Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1997-4-9
pubmed:abstractText
The responses of human peripheral blood monocytes of 10 normal volunteers and 14 patients with total hip replacements to particles of commercially pure titanium and chromium orthophosphate (a corrosion product from cobalt-chromium alloy implants) were studied. In addition, these phagocytosable particles were added to cultured mononuclear cells isolated from the interfacial membrane of 14 patients with failed implants. Peripheral blood monocytes from patients who had had a total hip replacement produced significantly higher levels of interleukin-1 (both interleukin-1 alpha and interleukin-1 beta) and prostaglandin E2 following particulate stimulation than those from normal volunteers. Supernatants from both titanium and chromium orthophosphate-stimulated peripheral blood monocytes from the volunteers and patients with total hip replacement induced bone resorption (assayed in organ cultures of newborn mouse calvariae) and the proliferation of human fibroblasts. The levels of bone resorption were significantly higher (p < 0.05) in patients with implants than in normal volunteers. There were no significant differences in the responses of cells between patients with focal osteolysis and those without osteolysis. Interfacial membrane mononuclear cells also produced high levels of interleukin-1 alpha, interleukin-1 beta, and prostaglandin E2 and expressed bone resorptive activities following stimulation with either titanium or chromium orthophosphate. More importantly, interfacial membrane mononuclear cells "spontaneously" produced high levels of prostaglandin E2 that were comparable with the response of peripheral blood monocytes stimulated with particulate wear debris. The clinical relevance of this study is 2-fold. First, mononuclear cells from patients with total hip replacement were some-how "sensitized" to metal particles in comparison with mononuclear cells from individuals without an implant. Second, the chromium orthophosphate corrosion product was a potent macrophage/monocyte activator and may contribute to macrophage-mediated osteolysis and aseptic loosening.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0736-0266
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
40-9
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:9066525-Adult, pubmed-meshheading:9066525-Aged, pubmed-meshheading:9066525-Aged, 80 and over, pubmed-meshheading:9066525-Bone Resorption, pubmed-meshheading:9066525-Calcium, pubmed-meshheading:9066525-Cell Division, pubmed-meshheading:9066525-Cell Line, pubmed-meshheading:9066525-Cell Membrane, pubmed-meshheading:9066525-Cell Survival, pubmed-meshheading:9066525-Chromium, pubmed-meshheading:9066525-Cobalt, pubmed-meshheading:9066525-Corrosion, pubmed-meshheading:9066525-Culture Media, Conditioned, pubmed-meshheading:9066525-Dinoprostone, pubmed-meshheading:9066525-Female, pubmed-meshheading:9066525-Fibroblasts, pubmed-meshheading:9066525-Hip Prosthesis, pubmed-meshheading:9066525-Humans, pubmed-meshheading:9066525-Interleukin-1, pubmed-meshheading:9066525-Joint Instability, pubmed-meshheading:9066525-Macrophages, pubmed-meshheading:9066525-Male, pubmed-meshheading:9066525-Materials Testing, pubmed-meshheading:9066525-Metals, pubmed-meshheading:9066525-Middle Aged, pubmed-meshheading:9066525-Monocytes, pubmed-meshheading:9066525-Organ Culture Techniques, pubmed-meshheading:9066525-Osteolysis, pubmed-meshheading:9066525-Titanium
pubmed:year
1997
pubmed:articleTitle
Human monocyte/macrophage response to cobalt-chromium corrosion products and titanium particles in patients with total joint replacements.
pubmed:affiliation
Department of Orthopedic Surgery, Rush Arthritis and Orthopedics Institute, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't