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. Author manuscript; available in PMC: 2019 Dec 13.
Published in final edited form as: Nature. 2019 Apr 10;568(7753):541–545. doi: 10.1038/s41586-019-1105-7
Developmental origin, functional maintenance and genetic rescue of
osteoclasts
2Regeneration in Hematopoiesis and Animal Models in
Hematopoiesis, Institute for Immunology, Dresden, Germany.
3Regeneration in Hematopoiesis, Leibniz Institute on
Aging—Fritz Lipmann Institute (FLI), Faculty of Biological Sciences,
Friedrich-Schiller University, Jena, Germany.
7These authors contributed equally: Christian E.
Jacome-Galarza, Gulce I. Percin, James T. Muller, Elvira Mass.
2Regeneration in Hematopoiesis and Animal Models in
Hematopoiesis, Institute for Immunology, Dresden, Germany.
3Regeneration in Hematopoiesis, Leibniz Institute on
Aging—Fritz Lipmann Institute (FLI), Faculty of Biological Sciences,
Friedrich-Schiller University, Jena, Germany.
4Department of Medicine III, Faculty of Medicine, Dresden,
Germany.
8These authors jointly supervised this work: Claudia Waskow,
Frederic Geissmann.
1Immunology Program, Sloan Kettering Institute, Memorial
Sloan Kettering Cancer Center, New York, NY, USA.
2Regeneration in Hematopoiesis and Animal Models in
Hematopoiesis, Institute for Immunology, Dresden, Germany.
3Regeneration in Hematopoiesis, Leibniz Institute on
Aging—Fritz Lipmann Institute (FLI), Faculty of Biological Sciences,
Friedrich-Schiller University, Jena, Germany.
4Department of Medicine III, Faculty of Medicine, Dresden,
Germany.
5Department of Genetics and Development, Columbia University
Medical Center, New York, NY, USA.
6Present address: Developmental Biology of the Innate Immune
System, LIMES Institute, University of Bonn, Bonn, Germany.
7These authors contributed equally: Christian E.
Jacome-Galarza, Gulce I. Percin, James T. Muller, Elvira Mass.
8These authors jointly supervised this work: Claudia Waskow,
Frederic Geissmann.
Author contributions F.G. and C.W. designed the study,
supervised experiments and analysed data. F.G. wrote the draft of the
manuscript. C.E.J.-G. performed histology and immunofluorescence analyses.
E.M. and C.E.J.-G. supervised or performed fate-mapping and genetic deletion
experiments with
Csf1rMer-iCre-Mer,
Flt3Cre,
Csf1riCre and
Tnfrsf11aCre, EdU
incorporation studies and adoptive transfer studies. G.I.P. performed
lineage tracing and genetic deletion experiments with
Tnfrsf11aCre and
VavCre mice and
histomorphometry studies. J.T.M. performed and analysed rescue experiments
in Catk-deficient mice and
Csf1rCre;Csf1rf/fmice. P.-L.L. assisted with parabiosis surgeries. V.K.Y.
and G.K. analysed Catk parabiosis rescue experiments. J.E.
performed inducible genetic deletion experiments in
R26-CreERT2+;Csf1rF/F
embryos. T.L., L.C., G.I.P., M.B. and E.M. performed flow cytometry
analyses. M.R. scanned bones using micro-CT, and M.R. and G.I.P. analysed
micro-CT data. All authors contributed to the manuscript.
The publisher's version of this article is available at Nature
Abstract
Osteoclasts are multinucleated giant cells that resorb bone, ensuring
development and continuous remodelling of the skeleton and the bone marrow
haematopoietic niche. Defective osteoclast activity leads to osteopetrosis and
bone marrow failure1–9, whereas excess activity can
contribute to bone loss and osteoporosis10. Osteopetrosis can be partially treated by bone marrow
transplantation in humans and mice11–18,
consistent with a haematopoietic origin of osteoclasts13,16,19 and studies
suggesting that they develop by fusion of monocytic precursors derived from
haematopoietic stem cells in the presence of CSF1 and RANK ligand1,20. However, the developmental origin and lifespan of
osteoclasts, and the mechanisms that ensure maintenance of osteoclast function
throughout life in vivo remain largely unexplored. Here we report that
osteoclasts that colonize fetal ossification centres originate from embryonic
erythro-myeloid progenitors21,22. These erythro-myeloid
progenitor-derived osteoclasts are required for normal bone development and
tooth eruption. Yet, timely transfusion of haematopoietic stem cells derived
monocytic cells in newborn mice is sufficient to rescue bone development in
early-onset autosomal recessive osteopetrosis. We also found that the postnatal
maintenance of osteoclasts, bone mass and the bone marrow cavity involve
iterative fusion of circulating blood monocytic cells with long-lived osteoclast
syncytia. As a consequence, parabiosis or transfusion of monocytic cells results
in long-term gene transfer in osteoclasts in the absence of haematopoietic stem
cell chimerism, and can rescue an adult-onset osteopetrotic phenotype caused by
cathepsin K deficiency23,24. In sum, our results identify
the developmental origin of osteoclasts and a mechanism that controls their
maintenance in bones after birth. These data suggest new strategies to rescue
osteoclast deficiency in osteopetrosis and to modulate osteoclast activity in
vivo.
