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Periprosthetic osteolysis: characterizing the innate immune response to titanium wear-particles.


ABSTRACT: Osteolysis of bone following total hip replacement is a major clinical problem. Examination of the areas surrounding failed implants has indicated an increase in the bone-resorption-inducing cytokine, interleukin 1? (IL-1?). NALP3, a NOD-like receptor protein located in the cytosol of macrophages, signals the cleavage of pro-IL-1? into its mature, secreted form, IL-1?. Here we showed that titanium particles stimulate the NALP3 inflammasome. We demonstrated that titanium induces IL-1? secretion from macrophages. This response depended on the expression of components of the NALP3 inflammasome, including NALP3, ASC, and Caspase-1. We also showed that titanium particles trigger the recruitment of neutrophils and that this acute inflammatory response depends on the expression of the IL-1 receptor and IL-1?/?. Moreover, administration of the IL-1 receptor antagonist (IL-1Ra) diminished neutrophil recruitment in response to titanium particles. Together, these results suggest that titanium particle-induced acute inflammation is due to activation of the NALP3 inflammasome, which leads to increased IL-1? secretion and IL-1-associated signaling, including neutrophil recruitment. Efficacy of IL-1Ra treatment introduces the potential for antagonist-based therapies for implant osteolysis.

SUBMITTER: St Pierre CA 

PROVIDER: S-EPMC4011639 | biostudies-literature | 2010 Nov

REPOSITORIES: biostudies-literature

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Periprosthetic osteolysis: characterizing the innate immune response to titanium wear-particles.

St Pierre Christine A CA   Chan Melvin M   Iwakura Yoichiro Y   Ayers David C DC   Kurt-Jones Evelyn A EA   Finberg Robert W RW  

Journal of orthopaedic research : official publication of the Orthopaedic Research Society 20101101 11


Osteolysis of bone following total hip replacement is a major clinical problem. Examination of the areas surrounding failed implants has indicated an increase in the bone-resorption-inducing cytokine, interleukin 1β (IL-1β). NALP3, a NOD-like receptor protein located in the cytosol of macrophages, signals the cleavage of pro-IL-1β into its mature, secreted form, IL-1β. Here we showed that titanium particles stimulate the NALP3 inflammasome. We demonstrated that titanium induces IL-1β secretion f  ...[more]

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