Cellular mechanisms that account for tumour
osteolysis associated with
Ewing's sarcoma are uncertain. Osteoclasts are marrow-derived multinucleated cells (MNCs) that effect tumour
osteolysis. Osteoclasts are known to form from macrophages by both receptor activator for
nuclear factor-kappaB (
RANK) ligand (RANKL)-dependent and -independent mechanisms. In this study, our aim has been to determine whether tumour-associated macrophages (TAMs) isolated from
Ewing's sarcoma are capable of differentiating into osteoclasts and to characterise the cellular and humoral mechanisms whereby this occurs. Tumour-associated macrophages were isolated from two Ewing's
sarcomas and cultured on both coverslips and dentine slices for up to 21 days with soluble RANKL and
macrophage colony stimulating factor (
M-CSF). Osteoclast formation from TAMs (CD14+) was evidenced by the formation of
tartrate-resistant acid phosphatase (TRAP) and
vitronectin receptor (VNR)-positive MNCs, which were capable of carrying out lacunar resorption. This osteoclast formation was inhibited by the addition of
bisphosphonates. Both
Ewing's sarcoma-derived fibroblasts and some bone stromal cells expressed RANKL and supported osteoclast formation by a contact-dependent mechanism. We also found that osteoclast differentiation occurred when Ewing's TAMs were cultured with tumour
necrosis factor (
TNF)-alpha in the presence of
M-CSF and that TC71
Ewing's sarcoma cells stimulated osteoclast formation through the release of a soluble factor, the action of which was abolished by an antibody to
TNF-alpha. These results indicate that TAMs in
Ewing's sarcoma are capable of osteoclast differentiation by both RANKL-dependent and
TNF-alpha-dependent mechanisms and that
Ewing's sarcoma cells produce osteoclastogenic factor(s). Our findings suggest that anti-resorptive and anti-osteoclastogenic
therapies may be useful in inhibiting the
osteolysis of
Ewing's sarcoma.