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Gu Y, Liu Y, Bühring J, Tian L, Koblenzer M, Schröder KU, Li F, Van Dessel J, Politis C, Jahr H, Sun Y. Biocompatibility and osteogenic capacity of additively manufactured biodegradable porous WE43 scaffolds: An in vivo study in a canine model. BIOMATERIALS ADVANCES 2024; 164:213984. [PMID: 39153456 DOI: 10.1016/j.bioadv.2024.213984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2024] [Revised: 07/25/2024] [Accepted: 08/01/2024] [Indexed: 08/19/2024]
Abstract
Magnesium is the most promising absorbable metallic implant material for bone regeneration and alloy WE43 is already FDA approved for cardiovascular applications. This study investigates the cyto- and biocompatibility of novel additively manufactured (AM) porous WE43 scaffolds as well as their osteogenic potential and degradation characteristics in an orthotopic canine bone defect model. The cytocompatibility was demonstrated using modified ISO 10993-conform extract-based indirect and direct assays, respectively. Additionally, degradation rates of WE43 scaffolds were quantified in vitro prior to absorption tests in vivo. Complete blood cell counts, blood biomarker analyses, blood trace element analyses as well as multi-organ histopathology demonstrated excellent biocompatibility of porous y WE43 scaffolds for bone defect repair. Micro-CT analyses further showed a relatively higher absorption rate during the initial four weeks upon implantation (i.e., 36 % ± 19 %) than between four and 12 weeks (41 % ± 14 %), respectively. Of note, the porous WE43 implants were surrounded by newly formed bony tissue as early as four weeks after implantation when unmineralized trabecular ingrowth was detected. After 12 weeks, a substantial amount of mineralized bone was detected inside and around the gradually disappearing implants. This first study on AM porous WE43 implants in canine bone defects demonstrates the potential of this alloy for in vivo applications in humans. Our data further underscore the need to control initial bulk absorption kinetics through surface modifications.
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Affiliation(s)
- Yifei Gu
- Department of Stomatology, The Fourth Affiliated Hospital of Soochow University, 215000 Suzhou, China; OMFS-IMPATH Research Group, Department of Biomedical Sciences, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Yiwen Liu
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Craniofacial Trauma and Orthognathic Surgery, School of Stomatology, FMMU, 710000 Xi'an, China
| | - Jannik Bühring
- Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, 52062 Aachen, Germany
| | - Lei Tian
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Craniofacial Trauma and Orthognathic Surgery, School of Stomatology, FMMU, 710000 Xi'an, China.
| | - Maximilian Koblenzer
- Department of Anatomy and Cell Biology, University Hospital RWTH Aachen, 52074 Aachen, Germany
| | - Kai-Uwe Schröder
- Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, 52062 Aachen, Germany
| | - Feng Li
- OMFS-IMPATH Research Group, Department of Biomedical Sciences, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Jeroen Van Dessel
- OMFS-IMPATH Research Group, Department of Biomedical Sciences, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Constantinus Politis
- OMFS-IMPATH Research Group, Department of Biomedical Sciences, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium
| | - Holger Jahr
- Institute of Structural Mechanics and Lightweight Design, RWTH Aachen University, 52062 Aachen, Germany; Department of Anatomy and Cell Biology, University Hospital RWTH Aachen, 52074 Aachen, Germany.
| | - Yi Sun
- OMFS-IMPATH Research Group, Department of Biomedical Sciences, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, 3000 Leuven, Belgium.
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Willbold E, Kalla K, Janning C, Bartsch I, Bobe K, Brauneis M, Haupt M, Reebmann M, Schwarze M, Remennik S, Shechtman D, Nellesen J, Tillmann W, Witte F. Dissolving magnesium hydroxide implants enhance mainly cancellous bone formation whereas degrading RS66 implants lead to prominent periosteal bone formation in rabbits. Acta Biomater 2024:S1742-7061(24)00407-0. [PMID: 39053818 DOI: 10.1016/j.actbio.2024.07.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 06/20/2024] [Accepted: 07/18/2024] [Indexed: 07/27/2024]
Abstract
Bone fractures often require internal fixation using plates or screws. Normally, these devices are made of permanent metals like titanium providing necessary strength and biocompatibility. However, they can also cause long-term complications and may require removal. An interesting alternative are biocompatible degradable devices, which provide sufficient initial strength and then degrade gradually. Among other materials, biodegradable magnesium alloys have been developed for craniofacial and orthopaedic applications. Previously, we tested implants made of magnesium hydroxide and RS66, a strong and ductile ZK60-based alloy, with respect to biocompatibility and degradation behaviour. Here, we compare the effects of dissolving magnesium hydroxide and RS66 cylinders on bone regeneration and bone growth in rabbit condyles using microtomographical and histological analysis. Both magnesium hydroxide and RS66 induced a considerable osteoblastic activity leading to distinct but different spatio-temporal patterns of cancellous and periosteal bone growth. Dissolving RS66 implants induced a prominent periosteal bone formation on the medial surface of the original condyle whereas dissolving magnesium hydroxide implants enhance mainly cancellous bone formation. Especially periosteal bone formation was completed after 6 and 8 weeks, respectively. The observed bone promoting functions are in line with previous reports of magnesium stimulating cancellous and periosteal bone growth and possible underlying signalling mechanisms are discussed. STATEMENT OF SIGNIFICANCE: Biodegradable magnesium based implants are promising candidates for use in orthopedic and traumatic surgery. Although these implants are in the scientific focus for a long time, comparatively little is known about the interactions between degrading magnesium and the biological environment. In this work, we investigated the effects of two degrading cylindrical magnesium implants (MgOH2 and RS66) both on bone regeneration and on bone growth. Both MgOH2 and RS66 induce remarkable osteoblastic activities, however with different spatio-temporal patterns regarding cancellous and periosteal bone growth. We hypothesize that degradation products do not diffuse directionless away, but are transported by the restored blood flow in specific spatial patterns which is also dependent on the used surgical technique.
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Affiliation(s)
- Elmar Willbold
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany.
| | - Katharina Kalla
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Carla Janning
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Ivonne Bartsch
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Katharina Bobe
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Maria Brauneis
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Maike Haupt
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Mattias Reebmann
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Michael Schwarze
- Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Straße 1-7, 30625 Hannover, Germany
| | - Sergei Remennik
- The Center for Nanoscience and Nanotechnology, The Hebrew University of Jerusalem, Jerusalem 9190401, Israel
| | - Dan Shechtman
- Department of Materials Engineering, Technion-Israel Institute of Technology, Haifa 32000, Israel
| | - Jens Nellesen
- Institute of Materials Engineering, Technische Universität Dortmund, Leonhard-Euler-Straße 2, 44227 Dortmund, Germany
| | - Wolfgang Tillmann
- Institute of Materials Engineering, Technische Universität Dortmund, Leonhard-Euler-Straße 2, 44227 Dortmund, Germany
| | - Frank Witte
- Charité - Universitätsmedizin Berlin, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Straße 4-6, 14197, Berlin, Germany
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Riyaz S, Sun Y, Helmholz H, Medina TP, Medina OP, Wiese B, Will O, Albaraghtheh T, Mohamad FH, Hövener JB, Glüer CC, Römer RW. Inflammatory response toward a Mg-based metallic biomaterial implanted in a rat femur fracture model. Acta Biomater 2024:S1742-7061(24)00354-4. [PMID: 38969080 DOI: 10.1016/j.actbio.2024.06.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 06/20/2024] [Accepted: 06/26/2024] [Indexed: 07/07/2024]
Abstract
The immune system plays an important role in fracture healing, by modulating the pro-inflammatory and anti-inflammatory responses occurring instantly upon injury. An imbalance in these responses can lead to adverse outcomes, such as non-union of fractures. Implants are used to support and stabilize complex fractures. Biodegradable metallic implants offer the potential to avoid a second surgery for implant removal, unlike non-degradable implants. However, considering our dynamic immune system it is important to conduct in-depth studies on the immune response to these implants in living systems. In this study, we investigated the immune response to Mg and Mg-10Gd in vivo in a rat femur fracture model with external fixation. In vivo imaging using liposomal formulations was used to monitor the fluorescence-related inflammation over time. We combine ex vivo methods with our in vivo study to evaluate and understand the systemic and local effects of the implants on the immune response. We observed no significant local or systemic effects in the Mg-10Gd implanted group compared to the SHAM and Mg implanted groups over time. Our findings suggest that Mg-10Gd is a more compatible implant material than Mg, with no adverse effects observed in the early phase of fracture healing during our 4-week study. STATEMENT OF SIGNIFICANCE: Degradable metallic implants in form of Mg and Mg-10Gd intramedullary pins were assessed in a rat femur fracture model, alongside a non-implanted SHAM group with special respect to the potential to induce an inflammatory response. This pre-clinical study combines innovative non-invasive in vivo imaging techniques associated with multimodal, ex vivo cellular and molecular analytics. The study contributes to the development and evaluation of degradable biometals and their clinical application potential. The study results indicate that Mg-10Gd did not exhibit any significant harmful effects compared to the SHAM and Mg groups.
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Affiliation(s)
- Sana Riyaz
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany.
| | - Yu Sun
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany
| | - Heike Helmholz
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany.
| | - Tuula Penate Medina
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany; Institute for Experimental Cancer Research, Kiel University, 24105 Kiel, Germany
| | - Oula Penate Medina
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany; Institute for Experimental Cancer Research, Kiel University, 24105 Kiel, Germany; Lonza Netherlands B.V., 6167 RB Geleen, the Netherlands
| | - Björn Wiese
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany
| | - Olga Will
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany
| | - Tamadur Albaraghtheh
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany; Helmholtz-Zentrum hereon GmbH, Institute of Surface Science, Max-Planck-Straße 1, Geesthacht 21502, Germany
| | - Farhad Haj Mohamad
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany
| | - Jan-Bernd Hövener
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany
| | - Claus Christian Glüer
- Section Biomedical Imaging, Department of Radiology and Neuroradiology University Hospital Schleswig-Holstein Campus Kiel, Kiel University, Am Botanischen Garten 14, 24118 Kiel, Germany
| | - Regine Willumeit Römer
- Helmholtz-Zentrum hereon GmbH, Institute of Metallic Biomaterials, Max-Planck-Straße 1, Geesthacht 21502, Germany
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Chen Y, Luo Z, Meng W, Liu K, Chen Q, Cai Y, Ding Z, Huang C, Zhou Z, Jiang M, Zhou L. Decoding the "Fingerprint" of Implant Materials: Insights into the Foreign Body Reaction. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2024; 20:e2310325. [PMID: 38191783 DOI: 10.1002/smll.202310325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 12/12/2023] [Indexed: 01/10/2024]
Abstract
Foreign body reaction (FBR) is a prevalent yet often overlooked pathological phenomenon, particularly within the field of biomedical implantation. The presence of FBR poses a heavy burden on both the medical and socioeconomic systems. This review seeks to elucidate the protein "fingerprint" of implant materials, which is generated by the physiochemical properties of the implant materials themselves. In this review, the activity of macrophages, the formation of foreign body giant cells (FBGCs), and the development of fibrosis capsules in the context of FBR are introduced. Additionally, the relationship between various implant materials and FBR is elucidated in detail, as is an overview of the existing approaches and technologies employed to alleviate FBR. Finally, the significance of implant components (metallic materials and non-metallic materials), surface CHEMISTRY (charge and wettability), and physical characteristics (topography, roughness, and stiffness) in establishing the protein "fingerprint" of implant materials is also well documented. In conclusion, this review aims to emphasize the importance of FBR on implant materials and provides the current perspectives and approaches in developing implant materials with anti-FBR properties.
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Affiliation(s)
- Yangmengfan Chen
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Zeyu Luo
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Weikun Meng
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Kai Liu
- Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China
| | - Qiqing Chen
- Department of Ultrasound, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, 570311, China
| | - Yongrui Cai
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Zichuan Ding
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Chao Huang
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Zongke Zhou
- Orthopedic Research Institution, Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
- Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, 610041, China
| | - Meng Jiang
- Emergency and Trauma Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China
| | - Liqiang Zhou
- MOE Frontiers Science Center for Precision Oncology, Faculty of Health Sciences, University of Macau, Macau SAR, 999078, China
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Sahoo SN, Mandal S, Adhikary T, Ramesh VK, Mukherjee P, Aich S, Samanta I, Nandi SK, Roy M. Synergistic Improvement of Antibacterial and Osteogenic Differentiation of Thermomechanically Processed Mg-Zr-Sr-Ce Alloy: Insights into the Role of Precipitate Evolution Supported by AIMD Simulation Study. ACS APPLIED BIO MATERIALS 2024; 7:2762-2780. [PMID: 38629138 DOI: 10.1021/acsabm.3c01139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/21/2024]
Abstract
In the present study, we have discussed the influence of forging temperature (623 K (FT623), 723 K (FT723) and 823 K (FT823)) on microstructure and texture evolution and its implication on mechanical behavior, in vitro-in vivo biocorrosion, antibacterial response, and cytocompatibility of microalloyed Mg-Zr-Sr-Ce alloy. Phase analysis, SEM, and TEM characterization confirm the presence of Mg12Ce precipitate, and its stability was further validated by performing ab initio molecular dynamic simulation study. FT723 exhibits strengthened basal texture, higher fraction of second phases, and particle-stimulated nucleation-assisted DRX grains compared to other two specimens, resulting in superior strength with comparable ductility. FT723 also exhibits superior corrosion resistance mainly due to the strengthened basal texture and lower dislocation density. All the specimens exhibit excellent antibacterial behavior with Gram-negative E. coli, Gram-positive Staphylococcus aureus, and Pseudomonas aeruginosa bacteria. 100% reduction of bacterial growth is observed within 24 h of culture of the specimens. Cytocompatibility was determined by challenging specimen extracts with the MC3T3-E1 cell lines. FT723 specimen exhibits the highest cell proliferation and alkaline phosphatase activity (ALP) because of its superior corrosion resistance. The ability of the specimens to be used in orthopedic implant application was evaluated by in vivo study in rabbit femur. Neither tissue-related infection nor the detrimental effect surrounding the implant was confirmed from histological analysis. Significant higher bone regeneration surrounding the FT723 specimen was observed in SEM analysis and fluorochrome labeling. After 60 days, the FT723 specimen exhibits the highest bone formation, suggesting it is a suitable candidate for orthopedic implant application.
