Interferon-gamma exacerbates polymethylmethacrylate particle-induced interleukin-6 release by human

M C Trindade1, M Lind, S B Goodman

  • 1Orthopaedic Research Laboratory, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305-5341, USA.

Insights

Interferon-gamma amplifies the release of pro-inflammatory cytokines interleukin-6 and tumor necrosis factor-alpha from macrophages exposed to orthopedic debris. This finding is crucial for understanding implant loosening and inflammation.

Area of Science:

  • Biomedical Engineering
  • Immunology
  • Materials Science

Background:

  • Periprosthetic membranes at failed joint implants contain macrophages and debris.
  • Macrophages release pro-inflammatory mediators like interleukin-6 and tumor necrosis factor-alpha.
  • Interferon-gamma is present at the bone-implant interface of failed orthopedic implants.

Purpose of the Study:

  • To investigate the in vitro effects of interferon-gamma on monocyte/macrophages challenged with polymethylmethacrylate (PMMA) particles.
  • To quantify the release of interleukin-6 and tumor necrosis factor-alpha under these conditions.

Main Methods:

  • Primary human monocyte/macrophages were exposed to PMMA particles.
  • Interferon-gamma was added at varying concentrations (1.0 and 10.0 ng/mL).
  • Interleukin-6 and tumor necrosis factor-alpha release was measured; blocking antibodies to interferon-gamma were used.

Main Results:

  • PMMA particles induced a dose-dependent release of interleukin-6 and tumor necrosis factor-alpha.
  • Interferon-gamma significantly increased interleukin-6 release (76-127%) and tumor necrosis factor-alpha release (17-171%) in response to PMMA particles.
  • Interferon-gamma alone did not affect interleukin-6 release, but stimulated tumor necrosis factor-alpha release.

Conclusions:

  • Interferon-gamma exacerbates the release of pro-inflammatory cytokines interleukin-6 and tumor necrosis factor-alpha from macrophages stimulated by PMMA particles.
  • This suggests interferon-gamma plays a role in the inflammatory response associated with orthopedic implant debris.
  • Findings highlight interferon-gamma as a potential target for managing implant-associated inflammation.