2000
DOI: 10.1002/1097-4636(200101)54:1<12::aid-jbm2>3.0.co;2-x
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In situ complement activation by polyethylene wear debris

Abstract: A frequent long-term complication of total joint arthroplasty is aseptic loosening, the end result of wear debris accumulation, synovitis, and osteolysis about the implant-bone or cement-bone interface. Complement, an effector system in plasma, synovial fluid, and tissue, has powerful chemotactic, inflammatory, and osteoclast-activating potentials. This study explored the complement-activating ability of polyethylene, a material used in joint implants. In vitro hemolytic assays using sheep red blood cells (E(s… Show more

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Cited by 56 publications
(43 citation statements)
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“…This latter process (''tickover'') is mediated by small nucleophiles or water that gain access and react with the internal thioester of C3, rendering it able to form the C3 convertase with factor B (in the presence of factor D), thus initiating C3b formation (20). All told, in addition to pathogens and immune complexes, complement activation can be triggered by stimuli as diverse as oxidatively modified low-density lipoproteins (21,22), amyloid-␤ (23), polyethylene implants (24,25), and carbon nanotubes (26). The structural features that determine whether activation and amplification will occur are not clear, but particle surfaces bearing hydroxyl (-OH) and amine (-NH 2 ) nucleophiles increase the potential for activation (16 -18, 20).…”
mentioning
confidence: 99%
“…This latter process (''tickover'') is mediated by small nucleophiles or water that gain access and react with the internal thioester of C3, rendering it able to form the C3 convertase with factor B (in the presence of factor D), thus initiating C3b formation (20). All told, in addition to pathogens and immune complexes, complement activation can be triggered by stimuli as diverse as oxidatively modified low-density lipoproteins (21,22), amyloid-␤ (23), polyethylene implants (24,25), and carbon nanotubes (26). The structural features that determine whether activation and amplification will occur are not clear, but particle surfaces bearing hydroxyl (-OH) and amine (-NH 2 ) nucleophiles increase the potential for activation (16 -18, 20).…”
mentioning
confidence: 99%
“…Due to this fact, infected tissue with a high number of active cells revealed an increased uptake of FDG, which leads to a positive finding in the PET scan (Stumpe & Strobel, 2006). Furthermore, higher FDG uptake in patients with aseptic loosening of the THR can be explained by wear debris and the development of granulomatous tissue in the periprosthetic membrane around the THR (DeHeer et al, 2001;Kadoya et al, 1998). The criteria for the interpretation of a PET scan differ between different studies .…”
Section: Fdg-petmentioning
confidence: 99%
“…Disruption of protein conformation most often causes diminished or abolished native function and can trigger undesirable side effects at the implant surface. It is well documented that the typical host response to implanted materials is a coagulation cascade triggered by nonspecific protein adsorption events [72] and complement protein reaction at the implant-host interface [73][74][75].…”
Section: Chemical Surface Patterning Followed By Protein Adsorptionmentioning
confidence: 99%
“…Disruption of protein conformation most often causes diminished or abolished native function and can trigger undesirable side effects at the implant surface. It is well documented that the typical host response to implanted materials is a coagulation cascade triggered by nonspecific protein adsorption events [72] and complement protein reaction at the implant-host interface [73][74][75].By acquiring an understanding of basic protein interactions with interfaces, it may be possible to more accurately predict how proteins and surfaces can be manipulated for the creation of cell assays or biocompatible materials that mimic native in vivo protein signals. To this end, numerous methods have been developed to produce model surfaces so that in vitro protein interactions at interfaces and resulting cellular responses can be investigated and evaluated as models of in vivo interactions and signaling.…”
mentioning
confidence: 99%