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Affiliation(s)
- Satyabrata Nigamananda Sahoo
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology - Kharagpur, Kharagpur 721302, India
| | - Santanu Mandal
- School of Minerals, Metallurgical and Materials Engineering, Indian Institute of Technology Bhubaneswar, Arugul, Jatni, Khurda, Bhubaneswar, Odisha 752050, India
| | - Tapasendra Adhikary
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology - Kharagpur, Kharagpur 721302, India
| | - Vaishak Kundudi Ramesh
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Prasenjit Mukherjee
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Shampa Aich
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology - Kharagpur, Kharagpur 721302, India
| | - Indranil Samanta
- Department of Veterinary Microbiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Samit Kumar Nandi
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Mangal Roy
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology - Kharagpur, Kharagpur 721302, India
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Ren L, Shi W, Tian Y, Zhang T, Fang J, Zhang B, Geng B, Mao J, Wang H, Zhang J, Dai X, Li J, Zhang X, Chen J, Zhu J, Yan L. A Two-Generation Reproductive Toxicity Study of Cerium Nitrate in Sprague-Dawley Rats. Biol Trace Elem Res 2024; 202:597-614. [PMID: 37148403 DOI: 10.1007/s12011-023-03692-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 04/29/2023] [Indexed: 05/08/2023]
Abstract
A two-generation reproductive toxicity study was performed to evaluate the effects of cerium nitrate on the development of the parent, offspring, and third generation of Sprague-Dawley (SD) rats. A total of 240 SD rats (30 rats/sex/group) were randomly divided into four dosage groups according to body weight: 0 mg/kg, 30 mg/kg, 90 mg/kg, and 270 mg/kg. The rats were administered different dosages of cerium nitrate by oral gavage. There were no observed changes related to cerium nitrate in body weight, food consumption, sperm survival rate, motility, mating rate, conception rate, abortion rate, uterine plus fetal weight, uterine weight, corpus luteum number, implantation rate, live fetus number (rate), stillbirth number (rate), absorbed fetus number (rate), appearance, visceral, and skeletal in rats of each generation dosage group. In addition, the pathological findings showed no significant lesions associated with cerium nitrate toxicity in all tissues and organs, including reproductive organs. In conclusion, the present study showed that long-term oral gavage of cerium nitrate at 30 mg/kg, 90 mg/kg, and 270 mg/kg had no significant effect on reproduction and the developmental ability of their offspring in rats. The no-observed-adverse-effect level (NOAEL) of cerium nitrate in SD rats was higher than 270 mg/kg.
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Affiliation(s)
- Lijun Ren
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Wenjing Shi
- Department of Naval Nutrition and Food Hygiene, Faculty of Naval Medicine, Naval Medical University of the People's Liberation Army, Shanghai, 200433, China
| | - Yijun Tian
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Tiantian Zhang
- School of Basic Medicine, Anhui Medical University, Anhui, 230032, China
| | - Jingjing Fang
- Navy Medical Center of PLA, Naval Medical University of the People's Liberation Army, Shanghai, 200433, China
| | - Bin Zhang
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Bijiang Geng
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Jingjing Mao
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Haoneng Wang
- Department of Marine Radiation Medicine, Faculty of Naval Medicine, Naval Medical University of the People's Liberation Army, Shanghai, 200433, China
| | - Jiqianzhu Zhang
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Xiaoyu Dai
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Jifeng Li
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Xiaofang Zhang
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China
| | - Jikuai Chen
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China.
| | - Jiangbo Zhu
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China.
| | - Lang Yan
- Department of Health Toxicology, Faculty of Naval Medicine, Naval Medical University, No. 800, Xiangyin Road, Yangpu District, Shanghai, 200433, China.
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7
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Streza A, Antoniac A, (Paltanea) VM, Ciocoiu R, Cotrut CM, Miculescu M, Miculescu F, Antoniac I, Fosca M, Rau JV, Dura H. In Vitro Studies Regarding the Effect of Cellulose Acetate-Based Composite Coatings on the Functional Properties of the Biodegradable Mg3Nd Alloys. Biomimetics (Basel) 2023; 8:526. [PMID: 37999167 PMCID: PMC10669298 DOI: 10.3390/biomimetics8070526] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/30/2023] [Accepted: 11/01/2023] [Indexed: 11/25/2023] Open
Abstract
Magnesium (Mg) alloys are adequate materials for orthopedic and maxilo-facial implants due to their biocompatibility, good mechanical properties closely related to the hard tissues, and processability. Their main drawbacks are the high-speed corrosion process and hydrogen release. In order to improve corrosion and mechanical properties, the Mg matrix can be strengthened through alloying elements with high temperature-dependent solubility materials. Rare earth elements (RE) contribute to mechanical properties and degradation improvement. Another possibility to reduce the corrosion rate of Mg-based alloys was demonstrated to be the different types of coatings (bioceramics, polymers, and composites) applied on their surface. The present investigation is related to the coating of two Mg-based alloys from the system Mg3Nd (Mg-Nd-Y-Zr-Zn) with polymeric-based composite coatings made from cellulose acetate (CA) combined with two fillers, respectively hydroxyapatite (HAp) and Mg particles. The main functions of the coatings are to reduce the biodegradation rate and to modify the surface properties in order to increase osteointegration. Firstly, the microstructural features of the experimental Mg3Nd alloys were revealed by optical microscopy and scanning electron microscopy (SEM) coupled with energy-dispersive spectroscopy. Apart from the surface morphology revealed by SEM, the roughness and wettability of all experimental samples were evaluated. The corrosion behavior of the uncoated and coated samples of both Mg3Nd alloys was investigated by immersion testing and electrochemical testing using Simulated Body Fluid as the medium. The complex in vitro research performed highlights that the composite coating based on CA with HAp particles exhibited the best protective effect for both Mg3Nd alloys.
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Affiliation(s)
- Alexandru Streza
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Aurora Antoniac
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Veronica Manescu (Paltanea)
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
- Faculty of Electrical Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania
| | - Robert Ciocoiu
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Cosmin-Mihai Cotrut
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Marian Miculescu
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Florin Miculescu
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
| | - Iulian Antoniac
- Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei Street, District 6, 060042 Bucharest, Romania; (A.S.); (V.M.); (R.C.); (C.-M.C.); (M.M.); (F.M.); (I.A.)
- Academy of Romanian Scientists, 54 Splaiul Independentei Street, District 5, 050094 Bucharest, Romania
| | - Marco Fosca
- Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche (ISM-CNR), Via del Fosso del Cavaliere 100, 00133 Rome, Italy;
| | - Julietta V. Rau
- Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche (ISM-CNR), Via del Fosso del Cavaliere 100, 00133 Rome, Italy;
- Department of Analytical, Physical and Colloid Chemistry, Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University, Trubetskaya Street 8, Build. 2, 119048 Moscow, Russia
| | - Horatiu Dura
- Faculty of Medicine, Lucian Blaga University of Sibiu, 2A Lucian Blaga Street, 550169 Sibiu, Romania;
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8
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Shunmugasamy VC, AbdelGawad M, Sohail MU, Ibrahim T, Khan T, Seers TD, Mansoor B. In vitro and in vivo study on fine-grained Mg-Zn-RE-Zr alloy as a biodegradeable orthopedic implant produced by friction stir processing. Bioact Mater 2023; 28:448-466. [PMID: 37408797 PMCID: PMC10319224 DOI: 10.1016/j.bioactmat.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 05/31/2023] [Accepted: 06/16/2023] [Indexed: 07/07/2023] Open
Abstract
Magnesium alloys containing biocompatible components show tremendous promise for applications as temporary biomedical devices. However, to ensure their safe use as biodegradeable implants, it is essential to control their corrosion rates. In concentrated Mg alloys, a microgalvanic coupling between the α-Mg matrix and secondary precipitates exists which results in increased corrosion rate. To address this challenge, we engineered the microstructure of a biodegradable Mg-Zn-RE-Zr alloy by friction stir processing (FSP), improving its corrosion resistance and mechanical properties simultaneously. The FS processed alloy with refined grains and broken and uniformly distributed secondary precipitates showed a relatively uniform corrosion morphology accompanied with the formation of a stable passive layer on the alloy surface. In vivo corrosion evaluation of the processed alloy in a small animal model showed that the material was well-tolerated with no signs of inflammation or harmful by-products. Remarkably, the processed alloy supported bone until it healed till eight weeks with a low in vivo corrosion rate of 0.7 mm/year. Moreover, we analyzed blood and histology of the critical organs such as liver and kidney, which showed normal functionality and consistent ion and enzyme levels, throughout the 12-week study period. These results demonstrate that the processed Mg-Zn-RE-Zr alloy offers promising potential for osseointegration in bone tissue healing while also exhibiting controlled biodegradability due to its engineered microstructure. The results from the present study will have profound benefit for bone fracture management, particularly in pediatric and elderly patients.
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Affiliation(s)
| | - Marwa AbdelGawad
- Mechanical Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
- Department of Mechanical Engineering, Texas A&M University, 3123 TAMU, College Station, TX 77843, USA
| | | | - Talal Ibrahim
- Department of Surgery, Division of Orthopedic Surgery, Sidra Medicine, Doha, Qatar
- Clinical Orthopedic Surgery, Weill Cornell Medicine, Education City, Doha, Qatar
| | - Talha Khan
- Petroleum Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
| | - Thomas Daniel Seers
- Petroleum Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
| | - Bilal Mansoor
- Mechanical Engineering Program, Texas A&M University at Qatar, Education City, Doha, Qatar
- Department of Mechanical Engineering, Texas A&M University, 3123 TAMU, College Station, TX 77843, USA
- Department of Materials Science and Engineering, Texas A&M University, 3003 TAMU, College Station, TX 77843, USA
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9
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Zhang Y, Wang H. Novel Phosphate Conversion Coating with Superior Corrosion Resistance on the Mg-Al-RE Alloy Based on the Introduction of Silane. ACS OMEGA 2023; 8:29374-29387. [PMID: 37599959 PMCID: PMC10433493 DOI: 10.1021/acsomega.3c02824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Accepted: 06/20/2023] [Indexed: 08/22/2023]
Abstract
A novel chemical conversion method based on an aqueous electrolyte solution containing hydrolyzed silane as a crucial film-forming agent has been developed successfully. An organic/inorganic composite coating with superior corrosion protection was fabricated on the Mg-Al-RE alloy. The micro-morphology and chemical composition of the coating were examined using scanning electron microscopy, X-ray diffraction, and energy-dispersive X-ray spectroscopy. The prepared conversion coating possesses a double-layer structure, with a dense bottom layer and a loose outer layer containing microcracks. In addition, the anti-corrosion capacity of various samples was evaluated using salt spray, hydrogen evolution, and electrochemical tests. The analysis revealed that the samples converted by 3-aminopropyl triethoxysilane (APTES)-phosphate solution possessed a higher corrosion resistance. Compared to the blank sample, a 2 orders of magnitude reduction in icorr (6.678 × 10-7 A/cm2) and a 1.360 V improvement in Ecorr were observed. The MPCC-Si sample exhibited the lowest hydrogen evolution rate, indicating the best corrosion protection. Also, the rust grade could still reach 7 after 72 h of the neutral salt spray test.
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Affiliation(s)
- Yongjun Zhang
- School of Mechanical and Automotive
Engineering, South China University of Technology, Guangzhou, Guangzhou 510640, P. R. China
| | - Haoyu Wang
- School of Mechanical and Automotive
Engineering, South China University of Technology, Guangzhou, Guangzhou 510640, P. R. China
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10
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Sahoo SN, Mandal S, Khan R, Dutta S, Pal S, Ghosh D, Nandi SK, Roy M. Synergistic Effects of Cerium and Hot Forging on Biodegradation, Antibacterial Properties, and In Vivo Biocompatibility of Microalloyed Mg-Zr-Sr Alloys. ACS Biomater Sci Eng 2023; 9:2495-2513. [PMID: 37121911 DOI: 10.1021/acsbiomaterials.3c00097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Biodegradable magnesium (Mg)-based alloys are potential candidates for orthopedic applications. In the present study, we have discussed the effect of cerium (Ce) addition and hot forging on mechanical properties, in vitro-in vivo corrosion, antibacterial activity, and cytocompatibility of microalloyed Mg-0.2Zr-0.1Sr-xCe (x = 0 [MZS], 0.5 wt % [MZS-Ce]) alloys. Addition of 0.5 wt % Ce to forged MZS alloys leads to strengthening of the basal texture as well as formation of a higher fraction of dynamic recrystallized (DRX) grains. Hot forging and addition of cerium to the MZS alloy improve both the yield strength and ultimate tensile strength of the forged MZS-Ce alloy by 1.39 and 1.21 times, respectively, compared to those of the forged MZS alloy. The potentiodynamic polarization test in Hank's solution indicates that the corrosion resistance of the forged MZS alloy improves with addition of 0.5 wt % Ce. Uniform distribution of Mg12Ce precipitates, a higher DRX fraction, strengthened texture, and formation of a compact CeO2 passive layer result in 1.68 times reduction in the immersion corrosion rate of the forged MZS-Ce alloy compared to that of the forged MZS alloy. Addition of Ce to the MZS alloy shows excellent antibacterial activity. The forged MZS-Ce alloy exhibited the highest antibacterial efficacy (76.73%). All the alloys show favorable cytocompatibility and alkaline phosphatase (ALP) activity with MC3T3-E1 cells. The improved corrosion resistance of the forged MZS-Ce alloy (95%) leads to higher cell viability compared to that of the forged MZS alloy (85%). In vivo biodegradation and the ability to generate new bones were analyzed by implanting cylindrical samples in the rabbit femur. Histological analysis showed no adverse effects around the implants. Gradual degradation of the implants and higher new bone formation around the forged MZS-Ce sample were confirmed by micro-CT analysis. Bone regeneration around the implants (58.21%) was validated by flurochrome labeling. After 60 days, the forged MZS-Ce alloy showed controlled corrosion and better bone-implant integration, presenting it as a potential candidate for internal fracture fixation materials.
