Abstract

 

Heme oxygenase (HO-1) catalyzes heme to carbon monoxide (CO), biliverdin/bilirubin, and iron. It prevents the pathogenesis of several human diseases. Here we assessed the beneficial effect of heme degradation products on osteoclastogenesis induced by receptor activator of NF-¥êB ligand (RANKL). Treatment of RAW264.7 cells with CORM-2 (a CO donor) and bilirubin, but not with iron, decreased RANKL-induced osteoclastogenesis, with CORM-2 having a more potent anti-osteogenic effect. CORM-2 also inhibited RANKL-induced osteoclastogenesis and osteoclastic resorption activity in marrow-derived macrophages. Treatment with hemin, a HO-1 inducer, strongly inhibited RANKL-induced osteoclastogenesis in wild-type macrophages, but not effectively in HO-1+/- cells. CORM-2 reduced RANKL-induced NFATc1 expression by inhibiting IKK-dependent NF-¥êB activation and reactive oxygen species production. These results suggest that CO has a potent inhibitory effect on RANKL-induced osteoclastogenesis by inhibiting redox-sensitive NF-¥êB-mediated NFATc1 expression. Our findings indicate that HO-1/CO can act as an anti-resorption agent to reduce bone loss by blocking osteoclast differentiation.