PMID- 28245614 OWN - NLM STAT- MEDLINE DCOM- 20170420 LR - 20240324 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 18 IP - 3 DP - 2017 Feb 25 TI - Gene Expression in Osteolysis: Review on the Identification of Altered Molecular Pathways in Preclinical and Clinical Studies. LID - 10.3390/ijms18030499 [doi] LID - 499 AB - Aseptic loosening (AL) due to osteolysis is the primary cause of joint prosthesis failure. Currently, a second surgery is still the only available treatment for AL, with its associated drawbacks. The present review aims at identifying genes whose expression is altered in osteolysis, and that could be the target of new pharmacological treatments, with the goal of replacing surgery. This review also aims at identifying the molecular pathways altered by different wear particles. We reviewed preclinical and clinical studies from 2010 to 2016, analyzing gene expression of tissues or cells affected by osteolysis. A total of 32 in vitro, 16 in vivo and six clinical studies were included. These studies revealed that genes belonging to both inflammation and osteoclastogenesis pathways are mainly involved in osteolysis. More precisely, an increase in genes encoding for the following factors were observed: Interleukins 6 and 1beta (IL16 and beta), Tumor Necrosis Factor alpha (TNFalpha), nuclear factor kappa-light-chain-enhancer of activated B cells (NFkappaB), Nuclear factor of activated T-cells, cytoplasmic 1 (NFATC1), Cathepsin K (CATK) and Tartrate-resistant acid phosphatase (TRAP). Titanium (Ti) and Polyethylene (PE) were the most studied particles, showing that Ti up-regulated inflammation and osteoclastogenesis related genes, while PE up-regulated primarily osteoclastogenesis related genes. FAU - Veronesi, Francesca AU - Veronesi F AD - Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopedic Institute, via di Barbiano 1/10, 40136 Bologna, Italy. francesca.veronesi@ior.it. FAU - Tschon, Matilde AU - Tschon M AD - Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopedic Institute, via di Barbiano 1/10, 40136 Bologna, Italy. matilde.tschon@ior.it. FAU - Fini, Milena AU - Fini M AD - Laboratory of Preclinical and Surgical Studies, Rizzoli Orthopedic Institute, via di Barbiano 1/10, 40136 Bologna, Italy. milena.fini@ior.it. LA - eng PT - Journal Article PT - Review DEP - 20170225 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Animals MH - Clinical Studies as Topic MH - Disease Models, Animal MH - *Gene Expression Regulation MH - Humans MH - Inflammation/genetics/metabolism/pathology MH - Osteoclasts/metabolism MH - Osteolysis/*genetics/*metabolism MH - *Signal Transduction PMC - PMC5372515 OTO - NOTNLM OT - aseptic loosening OT - gene expression OT - genomics OT - inflammation OT - osteoclastogenesis OT - osteolysis COIS- The authors declare no conflict of interest. EDAT- 2017/03/02 06:00 MHDA- 2017/04/21 06:00 PMCR- 2017/03/01 CRDT- 2017/03/02 06:00 PHST- 2017/01/19 00:00 [received] PHST- 2017/02/20 00:00 [revised] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/03/02 06:00 [entrez] PHST- 2017/03/02 06:00 [pubmed] PHST- 2017/04/21 06:00 [medline] PHST- 2017/03/01 00:00 [pmc-release] AID - ijms18030499 [pii] AID - ijms-18-00499 [pii] AID - 10.3390/ijms18030499 [doi] PST - epublish SO - Int J Mol Sci. 2017 Feb 25;18(3):499. doi: 10.3390/ijms18030499.