In vitro, osteoclasts arise by fusion of haematopoietic stem cell (HSC)-derived
precursors and require expression of Csf1r and
Tnfrsf11a (also known as Rank). To probe the
origin of osteoclasts in vivo we first generated
Csf1rCre;Csf1rfl/fl
and
Csf1rCre;Tnfrsf11afl/fl
mice. These mice presented with an osteopetrotic phenotype similar to
Csf1op/op (ref. 5), Csf1r6 and Tnfrsf11a3 mutants, characterized in young mice by lack of
teeth eruption, skull and skeletal deformities with shortness of long bones, increased
bone density, and lack of osteoclasts and haematopoietic cells (Fig. 1a, Extended Data Fig. 1). To confirm that osteoclast differentiation requires
expression of Tnfrsf11a and Csf1r in HSC-derived
precursors, we generated
Flt3Cre;Tnfrsf11afl/fl,
Flt3Cre;Csf1rfl/fl
and
Vav1Cre;Csf1rfl/fl
mice. Surprisingly, the young mutant mice had normal teeth, bone morphology, bone marrow
cellularity and osteoclast numbers in comparison to control littermates (Fig. 1b–d, Extended Data Fig. 2). However,
Flt3Cre;Tnfrsf11afl/fl,
Flt3Cre;Csf1rfl/fl
and
VavCre;Csf1rfl/fl
mice lost their osteoclasts over time (Fig. 1d),
and by 22–60 weeks of age had increased trabecular bone density (Fig. 1e) and decreased haematopoietic cell numbers in the long
bones (Fig. 1c, Extended Data Fig. 2), and 3D X-ray imaging
by micro-computed tomography (micro-CT) confirmed the increased bone mass, whereas bone
formation—measured by calcein incorporation—was similar to that in control
mice (Fig. 1f, Extended Data Fig. 3). In addition,
tartrate resistant acid phosphatase-positive (TRAP+) multinucleated cells
that appear at embryonic day (E)15 in ossification centres25 in
Csf1rCre;Rosa26LSL-YFP
mice were labelled with YFP, and osteoclasts remained YFP-positive throughout life
(Fig. 1g, Extended Data Fig. 4), but gained
expression of YFP after birth in
Flt3Cre;Rosa26LSL-YFP
mice despite colonization of the fetal bone marrow by
Flt3Cre+ YFP+
haematopoietic cells (Fig. 1h, Extended Data Fig. 4).
These data suggested that although postnatal contribution of HSC-derived cells is
important for optimal osteoclast maintenance and function in adults and ageing mice,
osteoclast development, tooth eruption and the development of bone and the bone marrow
cavity require precursors that are independent from the HSC lineage. These precursors
may originate from the embryonic erythro-myeloid progenitor (EMP) lineage of resident
macrophages22,26,27,
because Csf1rCre mice enable deletion of
target genes in both the embryonic EMP lineage and in the HSC lineage, whereas
Flt3Cre and
VavCre (Extended Data Fig. 5) are not expressed in
the EMP lineage. In support of this hypothesis, we found that TRAP+
multinucleated cells develop in ossification centres from Myb-deficient
embryos around E15; at this stage the embryos lack HSCs but still support the
development of EMP-derived macrophages26 (Fig. 2a, b). In addition, TRAP+ multinucleated cells are
labelled with YFP in tamoxifen-inducible
Csf1rMer-iCre-Mer;Rosa26LSL-YFP
mice pulsed at E8.5 with a single dose of hydroxytamoxifen (4-OHT), which labels EMPs
but not HSCs22,26,27 (Fig. 2c, d,
Extended Data Fig. 4).
Together, these results indicate that fetal osteoclasts arise from EMPs in ossification
centres.
We therefore investigated whether EMPs are required for bone development.
Tnfrsf11a is expressed by osteoclasts, but its expression is also a
hallmark of EMP-derived macrophage precursors that colonize the developing
embryo27. In two independent
lines of Tnfrsf11aCre knock-in mice,
referred to as ‘Koba’ and ‘Wask’(Fig. 2e–j),
Cre-mediated expression of a Rosa26LSL-YFP
fluorescent reporter occurs with high efficiency in fetal macrophages but with low
efficiency27 or not at
all28 in HSCs and their
progeny in blood and tissues27,28 (Extended Data Fig. 5). We therefore
hypothesized that conditional deletion of Csf1r in
Tnfrsf11aCre mice would recapitulate
the macrophage deficiency observed in Csf1r-deficient mice6, while leaving the HSC lineage
unaffected. To test osteoclast and bone development in this model, we generated
Tnfrsf11aCre;Csf1rfl/fl
mice (Fig. 2e–j).
Tnfrsf11aCre;Csf1rfl/fl
mice lacked tissue macrophages such as brain microglia and epidermal Langerhans cells at
birth, whereas development of HSCs and blood cells was preserved (Extended Data Fig. 2). They exhibited a
severe osteopetrotic phenotype, including a lack of tooth eruption (Fig. 2e), misshaped skulls and shorter long bones (Fig. 2f–h, Extended Data Fig.
1) with few osteoclasts (Fig. 2i) and
increased bone density, and initially lacked a bone marrow cavity (Fig. 2f, Extended Data Fig. 2). In contrast to Csf1r-deficient mice,
however, osteoclasts and haematopoietic cells progressively colonized the long bones of
Tnfrsf11aCre;Csf1rfl/fl
mice during the first month of life (Fig. 2i, Extended Data Figs. 1, 2), although the mice remained
toothless and skull and long-bone deformity persisted (Fig. 2e–h, Extended Data Fig. 1). Calcein
incorporation was similar in
Tnfrsf11aCre;Csf1rfl/fl
mice and their littermate controls (Extended Data Fig. 6). In a complementary approach, ablation of
Csf1r expression in E10.5 embryos using a single dose of tamoxifen
in
Rosa26-creERT2+;Csf1rfl/−
mice resulted in defective tooth eruption in three out of four pups at 21 days of age
(Extended Data Fig. 5).
Together, these analyses support a model in which EMP-derived embryonic osteoclasts are
needed for teeth eruption, normal skull shape, optimal formation of long bones and the
timely colonization of long bones by haematopoietic progenitors, whereas HSC-derived
osteoclasts are important for the maintenance of bone mass after birth and later in
life, although they may partially rescue bone development in the absence of EMP-derived
osteoclasts in
Tnfrsf11aCre;Csf1rfl/fl
mice.
To probe the mechanisms that underlie the contribution of HSC-derived blood cells
to osteoclast maintenance as well as the lifespan and dynamics of osteoclasts in vivo,
we performed time-course parabiosis experiments (Fig.
3a). After four to eight weeks of shared blood circulation between
Csf1rCre;Rosa26LSL-YFP
and
Csf1rCre;Rosa26LSL-tdTomato
parabionts, all osteoclasts, defined as TRAP+ multinucleated cells lining the
bone surface, expressed both YFP and tdTomato (Fig.
3a, b). No other cell type was found to
co-express YFP and tdTomato in bones (Fig. 3b).
This is consistent with the presence of nuclei from both partners in individual
osteoclasts. Moreover, when parabionts were separated after four weeks (Fig. 3c), most recipient YFP+ osteoclasts retained
tdTomato staining 14 weeks after separation, and two thirds of osteoclasts from former
parabionts still expressed both YFP and tdTomato 24 weeks after separation (Fig. 3c). TdTomato signal intensity per YFP
osteoclast increased during the eight-week period of shared blood circulation, and
decreased after separation (Extended
Data Fig. 7). Most mouse osteoclasts contained around five (range from three
to seven) nuclei, with a modest increase of nuclei number per cell between one and six
months of age (Fig. 3d). These data therefore
suggest that individual osteoclast syncytia are long lived, but acquire new nuclei one
at a time every four to eight weeks, from circulating blood cells; it therefore takes
more than six months to renew all five nuclei in an individual osteoclast.
