Chinese Journal Of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (5): 557-560.

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The expression of Toll-like receptors 2 and 4 in the macrophages of hip synovium

ZENG Zhan-peng1, DING Yue1, XU Jie1, HUANG Jianbin1, QIN Chu-qiang1, WEN Shu-ping1, Barden Bertram2   

  1. 1.Department of Orthopedic Surgery,Sun Yat-sen Memorial Hospital,Guangzhou , 510120,China; 2. Department of Orthopedic Surgery of Düren Hospital of the RWJH Achen University, Germany,45147
  • Received:2011-04-15 Online:2011-09-25 Published:2011-09-29

Abstract:

Objective To explore the expression of TLR2 and TLR4 in the macrophages of hip synovium.    Methods Hip synovium tissues were collected from 47 cases during hip surgery in our hospital from 2007 to 2010 and divided into three groups. 24 cases of femoral neck fracture were in group A, 18 cases of femoral head necrosis were in group B, and 5 cases of aseptic loosening were in group C. TLR2 and TLR4 were detected in synovial tissues of three groups by immunohistochemistry (sp), and the positive macrophages were observed, counted and analyzed  statistically.    Results The histoscore of TLR2 was 0.27±0.33/HP in Group A, 0.31±0.19/HP in Group B and 1.78±0.18/HP in the Group C. The histoscore of TLR4 was 0.69±0.18/HP in Group A, 0.71±0.31/HP in Group B and 2.00±0.39/HP in Group C. The expression of TLR2 and TLR4 in group C was significantly higher than that in group A and group B(P<0.001). The expression of TLR4 was significantly higher than TLR2 among the three groups(P<0.001).    Conclusions TLR2 and TLR4 significantly increases in the macrophages of hip synovium around the prosthesis, which may be involved in macrophage-mediated process of aseptic joint loosening.

Key words: Toll-like receptors (TLRs), Hip joint, synovium, Macrophages, Immunohistochemisty

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