Department of Orthopedic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, No. 107, Yanjiang West Road, Yuexiu District, Guangzhou 510120, China.
ACS Biomater Sci Eng. 2023 Jun 12;9(6):3273-3284. doi: 10.1021/acsbiomaterials.2c01509. Epub 2023 May 3.
Inflammatory response in macrophages on account of prostheses-derived wear particles is the leading cause of artificial joint failure. However, the mechanism by which wear particles initiate macrophage inflammation has not been fully elucidated. Previous research studies have identified TANK-binding kinase 1 (TBK1) and stimulator of interferon genes (STING) as potential factors in inflammation and autoimmune diseases. Here, we found that both TBK1 and STING were increased in synovium from aseptic loosening (AL) patients and were activated in titanium particles (TiPs)-stimulated macrophages. Lentivirus-mediated knockdown of TBK or STING significantly inhibited the inflammatory effects of macrophages, while overexpression of TBK or STING exerted opposite results. In concrete, STING/TBK1 promoted the activation of NF-κB and IRF3 pathways and macrophage M1 polarization. For further validation, a mice cranial osteolysis model was constructed for in vivo assays, and we found that STING-overexpressed lentivirus injection exacerbated osteolysis and inflammation, which was counteracted by TBK1-knockdown injection. In conclusion, STING/TBK1 enhanced TiP-induced macrophage inflammation and osteolysis via orchestrating the activation of NF-κB and IRF3 pathways and M1 polarization, which suggested STING/TBK1 as potential therapeutic targets for preventing AL of prostheses.
由于假体衍生的磨损颗粒引起的巨噬细胞炎症反应是人工关节失效的主要原因。然而,磨损颗粒引发巨噬细胞炎症的机制尚未完全阐明。先前的研究已经确定 TANK 结合激酶 1(TBK1)和干扰素基因刺激物(STING)是炎症和自身免疫性疾病的潜在因素。在这里,我们发现,在无菌性松动(AL)患者的滑膜中,TBK1 和 STING 均增加,并在钛颗粒(TiP)刺激的巨噬细胞中被激活。慢病毒介导的 TBK 或 STING 敲低显著抑制了巨噬细胞的炎症作用,而过表达 TBK 或 STING 则产生相反的结果。具体而言,STING/TBK1 促进了 NF-κB 和 IRF3 途径的激活以及巨噬细胞 M1 极化。为了进一步验证,我们构建了小鼠颅骨溶骨模型进行体内实验,结果发现,STING 过表达慢病毒注射加剧了溶骨和炎症,而 TBK1 敲低注射则拮抗了这一过程。总之,STING/TBK1 通过协调 NF-κB 和 IRF3 途径的激活以及 M1 极化增强了 TiP 诱导的巨噬细胞炎症和溶骨,这表明 STING/TBK1 可能是预防假体 AL 的潜在治疗靶点。
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