We calculated the number and fusion rate of HSC-derived nuclei acquired by
osteoclasts in short-term 5-ethynyl-2′-deoxyuridine (EdU)-incorporation studies.
A single intravenous pulse of EdU (20 μg g−1) labelled mitotic
nuclei and was bioavailable in the bone marrow for around 90 min; approximately 50% of
bone marrow and blood monocytic cells were EdU+ for around 48 h (Extended Data Fig. 7). We
observed that approximately 1–2% of osteoclasts were labelled after 72 h, with
only one EdU+ nucleus per osteoclast in 90% of EdU+ cells (Fig. 3e), suggesting that osteoclasts acquire a
single post-mitotic nucleus at a time. In this model, 0.5–2% of osteoclasts per
day acquire a new nucleus, compatible with individual nuclei being replaced about every
two months. Together, these studies suggest a model (Fig.
3f) in which osteoclasts that control skeletal development mature in
ossification centres from EMPs, whereas their post-natal maintenance is mediated by the
serial acquisition by long-lived syncytia of new nuclei from HSC-derived blood
leukocytes, rather than by de novo renewal by lateral fusion or proliferation of
osteoclast precursors.
A prediction from this model, consistent with an early observation29, is that osteopetrosis due to a
recessive mutation affecting osteoclast function may be rescued or prevented through
parabiosis with a wild-type partner. Parabiosis experiments between four-week-old
cathepsin K-deficient mice, which develop an adult-onset form of osteopetrosis known as
pycnodysostosis23,24, and cathepsin K+/− or
cathepsin K−/− littermates, and between wild-type mice as
control, showed a reduction of bone volume in ten-week-old cathepsin
K−/− mice paired with cathepsin K+/−
littermates (Fig. 4a), suggesting that circulating
blood cells carrying a wild-type cathepsin K allele are sufficient to reduce bone
density. To confirm that expression of a donor-derived gene by recipient osteoclasts
results from fusion with monocytic cells circulating in the blood, we performed
intravenous injections of KIT−LY6C+ cells from the bone
marrow of
Csf1rCre;Rosa26LSL-tdTomato
mice into
Csf1rCre;Rosa26LSL-YFP
recipients (Fig. 4b, Extended Data Fig. 8). This resulted in
stable expression of tdTomato in 20–40% of osteoclasts one week and eight weeks
after transfusion, in the absence of other donor-derived blood cells or bone marrow
progenitors (Fig. 4b, c, Extended Data Fig.
8). These results suggest that parabiosis or an appropriate transfusion
protocol can achieve expression of a donor-derived gene by recipient osteoclasts in the
absence of HSC chimerism, and that this effect can last several months.
Partial rescue of osteopetrosis occurs postnatally in
Tnfrsf11aCre;Csf1rfl/fl
mice, suggesting that transfusion of monocytic cells may also be able to rescue bone
development in early-onset congenital osteopetrosis in the absence of a bone marrow
transplantation. Intra-peritoneal injections of KIT−LY6C+
monocytic cells from
Csf1rCre;Rosa26LSL-YFP
mice into
Csf1rCre;Csf1rF/F
neonates, starting from post-natal day (P)5, resulted in complete or partial rescue of
teeth eruption (Fig. 4d) and long bone development
as assessed by computerized tomography (CT) scan, with the development of a bone marrow
cavity (Fig. 4d) at day 14 in infant mice from
three different litters (Fig. 4d, Extended Data Fig. 9). In these mice, femur
histology indicated the presence of numerous YFP+TRAP+ osteoclasts
lining the bone (Fig. 4e, f). Histology and flow cytometry analyses showed the lack of
YFP+ circulating blood cells or bone marrow progenitors (Fig. 4e, g), indicating
the absence of HSC engraftment. These data suggest that transfusion of monocytic cells
can rescue bone development in early-onset autosomal recessive osteopetrosis in infant
mice, in the absence of HSC transplantation.
In sum, we have shown here that osteoclasts originating from EMPs are essential
for normal bone development. Moreover, we show that osteoclasts are long-lived in adults
and that their function is maintained by iterative fusion of individual HSC-derived
circulating cells with existing syncytia. With absence or deficiency of EMP-derived
osteoclasts however, their timely replacement by transfusion with monocytic cells can
rescue bone development in early-onset osteopetrotic mice without bone marrow
transplantation. This is of potential clinical relevance because bone marrow and HSC
transplantation, the standard treatment for early-onset osteopetrosis in mice and
humans11–18, requires irradiation or
chemotherapy—which increases the risk of infections, is frequently performed in
patients who already suffer severe complications, and has a six-year overall survival
rate of approximately 48%17. In
addition, the original mechanism that mediates osteoclast maintenance in adult mice
suggests that these cells represent a unique target for gene transfer by cellular
therapies based on transfusion of wild-type or engineered monocytic cells to modulate
osteoclast activity and bone remodelling in adults.
Extended Data
Extended Data Table 1.
