Abstract
Particles generated from orthopedic implants through years of wear play an essential role in the aseptic loosening of a prosthesis. We have investigated the biocompatibility of these orthopedic particles on different osteoblastβlike cells representative of different stages of osteoblast maturation. We found the particles induced a caspaseβdependent apoptosis of osteoblasts, with less mature osteoblasts being the most susceptible. An analysis of gene expression was performed on the less mature osteoblasts, which were in contact with the particles. We found that the particles had a profound impact on genes that code for inflammatory cytokines and genes involved in controlling the nuclear architecture. Results from this study suggest that the periβimplant osteolysis after a total joint replacement can be due in part to a decrease of bone formation and not solely to an overstimulation of bone resorption as is generally proposed. Development of new drugs that promote normal bone formation and osteoblast survival would possibly control periβimplant osteolysis, resulting in a better prognosis for patients with orthopedic implants. Β© 2002 Wiley Periodicals, Inc. J Biomed Mater Res 61: 408β420, 2002