Summary Cellular mechanisms of bone resorption associated with skeletal metastasis are poorly understood. Human tumour-associated macrophages (TAMs) isolated from primary lung carcinomas were incubated on bone slices where they formed resorption lacunae after 14 days co-culture with a mouse marrow-derived stromal cell line (ST2) with added la, 25-dihydroxy Vitamin D3 and dexamethasone. These co-cultures were associated with the formation of increased numbers of tartrate resistant acid phosphatase positive mononuclear and multinucleated cells. (Galasko, 1976), but the contribution of other cells, principally tumour cells and tumour-associated macrophages (TAMs) within the tumour deposits in bone, is uncertain (Galasko, 1976;Galasko, 1982;Eilon & Mundy, 1978; Koeffier et al., 1978;Novak et al., 1984). This is largely because direct evidence of bone resorption by these cells has not clearly been demonstrated. However, there is now increasing evidence to show that mononuclear phagocytes derived from inflammatory and neoplastic lesions are capable of bone resorption (Athanasou et al., 1989;Athanasou et al., 1991;Athanasou et al., 1992), and that osteoclast-like cells can form directly from tissue macrophages (Udagawa et al., 1990).
Materials and methodsTAMs were isolated from five pneumoonectomy specimens for lung carcinoma (three adenocarcinomas; two squamous carcinomas) by collagenase digestion and substrate adherence from 2 x 2 x 2 cm portion of tumour (McGee & Myrvik, 1981), and alveolar macrophages (AMs) from equal portions of lung uninvolved by tumour (Haskill, 1981). TAM or AM-containing cell suspensions in alpha minimal essential medium plus 10% foetal calf serum (Gibco) (MEM/FCS) were added to 6mm wells (500cells/well) containing either bone slices or glass coverslips, half of which had been seeded (1,000 cells/well) 24 h earlier with the mouse marrow stromal cell line ST2 (Riken cell bank, Japan) (Athanasou et al., 1989). Four bone slices (half previously seeded with ST2 cells) were studied for each variable, and cell cultures were incubated at 37°C (5% CO2). After settling for 1 h, these were washed vigorously in MEM/FCS and placed in 16 mm wells containing aMEM/FCS. Dexamethasone (Sigma, UK) (10-7 M) and 1,25 dihydroxy Vitamin D3 (Roche, UK) (10-8 M) were added at the beginning of co-cultures with ST2 cells and at each change of medium (every 3 days). Adherent cells on bone slices were cultured for 24 h, 3, 7 and 14 days after which evidence of bone resorption was sought by scanning electron microscopy (SEM) (Chambers et al., 1984). The effect of PTH (NIBSC, UK) (10 IU ml), PGE2 (Sigma, UK) (10-5 M) and conditioned medium (derived from culture of ST2 cells alone) on bone resorption by TAMs and AMs isolated from two of the above specimens was also examined. Cells cultured on glass coverslips for similar periods were assessed for several osteoclast characteristics viz. morphological response to salmon calcitonin (Rorer Pharmaceuticals, UK) 1 tg ml-' (Chambers & Magnus, 1982), acid phosphatase (AP) and tart...