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"RANK ligand"

Review Article

Mechanisms of Osteoclastogenesis in Orthodontic Tooth Movement and Orthodontically Induced Tooth Root Resorption
Yuta Nakai, Natnicha Praneetpong, Wanida Ono, Noriaki Ono
J Bone Metab 2023;30(4):297-310.
Published online November 30, 2023
DOI: https://doi.org/10.11005/jbm.2023.30.4.297
Orthodontic tooth movement (OTM) is achieved by the simultaneous activation of bone resorption by osteoclasts and bone formation by osteoblasts. When orthodontic forces are applied, osteoclast-mediated bone resorption occurs in the alveolar bone on the compression side, creating space for tooth movement. Therefore, controlling osteoclastogenesis is the fundamental tenet of orthodontic treatment. Orthodontic forces are sensed by osteoblast lineage cells such as periodontal ligament (PDL) cells and osteocytes. Of several cytokines produced by these cells, the most important cytokine promoting osteoclastogenesis is the receptor activator of nuclear factor-κB ligand (RANKL), which is mainly supplied by osteoblasts. Additionally, osteocytes embedded within the bone matrix, T lymphocytes in inflammatory conditions, and PDL cells produce RANKL. Besides RANKL, inflammatory cytokines, such as interleukin-1, tumor necrosis factor-α, and prostaglandin E2 promote osteoclastogenesis under OTM. On the downside, excessive osteoclastogenesis activation triggers orthodontically-induced external root resorption (ERR) through pro-osteoclastic inflammatory cytokines. Therefore, understanding the mechanisms of osteoclastogenesis during OTM is essential in reducing the adverse effects of orthodontic treatment. Here, we review the current concepts of the mechanisms underlying osteoclastogenesis in OTM and orthodontically induced ERR.

