Synergistic effect of particles and cyclic pressure on cytokine production in human monocyte/macrophages: proposed role in periprosthetic osteolysis
Abstract
Macrophages, activated by particulate wear debris, are important in the process of osteolysis, which occurs during joint implant loosening. We previously found increased levels of interleukin-1beta (IL-1beta), IL-6, and tumor necrosis factor-alpha in cultured macrophages subjected to cyclical pressure of 0.138 MPa, suggesting that cyclic pressure may be another relevant cause of macrophage activation. The current study first investigated the effects of a range of cyclic pressures on cultured macrophages, including an investigation of the time course of cytokine expression. At 0.138 MPa, supernatant levels of TNF-alpha were maximal at 12 h, whereas IL-6 and IL-1beta were maximal at 24 h. All four cyclic pressure levels tested (without particles) resulted in increased production of all three cytokines relative to control. These increases were most marked at 0.069 and 0.035 MPa, and the increase in cytokine production at 0.017 MPa was not statistically significant. Further studies demonstrated that conditioned media from cyclically pressurized macrophages stimulated bone resorption in a neonatal mouse calvarial assay system. There were increased levels of calcium released from calvaria cultured in conditioned media from pressurised monocytes, and an increase in tartate-resistant acid phosphatase-positive osteoclasts was observed microscopically. As particulate wear debris is important in implant loosening, ultra high molecular weight polyethylene particles were also added to the…
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The increase in pro-inflammatory cytokine release in response to cyclical pressure and wear debris contributes toward aseptic loosening of implants.
“The authors proposed that this increase in release of pro-inflammatory cytokines in response to cyclical pressure and presence of wear debris contributes toward aseptic loosening of implants [59].”
From Biomaterial based modulation of macrophage polarization: a review and suggested design principles (2015) · cites this paper as [59]
Cyclical pressure (17-138 kPa) increases pro-inflammatory cytokines (TNF-a, IL-6, IL-1b) in cultured human macrophages compared to controls.
“Another study quantified the effect of cyclical pressure on cytokine/ chemokine production in cultured human macrophages, with an increase in pro-inflammatory cytokines (TNF-a, IL-6, IL-1b) compared to controls for all levels of cyclical pressures tested (17-138 kPa) [59].”
From Biomaterial based modulation of macrophage polarization: a review and suggested design principles (2015) · cites this paper as [59]
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Biomaterial based modulation of macrophage polarization: a review and suggested design principles
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- Authors
- Mevoy, A., Jeyam, M., Ferrier, G., Evans, C. E., & Andrew, J. G.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Andrew, J.G
- Venue
- Bone
- Publisher
- Elsevier BV
- Published
- 2002-01
- Volume
- 30
- Issue
- 1
- Pages
- 171-177
- ISSN
- 1873-2763 (ISSN-L)
- 8756-3282
- OpenAlex
- W2111664161
- Cited by
- 71
- References
- 36
- Citations by year
- 2023: 1 · 2022: 3 · 2021: 6 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 5 · 2013: 5 · 2012: 1
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bone (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
- Health Sciences › Medicine › Surgery › Orthopedic Infections and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- periprosthetic osteolysis, cyclic pressure, macrophage activation, monocytes, wear debris, cytokine production, IL-1β, interleukin-6, TNF-α, bone resorption, aseptic loosening, osteoclasts, implant loosening
- MeSH terms
- Animals, Atmospheric Pressure, Bone Resorption, Calcium, Humans, Interleukin-1, Macrophage Activation, Macrophages, Monocytes, Osteolysis, Particle Size, Prosthesis Failure, Skull, Tumor Necrosis Factor-alpha, Interleukin-6, Cytokines, Culture Media, Conditioned, Polyethylene, Mice, In Vitro Techniques
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