The development of methods to culture bone cells has enhanced in vitro studies and allowed researchers to investigate bone cell metabolism in healthy tissue and in various different bone diseases. Greater knowledge of cultures of pathologic bone tissue-derived osteoblasts may be helpful in performing in vitro experiments that test biomaterials and therapies to be used in the orthopedic field, since this kind of approach better reflects the conditions of clinical relevance to many patients. In the present study primary cultures of human osteoblastic cells were isolated from donors with osteoporosis (HOB, Human Osteopenic Bone) and their respective controls (HNB, Human Normal Bone). They were then characterized in baseline conditions and after stimulation with 10(-9) M 1,25(OH2)D3. Specific biochemical markers of bone cells and cytokines involved in bone turnover were evaluated to assess cell metabolism and any possible differences between osteoblasts derived from healthy and osteopenic bone tissue. Under baseline conditions, HNB and HOB in vitro cultures showed some differences in proliferation (MTT test), PICP, OC and IL-6. The HNB response to 1,25-(OH2)D3 stimulation differed significantly from that of the HOB cultures but only with regard to the MTT test, and ALP and PICP levels; the other selected parameters showed a similar behavior for both cultures. The current findings should be taken into account when cultures derived from human bone are used for in vitro experiments.