Citations

Citations to this article as recorded by  Crossref logo
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    Analytical Methods.2026; 18(2): 389.     CrossRef
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    Samar Ali Hamed, Mohammad Hasan Mohammad, Mohamed E. Grawish, Ahmed Maher Fouda, Mona Abdelaziz Montasser
    International Orthodontics.2026; 24(2): 101112.     CrossRef
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    Anna Ewa Kuc, Jacek Kotuła, Kamil Sybilski, Grzegorz Hajduk, Joanna Lis, Beata Kawala, Michał Sarul, Magdalena Sulewska
    Journal of Clinical Medicine.2026; 15(2): 721.     CrossRef
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    José Roberto Alves Moreira, Osmar Aparecido Cuoghi, Marcos Rogério De Mendonça, Alberto Consolaro, Maria Fernanda Martins-Ortiz, Henrique Barcelos Brandão, Luiz Gonzaga Gandini Junior, Ary dos Santos Pinto
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    Yikun Zhou, Gengming Zhang, Hong He
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    Ziqiu Fan, Hideki Kitaura, Takahiro Noguchi, Fumitoshi Ohori, Aseel Marahleh, Jinghan Ma, Jiayi Ren, Angyi Lin, Kohei Narita, Itaru Mizoguchi
    Journal of Dental Sciences.2025; 20(2): 764.     CrossRef
  • 11. Biomechanically induced regulation of Damage-Regulated Autophagy Modulator 1 in periodontal cells and tissues
    Anemone Mannes, Andressa Nogueira, Annika Both, Alexandra Mayr, Jana Marciniak, Erika Calvano Küchler, Fazilet Bekbulat, Joni A. Cirelli, Christian Kirschneck, Christian Behl, James Deschner, Andreas Jäger, Svenja Beisel-Memmert
    Biochemical and Biophysical Research Communications.2025; 742: 151131.     CrossRef
  • 12. Periodontal response to nonsurgical accelerated orthodontic tooth movement
    Fatma Oner, Alpdogan Kantarci
    Periodontology 2000.2025;[Epub]     CrossRef
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    Dentistry Journal.2025; 13(3): 95.     CrossRef
  • 14. Metformin reverses periodontal destruction caused by experimental periodontitis by inhibiting interleukin‐1β activity
    Zhao Wang, Ju Han Song, Jung‐Woo Kim, Seung‐Hee Kwon, Xianyu Piao, Sin‐Hye Oh, Suk‐Gyun Park, Sun‐Hun Kim, Je‐Hwang Ryu, Ok‐Su Kim, Jeong‐Tae Koh
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    Journal of Periodontal Research.2025; 60(9): 923.     CrossRef
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    Yue Song, Yao Jiao, Yitong Liu, Lijia Guo
    International Journal of Molecular Sciences.2025; 26(10): 4478.     CrossRef
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    Frontiers in Molecular Neuroscience.2025;[Epub]     CrossRef
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    Journal of Dental Research.2025; 104(12): 1361.     CrossRef
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    Progress in Biophysics and Molecular Biology.2025; 197: 84.     CrossRef
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    Divya Mareddy, Marimallappa TR, Mahesh Kumar Ranghnath, Ashok Kumar KR, Jambukeshwar Kumar B, Supriyo Pal
    International Journal of Clinical Pediatric Dentistry.2025; 18(7): 838.     CrossRef
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    Ruyi Wang, Yuan Li, Bowen Tan, Shijia Li, Yanting Wu, Yao Chen, Yuran Qian, Haochen Wang, Bo Li, Zhihe Zhao, Quan Yuan, Yu Li
    International Journal of Oral Science.2025;[Epub]     CrossRef
  • 22. Navigating the Complex Landscape of Osteoclastogenesis in Orthodontics
    Sandra Sagar, Genickson Jeyaraj, Pratibha Ramani
    Journal of Bone Metabolism.2025; 32(3): 244.     CrossRef
  • 23. Recent Advances in the Role of Osteocytes in Orthodontic Tooth Movement
    Aseel Marahleh, Fumitoshi Ohori, Jinghan Ma, Ziqiu Fan, Angyi Lin, Kohei Narita, Kou Murakami, Hideki Kitaura
    International Journal of Molecular Sciences.2025; 26(19): 9396.     CrossRef
  • 24. Biological Regulatory Mechanisms of Orthodontic Tooth Movement: Potential Analysis of Cordycepin and Other Natural Products
    美彤 刘
    Advances in Clinical Medicine.2025; 15(10): 803.     CrossRef
  • 25. Photobiomodulation Meets Mechanotransduction: Immune-Stromal Crosstalk in Orthodontic Remodeling
    Jovan Marković, Miodrag Čolić
    Biomedicines.2025; 13(10): 2495.     CrossRef
  • 26. Salivary Albumin and Alkaline Phosphatase in Infants: Exploring the Link Between Early Dental Development and Biomarkers
    Sindy Cornelia Nelwan, Udijanto Tedjosasongko, Tania Saskianti, Ardianti Maartrina Dewi, Erika Setyowati, Sofia Tandya Putri, Nunthawan Nowwarote
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    Aulia Ayub, Ananto Ali Alhasyimi
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    Qin Xue, Xuyang Zhang, Mei Hu, Yao He
    Journal of Periodontology.2025;[Epub]     CrossRef
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    Anna Ewa Kuc, Kamil Sybilski, Jacek Kotuła, Grzegorz Hajduk, Magdalena Sulewska, Szymon Saternus, Justyna Ewa Kulikowska-Kulesza, Małgorzata Kotarska, Beata Kawala, Jerzy Małachowski, Michał Sarul
    Materials.2025; 18(23): 5290.     CrossRef
  • 30. Predicting the Effects of Medication and Nutrients on Orthodontic Tooth Movement via the Receptor Activator of Nuclear Factor kappa-B Ligand/ Osteoprotegerin (RANKL/OPG) Ratio in Cultured Human Periodontal Ligament Fibroblasts

    Journal of Dental Health and Oral Research.2025; : 1.     CrossRef
  • 31. Mechanistic Model of Periodontal Inflammation and Orthodontic Force Interactions
    Olivia S. Brown, Ahmad F. Rahman, Ahmed K. El Sherif
    Asian Journal of Periodontics and Orthodontics.2025; 5(1): 298.     CrossRef
  • 32. Exploring the role of innate lymphoid cells in the periodontium: insights into immunological dynamics during orthodontic tooth movement
    Eva Pastille, Anna Konermann
    Frontiers in Immunology.2024;[Epub]     CrossRef
  • 33. The Role of Bone and Root Resorption on the Biomechanical Behavior of Mandibular Anterior Teeth Subjected to Orthodontic Forces: A Finite Element Approach
    Jana Flatten, Thomasz Gedrange, Christoph Bourauel, Ludger Keilig, Anna Konermann
    Biomedicines.2024; 12(9): 1959.     CrossRef
  • 34. Investigating the Role of Primary Cilia and Bone Morphogenetic Protein Signaling in Periodontal Ligament Response to Orthodontic Strain In Vivo and In Vitro: A Pilot Study
    Emily R. Moore, Anna Konermann
    International Journal of Molecular Sciences.2024; 25(23): 12648.     CrossRef
  • 35. Thermogenic preworkout supplement induces alveolar bone loss in a rat model of tooth movement via RANK/RANKL/OPG pathway
    Gurgiane Rodrigues Gurgel CAVALCANTE, Mariana Cabral MORENO, Flavia Queiroz PIRIH, Vanessa de Paula SOARES, Éricka Janine Dantas da SILVEIRA, José Sandro Pereira da SILVA, Hallissa Simplício Gomes PEREIRA, Katherine Pennington KLEIN, Maria Luiza Diniz de
    Brazilian Oral Research.2024;[Epub]     CrossRef
  • 36. Fluoxetine inhibited RANKL-induced osteoclastic differentiation in vitro
    Jing-wen Zhang, Fang-bing Zhao, Bing’er Ma, Xiao-qing Shen, Yuan-ming Geng
    Open Medicine.2024;[Epub]     CrossRef
  • 37. Cytokine and Chemokine Profiles in Orthodontic Treatment with Reduced Periodontal Support
    Daniel R. Miller, Sophie L. Grant, Michael J. Patel, Hannah K. Brooks
    Asian Journal of Periodontics and Orthodontics.2024; 4(1): 285.     CrossRef
  • 7,939 View
  • 236 Download
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Original Articles

