ER Stress Mediates TiAl6V4 Particle-Induced Peri-Implant Osteolysis by Promoting RANKL Expression in Fibroblasts

PLoS One. 2015 Sep 14;10(9):e0137774. doi: 10.1371/journal.pone.0137774. eCollection 2015.

Abstract

Wear particle-induced osteolysis is a major cause of aseptic loosening, which is one of the most common reasons for total hip arthroplasty (THA) failure. Previous studies have shown that the synovial fibroblasts present in the periprosthetic membrane are important targets of wear debris during osteolysis. However, the interaction mechanisms between the wear debris and fibroblasts remain largely unknown. In the present study, we investigated the effect of ER (endoplasmic reticulum) stress induced by TiAl6V4 particles (TiPs) in human synovial fibroblasts and calvarial resorption animal models. The expression of ER stress markers, including IRE1-α, GRP78/Bip and CHOP, were determined by western blot in fibroblasts that had been treated with TiPs for various times and concentration. To address whether ER stress was involved in the expression of RANKL, the effects of ER stress blockers (including 4-PBA and TUDCA) on the expression of RANKL in TiPs-treated fibroblasts were examined by real-time PCR, western blot and ELISA. Osteoclastogenesis was assessed by tartrate resistant acid phosphatase (TRAP) staining. Our study demonstrated that ER stress markers were markedly upregulated in TiPs-treated fibroblasts. Blocking ER stress significantly reduced the TiPs-induced expression of RANKL both in vitro and in vivo. Moreover, the inhibition of ER stress ameliorated wear particle-induced osteolysis in animal models. Taken together, these results suggested that the expression of RANKL induced by TiPs was mediated by ER stress in fibroblasts. Therefore, down regulating the ER stress of fibroblasts represents a potential therapeutic approach for wear particle-induced periprosthetic osteolysis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alloys
  • Animals
  • Biomarkers / metabolism
  • Bone-Implant Interface*
  • Cells, Cultured
  • Endoplasmic Reticulum Chaperone BiP
  • Endoplasmic Reticulum Stress / drug effects*
  • Female
  • Fibroblasts / metabolism*
  • Fibroblasts / pathology
  • Gene Expression Regulation / drug effects
  • Humans
  • Male
  • Mice
  • Osteolysis / chemically induced
  • Osteolysis / metabolism*
  • Osteolysis / pathology
  • RANK Ligand / biosynthesis*
  • Titanium / adverse effects*
  • Titanium / chemistry
  • Titanium / pharmacology

Substances

  • Alloys
  • Biomarkers
  • Endoplasmic Reticulum Chaperone BiP
  • HSPA5 protein, human
  • Hspa5 protein, mouse
  • RANK Ligand
  • TNFSF11 protein, human
  • Tnfsf11 protein, mouse
  • titanium alloy (TiAl6V4)
  • Titanium

Grants and funding

This work was supported by the Department of Orthopedics Clinical Research Center of Jiangsu Province, China (BL2012002) (Jianning Zhao). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.