RRC ID 38685
Author Quinn J, Joyner C, Triffitt JT, Athanasou NA.
Title Polymethylmethacrylate-induced inflammatory macrophages resorb bone.
Journal J Bone Joint Surg Br
Abstract Macrophages and their fused products are commonly found at the polymethylmethacrylate cement-bone interface, but it is not known if they contribute directly to the osteolysis associated with loosening of the cemented prosthesis. We isolated mononuclear phagocytes from granulomas formed by subcutaneous implantation of polymethylmethacrylate into mice and incubated them on bone slices in which they formed resorption lacunae after co-culture for seven to 14 days with both marrow stromal cells and osteoblast-like cells (in the presence of 1 alpha,25-dihydroxyvitamin D3 and dexamethasone). Increased numbers of tartrate-resistant acid phosphatase-positive mononuclear and multinucleated cells formed in these cultures. Both in the presence and absence of stromal cells, macrophages produced extensive superficial roughening of the bone surface. Polymethylmethacrylate-induced macrophages are thus capable of low-grade surface and high-grade lacunar osteolysis, the latter requiring the presence of specific hormonal and stromal cell elements. These two forms of bone resorption could account for the pathogenesis and clinical patterns associated with loosening of the cemented prosthesis.
Volume 74(5)
Pages 652-8
Published 1992-9-1
DOI 10.1302/0301-620X.74B5.1527108
PMID 1527108
MeSH Animals Bone Cements / pharmacology* Bone Resorption / etiology* Bone Resorption / pathology Bone and Bones / drug effects Bone and Bones / ultrastructure Cell Line Cells, Cultured / drug effects Cells, Cultured / ultrastructure Macrophages / drug effects* Macrophages / ultrastructure Methylmethacrylates / pharmacology* Mice Mice, Inbred Strains Microscopy, Electron, Scanning Osteolysis / etiology Osteolysis / pathology Particle Size Prostheses and Implants Time Factors
Times Cited 117
WOS Category SURGERY ORTHOPEDICS
Resource
Human and Animal Cells ST2(RCB0224)