“…In a previous study we have shown that bioactive glasses cause activation of human polymorphonuclear leukocytes (PMNL) in vitro. 8 This activation of inflammatory cells, induced by particle-to-cell-membrane contact and phagocytosis, leads to an increase in oxygen uptake, O 2˙− , OH˙, and H 2 O 2 production, and hexose monophosphate shunt activity. Opsonized bacteria, crystal and mineral dusts, as well as surface-modified TiO 2 can activate the release of ROMs.…”