Effects of Gelsolin on Macrophage Inflammatory Responses to Orthopaedic Implant Wear Debris

Author(s):  
William M. Mihalko ◽  
Lev Djenderedjian ◽  
Paramjeet S. Cheema ◽  
Richard Smith
2021 ◽  
Author(s):  
Christine Poon

AbstractArthroplasty implants e.g. hip, knee, spinal disc sustain relatively high compressive loading and friction wear, which lead to the formation of wear particles or debris between articulating surfaces. Despite advances in orthopaedic materials and surface treatments, the production of wear debris from any part of a joint arthroplasty implant is currently unavoidable. Implant wear debris induces host immune responses and inflammation, which causes patient pain and ultimately implant failure through progressive inflammation-mediated osteolysis and implant loosening, where the severity and rate of periprosthetic osteolysis depends on the material and physicochemical characteristics of the wear particles. Evaluating the cytotoxicity of implant wear particles is important for regulatory approved clinical application of arthroplasty implants, as is the study of cell-particle response pathways. However, the wear particles of polymeric materials commonly used for arthroplasty implants tend to float when placed in culture media, which limits their contact with cell cultures. This study reports a simple means of suspending wear particles in liquid medium using sodium carboxymethyl cellulose (NaCMC) to provide a more realistic proxy of the interaction between cells and tissues to wear particles in vivo, which are free-floating in synovial fluid within the joint cavity. Low concentrations of NaCMC dissolved in culture medium were found to be effective for suspending polymeric wear particles. Such suspensions may be used as more physiologically-relevant means for testing cellular responses to implant wear debris, as well as studying the combinative effects of shear and wear particle abrasion on cells in a dynamic culture environments such as perfused tissue-on-chip devices.


2019 ◽  
Vol 53 ◽  
pp. 120-128 ◽  
Author(s):  
Ilona Swiatkowska ◽  
Nicholas Martin ◽  
Alister J. Hart

2011 ◽  
Vol 286 (27) ◽  
pp. 23735-23741 ◽  
Author(s):  
Yasuhiro Yamanaka ◽  
Kannan Karuppaiah ◽  
Yousef Abu-Amer

The pathologic response to implant wear-debris constitutes a major component of inflammatory osteolysis and remains under intense investigation. Polymethylmethacrylate (PMMA) particles, which are released during implant wear and loosening, constitute a major culprit by virtue of inducing inflammatory and osteolytic responses by macrophages and osteoclasts, respectively. Recent work by several groups has identified important cellular entities and secreted factors that contribute to inflammatory osteolysis. In previous work, we have shown that PMMA particles contribute to inflammatory osteolysis through stimulation of major pathways in monocytes/macrophages, primarily NF-κB and MAP kinases. The former pathway requires assembly of large IKK complex encompassing IKK1, IKK2, and IKKγ/NEMO. We have shown recently that interfering with the NF-κB and MAPK activation pathways, through introduction of inhibitors and decoy molecules, impedes PMMA-induced inflammation and osteolysis in mouse models of experimental calvarial osteolysis and inflammatory arthritis. In this study, we report that PMMA particles activate the upstream transforming growth factor β-activated kinase-1 (TAK1), which is a key regulator of signal transduction cascades leading to activation of NF-κB and AP-1 factors. More importantly, we found that PMMA particles induce TAK1 binding to NEMO and UBC13. In addition, we show that PMMA particles induce TRAF6 and UBC13 binding to NEMO and that lack of TRAF6 significantly attenuates NEMO ubiquitination. Altogether, these observations suggest that PMMA particles induce ubiquitination of NEMO, an event likely mediated by TRAF6, TAK1, and UBC13. Our findings provide important information for better understanding of the mechanisms underlying PMMA particle-induced inflammatory responses.


