“…Upon particle stimulation, co-cultured macrophages secrete soluble factors such as TNFα, IL-6, IL-1β, and GM-CSF (Horowitz and Gonzales, 1996;Rodrigo et al, 2002;Vallés et al, 2008a;Guo et al, 2013) and stimulate the release of osteoblastic IL-6, PGE2, M-CSF, GM-CSF, MCP-1, and RANKL (Horowitz and Purdon, 1995;Haynes et al, 1997;Rodrigo et al, 2006;Vallés et al, 2008a). These inflammatory mediators lead to further macrophage recruitment, increased osteoclastogenesis, and suppression of osteoblast function (Horowitz et al, 1994;Horowitz and Purdon, 1995;Gallo et al, 2013;Guo et al, 2013). In an indirect co-culture model, reduction of the TNFα level using neutralizing TNFα antibodies or TNFα-siRNA in the conditioned medium from particle-activated murine macrophages (J774/RAW 264.7) resulted in down-regulation of IL-6, PGE2, and GM-CSF in murine osteoblastic cells (MC3T3-E1) (Horowitz and Purdon, 1995;Guo et al, 2013).…”