“…The immune cytokines are synthesized by the activated microglia, astrocyte, monocyte, macrophages and neutrophil in response to foreign stimuli, such as TiO 2 , ultrafine particles, Ti and Ti alloys particulate wear debris, (Campbell et al, 2005;Vallés et al, 2006;Vermes et al, 2001). In lung tissue, the elevated releases of cytokines have been also reported in mammalians exposed to ultrafine particles (Rao et al, 2005;Inoue et al, 2005). It is demonstrated that there is a further increase in such inflammation in neurodegenerative disorders (Rothwell and Relton, 1993;Venters et al, 1999).…”