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Affiliation(s)
- Satyabrata Nigamananda Sahoo
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology─Kharagpur, Kharagpur 721302, India
| | - Santanu Mandal
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology─Kharagpur, Kharagpur 721302, India
| | - Rabiul Khan
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Sourav Dutta
- Advanced Technology Development Centre, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - Surasree Pal
- Department of Biotechnology, Indian Institute of Technology─Kharagpur, Kharagpur 721302, India
| | - Debaki Ghosh
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Samit Kumar Nandi
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Mangal Roy
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology─Kharagpur, Kharagpur 721302, India
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11
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He G, He M, Wang R, Li X, Hu H, Wang D, Wang Z, Lu Y, Xu N, Du J, Fan J, Peng X, Sun W. A Near‐Infrared Light‐Activated Photocage Based on a Ruthenium Complex for Cancer Phototherapy. Angew Chem Int Ed Engl 2023. [DOI: 10.1002/ange.202218768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Affiliation(s)
- Guangli He
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Maomao He
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Ran Wang
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Xuezhao Li
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Hanze Hu
- Department of Biomedical Engineering Columbia University New York NY 10027 USA
| | - Dongsheng Wang
- School of Optoelectronic Science and Engineering University of Electronic Science and Technology of China Chengdu 610054 China
| | - Ziqian Wang
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Yang Lu
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Ning Xu
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Jianjun Du
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
- Ningbo Institute of Dalian University of Technology 26 Yucai Road, Jiangbei District Ningbo 315016 China
| | - Jiangli Fan
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
- Ningbo Institute of Dalian University of Technology 26 Yucai Road, Jiangbei District Ningbo 315016 China
| | - Xiaojun Peng
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
| | - Wen Sun
- State Key Laboratory of Fine Chemicals Frontiers Science Center for Smart Materials Oriented Chemical Engineering Dalian University of Technology Dalian 116024 China
- Ningbo Institute of Dalian University of Technology 26 Yucai Road, Jiangbei District Ningbo 315016 China
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12
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Bioinorganic Preparation of Hydroxyapatite and Rare Earth Substituted Hydroxyapatite for Biomaterials Applications. Bioinorg Chem Appl 2023; 2023:7856300. [PMID: 36741962 PMCID: PMC9891820 DOI: 10.1155/2023/7856300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 12/22/2022] [Accepted: 01/13/2023] [Indexed: 01/27/2023] Open
Abstract
Rare Earth elements in the lanthanide series are regarded as one of the finest options for the cationic substitution of calcium ions in hydroxyapatite (HA) because of their favorable impact on the biological characteristics of substituted HA. Neodymium and cerium were used to substitute 5% of calcium ions in HA, prepared via the wet precipitation method. Characterization tests for pure and substituted HA were conducted using XRD, FTIR, EDS, and FESEM. The results showed that changing part from calcium ions in hydroxyapatite to Nd and Ce ions altered its structure, composition, and morphology. Regarding the biological tests, the cytotoxicity test revealed a change in IC50 for both normal and cancer cell lines, where substitution part of the Ca ions with rare Earth elements led to increasing antitumor activity in comparison with HA without substitution; in addition, antibacterial and fungicide activity was evident for both HA and Nd-Ce/HA, with a modest increase in antibacterial activity of Nd-Ce/HA against S. epidermidis and E. coli in comparison with HA. These findings may shed light on the process by which Nd and Ce ions improve the biological characteristics of pure HA and the increased potential of these bioceramics.
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13
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Du S, Shen Y, Zheng Y, Cheng Y, Xu X, Chen D, Xia D. Systematic in vitro and in vivo study on biodegradable binary Zn-0.2 at% Rare Earth alloys (Zn-RE: Sc, Y, La-Nd, Sm-Lu). Bioact Mater 2023; 24:507-523. [PMID: 36685807 PMCID: PMC9841038 DOI: 10.1016/j.bioactmat.2023.01.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 01/03/2023] [Accepted: 01/03/2023] [Indexed: 01/12/2023] Open
Abstract
Biomedical implants and devices for tissue engineering in clinics, mainly made of polymers and stiff metallic materials, require possibly secondary surgery or life-long medicine. Biodegradable metals for biomedical implants and devices exhibit huge potential to improve the prognosis of patients. In this work, we developed a new type of biodegradable binary zinc (Zn) alloys with 16 rare earth elements (REEs) including Sc, Y, La to Nd, and Sm to Lu, respectively. The effects of REEs on the alloy microstructure, mechanical properties, corrosion behavior and in vitro and in vivo biocompatibility of Zn were systematically investigated using pure Zn as control. All Zn-RE alloys generally exhibited improved mechanical properties, and biocompatibilities compared to pure Zn, especially the tensile strength and ductility of Zn-RE alloys were dramatically enhanced. Among the Zn-RE alloys, different REEs presented enhancement effects at varied extent. Y, Ho and Lu were the three elements displaying greatest improvements in majority of alloys properties, while Eu, Gd and Dy exhibited least improvement. Furthermore, the Zn-RE alloys were comparable with other Zn alloys and also exhibited superior properties to Mg-RE alloys. The in vivo experiment using Zn-La, Zn-Ce, and Zn-Nd alloys as tibia bone implants in rabbit demonstrated the excellent tissue biocompatibility and much more obvious osseointegration than the pure Zn control group. This work presented the significant potential of the developed Zn-RE binary alloys as novel degradable metal for biomedical implants and devices.
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Affiliation(s)
- Shaokang Du
- Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, 100871, China
| | - Yunong Shen
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Yufeng Zheng
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Yan Cheng
- Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, 100871, China
| | - Xiaoxue Xu
- School of Biomedical Engineering, Faculty of Engineering and Information Technology, University of Technology Sydney, NSW, 2007, Australia,Corresponding author.
| | - Dafu Chen
- Laboratory of Bone Tissue Engineering, Beijing Laboratory of Biomedical Materials, Beijing Research Institute of Traumatology and Orthopaedics, Beijing Jishuitan Hospital, Beijing, 100035, China,Corresponding author.
| | - Dandan Xia
- Department of Dental Materials, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Beijing 100081, China,Corresponding author.
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14
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Open-porous magnesium-based scaffolds withstand in vitro corrosion under cyclic loading: A mechanistic study. Bioact Mater 2023; 19:406-417. [PMID: 35574056 PMCID: PMC9062748 DOI: 10.1016/j.bioactmat.2022.04.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/10/2022] [Accepted: 04/13/2022] [Indexed: 01/05/2023] Open
Abstract
The successful application of magnesium (Mg) alloys as biodegradable bone substitutes for critical-sized defects may be comprised by their high degradation rate resulting in a loss of mechanical integrity. This study investigates the degradation pattern of an open-porous fluoride-coated Mg-based scaffold immersed in circulating Hanks' Balanced Salt Solution (HBSS) with and without in situ cyclic compression (30 N/1 Hz). The changes in morphological and mechanical properties have been studied by combining in situ high-resolution X-ray computed tomography mechanics and digital volume correlation. Although in situ cyclic compression induced acceleration of the corrosion rate, probably due to local disruption of the coating layer where fatigue microcracks were formed, no critical failures in the overall scaffold were observed, indicating that the mechanical integrity of the Mg scaffolds was preserved. Structural changes, due to the accumulation of corrosion debris between the scaffold fibres, resulted in a significant increase (p < 0.05) in the material volume fraction from 0.52 ± 0.07 to 0.47 ± 0.03 after 14 days of corrosion. However, despite an increase in fibre material loss, the accumulated corrosion products appear to have led to an increase in Young's modulus after 14 days as well as lower third principal strain (εp3) accumulation (−91000 ± 6361 με and −60093 ± 2414 με after 2 and 14 days, respectively). Therefore, this innovative Mg scaffold design and composition provide a bone replacement, capable of sustaining mechanical loads in situ during the postoperative phase allowing new bone formation to be initially supported as the scaffold resorbs. First report on in vitro cyclic loading of MgF2 coated open-porous Mg scaffolds in HBSS simulating 2–3 months in humans. Fluoride-coating slows down corrosion under cyclic loading in vitro. Entangled scaffold structure accumulates local corrosion debris which keeps the mechanical integrity over 14 days in vitro.
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15
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Yang H, Jia B, Qu X, Dai K, Zheng Y. Modified Biodegradation Behavior Induced Beneficial Microenvironments for Bone Regeneration by Low Addition of Gadolinium in Zinc. Adv Healthc Mater 2022; 11:e2201184. [PMID: 35950991 DOI: 10.1002/adhm.202201184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/19/2022] [Indexed: 01/28/2023]
Abstract
Zinc (Zn) shows a great potential as a biodegradable material for bone implants after a decade of systematic research and development. However, uncontrollable biodegradation behavior and biphasic dose-response prevent Zn from fulfilling its essential role in facilitating bone regeneration. In this study, the low addition of gadolinium (Gd) modifies the intrinsic microstructure of Zn in terms of grain size distribution, grain boundary misorientation, and texture. Adding Gd refines grain size distribution and creates a stronger basal plane texture in Zn, consequently, changing the current density distribution and reducing the anode dissolution rate during corrosion. As a result, uniform degradation is more predominant in Zn-0.4Gd alloy implant, in comparison to localized degradation in pure Zn implant in bone environments. The modified biodegradation behavior of the Zn-0.4Gd alloy implant induces significantly better new bone formation and osseointegration compared to the pure Zn implant. Therefore, Gd with trace amounts is able to tune the degradation behavior and improve the performance of Zn-based implants in promoting bone regeneration.
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Affiliation(s)
- Hongtao Yang
- School of Engineering Medicine, Beihang University, Beijing, 100191, P. R. China.,School of Materials Science and Engineering, Peking University, Beijing, 100871, P. R. China
| | - Bo Jia
- Department of Bone and Joint Surgery, Department of Orthopedics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200001, P. R. China
| | - Xinhua Qu
- Department of Bone and Joint Surgery, Department of Orthopedics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200001, P. R. China
| | - Kerong Dai
- Department of Orthopedics, Shanghai Key Laboratory of Orthopedic Implant, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200011, P. R. China
| | - Yufeng Zheng
- School of Engineering Medicine, Beihang University, Beijing, 100191, P. R. China
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16
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Zemková M, Minárik P, Jablonská E, Veselý J, Bohlen J, Kubásek J, Lipov J, Ruml T, Havlas V, Král R. Concurrence of High Corrosion Resistance and Strength with Excellent Ductility in Ultrafine-Grained Mg-3Y Alloy. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15217571. [PMID: 36363162 PMCID: PMC9657410 DOI: 10.3390/ma15217571] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 10/17/2022] [Accepted: 10/20/2022] [Indexed: 06/12/2023]
Abstract
In the field of magnesium-based degradable implantable devices, the Mg-Y-RE-Zr alloying system (WE-type) has gained popularity due to its satisfying degradation rate together with mechanical strength. However, utilization of RE and Zr in the WE-type alloys was originally driven to improve Mg-based alloys for high-temperature applications in the industry, while for medical purposes, there is a question of whether the amount of alloying elements may be further optimized. For this reason, our paper presents the Mg-3Y (W3) magnesium alloy as an alternative to the WE43 alloy. This study shows that the omission of RE and Zr elements did not compromise the corrosion resistance and the degradation rate of the W3 alloy when compared with the WE43 alloy; appropriate biocompatibility was preserved as well. It was shown that the decrease in the mechanical strength caused by the omission of RE and Zr from the WE43 alloy could be compensated for by severe plastic deformation, as achieved in this study, by equal channel angular pressing. Ultrafine-grained W3 alloy exhibited compression yield strength of 362 ± 6 MPa and plastic deformation at maximum stress of 18 ± 1%. Overall, the early results of this study put forward the motion of avoiding RE elements and Zr in magnesium alloy as a suitable material for biodegradable applications and showed that solo alloying of yttrium is sufficient for maintaining desirable properties of the material at once.