Mouse genotyping
Mouse line
Primer 1 sequence 5'
--> 3'
Primer 2 sequence 5'
--> 3'
Denaturation
Annelaling
Elongation
Cycles
Final Enlongation
Expected bands
Csf1riCre
Mutant allele
TCTCTGCCCAGAGTCATCCT
CTCTGACAGATGCCAGGACA
94°C – 45sec
60°C – 45sec
72°C – 45sec
30
72°C – 5 min
Mutant: 400 bp
CsflrMeriCreMer
WT allele Mutant allele
TCGAAGCTTGCATGCCTGCA TCATTCCAGAACCAGAGC
TCTCTGCCCAGAGTCATCCT GATCGTGTTGGGGAAGCC
94°C – 45sec
60°C -90sec
72°C – 90sec
30
72°C – 5 min
WT: 1Kb Mutant: 2 Kb
Cff1rflox
Mutant allele
GCCACCAT GTGTCCGTG CTT
ACCCAGAGCCCCCACAGATA
94°C – 30sec
60°C – 60sec
72°C – 60sec
35
72°C – 2 min
WT: 450 bp Floxed: 500 bp
Cfflr+/−
Mutant allele
GGT GGAT GT G GAAT GTGTGCG
CGTTTCTTGTGGTCAGGGTGC
95°C – 20sec
62°C – 20sec
72°C – 40sec
35
72°C – 5 min
Mutant: 314
Flt3Cre
Mutant allele
ACGGAGTCCAGGCAACTTCC
GAAGCATGTTTAGCTGGCCC
94°C – 30sec
58°C – 35sec
68°C – 60sec
44
72°C – 2 min
Mutant: 400 bp
Myb+/−
WT allele Mutant allele
CCATGCGTCGCAAGGTGGAAC CCATGCGTCGCAAGGTGGAAC
GTGCTTCGGCGATGTGGTAA TGGCCGCTTTTCTGGATTCATC
94°C – 30sec
60°C – 30sec
72°C – 60sec
35
72°C – 7 min
WT: 200 bp Mutant: 300 bp
Rosa.26CreERT2
Mutant allele
GCCTGCATTACCGGTCGATGCAACGA
AATGGTGTTGCCGCGCCATCTGCCAC
95°C – 20sec
67°C – 20sec
72°C – 50sec
40
72°C – 2 min
Mutant: 700bp
Rosa26LSL-yFP
WT allele Mutant allele
AAGTCGCTCTGAGTTGTTAT AAGTCGCTCTGAGTTGTTAT
GGAGCGGGAGAAATGGATATG GCGAAGAGTTTGTCCTCAACC
94°C – 40sec
60°C – 60sec
72°C – 60sec
34
72°C – 5 min
WT: 525 bp Mutant: 300 bp
Rosa26LSL-tdTornato
WT alelle
AAGGGAGCTGCAGTGGAGTA
CCGAAAATCTGTGGGAAGTC
Step 1: 94°C –
20sec
65°C – 15sec
(0.5C decrease per cycle) 60°C –
15sec
ED_Fig_1. Extended Data Fig. 1 |
Csf1rCre;Tnfrsf11afl/fl,
Csf1rfl/fl;Csf1rCre
and
Tnfrsf11aCre;Csf1rfl/fl
mice are osteopetrotic.
a, b, Representative CT scans (nanospect
CT) of four-week-old
Csf1rCre;Tnfrsf11afl/fl
mice. Arrows indicate skull deformation and absence of bone marrow cavity in
mutant mice. c, Haematoxylin and TRAP staining of bone sections
from four-week-old
Csf1rCre;Tnfrsf11afl/fl
mice showing closure of the bone marrow. Histology of paraffin sections
(5-μm thickness) corroborates the phenotype from mice in
b. d, Inguinal lymph nodes from
Csf1rCre;Tnfrsf11afl/fl
mice. e, A representative
Csf1rCre;Tnfrsf11afl/fl
and a littermate control. f, Representative CT scan
reconstructions (nanospect CT) of four-week-old
Tnfrsf11aKoba-Cre;Csf1rfl/fl
mice. Arrows indicate skull deformation, but with presence of a bone marrow
cavity in mutant mice, in contrast to those in a and
b. g, Representative CT scans of
Csf1rCre;Csf1rfl/fl
mice. Arrows indicate skull deformation and absence of bone marrow cavity in
mutant mice as in a and b. CT scans and
photographs are representative of >10 litters.
ED_Fig_2. Extended Data Fig. 2 | Bone histology and flow cytometry analysis of bone
marrow phenotypic KSL, LT-HSCs, ST-HSCs and MPPs in mice ofindicated
genotypes.
a, Young
Flt3Cre;Csf1rfl/fl
and
Flt3Cre;Tnfrsf11afl/fl
mice have normal long bones. Haematoxylin and TRAP staining of bone sections
from four-week-old
Flt3Cre;Tnfrsf11afl/fl
mice, showing normal bone structure and bone marrow cavity. b, LSK cell
numbers in bone marrow from three-to-four-week-old
Flt3Cre;Tnfrsf11afl/fl
(n = 3) and
Flt3Cre;Tnfrsf11afl/+
mice (n = 2) and littermate controls (n =
4) and from 22-week-old
Flt3Cre;Tnfrsf11afl/fl
(n = 5) and
Flt3Cre;Tnfrsf11afl/+
mice (n = 4) and littermate controls (n =
4). c, Haematoxylin and TRAP staining of bone sections from four-week-old
Flt3Cre;Csf1rfl/fl
mice showing normal bone structure and bone marrow cavity. d, e, Phenotypic
long-term haematopoietic stem cells (LT-HSCs) are reduced in aged wild-type
mice but not in aged
VavCre;Csf1rfl/−
mice. f, g, LT-HSCs are reduced in in young
Csf1r−/− mice, and to a lesser
extent, in young
Tnfrsf11aWask-Cre;Csf1rfl/−
mice. Cell counts for two femurs are shown. h, Flow cytometry analysis of
F4/80+ cells in brain (microglia) and epidermis (Langerhans
cells) in E18.5
Tnfrsf11aCre;Csf1rfl/fl
embryos and littermate controls (n = 3 per group). i,
Haematoxylin and TRAP staining of bone sections from P7
Tnfrsf11aCre;Csf1rfl/fl
mice and littermate controls, showing absence of the bone marrow cavity. j,
Flow cytometry of fetal liver at E15.5 (representative results of three
experiments). k, LSK numbers in bone marrow of three-to-four-week-old
Tnfrsf11aWask-Cre;Csf1rfl/fl
mice (n = 24) and littermate controls (n =
20), and
Tnfrsf11aKoba-Cre;Csf1rfl/fl
(n = 7) and
Tnfrsf11aKoba-Cre;Csf1rfl+l
mice (n = 6) and littermate controls (n =
8). l, For comparison, LSK numbers in bone marrow of three-to-four-week-old
Csf1r−/− mice
(n = 22) and littermate controls (n =
21). m, Representative micrographs of femur sections from four-week-old
Tnfrsf11aCre;Csf1rfl/fl
mice and littermate controls, stained with haematoxylin and TRAP. n, Blood
leukocytes numbers in four-week-old
Tnfrsf11aCre;Csf1rfl/fl
mice (n = 5),
Tnfrsf11aCre;Csf1rfl/+
mice (n = 6) and littermate controls (n =
12). Points represent individual mice; results from three independent
experiments. Data are mean ± s.d.; n indicates the
number of mice per group; unpaired two tailed t-tests.
