Interaction pathways of implant metal localized corrosion and macrophage inflammatory reactions

Meng Li1, Jing Wu1, Wenbo Geng1

  • 1Key Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing, 400044, PR China.

Bioactive Materials
|September 4, 2023
PubMed

Insights

Localized corrosion of 316L stainless steel implants is worsened by macrophages. This interaction accelerates corrosion and inflammation, impacting implant performance and patient health.

Area of Science:

  • Biomaterials Science
  • Immunology
  • Corrosion Engineering

Background:

  • Macrophages are key immune cells involved in peri-implant inflammation.
  • Metallic implants, like 316L stainless steel, can undergo localized corrosion.
  • The interaction between corrosion products and immune cells is critical for implant success.

Purpose of the Study:

  • To investigate the interaction pathways between localized corrosion of 316L stainless steel and macrophages.
  • To understand how macrophage inflammatory responses affect implant corrosion.
  • To elucidate the synergistic effects promoting corrosion and inflammation.

Main Methods:

  • Electrochemical monitoring of 316L stainless steel under inflammatory conditions.
  • Utilizing RAW264.7 macrophage cell line, induced to M1 pro-inflammatory phenotype with lipopolysaccharide (LPS).
  • Assessing macrophage viability, morphology, and inflammatory marker expression (CD86, TNF-α, IL-6) in relation to corrosion.

Main Results:

  • Macrophage presence decreased pitting corrosion resistance of 316L SS by disrupting adsorbed layers.
  • Pro-inflammatory M1 macrophages further reduced pitting potential, with corrosion initiating near cells.
  • Inflammatory conditions and corrosion accelerated ROS production, damaging surrounding macrophages.
  • Corrosion pits induced region-dependent macrophage responses, with lower viability and altered morphology near pits.
  • Corrosion stimulated macrophage expression of CD86, TNF-α, IL-6, and intracellular ROS.
  • Uneven release of metallic ions (Fe²⁺, Cr³⁺, Ni²⁺) and surface potential stimulated inflammatory responses.

Conclusions:

  • A synergistic feedback loop exists between 316L SS localized corrosion and macrophage inflammatory responses.
  • This interaction accelerates both corrosion and inflammation, negatively impacting metallic implants.
  • Direct evidence of corrosion-macrophage interaction provides insights into implant failure mechanisms.