Which bone cell is the primary mediator of bone resorption?

Prepare for the CMS II Rheumatology E1 Exam with interactive flashcards and multiple choice questions, each equipped with hints and explanations. Ace your exam today!

Multiple Choice

Which bone cell is the primary mediator of bone resorption?

Explanation:
Resorption is carried out by osteoclasts, specialized multinucleated cells derived from the monocyte/macrophage lineage. They attach tightly to the bone surface and create a sealed resorption zone where they pump protons to acidify the microenvironment and release proteolytic enzymes like cathepsin K to digest the organic matrix. This combination of mineral dissolution and matrix breakdown is why osteoclasts are the primary mediators of bone resorption. Other bone cells have different roles in remodeling: osteoblasts form new bone matrix, osteoprogenitor cells are their precursors, and osteocytes act as mechanosensors and regulators within the bone. The activity of osteoclasts is regulated by signals from osteoblast-lineage cells (RANKL stimulates them; osteoprotegerin can inhibit them), but the actual resorptive function is carried out by osteoclasts.

Resorption is carried out by osteoclasts, specialized multinucleated cells derived from the monocyte/macrophage lineage. They attach tightly to the bone surface and create a sealed resorption zone where they pump protons to acidify the microenvironment and release proteolytic enzymes like cathepsin K to digest the organic matrix. This combination of mineral dissolution and matrix breakdown is why osteoclasts are the primary mediators of bone resorption. Other bone cells have different roles in remodeling: osteoblasts form new bone matrix, osteoprogenitor cells are their precursors, and osteocytes act as mechanosensors and regulators within the bone. The activity of osteoclasts is regulated by signals from osteoblast-lineage cells (RANKL stimulates them; osteoprotegerin can inhibit them), but the actual resorptive function is carried out by osteoclasts.

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