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Affiliation(s)
- Mária Zemková
- Faculty of Mathematics and Physics, Charles University, Ke Karlovu 5, 121 16 Praha, Czech Republic
| | - Peter Minárik
- Faculty of Mathematics and Physics, Charles University, Ke Karlovu 5, 121 16 Praha, Czech Republic
- Research Centre, University of Žilina, Univerzitná 8215/1, 01026 Žilina, Slovakia
| | - Eva Jablonská
- Faculty of Food and Biochemical Technology, University of Chemistry and Technology, Technická 5, 166 28 Prague, Czech Republic
| | - Jozef Veselý
- Faculty of Mathematics and Physics, Charles University, Ke Karlovu 5, 121 16 Praha, Czech Republic
| | - Jan Bohlen
- Helmholtz-Zentrum Hereon, Institute of Material and Process Design, Max-Planck-Straße 1, 21502 Geesthacht, Germany
| | - Jiří Kubásek
- Faculty of Chemical Technology, University of Chemistry and Technology, Technická 5, 166 28 Prague, Czech Republic
| | - Jan Lipov
- Faculty of Food and Biochemical Technology, University of Chemistry and Technology, Technická 5, 166 28 Prague, Czech Republic
| | - Tomáš Ruml
- Faculty of Food and Biochemical Technology, University of Chemistry and Technology, Technická 5, 166 28 Prague, Czech Republic
| | - Vojtěch Havlas
- Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06 Praha, Czech Republic
| | - Robert Král
- Faculty of Mathematics and Physics, Charles University, Ke Karlovu 5, 121 16 Praha, Czech Republic
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17
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Marek R, Ćwieka H, Donohue N, Holweg P, Moosmann J, Beckmann F, Brcic I, Schwarze UY, Iskhakova K, Chaabane M, Sefa S, Zeller-Plumhoff B, Weinberg AM, Willumeit-Römer R, Sommer NG. Degradation behavior and osseointegration of Mg-Zn-Ca screws in different bone regions of growing sheep: a pilot study. Regen Biomater 2022; 10:rbac077. [PMID: 36683753 PMCID: PMC9845522 DOI: 10.1093/rb/rbac077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 09/08/2022] [Accepted: 09/27/2022] [Indexed: 02/01/2023] Open
Abstract
Magnesium (Mg)-based implants are highly attractive for the orthopedic field and may replace titanium (Ti) as support for fracture healing. To determine the implant-bone interaction in different bony regions, we implanted Mg-based alloy ZX00 (Mg < 0.5 Zn < 0.5 Ca, in wt%) and Ti-screws into the distal epiphysis and distal metaphysis of sheep tibiae. The implant degradation and osseointegration were assessed in vivo and ex vivo after 4, 6 and 12 weeks, using a combination of clinical computed tomography, medium-resolution micro computed tomography (µCT) and high-resolution synchrotron radiation µCT (SRµCT). Implant volume loss, gas formation and bone growth were evaluated for both implantation sites and each bone region independently. Additionally, histological analysis of bone growth was performed on embedded hard-tissue samples. We demonstrate that in all cases, the degradation rate of ZX00-implants ranges between 0.23 and 0.75 mm/year. The highest degradation rates were found in the epiphysis. Bone-to-implant contact varied between the time points and bone types for both materials. Mostly, bone-volume-to-total-volume was higher around Ti-implants. However, we found an increased cortical thickness around the ZX00-screws when compared with the Ti-screws. Our results showed the suitability of ZX00-screws for implantation into the distal meta- and epiphysis.
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Affiliation(s)
| | | | - Nicholas Donohue
- National Institute for Bioprocessing Research and Training, University College Dublin, Dublin 4, Ireland
| | - Patrick Holweg
- Department of Orthopaedics and Traumatology, Medical University of Graz, 8010 Graz, Austria
| | - Julian Moosmann
- Institute of Materials Physics, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
| | - Felix Beckmann
- Institute of Materials Physics, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
| | - Iva Brcic
- D&R Institute of Pathology, Medical University of Graz, 8010 Graz, Austria
| | - Uwe Yacine Schwarze
- Department of Orthopaedics and Traumatology, Medical University of Graz, 8010 Graz, Austria,Department of Dental Medicine and Oral Health, Medical University of Graz, 8010 Graz, Austria
| | - Kamila Iskhakova
- Institute of Metallic Biomaterials, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
| | - Marwa Chaabane
- SCANCO Medical AG, 8306 Wangen-Brüttisellen, Switzerland
| | - Sandra Sefa
- Institute of Metallic Biomaterials, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
| | - Berit Zeller-Plumhoff
- Institute of Metallic Biomaterials, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
| | | | - Regine Willumeit-Römer
- Institute of Metallic Biomaterials, Helmholtz-Zentrum Hereon GmbH, 21502 Geesthacht, Germany
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Krüger JT, Hoyer KP, Huang J, Filor V, Mateus-Vargas RH, Oltmanns H, Meißner J, Grundmeier G, Schaper M. FeMn with Phases of a Degradable Ag Alloy for Residue-Free and Adapted Bioresorbability. J Funct Biomater 2022; 13:jfb13040185. [PMID: 36278654 PMCID: PMC9590034 DOI: 10.3390/jfb13040185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/22/2022] [Accepted: 10/05/2022] [Indexed: 12/01/2022] Open
Abstract
The development of bioresorbable materials for temporary implantation enables progress in medical technology. Iron (Fe)-based degradable materials are biocompatible and exhibit good mechanical properties, but their degradation rate is low. Aside from alloying with Manganese (Mn), the creation of phases with high electrochemical potential such as silver (Ag) phases to cause the anodic dissolution of FeMn is promising. However, to enable residue-free dissolution, the Ag needs to be modified. This concern is addressed, as FeMn modified with a degradable Ag-Calcium-Lanthanum (AgCaLa) alloy is investigated. The electrochemical properties and the degradation behavior are determined via a static immersion test. The local differences in electrochemical potential increase the degradation rate (low pH values), and the formation of gaps around the Ag phases (neutral pH values) demonstrates the benefit of the strategy. Nevertheless, the formation of corrosion-inhibiting layers avoids an increased degradation rate under a neutral pH value. The complete bioresorption of the material is possible since the phases of the degradable AgCaLa alloy dissolve after the FeMn matrix. Cell viability tests reveal biocompatibility, and the antibacterial activity of the degradation supernatant is observed. Thus, FeMn modified with degradable AgCaLa phases is promising as a bioresorbable material if corrosion-inhibiting layers can be diminished.
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Affiliation(s)
- Jan Tobias Krüger
- Materials Science, Paderborn University, Mersinweg 7, 33100 Paderborn, Germany
- DMRC-Direct Manufacturing Research Center, Paderborn University, Mersinweg 3, 33100 Paderborn, Germany
- Correspondence:
| | - Kay-Peter Hoyer
- Materials Science, Paderborn University, Mersinweg 7, 33100 Paderborn, Germany
- DMRC-Direct Manufacturing Research Center, Paderborn University, Mersinweg 3, 33100 Paderborn, Germany
| | - Jingyuan Huang
- Technical and Macromolecular Chemistry, Paderborn University, Warburger Str. 100, 33098 Paderborn, Germany
| | - Viviane Filor
- Department of Veterinary Medicine, Institute of Pharmacology and Toxicology, Freie Universität Berlin, Koserstr. 20, 14195 Berlin, Germany
| | - Rafael Hernan Mateus-Vargas
- Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Buenteweg 17, 30559 Hannover, Germany
| | - Hilke Oltmanns
- Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Buenteweg 17, 30559 Hannover, Germany
| | - Jessica Meißner
- Department of Pharmacology, Toxicology and Pharmacy, University of Veterinary Medicine Hannover, Foundation, Buenteweg 17, 30559 Hannover, Germany
| | - Guido Grundmeier
- Technical and Macromolecular Chemistry, Paderborn University, Warburger Str. 100, 33098 Paderborn, Germany
| | - Mirko Schaper
- Materials Science, Paderborn University, Mersinweg 7, 33100 Paderborn, Germany
- DMRC-Direct Manufacturing Research Center, Paderborn University, Mersinweg 3, 33100 Paderborn, Germany
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19
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Dutta S, Khan R, Prakash NS, Gupta S, Ghosh D, Nandi SK, Roy M. In Vitro Degradation and In Vivo Biocompatibility of Strontium-Doped Magnesium Phosphate-Reinforced Magnesium Composites. ACS Biomater Sci Eng 2022; 8:4236-4248. [PMID: 36153956 DOI: 10.1021/acsbiomaterials.2c00142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Magnesium is projected for use as a degradable orthopedic biomaterial. However, its fast degradation in physiological media is considered as a significant challenge for its successful clinical applications. Bioactive reinforcements containing Mg-based composites constitute one of the promising approaches for developing degradable metallic implants because of their adjustable mechanical behaviors, corrosion resistance, and biological response. Strontium is a trace element known for its role in enhancing osteoblast activity. In this study, bioactive SrO-doped magnesium phosphate (MgP)-reinforced Mg composites containing 1, 3, and 5 wt % MgP were developed through the casting route. The influence of the SrO-doped MgP reinforcement on degradation behaviors of the composites along with its cell-material interactions and in vivo biocompatibility was investigated. The wt % and distribution of MgP particles significantly improved the mechanical properties of the composite. HBSS immersion study indicated the least corrosion rate (0.56 ± 0.038 mmpy) for the Mg-3MgP composite. The higher corrosion resistance of Mg-3MgP leads to a controlled release of Sr-containing bioactive reinforcement, which eventually enhanced the cytotoxicity as measured using MG-63 cell-material interactions. The in vivo biocompatibility of the composite was evaluated using the rabbit femur defect model. Micro-computed tomography (μ-CT) and histological analysis supported the fact that Mg-3MgP maintained its structural integrity and enhanced osteogenesis (50.36 ± 2.03%) after 2 months of implantation. The results indicated that the Mg-MgP composite could be used as a degradable internal fracture fixation device material.
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Affiliation(s)
- Sourav Dutta
- Advanced Technology Development Centre, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - Rabiul Khan
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - N Surya Prakash
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - Sanjay Gupta
- Department of Mechanical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
| | - Debaki Ghosh
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Samit K Nandi
- Department of Veterinary Surgery & Radiology, West Bengal University of Animal & Fishery Sciences, Kolkata 700037, India
| | - Mangal Roy
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302, India
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20
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Hassan SF, Islam MT, Saheb N, Baig MMA. Magnesium for Implants: A Review on the Effect of Alloying Elements on Biocompatibility and Properties. MATERIALS (BASEL, SWITZERLAND) 2022; 15:5669. [PMID: 36013806 PMCID: PMC9412399 DOI: 10.3390/ma15165669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/31/2022] [Accepted: 06/11/2022] [Indexed: 06/15/2023]
Abstract
An attempt is made to cover the whole of the topic of biodegradable magnesium (Mg) alloys with a focus on the biocompatibility of the individual alloying elements, as well as shed light on the degradation characteristics, microstructure, and mechanical properties of most binary alloys. Some of the various work processes carried out by researchers to achieve the alloys and their surface modifications have been highlighted. Additionally, a brief look into the literature on magnesium composites as also been included towards the end, to provide a more complete picture of the topic. In most cases, the chronological order of events has not been particularly followed, and instead, this work is concentrated on compiling and presenting an update of the work carried out on the topic of biodegradable magnesium alloys from the recent literature available to us.
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Affiliation(s)
- S. Fida Hassan
- Department of Mechanical Engineering, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
- Interdisciplinary Research Center for Advanced Materials, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - M. T. Islam
- Department of Mechanical Engineering, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - N. Saheb
- Department of Mechanical Engineering, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
- Interdisciplinary Research Center for Advanced Materials, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
| | - M. M. A. Baig
- Department of Mechanical Engineering, King Fahd University of Petroleum and Minerals, Dhahran 31261, Saudi Arabia
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21
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Zhang T, Wang W, Liu J, Wang L, Tang Y, Wang K. A review on magnesium alloys for biomedical applications. Front Bioeng Biotechnol 2022; 10:953344. [PMID: 36051586 PMCID: PMC9424554 DOI: 10.3389/fbioe.2022.953344] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 07/11/2022] [Indexed: 11/13/2022] Open
Abstract
Magnesium (Mg) and Mg alloys are considered as potential candidates for biomedical applications because of their high specific strength, low density, and elastic modulus, degradability, good biocompatibility and biomechanical compatibility. However, the rapid corrosion rate of Mg alloys results in premature loss of mechanical integrity, limiting their clinical application in load-bearing parts. Besides, the low strength of Mg alloys restricts their further application. Thus, it is essential to understand the characteristics and influencing factors of mechanical and corrosion behavior, as well as the methods to improve the mechanical performances and corrosion resistance of Mg alloys. This paper reviews the recent progress in elucidating the corrosion mechanism, optimizing the composition, and microstructure, enhancing the mechanical performances, and controlling the degradation rate of Mg alloys. In particular, the research progress of surface modification technology of Mg alloys is emphasized. Finally, the development direction of biomedical Mg alloys in the future is prospected.
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Affiliation(s)
- Ting Zhang
- School of Metallurgical Engineering, Xi’an University of Architecture and Technology, Xi’an, China
| | - Wen Wang
- School of Metallurgical Engineering, Xi’an University of Architecture and Technology, Xi’an, China
| | - Jia Liu
- Department of Orthopaedics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, China
- *Correspondence: Jia Liu, ; Kuaishe Wang,
| | - Liqiang Wang
- State Key Laboratory of Metal Matrix Composites, School of Material Science and Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Yujin Tang
- Department of Orthopaedics, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi, China
| | - Kuaishe Wang
- School of Metallurgical Engineering, Xi’an University of Architecture and Technology, Xi’an, China
- *Correspondence: Jia Liu, ; Kuaishe Wang,
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22
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Feng M, Fu Q, Li J, Li J, Wang Q, Liu X, Jin W, Li W, Chu PK, Yu Z. Sodium alginate coating on biodegradable high-purity magnesium with a hydroxide/silane transition layer for corrosion retardation. Colloids Surf A Physicochem Eng Asp 2022. [DOI: 10.1016/j.colsurfa.2022.128647] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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23
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Suljevic O, Fischerauer SF, Weinberg AM, Sommer NG. Immunological reaction to magnesium-based implants for orthopedic applications. What do we know so far? A systematic review on in vivo studies. Mater Today Bio 2022; 15:100315. [PMID: 35757033 PMCID: PMC9214802 DOI: 10.1016/j.mtbio.2022.100315] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 05/15/2022] [Accepted: 06/02/2022] [Indexed: 12/09/2022] Open
Abstract
Magnesium-based implants (Mg) became an attractive candidate in orthopedic surgery due to their valuable properties, such as osteoconductivity, biodegradability, elasticity and mechanical strength. However, previous studies on biodegradable and non-biodegradable metal implants showed that these materials are not inert when placed in vivo as they interact with host defensive mechanisms. The aim of this study was to systematically review available in vivo studies with Mg-based implants that investigated immunological reactions to these implants. The following questions were raised: Do different types of Mg-based implants in terms of shape, size and alloying system cause different extent of immune response? and; Are there missing links to properly understand immunological reactions upon implantation and degradation of Mg-based implants? The database used for the literature research was PubMed (U.S. National Library of Medicine) and it was undertaken in the end of 2021. The inclusion criteria comprised (i) in vivo studies with bony implantation of Mg-based implants and (ii) analysis of the presence of local immune cells or systemic inflammatory parameters. We further excluded any studies involving coated Mg-implants, in vitro studies, and studies in which the implants had no bone contact. The systematic search process was conducted according to PRISMA guidelines. Initially, the search yielded 225 original articles. After reading each article, and based on the inclusion and exclusion criteria, 16 articles were included in the systematic review. In the available studies, Mg-based implants were not found to cause any severe inflammatory reaction, and only a mild to moderate inflammatory potential was attributed to the material. The timeline of foreign body giant cell formation showed to be different between the reviewed studies. The variety of degradation kinetics of different tested implants and discrepancies in studies regarding the time points of immunological investigations impair the conclusion of immunological reactions. This may be induced by different physical properties of an implant such as size, shape and alloying system. Further research is essential to elucidate the underlying mechanisms by which implant degradation affects the immune system. Also, better understanding will facilitate the decision of patients whether to undergo surgery with new device implantation.
