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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (01): 106-117. doi: 10.3877/cma.j.issn.1674-134X.2024.01.014

• Review • Previous Articles    

Abrasion particles affect classical signaling pathway of osteoclasts

Fei Tan1, Yongjie Qiao2, Haoqiang Zhang2, Kaipeng Zhuang2, Jiankang Zeng3, Jiahuan Li3, Peijie Li3, Dongdong Li2, Jing Wang3, Shenghu Zhou2,()   

  1. 1. Gansu University of Chinese Medical, Lanzhou 730003, China; No. 940 Hospital of the Joint Logistics Support Force of PLA, Lanzhou 730050, China
    2. No. 940 Hospital of the Joint Logistics Support Force of PLA, Lanzhou 730050, China
    3. Gansu University of Chinese Medical, Lanzhou 730003, China
  • Received:2023-03-28 Online:2024-02-01 Published:2024-03-13
  • Contact: Shenghu Zhou

Abstract:

Total joint replacement is one of the most successful treatments for end-stage osteoarthrosis. Although this method has achieved good results, the production of wear particles and the subsequent biological reaction which leads to aseptic prosthetic loosening, is still the most common cause of the failure of the total joint replacement. Signal pathway activation is one of the key factors causing osteolysis in prosthetic loosening. Therefore, inhibition of wear particles mediated signal pathway, osteoclast formation in treating osteoporosis and bony lesions, it is necessary to prevent bone loss. This review introduced the wear particles by several classic signaling pathways that affect osteoclast formation and related targets for activation or inhibition, local hypoxia by signaling pathways start autophagy affect osteoclast bone resorption, in order to delay or avoid the cause of aseptic loosening joints was renovated and patients to reduce the economic and psychological burden.

Key words: Signaling transduction, Osteoclasts, Prosthesis failure, Osteolysis

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