Author(s):  
L.C. Jones ◽  
A.K. Tsao ◽  
L.D.T. Topoleski

Author(s):  
S. Bhattacharya ◽  
V. K. Goel ◽  
A. Kiapour ◽  
X. Liu

Earlier efforts in areas of hip and knee arthroplasties suggest that wear debris, especially from polymeric components, could initiate inflammatory responses leading to peri-prosthetic osteolysis and bone resorption at the implant-bone interface. Aseptic loosening of implants due to particle induced osteolysis is the primary cause of revision surgeries. Metal based implants are considered superior in terms of wear resistance.1–2 However metal-on-metal articulation leads to much smaller sized particulates in comparison to metal-on-polymers. Thus for an equal volume of wear debris from both polymer and metal, the number of metallic particulates can be up to 100 times greater3. Accumulation of metallic debris in the periprosthetic tissue leads to the formation of a fibrous membrane, which might act as a channel for polymeric particulates4. Bench top wear tests as well as bioreactivity studies have emerged as a powerful preclinical tool. However there is still a gap between the in vitro bench-top wear tests and the retrieval test cases. Additionally, these experiments are time consuming, expensive, and labor-intensive procedures. In spite of the fact that experimental data are indispensable, alternatives need to be explored. Predictive finite element modeling based on wear-laws serve as an excellent design tool for parametric analyses. In such models, the effect of individual variables can be judged independently leading to an understanding of the role of that parameter on the final outcome.


2012 ◽  
Vol 9 (74) ◽  
pp. 2109-2119 ◽  
Author(s):  
Moeed Akbar ◽  
Alasdair R. Fraser ◽  
Gerard J. Graham ◽  
James M. Brewer ◽  
M. Helen Grant

This study used a rodent air-pouch model to assess the acute inflammatory response to cobalt–chromium (CoCr) alloy wear debris from a metal-on-metal hip resurfacing implant that may contribute to joint failure. Air-pouches were injected with either sterile phosphate-buffered saline, 1 μg lipopolysaccharide (LPS) or 2.5 mg CoCr wear debris. The in situ inflammatory response was monitored 4, 24, 48 and 72 h and 7 days later. A flow cytometric analysis of the inflammatory exudates showed that CoCr wear debris induced a different inflammatory pattern compared with LPS. LPS induced a strong early (4 h) neutrophil influx, with monocyte/macrophage influx peaking at 24 h, whereas CoCr wear debris initiated almost equal numbers of early monocyte/macrophage and neutrophil recruitment. Histological analyses also showed CoCr debris accumulated in the pouch wall and this was accompanied by vast cellular infiltration and fibrosis around the debris throughout the duration of the experiment. Assessment of inflammatory gene transcripts from air-pouch tissue showed that CoCr wear debris increased the expression of cytokines involved in promoting inflammation and fibrosis (IL-1β, TGF-β) and chemokines that promote the recruitment of neutrophils and monocytes/macrophages (CXCL2 and CCL2). The data suggest that inflammatory responses to CoCr debris induce a specific acute process in which the recruitment of monocytes/macrophages is key.


2015 ◽  
Vol 51 (1) ◽  
pp. 1-3
Author(s):  
David Okhiria ◽  
Dia E. Giebaly ◽  
Turgut Meydan ◽  
Samuel Bigot ◽  
Peter Theobald

2005 ◽  
Vol 127 (3) ◽  
pp. 357-363 ◽  
Author(s):  
Edward Ebramzadeh ◽  
Fabrizio Billi ◽  
Sophia N. Sangiorgio ◽  
Sarah Mattes ◽  
Werner Schmoelz ◽  
...  

Osteolysis due to wear debris is a primary cause of failure of total joint replacements. Although debris produced by the joint articulating surfaces has been studied and simulated extensively, fretting wear debris, produced at nonarticulating surfaces, has not received adequate attention. We developed a three-station fretting wear simulator to reproduce in vivo motion and stresses at the interfaces of total joint replacements. The simulator is based on the beam bending theory and is capable of producing cyclic displacement from 3to1000microns, under varying magnitudes of contact stresses. The simulator offers three potential advantages over previous studies: The ability to control the displacement by load, the ability to produce very small displacements, and dynamic normal loads as opposed to static. A pilot study was designed to test the functionality of the simulator, and verify that calculated displacements and loads produced the predicted differences between two commonly used porous ingrowth titanium alloy surfaces fretting against cortical bone. After 1.5 million cycles, the simulator functioned as designed, producing greater wear of bone against the rougher plasma-sprayed surface compared to the fiber-mesh surface, as predicted. A novel pin-on-disk apparatus for simulating fretting wear at orthopaedic implant interfaces due to micromotion is introduced. The test parameters measured with the fretting wear simulator were as predicted by design calculations, and were sufficient to measure differences in the height and weight of cortical bone pins rubbing against two porous ingrowth surfaces, plasma-sprayed titanium and titanium fiber mesh.


Author(s):  
Li Zhang ◽  
El-Mustapha Haddouti ◽  
Kristian Welle ◽  
Christof Burger ◽  
Dieter C. Wirtz ◽  
...  
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