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Affiliation(s)
- Omer Suljevic
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Stefan F. Fischerauer
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Annelie M. Weinberg
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Nicole G. Sommer
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
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24
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Rout PK, Roy S, Ganguly S, Rathore DK. A review on properties of magnesium-based alloys for biomedical applications. Biomed Phys Eng Express 2022; 8. [PMID: 35523119 DOI: 10.1088/2057-1976/ac6d81] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 05/06/2022] [Indexed: 01/17/2023]
Abstract
With changing lifestyles, the demand for bone implantation has been increasing day by day. The deficiency of nutritious elements within the human body results in certain diseases like osteoporosis, rickets, and other skeletal disorders; lack of physical activities; and the increasing number of accidents are the primary reasons for bone damage/fracture. Metallic implants made up of chrome steel, cobalt-based alloys, and titanium-based alloys are being majorly used worldwide owing to their high strength and high corrosion resistance which makes them permanent orthopedic bioimplant materials, however, they display a stress-shielding effect and it also requires an implant removal surgery. Thus, these problems can be addressed through the employment of biodegradable materials. Among the available biodegradable metallic materials, Mg alloys have been identified as a prospective orthopedic implant material. These alloys are biodegradable as well as biocompatible, however, they experience a relatively higher rate of degradation limiting their usability as implant material. This study attempts to comprehensively assess the effects of various alloying elements such as Ca, Zn, Sn, Mn, Sr and Rare earth elements (REEs) on the mechanical and degradation behavior (bothin vivoandin vitro) of Mg alloys. Since the microstructure, mechanical properties and degradation response of the Mg alloys are dependent on the processing route, hence detailed processing- property database of different Mg alloys is provided in this paper.
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Affiliation(s)
- Pradipta Kumar Rout
- School of Mechanical Engineering, Kalinga Institute of Industrial Technology (Deemed to be University), Bhubaneswar, 751024, India
| | - Sudesna Roy
- School of Mechanical Engineering, Kalinga Institute of Industrial Technology (Deemed to be University), Bhubaneswar, 751024, India
| | - Sourav Ganguly
- Department of Advanced Materials Technology, CSIR-Institute of Minerals and Materials Technology (IMMT), Bhubaneswar-751013, India
| | - Dinesh Kumar Rathore
- Department of Mechanical Engineering, Madhav Institute of Technology and Science, Gwalior-474005, India
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25
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Chen D, Yu C, Wang Z, Zhang X, Lu W, Zhang D. Simulation of Lanthanum Purification Using a Finite Element Method. MATERIALS 2022; 15:ma15093183. [PMID: 35591517 PMCID: PMC9102525 DOI: 10.3390/ma15093183] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 03/21/2022] [Accepted: 03/23/2022] [Indexed: 12/10/2022]
Abstract
The zone refining technology is considered to be one of the most effective means of purifying lanthanum. However, it is tough to obtain the temperature distribution of the molten region through experimental methods. In this study, finite element analysis was used to establish the zone refining simulation model, and the impurity distribution of lanthanum after purification was investigated experimentally. Good agreement between the simulated and experimental results was obtained. The effects of the current and the frequency on the temperature distribution and the width of the region were studied using the simulation model. Through the zone refining experiment, the impurity distributions under different widths of molten region were revealed. Finally, the influence of molten region width on the limiting distribution was calculated by solving the limiting distribution equation.
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Affiliation(s)
- Dehong Chen
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
| | - Chuang Yu
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
- Correspondence: ; Tel.: +86-18911705374
| | - Zhiqiang Wang
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
| | - Xiaowei Zhang
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
| | - Wenli Lu
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
| | - Dongwei Zhang
- National Engineering Research Center for Rare Earth Materials, GRINM Group Co., Ltd., Beijing 100088, China; (D.C.); (Z.W.); (X.Z.); (W.L.); (D.Z.)
- GRIREM Advanced Materials Co., Ltd., Beijing 100088, China
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26
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In Vitro Corrosion Performance of As-Extruded Mg–Gd–Dy–Zr Alloys for Potential Orthopedic Applications. METALS 2022. [DOI: 10.3390/met12040604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this study, different contents of rare earth elements with high solid solubility (Gd and Dy) were added into Mg and fabricated through homogenization and hot extrusion processes that enable few second phase formation to efficaciously inhibit the galvanic corrosion. The microstructure and phase characterization of the as-extruded Mg–Gd–Dy–Zr alloys were analyzed by scanning electron microscopy, electron backscattered diffraction, and X-ray diffraction. The in vitro biodegradation behavior of the as-extruded Mg–Gd–Dy–Zr alloys was investigated via the electrochemical measurement and immersion test. The results revealed that all the as-extruded alloys with different RE additions exerted fully recrystallized microstructures. The average grain size was appropriately 20 μm to 30 μm for all alloys and gradually increased by adding more RE. Only a few tiny second-phase particles less than 5 μm dispersed for all the samples and the volume fraction of particles increased slightly with the increase in RE content. The as-extruded Mg–Gd–Dy–Zr alloys with low RE content (GD0.6) allowed for a satisfactory corrosion resistance in Hank’s solution with a controlled corrosion rate less than 0.5 mm/year, which is considered as the tolerance limit for the corrosion rate of orthopedic implants. This study provides a cost-effective choice for promoting biodegradable magnesium alloys for potential orthopedic applications with low rare earth content in Mg alloys.
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27
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Nasr Azadani M, Zahedi A, Bowoto OK, Oladapo BI. A review of current challenges and prospects of magnesium and its alloy for bone implant applications. Prog Biomater 2022; 11:1-26. [PMID: 35239157 DOI: 10.1007/s40204-022-00182-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 01/29/2022] [Indexed: 02/08/2023] Open
Abstract
Medical application materials must meet multiple requirements, and the designed implant must mimic the bone structure in shape and support the formation of bone tissue (osteogenesis). Magnesium (Mg) alloys, as a "smart" biodegradable material and as "the green engineering material in the twenty-first century", have become an outstanding bone implant material due to their natural degradability, smart biocompatibility, and desirable mechanical properties. Magnesium is recognised as the next generation of orthopaedic appliances and bioresorbable scaffolds. At the same time, improving the mechanical properties and corrosion resistance of magnesium alloys is an urgent challenge to promote the application of magnesium alloys. Nevertheless, the excessively quick deterioration rate generally results in premature mechanical integrity disintegration and local hydrogen build-up, resulting in restricted clinical bone restoration applicability. The condition of Mg bone implants is thoroughly examined in this study. The relevant approaches to boost the corrosion resistance, including purification, alloying treatment, surface coating, and Mg-based metal matrix composite, are comprehensively revealed. These characteristics are reviewed to assess the progress of contemporary Mg-based biocomposites and alloys for biomedical applications. The fabricating techniques for Mg bone implants also are thoroughly investigated. Notably, laser-based additive manufacturing fabricates customised forms and complicated porous structures based on its distinctive additive manufacturing conception. Because of its high laser energy density and strong controllability, it is capable of fast heating and cooling, allowing it to modify the microstructure and performance. This review paper aims to provide more insight on the present challenges and continued research on Mg bone implants, highlighting some of the most important characteristics, challenges, and strategies for improving Mg bone implants.
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Affiliation(s)
- Meysam Nasr Azadani
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK.
| | - Abolfazl Zahedi
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
| | - Oluwole Kingsley Bowoto
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
| | - Bankole Ibrahim Oladapo
- School of Engineering and Sustainable Development, De Montfort University, Leicester, LE1 9BH, UK
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28
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Yanagisawa Y, Shimizu Y, Mukai T, Sano Y, Odashima K, Ikeo N, Saito H, Yamauchi K, Takahashi T, Kumamoto H. Biodegradation behaviors of magnesium(Mg)-based alloy nails in autologous bone grafts: In vivo study in rabbit skulls. J Appl Biomater Funct Mater 2022; 20:22808000221095230. [PMID: 35599624 DOI: 10.1177/22808000221095230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE In this study, autologous bone grafts using bone-fixing nails made of magnesium-zinc-calcium ternary alloys were performed using rabbit skulls. MATERIAL AND METHODS Two types of nails for bone fixation were prepared: 2.5 mm width, 3 mm length and 2.5 mm width, 2 mm length. A disk-shaped bone with a diameter of 5 mm was resected from the parietal bone and fixed with a 3 mm long nail. As a control group, a 2 mm long nail was driven into the existing bone. The rabbits were sacrificed at 1, 4, 12, and 24 weeks after surgery. The resected samples were observed with micro X-ray CT, and embedded in methyl methacrylate to prepare non-decalcified specimens. The in vivo localization of elements was examined using energy-dispersive X-ray spectroscopy (EDS). RESULTS Micro X-ray CT images of samples showed volume reduction due to degradation in both the bone graft and control groups. No significant difference in the amount of degradation between the two groups was observed, however characteristic degradation processes were observed in each group. The samples stained with alizarin red S showed amorphous areas around the nails, which were considered as corrosion products and contacted directly with the newly formed bones. EDS analysis showed that corrosion products were mainly composed of magnesium and oxygen at an early stage, while calcium and phosphorus were detected on the surface layer during the long-term observation. CONCLUSIONS The degradation speed of the magnesium alloy nails varied depending on the shapes of the nails and surrounding tissue conditions. A calcium phosphate layer was formed on the surface of magnesium alloy nails, suggesting that the degradation rate of the nail was slow.
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Affiliation(s)
- Yuta Yanagisawa
- Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.,Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Yoshinaka Shimizu
- Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Toshiji Mukai
- Department of Mechanical Engineering, Kobe University, Kobe, Hyogo, Japan
| | - Yuya Sano
- Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Kenji Odashima
- Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.,Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Naoko Ikeo
- Department of Mechanical Engineering, Kobe University, Kobe, Hyogo, Japan
| | - Haruka Saito
- Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Kensuke Yamauchi
- Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Tetsu Takahashi
- Division of Oral and Maxillofacial Surgery, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
| | - Hiroyuki Kumamoto
- Division of Oral Pathology, Department of Oral Medicine and Surgery, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
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29
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Yang P, Ye S, Feng B, Liu J, Huang S, Liu G, Zhang W, Tang W, Zhu S, Zhang S. Microgalvanic Corrosion of Mg-Ca and Mg-Al-Ca Alloys in NaCl and Na 2SO 4 Solutions. MATERIALS 2021; 14:ma14237140. [PMID: 34885294 PMCID: PMC8658488 DOI: 10.3390/ma14237140] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 11/18/2021] [Accepted: 11/21/2021] [Indexed: 11/16/2022]
Abstract
As a kind of potential biomedical material, Mg–Ca alloy has attracted much attention. However, the role of Ca-containing intermetallics in microgalvanic corrosion is still controversial. In 0.6 mol/L NaCl and Na2SO4 solutions, the microgalvanic corrosion behavior of the second phase and Mg matrix of Mg–Ca and Mg–Al–Ca alloys was examined. It was confirmed that the Mg2Ca phase acts as a microanode in microgalvanic corrosion in both NaCl and Na2SO4 solutions, with the Mg matrix acting as the cathode and the Al2Ca phase acting as the microcathode to accelerate corrosion of the adjacent Mg matrix. It was also found that Cl− and SO42− have different sensibilities to microgalvanic corrosion.
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Affiliation(s)
- Peixu Yang
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
| | - Songbo Ye
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
| | - Baojing Feng
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
| | - Jinhui Liu
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
- Correspondence: (J.L.); (S.H.)
| | - Sensen Huang
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016, China
- Correspondence: (J.L.); (S.H.)
| | - Guonan Liu
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
| | - Weidong Zhang
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
| | - Weineng Tang
- Technology Center, Baosteel Metal Co., Ltd., Shanghai 200940, China;
| | - Shijie Zhu
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
- Henan Key Laboratory of Advanced Magnesium Alloy, Ministry of Education, Zhengzhou 450001, China
| | - Shaojun Zhang
- Henan Province Industrial Technology Research Institute of Resources and Materials, Zhengzhou University, Zhengzhou 450001, China; (P.Y.); (S.Y.); (B.F.); (G.L.); (W.Z.); (S.Z.)
