The goal of this study was to define the anti-osteoclastogenic and/or anti-inflammatory role of IL-6 in inflammatory bone resorption using in vivo and in vitro methods. To this end, titanium particles were placed oil murine calvaria, and bone resorption and osteoclast formation quantified in wild-type and IL-6(-/-) mice. In this model, calvarial bone loss and osteoclast formation were increased in titanium-treated IL-6(-/-) mice. Although basal numbers of splenic osteoclast precursors (OCP) were similar, IL-6-/- mice treated with particles in vivo had increased splenic OCP suggesting an enhanced systemic inflammatory response. In vitro osteoclastogenesis was measured using splenic (OCP) at various stages of Maturation, including splenocytes from WT, IL-6(-/-) and TNF alpha transgenic mice. ELISA was used to measure TNF alpha production. IL-6 inhibited osteoclastogenesis in early OCP obtained from wild-type and IL-6(-/-) spleens. Pre-treatment of OCP with M-CSF for three days increased the CD11(high)/c-Fms+cell population, resulting in an intermediate staged OCP. Osteoclastogenesis Was unaffected by IL-6 in M-CSF pre-treated and TNF alpha transgenic derived OCP. IL-6(-/-) splenocytes secreted greater concentrations of TNF alpha in response to titanium particles than WT; addition of exogenous IL-6 to these Cultures decreased TNF alpha expression while anti-IL-6 antibody increased TNF alpha. While IL-6 lacks effects on intermediate staged precursors, the dominant in vivo effects of IL-6 appear to be related to strong suppression of early OCP differentiation and an anti-inflammatory effect targeting TNF alpha. Thus, the absence of IL-6 results in increased inflammatory bone loss. (c) 2009 Elsevier Inc. All rights reserved.