Background

Osteoclasts are bone resorbing cells and are responsible for bone erosion in diseases as diverse as osteoporosis, periodontitis, and rheumatoid arthritis. Fexaramine has been developed as an agonist for the farnesoid X receptor (FXR). This study investigated the effects of fexaramine on receptor activator of nuclear factor (NF)-κB ligand (RANKL)-induced osteoclast formation and signaling pathways.

Methods

Osteoclasts were formed by culturing mouse bone marrow-derived macrophages (BMMs) with macrophage colony-stimulating factor (M-CSF) and RANKL. Bone resorption assays were performed using dentine slices. The mRNA expression level was analyzed by real-time polymerase chain reaction. Western blotting assays were conducted to detect the expression or activation level of proteins. Lipopolysaccharide-induced osteoclast formation was performed using a mouse calvarial model.

Results

Fexaramine inhibited RANKL-induced osteoclast formation, without cytotoxicity. Furthermore, fexaramine diminished the RANKL-stimulated bone resorption. Mechanistically, fexaramine blocked the RANKL-triggered p38, extracellular signal-regulated kinase, and glycogen synthase kinase 3β phosphorylation, resulting in suppressed expression of c-Fos and NF of activated T cells (NFATc1). Consistent with the in vitro anti-osteoclastogenic effect, fexaramine suppressed lipopolysaccharide-induced osteoclast formation in the calvarial model.

Conclusions

The present data suggest that fexaramine has an inhibitory effect on osteoclast differentiation and function, via downregulation of NFATc1 signaling pathways. Thus, fexaramine could be useful for the treatment of bone diseases associated with excessive bone resorption.

Citations

Citations to this article as recorded by  Crossref logo
  • 1. FXR in bone metabolism: An emerging regulator
    S. M. Mahamudul Hassan Rizvi, Aihemaiti Shami, Yun Kan, Shengxiang Tao, Hui Liu
    iScience.2026; 29(3): 114842.     CrossRef
  • 2. Gut microbiota and microbial metabolites for osteoporosis
    Xuan-Qi Zheng, Ding-Ben Wang, Yi-Rong Jiang, Chun-Li Song
    Gut Microbes.2025;[Epub]     CrossRef
  • 3. Gut Microbiota in Rheumatoid Arthritis: Unraveling Pathogenic Mechanisms and Therapeutic Opportunities
    Yang Yun, Guo‐Qiang Xu, Xiao‐Jing Jiang, Xin‐Yao Ren, Ming‐Fu Lu, Jun‐Wei Chen, Sheng‐Xiao Zhang
    Comprehensive Physiology.2025;[Epub]     CrossRef
  • 4. M2 macrophages-derived exosomes regulate osteoclast differentiation by the CSF2/TNF-α axis
    Yue Zhou, Guangyao Hu
    BMC Oral Health.2024;[Epub]     CrossRef
  • 5. An Intestinal FXR Agonist Mitigates Dysbiosis, Intestinal Tight Junctions, and Inflammation in High‐Fat Diet‐Fed Mice
    Tamiris Ingrid Petito‐da‐Silva, Felipe Missiba Villardi, Aline Penna‐de‐Carvalho, Carlos Alberto Mandarim‐de‐Lacerda, Vanessa Souza‐Mello, Sandra Barbosa‐da‐Silva
    Molecular Nutrition & Food Research.2024;[Epub]     CrossRef
  • 6. Polysaccharides to postbiotics: Nurturing bone health via modulating “gut-immune axis”
    Sumedha Yadav, Leena Sapra, Rupesh K. Srivastava
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    Jie Huang, Huang Zhang, Xusheng Fan, Yongwu Wang
    Clinical Oral Investigations.2024;[Epub]     CrossRef
  • 8. The association between total bile acid and bone mineral density among patients with type 2 diabetes
    Song Yang, Hongyun Li, Yuanyuan Gu, Qiang Wang, Li Dong, Chao Xu, Yuxin Fan, Ming Liu, Qingbo Guan, Lixing Ma
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
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    Stacyann Bailey, Keith Fraser
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
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    Cui Wang, Qing Ma, Xijie Yu
    Clinical Interventions in Aging.2023; Volume 18: 1749.     CrossRef
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    Asha Bhardwaj, Leena Sapra, Abhay Tiwari, Pradyumna K. Mishra, Satyawati Sharma, Rupesh K. Srivastava
    Frontiers in Microbiology.2022;[Epub]     CrossRef
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    The FASEB Journal.2022;[Epub]     CrossRef
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  • 5,272 View
  • 35 Download
  • Crossref
Background