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China;
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Jung O, Hesse B, Stojanovic S, Seim C, Weitkamp T, Batinic M, Goerke O, Kačarević ŽP, Rider P, Najman S, Barbeck M. Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR). Int J Mol Sci 2021; 22:ijms222212567. [PMID: 34830451 PMCID: PMC8624161 DOI: 10.3390/ijms222212567] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 11/19/2021] [Accepted: 11/19/2021] [Indexed: 11/17/2022] Open
Abstract
Background: Magnesium (Mg) is one of the most promising materials for human use in surgery due to material characteristics such as its elastic modulus as well as its resorbable and regenerative properties. In this study, HF-coated and uncoated novel bioresorbable magnesium fixation screws for maxillofacial and dental surgical applications were investigated in vitro and in vivo to evaluate the biocompatibility of the HF coating. Methods: Mg alloy screws that had either undergone a surface treatment with hydrofluoric-acid (HF) or left untreated were investigated. In vitro investigation included XTT, BrdU and LDH in accordance with the DIN ISO 10993-5/-12. In vivo, the screws were implanted into the tibia of rabbits. After 3 and 6 weeks, degradation, local tissue reactions and bony integration were analyzed histopathologically and histomorphometrically. Additionally, SEM/EDX analysis and synchrotron phase-contrast microtomography (µCT) measurements were conducted. The in vitro analyses revealed that the Mg screws are cytocompatible, with improved results when the surface had been passivated with HF. In vivo, the HF-treated Mg screws implanted showed a reduction in gas formation, slower biodegradation and a better bony integration in comparison to the untreated Mg screws. Histopathologically, the HF-passivated screws induced a layer of macrophages as part of its biodegradation process, whereas the untreated screws caused a slight fibrous tissue reaction. SEM/EDX analysis showed that both screws formed a similar layer of calcium phosphates on their surfaces and were surrounded by bone. Furthermore, the µCT revealed the presence of a metallic core of the screws, a faster absorbing corrosion front and a slow absorbing region of corroded magnesium. Conclusions: Overall, the HF-passivated Mg fixation screws showed significantly better biocompatibility in vitro and in vivo compared to the untreated screws.
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Affiliation(s)
- Ole Jung
- Clinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, 18057 Rostock, Germany;
| | | | - Sanja Stojanovic
- Department of Biology and Human Genetics, Faculty of Medicine, University of Niš, 18108 Niš, Serbia; (S.S.); (S.N.)
- Scientific Research Center for Biomedicine, Faculty of Medicine, Department for Cell and Tissue Engineering, University of Niš, 18108 Niš, Serbia
| | | | - Timm Weitkamp
- Synchrotron SOLEIL, Gif-sur-Yvette, 91190 Saint-Aubin, France;
| | - Milijana Batinic
- Department of Ceramic Materials, Chair of Advanced Ceramic Materials, Institute for Materials Science and Technologies, Technical University of Berlin, 10623 Berlin, Germany; (M.B.); (O.G.)
- Department of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia;
| | - Oliver Goerke
- Department of Ceramic Materials, Chair of Advanced Ceramic Materials, Institute for Materials Science and Technologies, Technical University of Berlin, 10623 Berlin, Germany; (M.B.); (O.G.)
| | - Željka Perić Kačarević
- Department of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia;
| | - Patrick Rider
- Department of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia;
| | - Stevo Najman
- Department of Biology and Human Genetics, Faculty of Medicine, University of Niš, 18108 Niš, Serbia; (S.S.); (S.N.)
- Scientific Research Center for Biomedicine, Faculty of Medicine, Department for Cell and Tissue Engineering, University of Niš, 18108 Niš, Serbia
| | - Mike Barbeck
- Department of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, Croatia;
- Correspondence: ; Tel.: +49-176-810-224-6
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31
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Zan R, Wang H, Ni J, Wang W, Peng H, Sun Y, Yang S, Lou J, Kang X, Zhou Y, Chen Y, Yan J, Zhang X. Multifunctional Magnesium Anastomosis Staples for Wound Closure and Inhibition of Tumor Recurrence and Metastasis. ACS Biomater Sci Eng 2021; 7:5269-5278. [PMID: 34618437 DOI: 10.1021/acsbiomaterials.1c00683] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Biodegradable magnesium (Mg) implants spontaneously releasing therapeutic agents against tumors are an intriguing therapeutic approach for both tissue repair and tumor treatment. Anastomotic staples are extensively used for wound closure after surgical resection in patients with colorectal tumors. However, the safety of Mg anastomosis implants for intestinal closure and the effect of tumor suppression remain elusive. Here, we used a high-purity Mg staple to study these issues. Based on the results, we found that it has the potential to heal wounds produced after colorectal tumor resection while inhibiting relapse of residual tumor cells in vitro and in vivo. After implantation of Mg staples for 7 weeks in rabbits, the intestinal wound gradually healed with no adverse effects such as leakage or inflammation. Furthermore, the implanted Mg staples inhibit the growth of colorectal tumor cells and block migration to normal organs because of the increased concentration of Mg ions and released hydrogen. Such an antitumor effect is further confirmed by the in vitro cell experiments. Mg significantly induces apoptosis of tumor cells as well as inhibits cell growth and migration. Our work presents a feasible therapeutic opinion to design Mg anastomotic staples to perform wound healing and simultaneously release tumor suppressor elements in vivo to decrease the risk of tumor recurrence and metastasis.
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Affiliation(s)
- Rui Zan
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Hao Wang
- Department of General Surgery and Translational Medicine Center, Wuxi No.2 People's Hospital, Affiliated Wuxi Clinical College of Nantong University, Jiangsu 214002, China
| | - Jiahua Ni
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Wenhui Wang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Hongzhou Peng
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Yu Sun
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Shi Yang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Jie Lou
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Xinbao Kang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Yongping Zhou
- Department of General Surgery and Translational Medicine Center, Wuxi No.2 People's Hospital, Affiliated Wuxi Clinical College of Nantong University, Jiangsu 214002, China
| | - Yigang Chen
- Department of General Surgery and Translational Medicine Center, Wuxi No.2 People's Hospital, Affiliated Wuxi Clinical College of Nantong University, Jiangsu 214002, China
| | - Jun Yan
- Department of General Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - Xiaonong Zhang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.,Suzhou Origin Medical Technology Co. Ltd., Suzhou 215513, China
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Weng W, Biesiekierski A, Li Y, Dargusch M, Wen C. A review of the physiological impact of rare earth elements and their uses in biomedical Mg alloys. Acta Biomater 2021; 130:80-97. [PMID: 34118448 DOI: 10.1016/j.actbio.2021.06.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 05/26/2021] [Accepted: 06/01/2021] [Indexed: 12/12/2022]
Abstract
Magnesium (Mg) is well-tolerated by the body, displaying exceedingly low toxicity, rapid excretion, and numerous bioactive effects, including improved bone formation and protection against oxidative stresses; further, Mg alloys can be degraded in vivo to allow complete removal of an implant without surgical intervention, avoiding revision surgery and thrombosis concerns seen with permanent implants. Rare earth elements (REEs) have been of particular interest in alloying Mg alloys for nearly a century due to their unique chemical and physical properties but have attracted increasing attention in recent decades. The REEs contribute greatly to the mechanical and biological properties of metal alloys, and so are common in Mg alloys in a wide variety of applications; in particular, they represent the dominant alloying additions in current, clinically applied Mg alloys. Notably, the use of these elements may assist in the development of advanced Mg alloys for use as biodegradable orthopedic implants and cardiovascular stents. To this end, current research progress in this area, highlighting the physiological impact of REEs in Mg alloys, is reviewed. Clinical work and preclinical data of REE-containing Mg alloys are analyzed. The biological roles of REEs in cellular responses in vivo require further research in the development of biofunctional Mg alloy medical devices. STATEMENT OF SIGNIFICANCE: The presented work is a review into the biological impact and current application of rare-earth elements (REEs) in biodegradable Mg-based biomaterials. Despite their efficacy in improving corrosion, mechanical, and manufacturability properties of Mg alloys, the physiological effects of REEs remain poorly understood. Therefore, the present work was undertaken to both provide guidance in the development of new biomedical alloys, and highlight areas of existing concerns and unclear knowledge. Key findings of this review include a summary of current clinical and preclinical work, and the identification of Sc as the most promising REE with regards to physiological impact. Y, Ce, Pr, Gd, Dy, Yb, Sm, and Eu should be considered carefully before their use as alloying elements, with other REEs intermediate or insufficiently studied.
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Affiliation(s)
- Weijie Weng
- School of Engineering, RMIT University, Melbourne, Victoria 3001, Australia; Shanghai Power Equipment Research Institute, Shanghai 200240, China
| | - Arne Biesiekierski
- School of Engineering, RMIT University, Melbourne, Victoria 3001, Australia; ARC Training Centre in Surface Engineering for Advanced Materials (SEAM), Swinburne University of Technology, Hawthorn, Victoria 3122, Australia
| | - Yuncang Li
- School of Engineering, RMIT University, Melbourne, Victoria 3001, Australia
| | - Matthew Dargusch
- Centre for Advanced Materials Processing and Manufacturing (AMPAM), The University of Queensland, Brisbane, Queensland 4072, Australia
| | - Cuie Wen
- School of Engineering, RMIT University, Melbourne, Victoria 3001, Australia.
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33
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Li H, Wang P, Lin G, Huang J. The role of rare earth elements in biodegradable metals: A review. Acta Biomater 2021; 129:33-42. [PMID: 34022465 DOI: 10.1016/j.actbio.2021.05.014] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 04/14/2021] [Accepted: 05/11/2021] [Indexed: 11/26/2022]
Abstract
Compared with non-degradable metals, biodegradable metals, as a new generation of medical metallic materials, do not require secondary, which reduces the pain and economic burden of patients. However, currently developed biodegradable metals, including iron-based alloys, magnesium-based alloys, and zinc-based alloys, have deficiencies in their corrosion rates and mechanical properties, which have severely restricted the clinical application of biodegradable metals. So there is an urgent need to improve their mechanical properties, degradation behaviors and biocompatibility. Alloying is an important way to modify biodegradable metal materials. Rare earth elements (REEs) as alloying elements in biodegradable metals have attracted a great deal of attention due to their unique atomic structure and properties. The present review summarizes the effects of rare earth elements on the mechanical properties, degradation behaviors, and biocompatibility of biodegradable metals. Moreover, future research directions of rare earth elements alloying biodegradable metals are also prospected. STATEMENT OF SIGNIFICANCE: As a new generation of biomedical metallic materials, biodegradable metals have become a hot research topic in recent years as they can degrade completely in human body and thus avoid further secondary surgery. However, these biodegradable metal systems have drawbacks in clinical applications. Alloying is an important method to improve the properties of biodegradable metals. Among the various alloying elements, Rare Earth alloying elements are usually considered due to their unique atomic structure and properties. The present review summarizes the recent research progress of Rare Earth alloying elements in biodegradable metals. The effects of the Rare Earth alloying elements on mechanical properties, biodegradation behavior and biocompatibility of biodegradable metals are presented and discussed in detail.
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34
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Wang H, Yuan H, Wang J, Zhang E, Bai M, Sun Y, Wang J, Zhu S, Zheng Y, Guan S. Influence of the second phase on protein adsorption on biodegradable Mg alloys' surfaces: Comparative experimental and molecular dynamics simulation studies. Acta Biomater 2021; 129:323-332. [PMID: 33831575 DOI: 10.1016/j.actbio.2021.03.063] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 03/18/2021] [Accepted: 03/30/2021] [Indexed: 01/19/2023]
Abstract
The effect of the second phase on the mechanical properties and corrosion resistance of Mg alloys has been systematically studied. However, there is limited information on the effect of the second phase on protein adsorption behavior. In the present study, the effect of the second phase on protein adsorption on the surfaces of biodegradable Mg alloys was investigated using experimental methods and molecular dynamics (MD) simulations. The experimental results showed that the effect of the second phase on fibrinogen adsorption was type-dependent. Fibrinogen preferentially adsorbed on Y-, Ce-, or Nd-involved second phases, while the second phase containing Zn inhibited its adsorption. MD simulations revealed the mechanism of the second phase that influenced protein adsorption in terms of charge distribution, surface-protein interaction energy, and water molecule distribution. Our studies proposed a deep understanding of the design of Mg-based biomaterials with superior biocompatibility. STATEMENT OF SIGNIFICANCE: Mechanical properties, uniform degradation, and biocompatibility must be considered while designing biomedical Mg alloys. To improve the mechanical properties and corrosion resistance of Mg alloys, the second phase is usually required. However, the effects of the second phase on biocompatibility of Mg alloys have been rarely reported. Here, the influence of the second phase on protein adsorption was experimentally studied by designing Mg alloys with different types of second phase. The first principle calculation and MD simulation were used to reveal the mechanism by which the second phase influences protein adsorption. This work could be used to better elucidate the protein adsorption mechanisms and design principles to improve the biocompatibility of Mg alloys.
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Affiliation(s)
- Hongyan Wang
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Haonan Yuan
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Jinming Wang
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Engui Zhang
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Mingyun Bai
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Yufeng Sun
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Jianfeng Wang
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Shijie Zhu
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Yufeng Zheng
- Department of Materials Science and Engineering, College of Engineering, Peking University, Beijing 100871, China
| | - Shaokang Guan
- School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450001, China; Henan Key Laboratory of Advanced Magnesium Alloys, Zhengzhou 450002, China.
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35
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Amukarimi S, Mozafari M. Biodegradable magnesium-based biomaterials: An overview of challenges and opportunities. MedComm (Beijing) 2021; 2:123-144. [PMID: 34766139 PMCID: PMC8491235 DOI: 10.1002/mco2.59] [Citation(s) in RCA: 46] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 01/10/2021] [Accepted: 01/14/2021] [Indexed: 12/26/2022] Open
Abstract
As promising biodegradable materials with nontoxic degradation products, magnesium (Mg) and its alloys have received more and more attention in the biomedical field very recently. Having excellent biocompatibility and unique mechanical properties, magnesium-based alloys currently cover a broad range of applications in the biomedical field. The use of Mg-based biomedical devices eliminates the need for biomaterial removal surgery after the healing process and reduces adverse effects induced by the implantation of permanent biomaterials. However, the high corrosion rate of Mg-based implants leads to unexpected degradation, structural failure, hydrogen evolution, alkalization, and cytotoxicity. To overcome these limitations, alloying Mg with suitable alloying elements and surface treatment come highly recommended. In this area, open questions remain on the behavior of Mg-based biomaterials in the human body and the effects of different factors that have resulted in these challenges. In addition to that, many techniques are yet to be verified to turn these challenges into opportunities. Accordingly, this article aims to review major challenges and opportunities for Mg-based biomaterials to minimize the challenges for the development of novel biomaterials made of Mg and its alloys.
