Tao Huaqiang, Li Xueyan, Chu Miao, Wang Qiufei, Li Ping, Han Qibin, Chen Kai, Zhu Pengfei, Hao Yuefeng, Yang Xing, Geng Dechun, Gu Ye
Department of Orthopedics, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Suzhou, Jiangsu, China.
Anesthesiology department, Suzhou Municipal Hospital, Nanjing Medical University Affiliated Suzhou Hospital, 242, Guangji Road, Suzhou, Jiangsu, China.
Cell Death Discov. 2023 Dec 16;9(1):461. doi: 10.1038/s41420-023-01761-y.
Periprosthetic osteolysis (PPO) induced by wear particles at the interface between the prosthesis and bone is a crucial issue of periprosthetic bone loss and implant failure. After wear and tear, granular material accumulates around the joint prosthesis, causing a chronic inflammatory response, progressive osteoclast activation and eventual loosening of the prosthesis. Although many studies have been conducted to address bone loss after joint replacement surgeries, they have not fully addressed these issues. Focusing on osteoclast activation induced by particles has important theoretical implications. Cannabinoid type II receptor (CB2) is a seven-transmembrane receptor that is predominantly distributed in the human immune system and has been revealed to be highly expressed in bone-associated cells. Previous studies have shown that modulation of CB2 has a positive effect on bone metabolism. However, the exact mechanism has not yet been elucidated. In our experiments, we found that NOX1-mediated ROS accumulation was involved in titanium particle-stimulated osteoclast differentiation. Furthermore, we confirmed that CB2 blockade alleviated titanium particle-stimulated osteoclast activation by inhibiting the NOX1-mediated oxidative stress pathway. In animal experiments, downregulation of CB2 alleviated the occurrence of titanium particle-induced cranial osteolysis by inhibiting osteoclasts and scavenging intracellular ROS. Collectively, our results suggest that CB2 blockade may be an attractive and promising therapeutic scheme for particle-stimulated osteoclast differentiation and preventing PPO.
假体与骨界面处磨损颗粒诱导的假体周围骨溶解(PPO)是假体周围骨丢失和植入失败的关键问题。磨损后,颗粒物质在关节假体周围积聚,引发慢性炎症反应、破骨细胞逐渐激活,最终导致假体松动。尽管已经开展了许多研究来解决关节置换术后的骨丢失问题,但尚未完全解决这些问题。聚焦于颗粒诱导的破骨细胞激活具有重要的理论意义。大麻素II型受体(CB2)是一种七跨膜受体,主要分布于人体免疫系统,且已证实在骨相关细胞中高表达。既往研究表明,调节CB2对骨代谢有积极作用。然而,确切机制尚未阐明。在我们的实验中,我们发现NOX1介导的活性氧积累参与了钛颗粒刺激的破骨细胞分化。此外,我们证实CB2阻断通过抑制NOX1介导的氧化应激途径减轻了钛颗粒刺激的破骨细胞激活。在动物实验中,CB2下调通过抑制破骨细胞和清除细胞内活性氧减轻了钛颗粒诱导的颅骨骨溶解的发生。总体而言,我们的结果表明,CB2阻断可能是一种有吸引力且有前景的治疗方案,用于治疗颗粒刺激的破骨细胞分化和预防PPO。