Abstract

Ions released from metal implants have been associated with adverse tissue reactions and are therefore a major concern. Studies with macrophages have shown that cobalt, chromium, and nickel ions can activate the NLRP3 inflammasome, a multiprotein complex responsible for the activation of caspase-1 (a proteolytic enzyme converting pro-interleukin [IL]-1β to mature IL-1β). However, the mechanism(s) of inflammasome activation by metal ions remain largely unknown. The objectives of the present study were to determine if, in macrophages: 1. caspase-1 activation and IL-1β release induced by metal ions are oxidative stress-dependent; and 2. IL-1β release induced by metal ions is NF-κB signaling pathway-dependent. Lipopolysaccharide (LPS)-primed murine bone marrow-derived macrophages (BMDM) were exposed to Co2+ (6–48 ppm), Cr3+ (100–500 ppm), or Ni2+ (12–96 ppm), in the presence or absence of a caspase-1 inhibitor (Z-WEHD-FMK), an antioxidant (L-ascorbic acid [L-AA]), or an NF-κB inhibitor (JSH-23). Culture supernatants were analyzed for caspase-1 by western blotting and/or IL-1β release by ELISA. Immunoblotting revealed the presence of caspase-1 (p20 subunit) in supernatants of BMDM incubated with Cr3+, but not with Ni2+ or Co2+. When L-AA (2 mM) was present with Cr3+, the caspase-1 p20 subunit was undetectable and IL-1β release decreased down to the level of the negative control, thereby demonstrating that caspase-1 activation and IL-1β release induced by Cr3+ was oxidative stress-dependent. ELISA demonstrated that Cr3+ induced the highest release of IL-1β, while Co2+ had no or limited effects. In the presence of Ni2+, the addition of L-AA (2 mM) also decreased IL-1β release, below the level of the negative control, suggesting that IL-1β release induced by Ni2+ was also oxidative stress-dependent. Finally, when present during both priming with LPS and activation with Cr3+, JSH-23 blocked IL-1β release, demonstrating NF-κB involvement. Overall, this study showed that while both Cr3+ and Ni2+ may be inducing inflammasome activation, Cr3+ is likely a more potent activator, acting through oxidative stress and the NF-κB signaling pathway.

Highlights

  • Implantable metal alloys such as cobalt-chromium-molybdenum (CoCrMo) and stainless steel are widely used in medical devices, especially in hip and knee replacements [1]

  • IL-1β release increased with Ni2+, up to 265% with 48 ppm (p

  • This study focused on the effects of Co2+, Cr3+ and Ni2+ because these ions are released from wear and corrosion of CoCrMo and stainless steel alloys and are a major cause for concern [7,8,9,10,11,12]

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Summary

Introduction

Implantable metal alloys such as cobalt-chromium-molybdenum (CoCrMo) and stainless steel are widely used in medical devices, especially in hip and knee replacements [1]. The NLRP3 inflammasome has become the most widely studied member of the inflammasome family since its discovery in 2002 [20] due to its capacity to be activated by a wide array of structurally dissimilar danger-associated molecular patterns (DAMP) and pathogen-associated molecular patterns (PAMP) [21,22,23]. It is a large multiprotein complex responsible for the release of mature interleukin (IL)-1β, a cytokine that plays a key role in inflammation, and it is tightly regulated through a two-step process referred to as priming and activation [24,25]. The recruitment of this pro-enzyme leads to autoproteolysis and assembly of the resulting subunits (p20 and p10) into enzymatically active caspase-1 that cleaves pro-IL-1β into mature IL-1β

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