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Affiliation(s)
- Shukufe Amukarimi
- Department of Tissue Engineering & Regenerative Medicine, Faculty of Advanced Technologies in MedicineIran University of Medical Sciences (IUMS)TehranIran
| | - Masoud Mozafari
- Department of Tissue Engineering & Regenerative Medicine, Faculty of Advanced Technologies in MedicineIran University of Medical Sciences (IUMS)TehranIran
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Kleer-Reiter N, Julmi S, Feichtner F, Waselau AC, Klose C, Wriggers P, Maier HJ, Meyer-Lindenberg A. Biocompatibility and degradation of the open-pored magnesium scaffolds LAE442 and La2. Biomed Mater 2021; 16. [PMID: 33827052 DOI: 10.1088/1748-605x/abf5c5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 04/07/2021] [Indexed: 11/11/2022]
Abstract
Porous magnesium implants are of particular interest for application as resorbable bone substitutes, due to their mechanical strength and a Young's modulus similar to bone. The objective of the present study was to compare the biocompatibility, bone and tissue ingrowth, and the degradation behaviour of scaffolds made from the magnesium alloys LAE442 (n= 40) and Mg-La2 (n= 40)in vivo. For this purpose, cylindrical magnesium scaffolds (diameter 4 mm, length 5 mm) with defined, interconnecting pores were produced by investment casting and coated with MgF2. The scaffolds were inserted into the cancellous part of the greater trochanter ossis femoris of rabbits. After implantation periods of 6, 12, 24 and 36 weeks, the bone-scaffold compounds were evaluated usingex vivo µCT80 images, histological examinations and energy dispersive x-ray spectroscopy analysis. The La2 scaffolds showed inhomogeneous and rapid degradation, with inferior osseointegration as compared to LAE442. For the early observation times, no bone and tissue could be observed in the pores of La2. Furthermore, the excessive amount of foreign body cells and fibrous capsule formation indicates insufficient biocompatibility of the La2 scaffolds. In contrast, the LAE442 scaffolds showed slow degradation and better osseointegration. Good vascularization, a moderate cellular response, bone and osteoid-like bone matrix at all implantation periods were observed in the pores of LAE442. In summary, porous LAE442 showed promise as a degradable scaffold for bone defect repair, based on its degradation behaviour and biocompatibility. However, further studies are needed to show it would have the necessary mechanical properties required over time for weight-bearing bone defects.
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Affiliation(s)
- N Kleer-Reiter
- Clinic of Small Animal Surgery and Reproduction, Ludwig-Maximilians-Universität, Veterinärstr. 13, München 80539, Germany
| | - S Julmi
- Institut für Werkstoffkunde (Materials Science), Leibniz Universität Hannover, An der Universität 2, Garbsen 30823, Germany
| | - F Feichtner
- Clinic of Small Animal Surgery and Reproduction, Ludwig-Maximilians-Universität, Veterinärstr. 13, München 80539, Germany
| | - A-C Waselau
- Clinic of Small Animal Surgery and Reproduction, Ludwig-Maximilians-Universität, Veterinärstr. 13, München 80539, Germany
| | - C Klose
- Institut für Werkstoffkunde (Materials Science), Leibniz Universität Hannover, An der Universität 2, Garbsen 30823, Germany
| | - P Wriggers
- Institute of Continuum Mechanics, Leibniz Universität Hannover, Appelstr. 11, Hannover 30167, Germany
| | - H J Maier
- Institut für Werkstoffkunde (Materials Science), Leibniz Universität Hannover, An der Universität 2, Garbsen 30823, Germany
| | - A Meyer-Lindenberg
- Clinic of Small Animal Surgery and Reproduction, Ludwig-Maximilians-Universität, Veterinärstr. 13, München 80539, Germany
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Li J, Zhou P, Wang L, Hou Y, Zhang X, Zhu S, Guan S. Investigation of Mg-xLi-Zn alloys for potential application of biodegradable bone implant materials. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2021; 32:43. [PMID: 33825086 PMCID: PMC8024228 DOI: 10.1007/s10856-021-06516-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 03/18/2021] [Indexed: 06/12/2023]
Abstract
Implant therapy after osteosarcoma surgery is a major clinical challenge currently, especially the requirements for mechanical properties, degradability of the implants, and their inhibition of residual tumor cells. Biodegradable magnesium (Mg) alloy as medical bone implant material has full advantages and huge potential development space. Wherein, Mg-lithium (Li) based alloy, as an ultra-light alloy, has good properties for implants under certain conditions, and both Mg and Li have inhibitory effects on tumor cells. Therefore, Mg-Li alloy is expected to be applied in bone implant materials for mechanical supporting and inhibiting tumor cells simultaneously. In this contribution, the Mg-xLi-Zinc (Zn) series alloys (x = 3 wt%, 6 wt%, 9 wt%) were prepared to study the influence of different elements and contents on the structure and properties of the alloy, and the biosafety of the alloy was also evaluated. Our data showed that the yield strength, tensile strength, and elongation of as-cast Mg-xLi-Zn alloy were higher than those of as-cast Mg-Zn alloy; Mg-xLi-Zn alloy can kill osteosarcoma cells (MG-63) in a concentration-dependent manner, wherein Mg-3Li-Zn alloy (x = 3 wt%) and Mg-6Li-Zn alloy (x = 6 wt%) promoted the proliferation of osteoblasts (MC3T3) at a certain concentration of Li. In summary, our study demonstrated that the Mg-6Li-Zn alloy could be potentially applied as a material of orthopedic implant for its excellent multi-functions.
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Affiliation(s)
- Jingan Li
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China
| | - Panyu Zhou
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China
| | - Liguo Wang
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China.
| | - Yachen Hou
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China
| | - Xueqi Zhang
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China
| | - Shijie Zhu
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China.
| | - Shaokang Guan
- School of Materials Science and Engineering & Henan Key Laboratory of Advanced Magnesium Alloy & Key Laboratory of Materials Processing and Mold Technology (Ministry of Education), Zhengzhou University, Zhengzhou, 450001, China.
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Jeyaseelan A, Viswanathan N. Facile synthesis of tunable rare earth based metal organic frameworks for enhanced fluoride retention. J Mol Liq 2021. [DOI: 10.1016/j.molliq.2020.115163] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Giduthuri AT, Adekanmbi EO, Srivastava SK, Moberly JG. Dielectrophoretic ultra-high-frequency characterization and in silico sorting on uptake of rare earth elements by Cupriavidus necator. Electrophoresis 2020; 42:656-666. [PMID: 33215725 DOI: 10.1002/elps.202000095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 09/30/2020] [Accepted: 11/13/2020] [Indexed: 12/12/2022]
Abstract
Rare earth elements (REEs) are widely used across different industries due to their exceptional magnetic and electrical properties. In this work, Cupriavidus necator is characterized using dielectrophoretic ultra-high-frequency measurements, typically in MHz range to quantify the properties of cytoplasm in C. necator for its metal uptake/bioaccumulation capacity. Cupriavidus necator, a Gram-negative bacteria strain is exposed to REEs like europium, samarium, and neodymium in this study. Dielectrophoretic crossover frequency experiments were performed on the native C. necator species pre- and post-exposure to the REEs at MHz frequency range. The net conductivity of native C. necator, Cupriavidus europium, Cupriavidus samarium, and Cupriavidus neodymium are 15.95 ± 0.029 μS/cm, 16.15 ± 0.028 μS/cm, 16.05 ± 0.029 μS/cm, 15.61 ± 0.005 μS/cm respectively. The estimated properties of the membrane published by our group are used to develop a microfluidic sorter by modeling and simulation to separate REE absorbed C. necator from the unabsorbed native C. necator species using COMSOL Multiphysics commercial software package v5.5.
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Affiliation(s)
- Anthony T Giduthuri
- Department of Chemical and Biological Engineering, University of Idaho, Moscow, ID, USA
| | - Ezekiel O Adekanmbi
- Department of Chemical and Biological Engineering, University of Idaho, Moscow, ID, USA
| | - Soumya K Srivastava
- Department of Chemical and Biological Engineering, University of Idaho, Moscow, ID, USA
| | - James G Moberly
- Department of Chemical and Biological Engineering, University of Idaho, Moscow, ID, USA
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40
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Qu X, Yang H, Jia B, Yu Z, Zheng Y, Dai K. Biodegradable Zn-Cu alloys show antibacterial activity against MRSA bone infection by inhibiting pathogen adhesion and biofilm formation. Acta Biomater 2020; 117:400-417. [PMID: 33007485 DOI: 10.1016/j.actbio.2020.09.041] [Citation(s) in RCA: 50] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 09/20/2020] [Accepted: 09/22/2020] [Indexed: 12/31/2022]
Abstract
Bone and joint-related infections remain the primary and most critical complications of orthopedic surgery. We have innovatively prepared Zn-Cu alloys to achieve outstanding material and antibacterial properties. In this study, we systematically assessed the material properties and antibacterial activity of these Zn-Cu alloys. Our results showed that the Zn-2Cu alloy had the best mechanical properties, biocompatibility, and osteogenic properties. Findings of microbial cultures, CLSM, SEM, and TEM indicated that Zn-2Cu alloy can inhibit both coagulase-positive and coagulase-negative staphylococci, as well as antibiotic-resistant strains (MRSA and MRSE), by preventing the bacteria adhesion and the biofilm formation. Zn-2Cu alloy could broadly affect the expression of MRSA genes associated with adhesion, autolysis, biofilm formation, virulence, and drug resistance. A rat femur intramedullary nail infection-prevention model was established and the Zn-2Cu alloy-treated group showed significant antibacterial activity against MRSA and reduced the inflammatory toxic side-effects and infection-related bone loss. Collectively, our results indicate the potential utility of Zn-Cu alloy implants with 2 wt% Cu in treating orthopedic infections. Statement of significance: Osteomyelitis is a serious complication of orthopedic surgeries. Wide use of antibiotics contributes to the appearance of multi-drug resistant strains like methicillin-resistant staphylococcus aureus (MRSA). Alternatively, anti-osteomyelitis implants with broad-spectrum antibacterial properties can be favorable. Here, the antibacterial performance of biodegradable Zn-Cu alloys was evaluated with four different bacteria strains including antibiotic-resistant strains (MRSA and MRSE). Zn-Cu alloys exert excellent bacterial killing capability in all strains. In a rat femur infection model, the alloy showed significant antibacterial activity against MRSA and reduced inflammatory toxic side-effects as well as infection-related bone loss. The antibacterial property of Zn-2Cu alloy was associated with inhibition of gene expression related to wall synthesis, adhesion, colonization, biofilm formation, autolysis, and secretion of virulence factors in MRSA.
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Sukotjo C, Lima-Neto TJ, Santiago Júnior JF, Faverani LP, Miloro M. Is There a Role for Absorbable Metals in Surgery? A Systematic Review and Meta-Analysis of Mg/Mg Alloy Based Implants. MATERIALS 2020; 13:ma13183914. [PMID: 32899725 PMCID: PMC7558106 DOI: 10.3390/ma13183914] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 08/31/2020] [Accepted: 09/01/2020] [Indexed: 12/19/2022]
Abstract
Magnesium (Mg) alloys have received attention in the literature as potential biomaterials for use as absorbable implants in oral and maxillofacial and orthopedic surgery applications. This study aimed to evaluate the available clinical studies related to patients who underwent bone fixation (patients), and received conventional fixation (intervention), in comparison to absorbable metals (comparison), in terms of follow-up and complications (outcomes). A systematic review and meta-analysis were performed in accordance with the PRISMA statement and PROSPERO (CRD42020188654), PICO question, ROBINS-I, and ROB scales. The relative risk (RR) of complications and failures were calculated considering a confidence interval (CI) of 95%. Eight studies (three randomized clinical trial (RCT), one retrospective studies, two case-control studies, and two prospective studies) involving 468 patients, including 230 Mg screws and 213 Titanium (Ti) screws, were analyzed. The meta-analysis did not show any significant differences when comparing the use of Mg and Ti screws for complications (p = 0.868). The estimated complication rate was 13.3% (95% CI: 8.3% to 20.6%) for the comparison group who received an absorbable Mg screw. The use of absorbable metals is feasible for clinical applications in bone surgery with equivalent outcomes to standard metal fixation devices.
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Affiliation(s)
- Cortino Sukotjo
- Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612, USA
- Correspondence: ; Tel.: +1-617-272-5512
| | - Tiburtino J. Lima-Neto
- Oral and Maxillofacial Surgery, Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, School of Dentistry, São Paulo State University—Unesp, Araçatuba, São Paulo 16015-050, Brazil;
| | - Joel Fereira Santiago Júnior
- Department of Health Sciences, Centro Universitário Sagrado Coração-UNISAGRADO, Bauru, São Paulo 16011-160, Brazil;
| | - Leonardo P. Faverani
- Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University—Unesp, Araçatuba, São Paulo 16015-050, Brazil;
| | - Michael Miloro
- Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612, USA;
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Dutta S, Gupta S, Roy M. Recent Developments in Magnesium Metal-Matrix Composites for Biomedical Applications: A Review. ACS Biomater Sci Eng 2020; 6:4748-4773. [PMID: 33455211 DOI: 10.1021/acsbiomaterials.0c00678] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Recently, there is a growing interest in developing magnesium (Mg) based degradable biomaterial. Although corrosion is a concern for Mg, other physical properties, such as low density and Young's modulus, combined with good biocompatibility, lead to significant research and development in this area. To address the issues of corrosion and low yield strength of pure Mg, several approaches have been adopted, such as, composite preparation with suitable bioactive reinforcements, alloying, or surface modifications. This review specifically focuses on recent developments in Mg-based metal matrix composites (MMCs) for biomedical applications. Much effort has gone into finding suitable bioactive, bioresorbable reinforcements and processing techniques that can improve upon existing materials. In summary, this review provides a comprehensive overview of existing Mg-based composite preparation and their mechanical and corrosion properties and biological responses and future perspectives on the development of Mg-based composite biomaterials.
