Expansion of CD14+CD16+ peripheral monocytes among patients with aseptic loosening.

Abstract

OBJECTIVE AND DESIGN:

In this study, we have investigated the relevance of peripheral blood inflammatory CD14(+)CD16(+) monocytes phenotype to patients with aseptic loosening (AL).

MATERIAL AND TREATMENT:

Immunophenotypes of monocytes were examined among patients with AL (n = 43), patients with mechanical loosening (ML, n = 30), patients with stable implant (SI, n = 16), and patients with osteoarthritis (OA, n = 17) using flow cytometry.

METHODS:

Immunological assay was used to measure TNF-alpha and IL-1 beta levels in both sera and culture media of implant wear stimulated CD14(+)CD16(+) and CD14(++)CD16(-) monocytes. Periprosthetic tissues were collected during surgery for histological assessment.

RESULTS:

The frequency of CD14(+)CD16(+) monocytes showed significant increase in AL patients than in ML, SI, and OA patients. A positive association was found between the subpopulation of CD14(+)CD16(+) monocytes and plasma TNF-alpha and IL-1 beta level in AL patients. Furthermore, a positive correlation existed between the subpopulation of CD14(+)CD16(+) monocytes and the total histopathology score.

CONCLUSION:

The results indicate that CD14(+)CD16(+) monocytes represent a sensitive marker for the disease activity of AL, and may serve as an effective prognostic index to identify total joint replacement recipients who are at increased risk for osteolysis and progression of AL.

• Authors: W Wu, X Zhang, C Zhang, T Tang, W Ren, K Dai
• Journal: Inflammation research : official journal of the European Histamine Research Society ... [et al.] (Inflamm Res) Vol. 58 Issue 9 Pg. 561-70 (Sep 2009) ISSN: 1420-908X [Electronic] Switzerland
• PMID: 19290480 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Biomarkers
• Interleukin-1beta
• Lipopolysaccharide Receptors
• Receptors, IgG
• Tumor Necrosis Factor-alpha

Topics

• Aged
• Biomarkers (metabolism)
• Female
• Humans
• Immunophenotyping
• Interleukin-1beta (blood, immunology)
• Lipopolysaccharide Receptors (blood, immunology)
• Male
• Middle Aged
• Monocytes (cytology, immunology)
• Osteolysis (blood, immunology)
• Osteonecrosis (blood, immunology)
• Prostheses and Implants
• Prosthesis Failure
• Receptors, IgG (blood, immunology)
• Risk Factors
• Tumor Necrosis Factor-alpha (blood, immunology)