucleated cells of giant cell tumour of bone. Bone Miner. 1992 Jan;16(1):37–48. doi: 10.1016/0169-6009(92)90820-4. [DOI] [PubMed] [Google Scholar]
  17. Minkin C. Bone acid phosphatase: tartrate-resistant acid phosphatase as a marker of osteoclast function. Calcif Tissue Int. 1982 May;34(3):285–290. doi: 10.1007/BF02411252. [DOI] [PubMed] [Google Scholar]
  18. Nicholson G. C., Moseley J. M., Sexton P. M., Mendelsohn F. A., Martin T. J. Abundant calcitonin receptors in isolated rat osteoclasts. Biochemical and autoradiographic characterization. J Clin Invest. 1986 Aug;78(2):355–360. doi: 10.1172/JCI112584. [DOI] [PMC free article] [PubMed] [Google Scholar]

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