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Affiliation(s)
- Sourav Dutta
- Advanced Technology Development Centre, Indian Institute of Technology-Kharagpur, Kharagpur 721302, India
| | - Sanjay Gupta
- Department of Mechanical Engineering, Indian Institute of Technology-Kharagpur, Kharagpur 721302, India
| | - Mangal Roy
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology-Kharagpur, Kharagpur 721302, India
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Xi Z, Wu Y, Xiang S, Sun C, Wang Y, Yu H, Fu Y, Wang X, Yan J, Zhao D, Wang Y, Zhang N. Corrosion Resistance and Biocompatibility Assessment of a Biodegradable Hydrothermal-Coated Mg-Zn-Ca Alloy: An in Vitro and in Vivo Study. ACS OMEGA 2020; 5:4548-4557. [PMID: 32175501 PMCID: PMC7066561 DOI: 10.1021/acsomega.9b03889] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Accepted: 02/13/2020] [Indexed: 05/09/2023]
Abstract
A hydrothermal (HT) coating was applied to the biomedical Mg-Zn-Ca alloy surface by microarc oxidation (MAO) and heat treatment. Then, the corrosion resistance and biocompatibility of the coated alloy was evaluated in vitro and in vivo. The corrosion rate (CR) of HT-coated implants was significantly lower in experiment. In addition, this CR increased over time in vivo but was stable, albeit higher, in vitro. The proliferation, adhesion, and live activity of bone marrow stem cells (BMSCs) were significantly greater on the surface of the HT-coated Mg alloy in vitro. Serum Mg2+ was always within the normal range in rabbits with implants, although Ca2+ was higher than normal for both uncoated and coated scaffolds. There were no significant pathological effects on the main organs of alloy-implanted rabbits compared with healthy animals. Thus, the HT coating significantly improved the corrosion resistance and biocompatibility of the Mg-Zn-Ca alloy.
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Affiliation(s)
- Zheng Xi
- The
Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang, People’s Republic
of China
| | - Yunfeng Wu
- Institute
for Advanced Ceramics, Harbin Institute
of Technology, Harbin 150001, Heilongjiang, People’s Republic of China
| | - Shouyang Xiang
- The
Second Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang, People’s Republic
of China
| | - Chu Sun
- The
Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang, People’s Republic
of China
| | - Yongxuan Wang
- Affiliated
Zhongshan Hospital of Dalian University, Dalian 116027, Liaoning, People’s Republic of China
| | - Haiming Yu
- The
Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang, People’s Republic
of China
| | - Yu Fu
- The
Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang, People’s Republic
of China
| | - Xintao Wang
- The
Second Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang, People’s Republic
of China
| | - Jinglong Yan
- The
Second Affiliated Hospital of Harbin Medical University, Harbin 150000, Heilongjiang, People’s Republic
of China
| | - Dewei Zhao
- Affiliated
Zhongshan Hospital of Dalian University, Dalian 116027, Liaoning, People’s Republic of China
- E-mail: (D.Z.)
| | - Yaming Wang
- Institute
for Advanced Ceramics, Harbin Institute
of Technology, Harbin 150001, Heilongjiang, People’s Republic of China
- E-mail: (Y.W.)
| | - Nan Zhang
- The
Second Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang, People’s Republic
of China
- E-mail: (N.Z.)
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Brokesh AM, Gaharwar AK. Inorganic Biomaterials for Regenerative Medicine. ACS APPLIED MATERIALS & INTERFACES 2020; 12:5319-5344. [PMID: 31989815 DOI: 10.1021/acsami.9b17801] [Citation(s) in RCA: 104] [Impact Index Per Article: 26.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Regenerative medicine leverages the innate potential of the human body to efficiently repair and regenerate damaged tissues using engineered biomaterials. By designing responsive biomaterials with the appropriate biophysical and biochemical characteristics, cellular response can be modulated to direct tissue healing. Recently, inorganic biomaterials have been shown to regulate cellular responses including cell-cell and cell-matrix interactions. Moreover, ions released from these mineral-based biomaterials play a vital role in defining cell identity, as well as driving tissue-specific functions. The intrinsic properties of inorganic biomaterials, such as the release of bioactive ions (e.g., Ca, Mg, Sr, Si, B, Fe, Cu, Zn, Cr, Co, Mo, Mn, Au, Ag, V, Eu, and La), can be leveraged to induce phenotypic changes in cells or modulate the immune microenvironment to direct tissue healing and regeneration. Biophysical characteristics of biomaterials, such as topography, charge, size, electrostatic interactions, and stiffness can be modulated by addition of inorganic micro- and nanoparticles to polymeric networks have also been shown to play an important role in their biological response. In this Review, we discuss the recent emergence of inorganic biomaterials to harness the innate regenerative potential of the body. Specifically, we will discuss various biophysical or biochemical effects of inorganic-based materials in directing cellular response for regenerative medicine applications.
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Affiliation(s)
- Anna M Brokesh
- Biomedical Engineering, Dwight Look College of Engineering , Texas A&M University , College Station , Texas 77843 , United States
| | - Akhilesh K Gaharwar
- Biomedical Engineering, Dwight Look College of Engineering , Texas A&M University , College Station , Texas 77843 , United States
- Material Science and Engineering, Dwight Look College of Engineering , Texas A&M University , College Station , Texas 77843 , United States
- Center for Remote Health Technologies and Systems , Texas A&M University , College Station , Texas 77843 , United States
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Qiao S, Wang Y, Zan R, Wu H, Sun Y, Peng H, Zhang R, Song Y, Ni J, Zhang S, Zhang X. Biodegradable Mg Implants Suppress the Growth of Ovarian Tumor. ACS Biomater Sci Eng 2020; 6:1755-1763. [PMID: 33455395 DOI: 10.1021/acsbiomaterials.9b01703] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The common treatment of epithelial ovarian cancer is aggressive surgery followed by platinum-based cytotoxic chemotherapy. However, residual tumor cells are resistant to chemotherapeutic drugs during postoperative recurrence. The treatment of ovarian cancer requires breakthroughs and advances. In recent years, magnesium alloy has been widely developed as a new biodegradable material because of its great potential in the field of medical devices. From the degradation products of magnesium, biodegradable magnesium implants have great potential in antitumor. According to the disease characteristics of ovarian cancer, we choose it to study the antitumor characteristics of biodegradable magnesium. We tested the anti-ovarian tumor properties of Mg through both in vivo and in vitro experiments. According to the optical in vivo imaging and relative tumor volume statistics of mice, high-purity Mg wires significantly inhibited the growth of SKOV3 cells in vivo. We find that the degradation products of Mg, Mg2+, and H2 significantly inhibit the growth of SKOV3 cells and promote their apoptosis. Our study suggests a good promise for the treatment of ovarian cancer.
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Affiliation(s)
- Shuang Qiao
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Yongjie Wang
- Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - Rui Zan
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Hongliu Wu
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Yu Sun
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Hongzhou Peng
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
| | - Rui Zhang
- Department of General Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China
| | - Yang Song
- Wallace H Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, Georgia 30332, United States
| | - Jiahua Ni
- Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, United States
| | - Shaoxiang Zhang
- Suzhou Origin Medical Technology Company Ltd., Suzhou 215513, China
| | - Xiaonong Zhang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, People's Republic of China
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Liu J, Bian D, Zheng Y, Chu X, Lin Y, Wang M, Lin Z, Li M, Zhang Y, Guan S. Comparative in vitro study on binary Mg-RE (Sc, Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm, Yb and Lu) alloy systems. Acta Biomater 2020; 102:508-528. [PMID: 31722254 DOI: 10.1016/j.actbio.2019.11.013] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Revised: 11/03/2019] [Accepted: 11/06/2019] [Indexed: 12/21/2022]
Abstract
Correct selection of alloying elements is important for developing novel biodegradable magnesium alloys with superior mechanical and biological performances. In contrast to various reports on nutrient elements (Ca, Zn, Sr, etc.) as alloying elements of biomedical magnesium alloys, there is limited information about how to choose the right rare earth elements (REEs) as alloying elements of magnesium. In this work, 16 kinds of REEs were individually added into Mg, including Sc, Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Du, Ho, Er, Tm, Yb and Lu, to fabricate binary Mg-RE model alloys with different composition points. Under the same working history, comparative studies were undertaken and the impact of each kind of rare earth element on the microstructure, mechanical property, corrosion behavior and biocompatibility of Mg were investigated. The corresponding influence level for the 16 kinds of REEs were ranked. The results showed that the second phases were detected in some Mg-RE alloys, which were mainly composed of Mg12RE. By adding different REEs into Mg with proper contents, the mechanical properties of resulting Mg-RE binary alloys could be adjusted in wide range. The corrosion resistance of Mg-light REE alloys was generally better than Mg-heavy REE alloys. As for biocompatibility, Mg-RE model alloys showed no cytotoxic effect on MC3T3-E1 cells. The hemolysis rates of all experimental Mg-RE model alloys were lower than 5% except for Mg-Lu alloy model. In general, the addition of different REEs into Mg could improve its performance from different aspects. This work provides a better understanding on suitable REEs as alloying elements for magnesium, and the future R&D direction on biomedical Mg-RE alloys was proposed. STATEMENT OF SIGNIFICANCE: In contrast to various reports on nutrient elements (Ca, Zn, Sr, etc.) as alloying elements of biomedical magnesium alloys, until now there is limited information about how to choose the right rare earth elements (REEs) as alloying elements of magnesium. In this work, comparative studies were undertaken by individually adding 16 kinds of REEs, including Sc, Y, La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Du, Ho, Er, Tm, Yb and Lu, into Mg to fabricate binary Mg-RE model alloys, with different composition points, then the impact of each kind of rare earth element on the microstructure, mechanical property, corrosion behavior and biocompatibility of Mg under the same working history were investigated, and the corresponding influence level for the 16 kinds of REEs were ranked. This work provides a better understanding on suitable REEs as alloying elements for magnesium, and the future R&D direction on biomedical Mg-RE alloys was proposed.
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48
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Obeid BA. Implants and grafts used in fractures for early healing. JOURNAL OF ORTHOPAEDICS AND SPINE 2020. [DOI: 10.4103/joas.joas_45_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Preparation and Characterization of Fluoride-Incorporated Plasma Electrolytic Oxidation Coatings on the AZ31 Magnesium Alloy. COATINGS 2019. [DOI: 10.3390/coatings9120826] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
In this study, films with different fluorine contents were prepared on an AZ31 magnesium alloy by using plasma electrolytic oxidation to study the corrosion resistance and cytocompatibility of the alloy. The morphology of the coating surface, phase, and chemical elements were characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), and energy-dispersive X-ray spectrometry (EDS). The changes in the corrosion resistance with different fluorine contents were investigated by electrochemical experiments, hydrogen evolution, and long-term immersion tests. In addition, murine fibroblast L-929 cells were adopted for in vitro cytotoxicity tests using the cell counting kit (CCK)-8 assay, and the morphology of the cells was observed simultaneously by inverted microscopy. The results showed that the main form of the fluorine ions in the plasma electrolytic oxidation coatings was magnesium fluoride (MgF2). In addition, the corrosion resistance and cytocompatibilities of the coatings were improved by the addition of fluoride ions. When the content of potassium fluoride reached 10 g/L, the cell compatibility and corrosion resistance were the best, a finding which provides a basis for the clinical applications of the AZ31 magnesium alloy in the biomedical field.
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Fernandes D, Resende C, Cavalcanti J, Liu D, Elias C. Biocompatibility of bioabsorbable Mg-Ca alloys with rare earth elements addition. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2019; 30:134. [PMID: 31797113 DOI: 10.1007/s10856-019-6330-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 11/16/2019] [Indexed: 06/10/2023]
Abstract
The objectives were to investigate the mechanical strength and biocompatibility of Mg2Ca2Gd and Mg1Ca2Nd (wt%) alloys developed for biomedical application as implantable bioabsorbable devices. Samples were implanted in New-Zealand rabbits tibia for 3, 6 and 8 weeks and compatibility analysis involved whole blood test, biochemistry, histopathology, histology, and radiographs. Refinement in grains were observed in Mg2Ca2Gd alloy; and Mg5Gd, Mg41Nd5, α-Mg and Mg2Ca phases were identified. Polarization curves revealed easier oxidation of Mg2Ca2Gd alloy, smaller values of corrosion rate and a higher polarization resistance of Mg1Ca2Nd. Adequate compatibility of both alloys was identified with pre-osteoblast stem cells. Red and white cells stayed compatible with reference ranges. Enzymes from liver and kidneys stayed at regular values and samples from kidneys and liver tissues presented similar organization to control animals. Histological displays from implantation sites disclosed well-structured tissues with evidences of bone cells activities compatible with the new bone tissues observed. Radiographs from tibias did not revealed relevant gas pockets. Mg2Ca2Gd alloy demonstrated faster degradation. Adequate biocompatibility was observed in Mg-Ca alloys with RE addition, being potential candidates for development of metallic implantable bioabsorbable devices.
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Affiliation(s)
- Daniel Fernandes
- Biomaterials Laboratory, Instituto Militar de Engenharia, Rio de Janeiro, RJ, 22290-270, Brazil.
- School of Engineering, University of South Australia, V Building, Office V1-17w15, Mawson Lakes, SA, 5095, Australia.
| | - Celso Resende
- Biomaterials Laboratory, Instituto Militar de Engenharia, Rio de Janeiro, RJ, 22290-270, Brazil
| | - Jacqueline Cavalcanti
- College of Veterinary Medicine, University of Florida, Gainesville, FL, 32610-0126, USA
| | - Dexue Liu
- State Key Laboratory of Advanced Processing and Recycling of Nonferrous Metals, Lanzhou University of Technology, Lanzhou, 730050, Gansu, China
| | - Carlos Elias
- Biomaterials Laboratory, Instituto Militar de Engenharia, Rio de Janeiro, RJ, 22290-270, Brazil
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