*P < 0.05, **P < 0.005,
***P < 0.0005 and ****P
< 0.0001. LT-HSC,
Lin−KIT+SCA1+;Kit+SCA1+CD34−FLT3−.
Phenotypic short-term haematopoietic stem cells (ST-HSC),
Lin−KIT+SCA1+CD34+FLT3−.
MPP, multipotent progenitors;
Lin−KIT+SCA1+CD34+FLT3+.
Lin,
CD3+CD19+NK1.1+TER119+CD11b+GR1+B220+.
ED_Fig_3. Extended Data Fig. 3 | Bone histomorphometry in old
Flt3Cre;Tnfrsf11afl/fl,
Flt3Cre;Csf1rfl/fl
and
VavCre;Csf1rfl/fl
mice and control littermates.
a, Representative Micro-CT of femura of mice of the
indicated age and genotype. b, Bone length, connectivity
density (Conn density), trabecular number (Tb.N.) and trabecular spacing
(Tb.Sp.) analysed by micro-CT in aged
Flt3Cre;Tnfrsf11afl/fl
(n = 4) and
Flt3Cre;Csf1rfl/fl
(n = 4) mice and control littermates
(n = 7). c, Bone histomorphometry as in
b, for
VavCre;Csf1rfl/fl
mice and control littermates (n = 5). d,
e, Dynamic bone histomorphometry in aged
Flt3Cre;Tnfrsf11afl/fl
and
Flt3Cre;Csf1rfl/fl
mice using in vivo calcein labelling. d, Representative
micrographs of calcein labelling (green) of femura of mice from the
indicated genotypes and ages. Scale bars: 200 μm (top); 50 μm
(bottom). e, Quantification of calcein labelling by
fluorescence microscopy of mineralized surface/bone surface (MS/BS), mineral
apposition rate (MAR), and bone formation rate/bone surface (BFR/BS) in aged
Flt3Cre;Tnfrsf11afl/fl
(n = 5),
Flt3Cre;Csf1rfl/fl
(n = 3) and control littermates (n =
10) Data are mean ± s.d.; dots in graphs represent individual mice;
n indicates the number of mice per group; unpaired two
tailed t-tests. *P < 0.05,
**P < 0.005, ***P <
0.0005 and ****P < 0.0001.
ED_Fig_4. Extended Data Fig. 4 | Colonization of the bone marrow by
Csf1r+ and Flt3+ haematopoietic cells.
a, Representative confocal microscopy of frozen
sections from
Flt3Cre;Rosa26LSL-YFP
and
Csf1rCre;Rosa26LSL-YFPmice
analysed at E16.5 (n = 3). b, YFP-labelling
efficiency in
Flt3Cre;Rosa26LSL-YFP
mice analysed by flow cytometry in the indicated cell populations (left),
and by confocal microscopy on frozen bone sections at the indicated age
(right). Magnified regions (bottom right) show YFP expression in individual
osteoclasts. YFP, YFP antibody; TRAP, ELF97 fluorescent substrate; TO-PRO-3,
nuclear stain. c, YFP-labelling efficiency in
Csf1rCre;Rosa26LSL-YFPmice
analysed as in b. Data in b and c are
representative of at least three experiments per time point and genotype.
Points represent individual mice. d, Genetic lineage tracing of osteoclasts
in ossification centres using
Csf1rMer-iCre-Mer;Rosa26LSL-YFP
mice. Representative high-power confocal microscopy of embryonic femurs
showing MGCs in primary ossification centres from
Csf1rMer-iCre-Mer;Rosa26LSL-YFP
E18.5 embryos pulsed with 4-OHT at E8.5, showing YFP expression in MGCs
after cre recombination (left) and quantified as MFI (right) from
cre+ (n = 8) and cre−
(n = 4) (d), and unpulsed controls
(e), showing the lack of YFP in cre+
(n = 4) and cre− (n
= 4). Sections were labelled with antibodies against YFP, TRAP (ELF97
substrate) and TO-PRO-3.
ED_Fig_5. Extended Data Fig. 5 |
Tnfrs11aWask-Cre
knock-in mice enable deletion of target genes in fetal macrophages, but not
in definitive HSCs and their progeny in blood and tissues, whereas
VavCre mice enable deletion
of target genes in definitive HSCs, but not in fetal macrophages.
a, Bar graphs indicate percentage of cells expressing
eYFP obtained by flow cytometry of
Tnfrsf11aCre;Rosa26LSL-YFP
cells from the indicated cell types, organs and time points. Data represent
three independent experiments; n, number of mice per group
indicated on x axis. b, Lineage tracing in the fetal liver
of
VavCre+;tdRFPwt/ki
mice. n, number of mice per group indicated on
x axis. c, Representive molecular analysis of
Csf1r deletion in purified bone marrow haematopoietic
stem and progenitor cells (HSPC) from 62-week-old
VavCre;Csf1rfl/fl
mice and controls (n = 5). d, Representative photograph of
teeth from three-week-old
Rosa26-CreERT2+;Csf1rfl/−
pulsed with tamoxifen at E10.5 (n = 3 mice from three
independent litters). FL, fetal liver; LT-HSC, long-term haematopoietic stem
cells; MPP, multipotent progenitors; PMN, polymorphonuclear cells; mono,
monocytes; T, T cells; B, B cells; PEC, peritoneal exudate cells. Data are
mean ± s.d.; points represent individual mice.
ED_Fig_6. Extended Data Fig. 6 | Bone morphometric and dynamic histomorphometry
effects of Csf1r deletion in P21
Tnfrsf11aCre;Csf1fl/fl
mice.
a–d, Bone volume/total volume
(BV/TV, a), bone length (b), connectivity density
(conn density, c), and trabecular number (Tb.N.,
d) were analysed by micro-CT in 21-day-old mice.
Csf1r−/−
(n = 4), control littermates (n = 7);
Tnfrsf11aWask-Cre+;Csf1rfll−(n
= 8),
Tnfrsf11aWask-Cre+;Csf1rfll+(n
= 7),
Tnfrsf11aWask-Cre+;Csf1rfll−(n
= 3) and control littermates (n = 5). e,
Representative micrographs of calcein labelling (green) of femur of mice
from the indicated genotypes and ages (n = 4). Scale bar,
50 μm. f, Quantification of calcein labelling by
fluorescence microscopy: mineralized surface/bone surface (MS/BS), mineral
apposition rate (MAR) and bone formation rate/bone surface (BFR/BS) in
Tnfrsf11aWask-Cre+;Csf1rfll−Csf1r−/−
(n = 4) and control littermates (n =
15). Data are mean ± s.d.; dots in graphs represent individual mice;
n indicates the number of mice per group; unpaired
two-tailed t-test. *P ≤ 0.05,
**P ≤ 0.005, ***P ≤
0.0005 and ****P ≤ 0.0001.
