Chemokines Associated with Pathologic Responses to Orthopedic Implant Debris

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Chemokines Associated with Pathologic Responses to Orthopedic Implant Debris

Despite the success in returning people to health saving mobility and high quality of life, the over 1 million total joint replacements implanted in the US each year are expected to eventually fail after approximately 15-25 years of use, due to slow progressive subtle inflammation to implant debris compromising the bone implant interface. This local inflammatory pseudo disease state is primaril...

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The historical success of orthopedic implants has been recently tempered by unexpected pathologies and early failures of some types of Cobalt-Chromium-Molybdenum alloy containing artificial hip implants. Hypoxia-associated responses to Cobalt-alloy metal debris were suspected as mediating this untoward reactivity at least in part. Hypoxia Inducible Factor-1α is a major transcription factor invo...

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Hypersensitivity to Implant Debris

Total Joint Replacements (TJR) have been extremely successful over the past 50 years, restoring mobility and function to millions of people each year. However, over time these implants need replacing for a number of reasons, such as infection or increasing immune reactivity to implant debris. All implant metals degrade in vivo, and the released products biologically interact locally and systemi...

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Role of the Toll-like receptor pathway in the recognition of orthopedic implant wear-debris particles.

The inflammatory response to prosthetic implant-derived wear particles is the primary cause of bone loss and aseptic loosening of implants, but the mechanisms by which macrophages recognize and respond to particles remain unknown. Studies of innate immunity demonstrate that Toll-like receptors (TLRs) recognize pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patter...

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Bacterial adhesion to orthopedic implant polymers.

The degradable polymers poly(orthoester) (POE), poly(L-lactic acid) (PLA), and the nondegradable polymers polysulfone (PSF), polyethylene (PE), and poly(ether ether ketone) (PEEK) were exposed to cultures of Staphylococcus epidermidis, Pseudomonas aeruginosa, or Escherichia coli. Bacteria washed and resuspended in phosphate buffered saline (PBS) adhered to polymers in amounts nearly twice those...

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ژورنال

عنوان ژورنال: Frontiers in Endocrinology

سال: 2017

ISSN: 1664-2392

DOI: 10.3389/fendo.2017.00005