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The Role of Oxidative Stress in Aseptic Loosening of Total Hip Arthroplasties
Journal article   Open access   Peer reviewed

The Role of Oxidative Stress in Aseptic Loosening of Total Hip Arthroplasties

Marla J. Steinbeck, Lauren J. Jablonowski, Javad Parvizi, Theresa A. Freeman and C S Pitchumoni
The Journal of arthroplasty, v 29(4), pp 843-849
Apr 2014
PMID: 24290740
url
https://europepmc.org/articles/pmc3965616View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

4-hydroxynonenal (4-HNE) cyclooxygenase-2 (COX2) high mobility group protein-B1 (HMGB1) inducible nitric oxide synthase (iNOS) nitrotyrosine (NT) osteolysis
This study investigated the hypothesis that wear particle-induced oxidative stress initiates osteolysis after total hip arthroplasty (THA). Patient radiographs were scored for osteolysis and periprosthetic tissues were immunostained and imaged to quantify polyethylene wear, inflammation, and five osteoinflammatory and oxidative stress-responsive factors. These included high mobility group protein-B1 (HMGB1), cyclooxygenase-2 (COX2), inducible nitric oxide synthase (iNOS), 4-hydroxynonenal (4-HNE), and nitrotyrosine (NT). The results show wear debris correlated with inflammation, 4-HNE, NT and HMGB1, whereas inflammation only correlated with NT and HMGB1. Similar to wear debris and inflammation, osteolysis correlated with HMGB1. Additionally, osteolysis correlated with COX2 and 4-HNE, but not iNOS or NT. Understanding the involvement of oxidative stress in wear-induced osteolysis will help identify diagnostic biomarkers and therapeutic targets to prevent osteolysis after THA.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
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