Molecular and immune toxicity of CoCr nanoparticles in MoM hip arthroplasty.

Abstract:

:Theoretical, desirable features of second-generation metal-on-metal (MoM) hip prostheses have led to their widespread use. However, the bearing surfaces, consisting of complex cobalt-chromium alloys, are subject to wear and the release of cobalt and chromium (CoCr) nanoparticles. These nanoparticles can reduce cellular viability, induce DNA damage, lead to chromosomal aberrations, and possibly stimulate increased metal hypersensitivity. Clinically, the effects can be both local (soft-tissue reactions) and systemic (arthroprosthetic cobaltism). This review assesses the literature concerning the in vitro and in vivo cytotoxic, genotoxic, and immunotoxic effects of CoCr wear particles, which is increasingly important in view of the large number of MoM arthroplasties performed.

journal_name

Trends Mol Med

authors

Gill HS,Grammatopoulos G,Adshead S,Tsialogiannis E,Tsiridis E

doi

10.1016/j.molmed.2011.12.002

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

145-55

issue

3

eissn

1471-4914

issn

1471-499X

pii

S1471-4914(11)00211-5

journal_volume

18

pub_type

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