Bone remodeling, particle disease and individual susceptibility to periprosthetic osteolysis

Title:

Bone remodeling, particle disease and individual susceptibility to periprosthetic osteolysis

Creator:

Jiří Gallo, Milan Raška, František Mrázek, and Martin Petřek

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:35a16e72-3445-4842-932d-81c7033d0623
uuid:35a16e72-3445-4842-932d-81c7033d0623
issn:0862-8408

Subject:

Experimentální medicína, patologická fyziologie, osteoklasty, ortopedie, pathological physiology, osteoclasts, orthopedics, periprotetická osteolýza, osteoblast, periprosthetic osteolysis, particle disease, basic multicellular unit, 14, and 616-092

Type:

article, články, model:article, and TEXT

Format:

print, bez média, and svazek

Description:

Bone remodeling is a tightly coupled process consisting of repetitive cycles of bone resorption and formation. Both processes are governed by mechanical signals, which operate in conjunction with local and systemic factors in a discrete anatomic structure designated a basic multicellular unit (BMU). The microenvironment around total joint arthroplasty is a dynamic and complex milieu influenced by the chemical and physical stimuli associated with servicing the prosthesis. A key factor limiting the longevity of the prosthesis is polyethylene wear, which induces particle disease, and this may lead to increased and prolonged activity of BMUs resulting in periprosthetic osteolysis. Several pathways regulating BMU function have been reported in the past, including RANKL/RANK/OPG/TRAF6, TNF-α/TNFR/TRAF1, and IL-6/CD126/JAK/STAT. Moreover, the expression and functional activity of all these molecules can be affected by variations in their genes. These may explain the differences in severity of bone defects or prosthetic failure between patients with similar wear rates and the same prosthesis. Simultaneously, this data strongly support the theory of individual susceptibility to prosthetic failure., J. Gallo, M. Raška, F. Mrázek, M. Petřek., and Obsahuje bibliografii a bibliografické odkazy

Language:

English

Rights:

http://creativecommons.org/licenses/by-nc-sa/4.0/
policy:public

Source:

Physiological research | 2008 Volume:57 | Number:3

Harvested from:

CDK

Metadata only:

false