Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow

Abstract Particles released from cobalt-chromium-molybdenum (CoCrMo) alloys are considered common elicitors of chronic inflammatory adverse effects. There is a lack of data demonstrating particle numbers, size distribution and elemental composition of bone marrow resident particles which would allow...

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Main Authors: Janosch Schoon, Bernhard Hesse, Remi Tucoulou, Sven Geissler, Melanie Ort, Georg N. Duda, Carsten Perka, Georgi I. Wassilew, Giorgio Perino, Anastasia Rakow
Format: Article
Language:English
Published: Springer 2022-06-01
Series:Journal of Materials Science: Materials in Medicine
Online Access:https://doi.org/10.1007/s10856-022-06675-2
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author Janosch Schoon
Bernhard Hesse
Remi Tucoulou
Sven Geissler
Melanie Ort
Georg N. Duda
Carsten Perka
Georgi I. Wassilew
Giorgio Perino
Anastasia Rakow
author_facet Janosch Schoon
Bernhard Hesse
Remi Tucoulou
Sven Geissler
Melanie Ort
Georg N. Duda
Carsten Perka
Georgi I. Wassilew
Giorgio Perino
Anastasia Rakow
author_sort Janosch Schoon
collection DOAJ
description Abstract Particles released from cobalt-chromium-molybdenum (CoCrMo) alloys are considered common elicitors of chronic inflammatory adverse effects. There is a lack of data demonstrating particle numbers, size distribution and elemental composition of bone marrow resident particles which would allow for implementation of clinically relevant test strategies in bone marrow models at different degrees of exposure. The aim of this study was to investigate metal particle exposure in human periprosthetic bone marrow of three types of arthroplasty implants. Periprosthetic bone marrow sections from eight patients exposed to CoCrMo particles were analyzed via spatially resolved and synchrotron-based nanoscopic X-ray fluorescence imaging. These analyses revealed lognormal particle size distribution patterns predominantly towards the nanoscale. Analyses of particle numbers and normalization to bone marrow volume and bone marrow cell number indicated particle concentrations of up to 1 × 1011 particles/ml bone marrow or 2 × 104 particles/bone marrow cell, respectively. Analyses of elemental ratios of CoCrMo particles showed that particularly the particles’ Co content depends on particle size. The obtained data point towards Co release from arthroprosthetic particles in the course of dealloying and degradation processes of larger particles within periprosthetic bone marrow. This is the first study providing data based on metal particle analyses to be used for future in vitro and in vivo studies of possible toxic effects in human bone marrow following exposure to arthroprosthetic CoCrMo particles of different concentration, size, and elemental composition. Graphical abstract
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spelling doaj.art-3438335bb97845eca438e8c2c80e49412022-12-22T03:30:35ZengSpringerJournal of Materials Science: Materials in Medicine1573-48382022-06-0133611410.1007/s10856-022-06675-2Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrowJanosch Schoon0Bernhard Hesse1Remi Tucoulou2Sven Geissler3Melanie Ort4Georg N. Duda5Carsten Perka6Georgi I. Wassilew7Giorgio Perino8Anastasia Rakow9Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine GreifswaldXploraytion GmbHESRF-The European SynchrotronBIH Center for Regenerative Therapies (BCRT), Berlin Institute of Health at Charité - Universitätsmedizin BerlinJulius Wolff Institute, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Augustenburger Platz 1Julius Wolff Institute, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Augustenburger Platz 1Center for Musculoskeletal Surgery, Charité - Universitätsmedizin BerlinCenter for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine GreifswaldCenter for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine GreifswaldCenter for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine GreifswaldAbstract Particles released from cobalt-chromium-molybdenum (CoCrMo) alloys are considered common elicitors of chronic inflammatory adverse effects. There is a lack of data demonstrating particle numbers, size distribution and elemental composition of bone marrow resident particles which would allow for implementation of clinically relevant test strategies in bone marrow models at different degrees of exposure. The aim of this study was to investigate metal particle exposure in human periprosthetic bone marrow of three types of arthroplasty implants. Periprosthetic bone marrow sections from eight patients exposed to CoCrMo particles were analyzed via spatially resolved and synchrotron-based nanoscopic X-ray fluorescence imaging. These analyses revealed lognormal particle size distribution patterns predominantly towards the nanoscale. Analyses of particle numbers and normalization to bone marrow volume and bone marrow cell number indicated particle concentrations of up to 1 × 1011 particles/ml bone marrow or 2 × 104 particles/bone marrow cell, respectively. Analyses of elemental ratios of CoCrMo particles showed that particularly the particles’ Co content depends on particle size. The obtained data point towards Co release from arthroprosthetic particles in the course of dealloying and degradation processes of larger particles within periprosthetic bone marrow. This is the first study providing data based on metal particle analyses to be used for future in vitro and in vivo studies of possible toxic effects in human bone marrow following exposure to arthroprosthetic CoCrMo particles of different concentration, size, and elemental composition. Graphical abstracthttps://doi.org/10.1007/s10856-022-06675-2
spellingShingle Janosch Schoon
Bernhard Hesse
Remi Tucoulou
Sven Geissler
Melanie Ort
Georg N. Duda
Carsten Perka
Georgi I. Wassilew
Giorgio Perino
Anastasia Rakow
Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
Journal of Materials Science: Materials in Medicine
title Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
title_full Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
title_fullStr Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
title_full_unstemmed Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
title_short Synchrotron-based characterization of arthroprosthetic CoCrMo particles in human bone marrow
title_sort synchrotron based characterization of arthroprosthetic cocrmo particles in human bone marrow
url https://doi.org/10.1007/s10856-022-06675-2
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