ED_Fig_7. Extended Data Fig. 7 | EdU labelling of bone marrow myeloid
cells.
a, Short-term kinetics: EdU (20 μg
g−1) was injected intraperitoneally in C57Bl6/N mice
at t = 0. Mice were euthanized at the indicated time points
and the percentage of EdU+ cells (blue) and the geometric MFI of
EdU+ cells (red) were determined by flow cytometry, showing
rapid EdU incorporation. Percentage of EdU+ cells plateaus at
~30 min, and geometric MFI plateaus at ~75 min. Following a
first round of cell division, ~50% of monocytic cells are labelled
after 8–12 h (n = 3–8 mice, see Source Data).
b, Long-term kinetics: (1–240 h) EdU was injected as
in a and percentage of EdU+ monocytic cells in bone
marrow (top) and blood (bottom) was determined by flow cytometry, showing
labelling of ~50% of monocytic cells for ~2 days. Labelled
cells were not detectable after three days. Points represent values from
individual mice; data for each time point are pooled from two to three
independent experiments (see Source Data). c, Parabiosis
between
Csf1rCre;Rosa26LSL-YFP
and
Csf1rCre;Rosa26LSL-tdTomato
pairs as described in (Fig. 3), paired
for one-to-eight weeks, and from
Csf1rCre;Rosa26LSL-YFP
partners separated after four weeks of parabiosis and analysed 4 weeks, 14
weeks and 24 weeks after separation. Scatter plots represent the MFI of
individual TRAP+ MGCs for YFP (y axis) and
tdTomato (x axis), and histograms represent the overlaid
distribution of the MFI values for YFP and tdTomato in TRAP+ MGCs
at the indicated time points. Data are mean ± s.d.; dots in graphs
represent individual mice; n indicates the number of mice
per group.
ED_Fig_8. Extended Data Fig. 8 | FACS analysis of monocyte purification, and blood
and bone marrow from transferred
Csf1rCre;Csf1rfl/fl
mice.
a, Representative flow cytometry plots of purified bone
marrow monocytes from magnetic-bead based enrichment (MACS); percentage of
live YFP+ monocytes is indicated. b, c,
Representative flow cytometry plots from blood (b) and bone
marrow (c) of 14-day-old mice transferred with 1 ×
106 YFP+ monocytes on day 5, 8 and 11, the
percentage of YFP+ cells is indicated. Results shown in
a–c are representative of three
independent experiments.
ED_Fig_9. Extended Data Fig. 9 | Rescue of osteoclasts by monocyte transfer in
Csf1rCre;Csf1rfl/fl
mice.
High-power confocal microscopy images of frozen sections from
Csf1rCre;Csf1rfl/fl
mice transferred with monocytes from
Csf1rCre;Rosa26LSL-YFP
and controls, stained with YFP antibody, TRAP substrate ELF97 and TOPRO-3
nuclear stain. Examples of multinucleated Trap+YFP+
cells (osteoclasts) are indicated with dotted lines. n = 3
mice from independent litters. Numbers 1–3 correspond to the mice in
Fig. 4d.
This work was supported by a NIH/NCI P30CA008748 MSKCC core grant, NIH/NIAID
1R01AI130345 and NIH/NHLBI R01HL138090 to F.G. and by the German Research Foundation
(DFG) through FOR2033-A03, TRR127-A5, WA2837/6–1 and WA2837/7–1 to
C.W. The authors thank Y. Kobayashi, J. Pollard, T. Graf, R. Stanley, J.
Frampton[Author: Are Richard Stanley John Frampton two people? If not, please
correct.], T. Boehm and J. Penninger for providing mouse strains, and the MSKCC
molecular cytology core for preparation of histological samples. The authors are
indebted to R. O’Reilly and F. Boulad for helpful suggestions. F.G. is
grateful to G. Ruth for support. This study is dedicated to the memory of Lucile
Crozet.
Reviewer informationNature thanks Roland Baron, Irving L. Weissmann and Mone Zaidi for
their contribution to the peer review of this work.
Footnotes
Competing Interests F.G. is a consultant and principal
investigator on a Sponsored Research Agreement with Third Rock Venture (TRV).
The other authors declare no competing interests.
Additional Information
Publisher’s note: Springer Nature remains neutral
with regard to jurisdictional claims in published maps and institutional
affiliations.
Online content
Any methods, additional references, Nature Research reporting summaries,
source data, statements of data availability and associated accession codes are
available at [DOI link]
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Supplementary Materials
ED_Fig_1. Extended Data Fig. 1 |
Csf1rCre;Tnfrsf11afl/fl,
Csf1rfl/fl;Csf1rCre
and
Tnfrsf11aCre;Csf1rfl/fl
mice are osteopetrotic.
a, b, Representative CT scans (nanospect
CT) of four-week-old
Csf1rCre;Tnfrsf11afl/fl
mice. Arrows indicate skull deformation and absence of bone marrow cavity in
mutant mice. c, Haematoxylin and TRAP staining of bone sections
from four-week-old
Csf1rCre;Tnfrsf11afl/fl
mice showing closure of the bone marrow. Histology of paraffin sections
(5-μm thickness) corroborates the phenotype from mice in
b. d, Inguinal lymph nodes from
Csf1rCre;Tnfrsf11afl/fl
mice. e, A representative
Csf1rCre;Tnfrsf11afl/fl
and a littermate control. f, Representative CT scan
reconstructions (nanospect CT) of four-week-old
Tnfrsf11aKoba-Cre;Csf1rfl/fl
mice. Arrows indicate skull deformation, but with presence of a bone marrow
cavity in mutant mice, in contrast to those in a and
b. g, Representative CT scans of
Csf1rCre;Csf1rfl/fl
mice. Arrows indicate skull deformation and absence of bone marrow cavity in
mutant mice as in a and b. CT scans and
photographs are representative of >10 litters.
