Inflammation

, Volume 35, Issue 4, pp 1378–1391

Protection Against Titanium Particle-Induced Inflammatory Osteolysis by the Proteasome Inhibitor Bortezomib In Vivo

Authors

  • Xin Mao
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
  • Xiaoyun Pan
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
  • Song Zhao
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
  • Xiaochun Peng
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
  • Tao Cheng
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
    • Department of OrthopaedicsThe Sixth Affiliated People’s Hospital, Shanghai Jiaotong University School of Medicine
Article

DOI: 10.1007/s10753-012-9451-8

Cite this article as:
Mao, X., Pan, X., Zhao, S. et al. Inflammation (2012) 35: 1378. doi:10.1007/s10753-012-9451-8

Abstract

Wear particle-induced vascularized granulomatous inflammation and subsequent inflammatory osteolysis is the most common cause of aseptic loosening after total joint replacement (TJR); however, the precise mechanism by which this occurs is unclear. This study investigates the effects of the proteasome inhibitor bortezomib (Bzb) on the expression of key biochemical markers of bone metabolism and vascularised granulomatous tissues, such as receptor activator of nuclear factor-κB ligand (RANKL), osteoprotegerin (OPG), vascular endothelial growth factor (VEGF) and tumor necrosis factor receptor-associated factor 6 (TRAF6). In addition, the effect of Bzb on apoptosis of CD68+ cells was examined. A total of 32 female BALB/C mice were randomly divided into four groups. After implantation of calvaria bone from syngeneic littermates, titanium (Ti) particles were injected into established air pouches for all mice (excluding negative controls) to provoke inflammatory osteolysis. Subsequently, Bzb was administered at a ratio of 0, 0.1, or 0.5 mg/kg on day 1, 4, 8, and 11 post-surgery to alleviate this response. All of the air pouches were harvested 14 days after the surgical procedure and were processed for molecular and histological analysis. The results demonstrated that Ti injection elevated the expression of RANKL, OPG, VEGF, and TRAF6 at both the gene and protein levels, increased counts of infiltrated cells and thickness of air pouch membranes, and elevated the apoptosis index (AI) of CD68+ cells. Bzb treatment significantly improved Ti particle-induced implanted bone osteolysis, attenuated vascularised granulomatous tissues and elevated AI of CD68+ cells. Therefore, the proteasome pathway may represent an effective therapeutic target for the prevention and treatment of aseptic loosening.

KEY WORDS

titaniumaseptic looseningbortezomibosteolysisapoptosis

Copyright information

© Springer Science+Business Media, LLC 2012