Osteoclasts are differentiated from monocytes/macrophage colony-stimulating factor (M-CSF) and receptor activator of nuclear factor-kappa B (NF-κB) ligand (RANKL). Croton pycnanthus Benth. (CPB) is a herbal plant that belongs to Euphorbiaceae family. The aim of this study was to investigate the effects of CPB on osteoclastogenesis and RANKL-dependent signaling pathways.

Methods

Methanol extract of CPB was obtained from International Biological Material Research Center. Osteoclast differentiation was achieved by culturing mouse bone marrow-derived macrophages (BMMs) with M-CSF and RANKL. Osteoclast numbers were evaluated by counting multinuclear cells positive for tartrate-resistant acid phosphatase (TRAP). mRNA and protein levels were analyzed by real-time polymerase chain reaction (PCR) and Western blotting, respectively. The activation of signaling molecules were assessed after acute stimulation of cells with high dose of RANKL by Western blotting with phospho-specific antibodies.

Results

CPB reduced the generation of TRAP-positive multinucleated cells and the activation of mitogen-activated protein kinase (MAPK) and NF-κB signaling pathways. The induction of the expression of c-Fos, nuclear factor-activated T cells c1 (NFATc1) and dendritic cell-specific transmembrane protein (DC-STAMP) by RANKL was also suppressed.

Conclusions

CPB exerts negative effects on osteoclast differentiation in response to the RANKL. The inhibitory mechanism involves the suppression of MAPK and NF-κB signaling pathways and subsequently the down-regulation of c-Fos and NFATc1 transcription factors.

Citations

Citations to this article as recorded by  Crossref logo
  • 1. Inhibitory Effect of Rosae Multiflorae Fructus Extracts on the Receptor Activator of NF-κB Ligand-Induced Osteoclastogenesis through Modulation of P38- and Ca2+-Mediated Nuclear Factor of Activated T-Cells Cytoplasmic 1 Expression
    Keun Ha Park, Dong Ryun Gu, Min Seuk Kim, Seoung Hoon Lee
    Journal of Bone Metabolism.2020; 27(1): 53.     CrossRef
  • 2. Inhibitory effect of Chaenomelis Fructus ethanol extract on receptor activator of nuclear factor-kappa B ligand-mediated osteoclastogenesis
    Geun Ha Park, Dong Ryun Gu, Seoung Hoon Lee
    International Journal of Oral Biology.2020; 45(1): 15.     CrossRef
  • 3. Effects of light-emitting diode irradiation on RANKL-induced osteoclastogenesis
    HongMoon Sohn, Youngjong Ko, Mineon Park, Donghwi Kim, Young Lae Moon, Yeon Joo Jeong, Hyeonjun Lee, Yeonhee Moon, Byung-Chul Jeong, Okjoon Kim, Wonbong Lim
    Lasers in Surgery and Medicine.2015; 47(9): 745.     CrossRef
  • 4. ZIP4 silencing improves bone loss in pancreatic cancer
    Qiang Zhang, Xiaotian Sun, Jingxuan Yang, Hao Ding, Drake LeBrun, Kai Ding, Courtney W. Houchen, Russell G. Postier, Catherine G. Ambrose, Zhaoshen Li, Xiaohong Bi, Min Li
    Oncotarget.2015; 6(28): 26041.     CrossRef
  • 8,605 View
  • 32 Download
  • Crossref