ED_Fig_2. Extended Data Fig. 2 | Bone histology and flow cytometry analysis of bone
marrow phenotypic KSL, LT-HSCs, ST-HSCs and MPPs in mice ofindicated
genotypes.
a, Young
Flt3Cre;Csf1rfl/fl
and
Flt3Cre;Tnfrsf11afl/fl
mice have normal long bones. Haematoxylin and TRAP staining of bone sections
from four-week-old
Flt3Cre;Tnfrsf11afl/fl
mice, showing normal bone structure and bone marrow cavity. b, LSK cell
numbers in bone marrow from three-to-four-week-old
Flt3Cre;Tnfrsf11afl/fl
(n = 3) and
Flt3Cre;Tnfrsf11afl/+
mice (n = 2) and littermate controls (n =
4) and from 22-week-old
Flt3Cre;Tnfrsf11afl/fl
(n = 5) and
Flt3Cre;Tnfrsf11afl/+
mice (n = 4) and littermate controls (n =
4). c, Haematoxylin and TRAP staining of bone sections from four-week-old
Flt3Cre;Csf1rfl/fl
mice showing normal bone structure and bone marrow cavity. d, e, Phenotypic
long-term haematopoietic stem cells (LT-HSCs) are reduced in aged wild-type
mice but not in aged
VavCre;Csf1rfl/−
mice. f, g, LT-HSCs are reduced in in young
Csf1r−/− mice, and to a lesser
extent, in young
Tnfrsf11aWask-Cre;Csf1rfl/−
mice. Cell counts for two femurs are shown. h, Flow cytometry analysis of
F4/80+ cells in brain (microglia) and epidermis (Langerhans
cells) in E18.5
Tnfrsf11aCre;Csf1rfl/fl
embryos and littermate controls (n = 3 per group). i,
Haematoxylin and TRAP staining of bone sections from P7
Tnfrsf11aCre;Csf1rfl/fl
mice and littermate controls, showing absence of the bone marrow cavity. j,
Flow cytometry of fetal liver at E15.5 (representative results of three
experiments). k, LSK numbers in bone marrow of three-to-four-week-old
Tnfrsf11aWask-Cre;Csf1rfl/fl
mice (n = 24) and littermate controls (n =
20), and
Tnfrsf11aKoba-Cre;Csf1rfl/fl
(n = 7) and
Tnfrsf11aKoba-Cre;Csf1rfl+l
mice (n = 6) and littermate controls (n =
8). l, For comparison, LSK numbers in bone marrow of three-to-four-week-old
Csf1r−/− mice
(n = 22) and littermate controls (n =
21). m, Representative micrographs of femur sections from four-week-old
Tnfrsf11aCre;Csf1rfl/fl
mice and littermate controls, stained with haematoxylin and TRAP. n, Blood
leukocytes numbers in four-week-old
Tnfrsf11aCre;Csf1rfl/fl
mice (n = 5),
Tnfrsf11aCre;Csf1rfl/+
mice (n = 6) and littermate controls (n =
12). Points represent individual mice; results from three independent
experiments. Data are mean ± s.d.; n indicates the
number of mice per group; unpaired two tailed t-tests.
*P < 0.05, **P < 0.005,
***P < 0.0005 and ****P
< 0.0001. LT-HSC,
Lin−KIT+SCA1+;Kit+SCA1+CD34−FLT3−.
Phenotypic short-term haematopoietic stem cells (ST-HSC),
Lin−KIT+SCA1+CD34+FLT3−.
MPP, multipotent progenitors;
Lin−KIT+SCA1+CD34+FLT3+.
Lin,
CD3+CD19+NK1.1+TER119+CD11b+GR1+B220+.
ED_Fig_3. Extended Data Fig. 3 | Bone histomorphometry in old
Flt3Cre;Tnfrsf11afl/fl,
Flt3Cre;Csf1rfl/fl
and
VavCre;Csf1rfl/fl
mice and control littermates.
a, Representative Micro-CT of femura of mice of the
indicated age and genotype. b, Bone length, connectivity
density (Conn density), trabecular number (Tb.N.) and trabecular spacing
(Tb.Sp.) analysed by micro-CT in aged
Flt3Cre;Tnfrsf11afl/fl
(n = 4) and
Flt3Cre;Csf1rfl/fl
(n = 4) mice and control littermates
(n = 7). c, Bone histomorphometry as in
b, for
VavCre;Csf1rfl/fl
mice and control littermates (n = 5). d,
e, Dynamic bone histomorphometry in aged
Flt3Cre;Tnfrsf11afl/fl
and
Flt3Cre;Csf1rfl/fl
mice using in vivo calcein labelling. d, Representative
micrographs of calcein labelling (green) of femura of mice from the
indicated genotypes and ages. Scale bars: 200 μm (top); 50 μm
(bottom). e, Quantification of calcein labelling by
fluorescence microscopy of mineralized surface/bone surface (MS/BS), mineral
apposition rate (MAR), and bone formation rate/bone surface (BFR/BS) in aged
Flt3Cre;Tnfrsf11afl/fl
(n = 5),
Flt3Cre;Csf1rfl/fl
(n = 3) and control littermates (n =
10) Data are mean ± s.d.; dots in graphs represent individual mice;
n indicates the number of mice per group; unpaired two
tailed t-tests. *P < 0.05,
**P < 0.005, ***P <
0.0005 and ****P < 0.0001.
ED_Fig_4. Extended Data Fig. 4 | Colonization of the bone marrow by
Csf1r+ and Flt3+ haematopoietic cells.
a, Representative confocal microscopy of frozen
sections from
Flt3Cre;Rosa26LSL-YFP
and
Csf1rCre;Rosa26LSL-YFPmice
analysed at E16.5 (n = 3). b, YFP-labelling
efficiency in
Flt3Cre;Rosa26LSL-YFP
mice analysed by flow cytometry in the indicated cell populations (left),
and by confocal microscopy on frozen bone sections at the indicated age
(right). Magnified regions (bottom right) show YFP expression in individual
osteoclasts. YFP, YFP antibody; TRAP, ELF97 fluorescent substrate; TO-PRO-3,
nuclear stain. c, YFP-labelling efficiency in
Csf1rCre;Rosa26LSL-YFPmice
analysed as in b. Data in b and c are
representative of at least three experiments per time point and genotype.
