The TNFRSF11B gene gives instructions for making a protein called osteoprotegerin that is member of the TNF-receptor superfamily. It is expressed in lymphoid cells and up-regulated by CD40 (TNFRSF5) stimulation. It is highly expressed in adult lung, heart, kidney, liver, spleen, thymus, prostate, ovary, small intestine, thyroid, lymph node, trachea, adrenal gland, testis, and bone marrow. The protein Osteoprotegerin has an important role in bone remodeling, and is involved in osteoclastogenesis, and the secreted form down-regulates osteoclast differentiation by binding the osteoprotegerin ligand (TNFSF11). Defects in this protein are the cause of juvenile Paget disease and Paget disease of bone.