Researchers identify the 'organizer' cells that build bone marrow

Fukuoka, Japan—Bone marrow is the spongy tissue located within the hollow center of bones, serving as the primary site for the continuous production of red blood cells, platelets, and white blood cells. Despite its physiological importance, the developmental mechanism by which this soft tissue is formed within the rigid confines of hard bone has remained largely unknown.

A new study published on April 14, 2026, in Nature Communications now clarifies this development, identifying a two-step process where cell populations act as "organizers" to build the bone marrow environment. Specifically, specialized cells that degrade cartilage called septoclasts create a space inside the developing bone so that bone marrow stromal cells can sustain and grow the marrow environment.

This investigation began with the hypothesis that bone marrow development is coordinated by so-called “organizer cells,” a group of specialized cells that coordinate organ formation.

“Just as lymphoid tissue inducer cells initiate lymph node formation, we hypothesized that a distinct cell population may similarly serve as an organizer to trigger the formation of the bone marrow cavity,” explained Professor Shinichiro Sawa from Kyushu University’s Medical Institute of Bioregulation.

A primary candidate for this organizing signal is the cytokine RANKL, a protein already known for its role in bone remodeling. Previous evidence showed that mice lacking RANKL fail to develop bone-resorbing osteoclasts and do not form a proper bone marrow cavity. This suggested that RANKL-producing cells might serve as a previously unrecognized organizing niche that facilitates bone marrow formation.

The researchers put this hypothesis to the test by creating new RANKL reporter mice, which enable visualization of the RANKL gene throughout fetal development. Studying the early development of the tibia, the team observed the first RANKL-producing cells emerging in the central cortical region of the bone, which then invaded the cartilage. These potent signaling cells were found concentrated at the boundary where cartilage meets developing bone, positioned in close proximity to osteocytes.

Using single-cell RNA sequencing, the team characterized these early RANKL-producing cells as septoclasts. These specialized phagocytes produce enzymes that degrade the cartilaginous matrix. The findings suggest that fetal septoclasts coordinate the replacement of cartilage with bone marrow by clearing the extracellular matrix and inducing osteoclasts.

As development progresses, the responsibility for RANKL production shifts to a different cell population. The study found that at later stages, Leptin receptor (LepR)-expressing bone marrow stromal cells (BMSCs) become the primary producers of RANKL.

Taken together, the research demonstrates that bone marrow cavity formation is a hardwired developmental process supported by a "relay" between two distinct cell populations: septoclasts at the early stage and LepR+ BMSCs at the later stage.

The team further leveraged the RANKL-reporter mice to identify the physiological sources of RANKL during bone repair. Following a fracture, they observed the emergence of RANKL-producing cells that correspond precisely to septoclasts and LepR+ BMSCs. This discovery suggests that fracture repair effectively reactivates the specialized cellular program originally deployed during fetal bone marrow formation.

These findings offer significant implications for treating bone diseases like osteoporosis and rheumatoid arthritis, where excessive bone destruction occurs. By identifying the cells supporting osteoclasts, the study reveals a new therapeutic target. Focusing on these organizer cells may enable more precise and sustained control of pathological bone resorption.

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For more information about this research, see "Medullary cavity expansion is mediated by distinct cell populations during fetal bone development,” Eriko Sumiya, Kohei Saeki, Kenta Nakano, Chie Kikutake, Noriko Kurisaki, Natsuko Nakaima, Mami Kurumata-Shigeto, Yumiko Kitada, Yuka Morioka, Yasuhiro Go, Mikita Suyama, Yuki Yoshimura, Motohito Goto, Mamoru Ito, Manabu Nakayama, Haruhiko Akiyama, Lucie Peduto, Tadashi Okamura, Yuki Matsushita, Shinichiro Sawa. Nature Communications, https://doi.org/10.1038/s41467-026-71952-5

Research-related inquiries

Shinichiro Sawa, Professor
Medical Institute of Bioregulation
Contact information can also be found in the full release.