Co-Cr-Mo alloy particles induce tumor necrosis factor alpha production in MLO-Y4 osteocytes: a role for osteocytes in particle-induced inflammation

Bone. 2009 Sep;45(3):528-33. doi: 10.1016/j.bone.2009.05.020. Epub 2009 Jun 2.

Abstract

Wear debris-induced osteolysis is purportedly the limiting problem affecting the long term results of joint arthroplasty. Pathogenic effects of wear debris in peri-implant cells such as macrophages, osteoblasts and osteoclasts have been well studied. In contrast, the effects of wear debris on osteocytes, which make up over 90% of all bone cells, remain unknown. We hypothesized that metal implant debris can induce the pro-inflammatory response in osteocytes. This study demonstrated the effects of cobalt-chromium-molybdenum alloy (Co-Cr-Mo) particles on a well-characterized MLO-Y4 osteocyte cell line. Co-Cr-Mo alloy particle treatment significantly (p<0.05) up-regulated tumor necrosis factor alpha (TNFalpha) gene expression after 3 and 6 h and TNFalpha protein production after 24 h, but down-regulated interleukin-6 (IL-6) gene expression after 6 h. Co-Cr-Mo alloy particle treatment also induced osteocyte apoptosis after 24 h. This apoptotic effect was partially (40%) dependent on TNFalpha. Therefore, our results suggest that osteocytes play a role in particle-induced inflammation and bone resorption following total joint arthroplasty by inducing pro-inflammatory cytokines and inducing osteocyte apoptosis.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Apoptosis
  • Bone Resorption / etiology
  • Bone Resorption / metabolism
  • Bone Resorption / pathology
  • Cell Line
  • Inflammation / etiology
  • Inflammation / metabolism
  • Inflammation / pathology*
  • Interleukin-6 / biosynthesis
  • Mice
  • Osteocytes / drug effects*
  • Osteocytes / metabolism
  • Tumor Necrosis Factor-alpha / biosynthesis*
  • Vitallium / adverse effects*

Substances

  • Interleukin-6
  • Tumor Necrosis Factor-alpha
  • Vitallium