“…Recognition of wear particles or DAMPs adhering to the particles via TLR2 and TLR4 induces the secretion of proinflammatory cytokines in the NF-κB-dependent pathway (Pearl et al, 2011). The proinflammatory cytokines including TNF-α and IL-1β further activate NF-κB in macrophages as a positive regulatory loop during the chronic inflammation, leading to OC activation, and osteolytic processes (Lin, Pajarinen, et al, 2016; Lin, Tamaki, et al, 2014). Inhibition of NF-κB activity suppresses PMMA and UHMWPE wear particle induced OC activation in vitro and in vivo, suggesting the therapeutic potential of targeting NF-κB pathway in the particle disease (Clohisy, Hirayama, Frazier, Han, & Abu-Amer, 2004; Lin, Pajarinen, et al, 2016).…”