Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris

<b>Background/Objectives:</b> Periprosthetic osteolysis is the primary cause of arthroplasty failure in the majority of patients. Mechanistically, wear debris released from the articulating surfaces of a prosthesis initiates local inflammation and several modes of regulated cell death pr...

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Main Authors: Takuya Ogawa, Shunichi Yokota, Liyile Chen, Yuki Ogawa, Yoshio Nishida, Taiki Tokuhiro, Hend Alhasan, Tomoyo Yutani, Tomohiro Shimizu, Daisuke Takahashi, Takuji Miyazaki, Tsutomu Endo, Ken Kadoya, Mohamad Alaa Terkawi, Norimasa Iwasaki
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Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/170
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author Takuya Ogawa
Shunichi Yokota
Liyile Chen
Yuki Ogawa
Yoshio Nishida
Taiki Tokuhiro
Hend Alhasan
Tomoyo Yutani
Tomohiro Shimizu
Daisuke Takahashi
Takuji Miyazaki
Tsutomu Endo
Ken Kadoya
Mohamad Alaa Terkawi
Norimasa Iwasaki
author_facet Takuya Ogawa
Shunichi Yokota
Liyile Chen
Yuki Ogawa
Yoshio Nishida
Taiki Tokuhiro
Hend Alhasan
Tomoyo Yutani
Tomohiro Shimizu
Daisuke Takahashi
Takuji Miyazaki
Tsutomu Endo
Ken Kadoya
Mohamad Alaa Terkawi
Norimasa Iwasaki
author_sort Takuya Ogawa
collection DOAJ
description <b>Background/Objectives:</b> Periprosthetic osteolysis is the primary cause of arthroplasty failure in the majority of patients. Mechanistically, wear debris released from the articulating surfaces of a prosthesis initiates local inflammation and several modes of regulated cell death programs, such as ferroptosis, which represents a promising therapeutic target in various chronic inflammatory diseases. Thus, the current study aimed at exploring the therapeutic potential of targeting ferroptosis in a polyethylene-wear-debris-induced osteolysis model. <b>Methods:</b> Inverted cell culture model was used for stimulating the cells with wear debris in vitro, and calvarial osteolysis model was used for evaluating the therapeutic effects of inhibitors in vivo. <b>Results:</b> The immunostaining of periprosthetic bone tissues demonstrated a number of osteocytes expressing ferroptosis markers. Likewise, the expressions of ferroptosis markers were confirmed in polyethylene-wear-debris-stimulated osteocyte-like cells and primary osteoblasts in a direct stimulation model but not in an indirect stimulation model. Furthermore, polyethylene wear debris was implanted onto calvarial bone and mice were treated with the ferroptosis inhibitors DFO and Fer-1. These treatments alleviated the inflammatory and pathological bone resorption induced by the wear debris implantation. <b>Conclusions:</b> Our data broaden the knowledge of the pathogenesis of periprosthetic osteolysis and highlight ferroptosis as a promising therapeutic target.
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spelling doaj-art-bb6ffbf57e3242ca9d7b1f927e8400532025-01-24T13:24:16ZengMDPI AGBiomedicines2227-90592025-01-0113117010.3390/biomedicines13010170Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear DebrisTakuya Ogawa0Shunichi Yokota1Liyile Chen2Yuki Ogawa3Yoshio Nishida4Taiki Tokuhiro5Hend Alhasan6Tomoyo Yutani7Tomohiro Shimizu8Daisuke Takahashi9Takuji Miyazaki10Tsutomu Endo11Ken Kadoya12Mohamad Alaa Terkawi13Norimasa Iwasaki14Department of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanR&D Center, Teijin Nakashima Medical Co., Ltd., Okayama 701-1221, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15, Nish-7, Kita-ku, Sapporo 060-8638, Japan<b>Background/Objectives:</b> Periprosthetic osteolysis is the primary cause of arthroplasty failure in the majority of patients. Mechanistically, wear debris released from the articulating surfaces of a prosthesis initiates local inflammation and several modes of regulated cell death programs, such as ferroptosis, which represents a promising therapeutic target in various chronic inflammatory diseases. Thus, the current study aimed at exploring the therapeutic potential of targeting ferroptosis in a polyethylene-wear-debris-induced osteolysis model. <b>Methods:</b> Inverted cell culture model was used for stimulating the cells with wear debris in vitro, and calvarial osteolysis model was used for evaluating the therapeutic effects of inhibitors in vivo. <b>Results:</b> The immunostaining of periprosthetic bone tissues demonstrated a number of osteocytes expressing ferroptosis markers. Likewise, the expressions of ferroptosis markers were confirmed in polyethylene-wear-debris-stimulated osteocyte-like cells and primary osteoblasts in a direct stimulation model but not in an indirect stimulation model. Furthermore, polyethylene wear debris was implanted onto calvarial bone and mice were treated with the ferroptosis inhibitors DFO and Fer-1. These treatments alleviated the inflammatory and pathological bone resorption induced by the wear debris implantation. <b>Conclusions:</b> Our data broaden the knowledge of the pathogenesis of periprosthetic osteolysis and highlight ferroptosis as a promising therapeutic target.https://www.mdpi.com/2227-9059/13/1/170periprosthetic osteolysiswear debrisferroptosis inhibitorstherapeutics
spellingShingle Takuya Ogawa
Shunichi Yokota
Liyile Chen
Yuki Ogawa
Yoshio Nishida
Taiki Tokuhiro
Hend Alhasan
Tomoyo Yutani
Tomohiro Shimizu
Daisuke Takahashi
Takuji Miyazaki
Tsutomu Endo
Ken Kadoya
Mohamad Alaa Terkawi
Norimasa Iwasaki
Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
Biomedicines
periprosthetic osteolysis
wear debris
ferroptosis inhibitors
therapeutics
title Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
title_full Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
title_fullStr Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
title_full_unstemmed Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
title_short Therapeutic Potential of Targeting Ferroptosis in Periprosthetic Osteolysis Induced by Ultra-High-Molecular-Weight Polyethylene Wear Debris
title_sort therapeutic potential of targeting ferroptosis in periprosthetic osteolysis induced by ultra high molecular weight polyethylene wear debris
topic periprosthetic osteolysis
wear debris
ferroptosis inhibitors
therapeutics
url https://www.mdpi.com/2227-9059/13/1/170
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