Department of Orthopedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Global Institution for Collaborative Research and Education (GI-CoRE), Frontier Research Center for Advanced Material and Life Science, Hokkaido University, Sapporo, Japan.
Front Immunol. 2020 Aug 4;11:1720. doi: 10.3389/fimmu.2020.01720. eCollection 2020.
Periprosthetic osteolysis induced by orthopedic implant-wear particles continues to be the leading cause of arthroplasty failure in majority of patients. Release of the wear debris results in a chronic local inflammatory response typified by the recruitment of immune cells, including macrophages. The cellular mediators derived from activated macrophages favor the osteoclast-bone resorbing activity resulting in bone loss at the site of implant and loosening of the prosthetic components. Emerging evidence suggests that chemokines and their receptors are involved in the progression of periprosthetic osteolysis associated with aseptic implant loosening. In the current study, we investigated the potential role of chemokine C-motif-ligand-1 (XCL1) in the pathogenesis of inflammatory osteolysis induced by wear particles. Expressions of XCL1 and its receptor XCR1 were evident in synovial fluids and tissues surrounding hip-implants of patients undergoing revision total hip arthroplasty. Furthermore, murine calvarial osteolysis model induced by ultra-high molecular weight polyethylene (UHMWPE) particles was used to study the role of XCL1 in the development of inflammatory osteolysis. Mice received single injection of recombinant XCL1 onto the calvariae after implantation of particles exhibited significantly greater osteolytic lesions than the control mice. In contrast, blockade of XCL1 by neutralizing antibody significantly reduced bone erosion and the number of bone-resorbing mature osteoclasts induced by UHMWPE particles. In consistence with the results, transplantation of XCL1-soaked sponge onto calvariae caused osteolytic lesions coincident with excessive infiltration of inflammatory cells and osteoclasts. These results suggested that XCL1 might be involved in the development of periprosthetic osteolysis through promoting infiltration of inflammatory cells and bone resorbing-osteoclasts. Our further results demonstrated that supplementing recombinant XCL1 to cultured human monocytes stimulated with the receptor activator of nuclear factor kappa-B ligand (RANKL) promoted osteoclastogenesis and the osteoclast-bone resorbing activity. Moreover, recombinant XCL1 promoted the expression of inflammatory and osteoclastogenic factors, including IL-6, IL-8, and RANKL in human differentiated osteoblasts. Together, these results suggested the potential role of XCL1 in the pathogenesis of periprosthetic osteolysis and aseptic loosening. Our data broaden knowledge of the pathogenesis of aseptic prosthesis loosening and highlight a novel molecular target for therapeutic intervention.
人工植入物磨损颗粒引起的假体周围骨溶解仍然是大多数患者关节置换失败的主要原因。磨损颗粒的释放会导致慢性局部炎症反应,其特征是免疫细胞(包括巨噬细胞)的募集。来自激活的巨噬细胞的细胞介质有利于破骨细胞的骨吸收活性,导致植入部位的骨质流失和假体部件的松动。新出现的证据表明,趋化因子及其受体参与了与无菌性植入物松动相关的假体周围骨溶解的进展。在本研究中,我们研究了趋化因子 C 基序配体 1(XCL1)在磨损颗粒引起的炎症性骨溶解发病机制中的潜在作用。在接受翻修全髋关节置换术的患者的关节滑液和髋关节周围组织中,都能检测到 XCL1 和其受体 XCR1 的表达。此外,还使用超高分子量聚乙烯(UHMWPE)颗粒诱导的鼠颅骨骨溶解模型来研究 XCL1 在炎症性骨溶解发展中的作用。在植入颗粒后,向颅骨单次注射重组 XCL1 的小鼠表现出比对照小鼠更大的溶骨性病变。相反,用中和抗体阻断 XCL1 可显著减少 UHMWPE 颗粒诱导的骨质侵蚀和骨吸收成熟破骨细胞的数量。结果一致的是,将 XCL1 浸泡的海绵移植到颅骨上会导致溶骨性病变,同时伴有炎症细胞和破骨细胞的过度浸润。这些结果表明,XCL1 可能通过促进炎症细胞和破骨细胞的浸润而参与假体周围骨溶解的发生。我们的进一步研究结果表明,用核因子 kappa-B 配体(RANKL)受体激活剂刺激培养的人单核细胞补充重组 XCL1 可促进破骨细胞生成和破骨细胞的骨吸收活性。此外,重组 XCL1 可促进人分化成骨细胞中炎症和破骨细胞生成因子的表达,包括 IL-6、IL-8 和 RANKL。总之,这些结果表明 XCL1 在假体周围骨溶解和无菌性松动的发病机制中可能发挥作用。我们的数据拓宽了对无菌假体松动发病机制的认识,并强调了一个新的治疗干预靶点。
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