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ABSTRACT: Human monocyte/macrophages (M/M) were exposed to retrieved ultra-high molecular weight polyethylene (UHMWPE) particles isolated after enzymatic digestion of revision total hip arthroplasty interface membrane tissue samples. The cellular response of human M/M to UHMWPE was compared with the response of these cells to latex particles and culture medium alone. We incubated macrophages in good contact with polyethylene particles using an inverted culture system. Chamber slides on which macrophages were attached were filled with polyethylene particle suspension and sealed with plastic sheets. After the slides were inverted, the incubation was completed. Retrieved UHMWPE particulate debris stimulated human M/M to secrete interleukin (IL)-1beta, IL-6, and tumor necrosis factor (TNF)-alpha. Human M/M exposed to retrieved UHMWPE particles secreted significantly more IL-1beta, IL-6, and TNF-alpha compared with M/M exposed to latex particles (P<.05).
The Journal of Arthroplasty 12/2001; 16(8 Suppl 1):101-5. · 2.38 Impact Factor
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Clinical Orthopaedics and Related Research 01/1995; · 2.53 Impact Factor
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ABSTRACT: The histologic, biochemical, and immunohistologic characteristics of the interface membranes surrounding the femoral component of failed cementless total hip arthroplasty (THA) in patients with (Group I) and without (Group II) radiographic evidence of focal endosteal erosion (osteolysis) were studied. Group I membranes had more macrophages and small particles of polyethylene debris in the membrane, but both groups had similar amounts of metal particles. A greater activity level of interleukin-1 (IL-1), tumor necrosis factor (TNF), and interleukin-6 (IL-6) was seen in the culture supernatant of the membranes from Group I than in that of Group II. Group I membranes also had more cells (macrophages, fibroblasts, and endothelial cells) that stained positively with anti-IL-6 antibody. These results suggest that IL-6, IL-1, and TNF play a role in the focal femoral osteolysis observed in patients with failed cementless hip prostheses.
Clinical Orthopaedics and Related Research 04/1994; · 2.53 Impact Factor
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ABSTRACT: Biochemical, histologic, and immunohistochemical analyses were performed on 34 interface membranes obtained from 33 patients during revision total knee arthroplasty. The membranes had surrounded components of cementless (n = 11) and cemented (n = 23) knee prostheses that were aseptically loose. None of these implant failures was caused by catastrophic polyethylene erosion leading to metal-to-metal contact. The histologic findings were similar in the membranes from cemented and cementless knee components: small polyethylene debris within macrophages and large birefringent polyethylene debris within foreign-body giant cells. Metallic debris was seen in membranes from both groups, but cemented membranes had more polymethylmethacrylate particles and more hyalinization. Intracytoplasmic asteroid bodies were observed in several foreign-body giant cells in both types of membranes. No significant differences were found between the two groups in levels of collagenase, prostaglandin E2 (PGE2), interleukin-1 (IL-1), interleukin-6 (IL-6), or tumor necrosis factor-alpha (TNF-alpha), nor in the population of inflammatory cells stained with IL-1, IL-6, and TNF-alpha antibodies. Membranes that had surrounded components with radiographic evidence of diffuse or localized periprosthetic bone loss released significantly more collagenase, IL-1, IL-6, and TNF than did membranes from components without bone loss. These two groups, however, did not have significantly different PGE2 levels. These findings suggest that polyethylene and metal debris may play a role in macrophage activation and the release of mediators of bone resorption in the membranes surrounding failed cemented and cementless total knee implants.
Clinical Orthopaedics and Related Research 03/1994; · 2.53 Impact Factor
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ABSTRACT: Biochemical, histological, and immunohistochemical studies of interface membranes surrounding failed hip prostheses that had been inserted without cement were done to examine specific factors involved in the development of aseptic loosening. Membranes from sixty-four femoral components were obtained from sixty-three patients during revision arthroplasty. Fifty-seven membranes were from implants that articulated with polyethylene (thirty-two were made of cobalt-chromium alloy and twenty-five, titanium alloy), and seven were from unipolar endoprostheses made of cobalt-chromium alloy that did not articulate with polyethylene. The membranes from implants with a polyethylene articulation produced significantly higher levels of collagenase and interleukin-1 (p < 0.05). However, there was no significant difference in the levels of prostaglandin E2 between the three groups. Furthermore, membranes from implants with roentgenographic evidence of focal osteolysis (endosteal erosion) released significantly higher levels of interleukin-1 (p < 0.05) than did membranes from implants without focal osteolysis. Although the membranes from the titanium-alloy implants tended to contain more metal debris than those from the cobalt-chromium-alloy implants, the biochemical findings were not significantly different between these two groups. Many macrophages that were filled with polyethylene and metal debris were present in the membranes from both groups with a polyethylene articulation. Few T lymphocytes or B lymphocytes were identified in the three groups.
The Journal of Bone and Joint Surgery 02/1994; 76(2):172-80. · 3.27 Impact Factor