Review Articles

Regulation of NFATc1 in Osteoclast Differentiation
Jung Ha Kim, Nacksung Kim
J Bone Metab 2014;21(4):233-241.
Published online November 30, 2014
DOI: https://doi.org/10.11005/jbm.2014.21.4.233

Osteoclasts are unique cells that degrade the bone matrix. These large multinucleated cells differentiate from the monocyte/macrophage lineage upon stimulation by two essential cytokines, macrophage colony-stimulating factor (M-CSF) and receptor activator of nuclear factor-kappa B (NF-κB) ligand (RANKL). Activation of transcription factors such as microphthalmia transcription factor (MITF), c-Fos, NF-κB, and nuclear factor-activated T cells c1 (NFATc1) is required for sufficient osteoclast differentiation. In particular, NFATc1 plays the role of a master transcription regulator of osteoclast differentiation. To date, several mechanisms, including transcription, methylation, ubiquitination, acetylation, and non-coding RNAs, have been shown to regulate expression and activation of NFATc1. In this review, we have summarized the various mechanisms that control NFATc1 regulation during osteoclast differentiation.

Citations

Citations to this article as recorded by  Crossref logo
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    You Yeon Choi, Seong Chul Jin, Minwoo Song, Seungyob Yi, Jieun Park, Hee Kyung Baek, Sung Hyo Park, Hyun Jung Yang, Jin Young Lee, Woong Mo Yang
    Journal of Ethnopharmacology.2026; 355: 120669.     CrossRef
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    Journal of Ethnopharmacology.2026; 356: 120833.     CrossRef
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    International Immunopharmacology.2026; 169: 115973.     CrossRef
  • 4. RANKL enhances the expression of PEPT1/SLC15A1 and PEPT2/SLC15A2 in RAW264.7 cells
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    Sirada Srihirun, Chareerut Phruksaniyom, Thanaporn Sriwantana, Tipparat Parakaw, Nathawut Sibmooh, Pornpun Vivithanaporn, Kran Suknuntha, Hongtao Bi
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    Chaowen Bai, Mingchao Zhang, Le Liu, Lide Tao, Chenyang Xu, Hao Chai, Xin Shi, Yin Wang, Xiaopei Zhang, Qiong Chen, Dong Liu, Jinyu Bai, Chang She, Xiaozhong Zhou, Cong Cao, Huajian Shan
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Mouse Models for the Evaluation of Osteocyte Functions
Toshihisa Komori
J Bone Metab 2014;21(1):55-60.
Published online February 28, 2014
DOI: https://doi.org/10.11005/jbm.2014.21.1.55

Osteocytes establish an extensive intracellular and extracellular communication system via gap junction-coupled cell processes and canaliculi, through which cell processes pass throughout bone, and the communication system is extended to osteoblasts on the bone surface. To examine the osteocyte function, several mouse models were established. To ablate osteocytes, osteocytes death was induced by diphtheria toxin. However, any types of osteocyte death result in necrosis, because dying osteocytes are not phagocytosed by scavengers. After the rupture of cytoplasmic membrane, immunostimulatory molecules are released from lacunae to bone surface through canaliculi, and stimulate macrophages. The stimulated macrophages produce interleukin (IL)-1, IL-6, and tumor necrosis factor-alpha (TNF-α), which are the most important proinflammatory cytokines triggering inflammatory bone loss. Therefore, the osteocyte ablation results in necrosis-induced severe osteoporosis. In conditional knockout mice of gap junction protein alpha-1 (GJA1), which encodes connexin 43 in Gap junction, using dentin matrix protein 1 (DMP1) Cre transgenic mice, osteocyte apoptosis and enhanced bone resorption occur, because extracellular communication is intact. Overexpression of Bcl-2 in osteoblasts using 2.3 kb collagen type I alpha1 (COL1A1) promoter causes osteocyte apoptosis due to the severe reduction in the number of osteocyte processes, resulting in the disruption of both intracellular and extracellular communication systems. This mouse model unraveled osteocyte functions. Osteocytes negatively regulate bone mass by stimulating osteoclastogenesis and inhibiting osteoblast function in physiological condition. Osteocytes are responsible for bone loss in unloaded condition, and osteocytes augment their functions by further stimulating osteoclastogenesis and further inhibiting osteoblast function, at least partly, through the upregulation of receptor activator of nuclear factor-kappa B ligand (RANKL) in osteoblasts and Sost in osteocytes in unloaded condition.

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