Points represent individual mice. d, Genetic lineage tracing of osteoclasts
in ossification centres using
Csf1rMer-iCre-Mer;Rosa26LSL-YFP
mice. Representative high-power confocal microscopy of embryonic femurs
showing MGCs in primary ossification centres from
Csf1rMer-iCre-Mer;Rosa26LSL-YFP
E18.5 embryos pulsed with 4-OHT at E8.5, showing YFP expression in MGCs
after cre recombination (left) and quantified as MFI (right) from
cre+ (n = 8) and cre−
(n = 4) (d), and unpulsed controls
(e), showing the lack of YFP in cre+
(n = 4) and cre− (n
= 4). Sections were labelled with antibodies against YFP, TRAP (ELF97
substrate) and TO-PRO-3.
ED_Fig_5. Extended Data Fig. 5 |
Tnfrs11aWask-Cre
knock-in mice enable deletion of target genes in fetal macrophages, but not
in definitive HSCs and their progeny in blood and tissues, whereas
VavCre mice enable deletion
of target genes in definitive HSCs, but not in fetal macrophages.
a, Bar graphs indicate percentage of cells expressing
eYFP obtained by flow cytometry of
Tnfrsf11aCre;Rosa26LSL-YFP
cells from the indicated cell types, organs and time points. Data represent
three independent experiments; n, number of mice per group
indicated on x axis. b, Lineage tracing in the fetal liver
of
VavCre+;tdRFPwt/ki
mice. n, number of mice per group indicated on
x axis. c, Representive molecular analysis of
Csf1r deletion in purified bone marrow haematopoietic
stem and progenitor cells (HSPC) from 62-week-old
VavCre;Csf1rfl/fl
mice and controls (n = 5). d, Representative photograph of
teeth from three-week-old
Rosa26-CreERT2+;Csf1rfl/−
pulsed with tamoxifen at E10.5 (n = 3 mice from three
independent litters). FL, fetal liver; LT-HSC, long-term haematopoietic stem
cells; MPP, multipotent progenitors; PMN, polymorphonuclear cells; mono,
monocytes; T, T cells; B, B cells; PEC, peritoneal exudate cells. Data are
mean ± s.d.; points represent individual mice.
ED_Fig_6. Extended Data Fig. 6 | Bone morphometric and dynamic histomorphometry
effects of Csf1r deletion in P21
Tnfrsf11aCre;Csf1fl/fl
mice.
a–d, Bone volume/total volume
(BV/TV, a), bone length (b), connectivity density
(conn density, c), and trabecular number (Tb.N.,
d) were analysed by micro-CT in 21-day-old mice.
Csf1r−/−
(n = 4), control littermates (n = 7);
Tnfrsf11aWask-Cre+;Csf1rfll−(n
= 8),
Tnfrsf11aWask-Cre+;Csf1rfll+(n
= 7),
Tnfrsf11aWask-Cre+;Csf1rfll−(n
= 3) and control littermates (n = 5). e,
Representative micrographs of calcein labelling (green) of femur of mice
from the indicated genotypes and ages (n = 4). Scale bar,
50 μm. f, Quantification of calcein labelling by
fluorescence microscopy: mineralized surface/bone surface (MS/BS), mineral
apposition rate (MAR) and bone formation rate/bone surface (BFR/BS) in
Tnfrsf11aWask-Cre+;Csf1rfll−Csf1r−/−
(n = 4) and control littermates (n =
15). Data are mean ± s.d.; dots in graphs represent individual mice;
n indicates the number of mice per group; unpaired
two-tailed t-test. *P ≤ 0.05,
**P ≤ 0.005, ***P ≤
0.0005 and ****P ≤ 0.0001.
ED_Fig_7. Extended Data Fig. 7 | EdU labelling of bone marrow myeloid
cells.
a, Short-term kinetics: EdU (20 μg
g−1) was injected intraperitoneally in C57Bl6/N mice
at t = 0. Mice were euthanized at the indicated time points
and the percentage of EdU+ cells (blue) and the geometric MFI of
EdU+ cells (red) were determined by flow cytometry, showing
rapid EdU incorporation. Percentage of EdU+ cells plateaus at
~30 min, and geometric MFI plateaus at ~75 min. Following a
first round of cell division, ~50% of monocytic cells are labelled
after 8–12 h (n = 3–8 mice, see Source Data).
b, Long-term kinetics: (1–240 h) EdU was injected as
in a and percentage of EdU+ monocytic cells in bone
marrow (top) and blood (bottom) was determined by flow cytometry, showing
labelling of ~50% of monocytic cells for ~2 days. Labelled
cells were not detectable after three days. Points represent values from
individual mice; data for each time point are pooled from two to three
independent experiments (see Source Data). c, Parabiosis
between
Csf1rCre;Rosa26LSL-YFP
and
Csf1rCre;Rosa26LSL-tdTomato
pairs as described in (Fig. 3), paired
for one-to-eight weeks, and from
Csf1rCre;Rosa26LSL-YFP
partners separated after four weeks of parabiosis and analysed 4 weeks, 14
weeks and 24 weeks after separation. Scatter plots represent the MFI of
individual TRAP+ MGCs for YFP (y axis) and
tdTomato (x axis), and histograms represent the overlaid
distribution of the MFI values for YFP and tdTomato in TRAP+ MGCs
at the indicated time points. Data are mean ± s.d.; dots in graphs
represent individual mice; n indicates the number of mice
per group.
ED_Fig_8. Extended Data Fig. 8 | FACS analysis of monocyte purification, and blood
and bone marrow from transferred
Csf1rCre;Csf1rfl/fl
mice.
a, Representative flow cytometry plots of purified bone
marrow monocytes from magnetic-bead based enrichment (MACS); percentage of
live YFP+ monocytes is indicated. b, c,
Representative flow cytometry plots from blood (b) and bone
marrow (c) of 14-day-old mice transferred with 1 ×
106 YFP+ monocytes on day 5, 8 and 11, the
percentage of YFP+ cells is indicated. Results shown in
a–c are representative of three
independent experiments.
ED_Fig_9. Extended Data Fig. 9 | Rescue of osteoclasts by monocyte transfer in
Csf1rCre;Csf1rfl/fl
mice.
High-power confocal microscopy images of frozen sections from
Csf1rCre;Csf1rfl/fl
mice transferred with monocytes from
Csf1rCre;Rosa26LSL-YFP
and controls, stained with YFP antibody, TRAP substrate ELF97 and TOPRO-3
nuclear stain. Examples of multinucleated Trap+YFP+
cells (osteoclasts) are indicated with dotted lines. n = 3
mice from independent litters. Numbers 1–3 correspond to the mice in
Fig. 4d.