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M-CSF priming enhances the efficiency and reproducibility of hiPSC-derived osteoclast differentiation and pharmacological responsiveness to anti-resorptive agents
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  • Published: 17 May 2026

M-CSF priming enhances the efficiency and reproducibility of hiPSC-derived osteoclast differentiation and pharmacological responsiveness to anti-resorptive agents

  • Jujin Jeong1,
  • Yun Ju Choi2,
  • Yujin Sa2,
  • Narae Kang2,
  • Don-Kyu Kim4,
  • Tae-Hoon Lee1,2,3 &
  • …
  • Sang-Wook Park1,2,3 

Scientific Reports (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Cell biology
  • Drug discovery
  • Stem cells

Abstract

Human induced pluripotent stem cell (hiPSC)-derived osteoclasts offer a potentially scalable platform for studying osteoclast biology and anti-resorptive pharmacology. However, differentiation efficiency and inter-line reproducibility remain limited. To address this limitation, we investigated whether cytokine priming during the monocyte-to-macrophage transition is an important determinant of efficient and reproducible osteoclast differentiation from hiPSCs across diverse genetic backgrounds. Monocytes derived from three independent hiPSC lines were primed briefly with M-CSF, GM-CSF, or no cytokine, followed by osteoclast differentiation with M-CSF plus RANKL. Among these conditions, M-CSF priming reproducibly increased osteoclast differentiation efficiency compared with GM-CSF priming or no priming, yielding > 70% CD51/CD61⁺ cells across hiPSC lines derived from distinct tissue sources. Osteoclast maturation and function were then assessed by multinucleation, TRAP staining, and bone resorption assays, which further showed that M-CSF priming enhanced osteoclast maturation and resorptive function across the tested hiPSC lines. We also performed extracellular flux-based measurements of OCR/ECAR and ATP production rates to examine metabolic changes associated with osteoclast maturation. This analysis showed that an early rise in OXPHOS-derived ATP production preceded peak induction of mature osteoclast genes, suggesting that early oxidative metabolism may support subsequent fusion and functional maturation. Finally, we assessed the pharmacological responsiveness of hiPSC-derived osteoclasts using two clinically used bisphosphonates, alendronate and zoledronate, both of which elicited dose-dependent anti-osteoclastic effects. Collectively, these results indicate that brief M-CSF priming enhances the efficiency and inter-line reproducibility of hiPSC-derived osteoclast differentiation, while early oxidative metabolism temporally precedes osteoclast gene induction. This improved reproducibility and functional maturation may allow hiPSC-derived osteoclasts to support mechanistic studies of osteoclastogenesis and the evaluation of pharmacological responses to osteoclast-targeted agents.

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Abbreviations

BMD:

Bone mineral density

BMP-4:

Bone morphogenetic protein 4

cDNA:

Complementary DNA

DAPI:

4′,6-diamidino-2-phenylindole

EB:

Embryoid body

ECAR:

Extracellular acidification rate

ELISA:

Enzyme-linked immunosorbent assay

FCCP:

Carbonyl cyanide 4-(trifluoromethoxy) phenylhydrazone

GM-CSF:

Granulocyte–macrophage colony-stimulating factor

hiPSC:

Human induced pluripotent stem cell

hiPSC-OC:

HiPSC-derived osteoclast

hPBMC:

Human peripheral blood mononuclear cell

hsRANKL:

Human soluble receptor activator of nuclear factor-κB ligand

M-CSF:

Macrophage colony-stimulating factor

MMP9:

Matrix metalloproteinase 9

OCR:

Oxygen consumption rate

OXPHOS:

Oxidative phosphorylation

P/S:

Penicillin/streptomycin

PFA:

Paraformaldehyde

qRT-PCR:

Quantitative reverse transcription polymerase chain reaction

SCF:

Stem cell factor

TRAP:

Tartrate-resistant acid phosphatase

VEGF:

Vascular endothelial growth factor

Funding

This research was supported by the Bio & Medical Technology Development Program of the National Research Foundation (NRF)& funded by the Korean government (MSIT) (No. RS-2023-00261905, 2022M3A9E4017151). This work was also supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT)(RS-2025-00516170).

Author information

Authors and Affiliations

  1. Department of Interdisciplinary Program of Biomedical Engineering, School of Dentistry, Chonnam National University, Gwangju, 61186, Republic of Korea

    Jujin Jeong, Tae-Hoon Lee & Sang-Wook Park

  2. Department of Dental Bioscience, School of Dentistry, Chonnam National University, Gwangju, 61186, Republic of Korea

    Yun Ju Choi, Yujin Sa, Narae Kang, Tae-Hoon Lee & Sang-Wook Park

  3. Department of Oral Biochemistry, Dental Science Research Institute, School of Dentistry, Chonnam National University, Gwangju, 61186, Korea

    Tae-Hoon Lee & Sang-Wook Park

  4. Department of Integrative Food, Bioscience and Biotechnology, Chonnam National University, Gwangju, 61186, Republic of Korea

    Don-Kyu Kim

Authors
  1. Jujin Jeong
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  2. Yun Ju Choi
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  3. Yujin Sa
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  4. Narae Kang
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  5. Don-Kyu Kim
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  6. Tae-Hoon Lee
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  7. Sang-Wook Park
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Corresponding authors

Correspondence to Tae-Hoon Lee or Sang-Wook Park.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethics approval and consent to participate

The human induced pluripotent stem cell (hiPSC) lines used in this study were obtained from the National Stem Cell Bank of Korea. This original source confirmed that patient informed consent and Institutional Review Board (IRB) approval were obtained for the original collection of human cells and derivation of these hiPSC lines (IRB No. 2013-06EXP-06-R and 2014-10CON-04–1 C-A). The derivation and characterization of these hiPSC lines have been reported previously28–30. The authors used these hiPSC lines without access to any donor-identifying information, in accordance with the Bank’s distribution policies and applicable regulations.

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Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

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Cite this article

Jeong, J., Choi, Y., Sa, Y. et al. M-CSF priming enhances the efficiency and reproducibility of hiPSC-derived osteoclast differentiation and pharmacological responsiveness to anti-resorptive agents. Sci Rep (2026). https://doi.org/10.1038/s41598-026-52457-z

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  • Received: 23 February 2026

  • Accepted: 05 May 2026

  • Published: 17 May 2026

  • DOI: https://doi.org/10.1038/s41598-026-52457-z

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Keywords

  • Human induced pluripotent stem cells (hiPSCs)
  • Osteoclast differentiation
  • M-CSF priming
  • Oxidative phosphorylation (OXPHOS)
  • Anti-resorptive agents
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Collection

Stem cell-derived therapies

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