Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Evaluation of resorbable ZN-MG alloy biocompatibility in vitro and in vivo

Gordienko II1 , Kornilov DO1 , Chernyi SP1 , Simarzina VM1 , Rasposienko DY2 , Slukina AE1 , Ivasenko MI1 , Vinokurov DE2 , Zornikov DL1
About authors

1 Ural State Medical University, Yekaterinburg, Russia

2 Mikheev Institute of Metal Physics, Yekaterinburg, Russia

Correspondence should be addressed: Ivan I. Gordienko
Repina, 3, Yekaterinburg, 620028, Russia; ivan‑ur.liam@okneidrog

About paper

Author contribution: Gordienko II — study conception, overall supervision of research stages, performing experimental surgeries, data interpretation, manuscript preparation; Kornilov DO — study conception, performing in vitro experiment, data interpretation, manuscript preparation; Chernyii SP — performing experimental surgeries and instrumental studies, data interpretation; Simarzina VM — performing in vitro experiment, visualization, manuscript preparation; Raspotsienko DY — synthesis of experimental metallic materials, performing structural studies, analysis of experimental results; Slukina AE — performing experimental surgeries, literature analysis, data interpretation, draft manuscript preparation; Ivasenko MI — performing experimental surgeries and instrumental studies, data interpretation; Vinokurov DE — synthesis of experimental metallic materials, thermal and deformation treatment of materials, sample preparation, performing structural studies; Zornikov DL — overall supervision of research stages, data analysis, data interpretation.

Compliance with ethical standards: The study was approved by the Local Ethics Committee of the Ural State Medical University, Ministry of Health of the Russian Federation, Yekaterinburg (Protocol No. 4 dated April 19, 2024). Informed consent is not applicable because laboratory animals were used.

Received: 2026-05-07 Accepted: 2026-05-24 Published online: 2026-06-04
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Bioabsorbable Zn–Mg alloys are considered an alternative to metallic fixators, but data on their biocompatibility at low Mg content remain insufficient. Aim — to evaluate the biocompatibility of Zn–Mg alloys containing 0.5–2 wt.% Mg in vitro and in vivo. Cytotoxicity of Zn–0.5Mg and Zn–1Mg powders (0.15–2.5 mg/mL) was assessed in direct contact with SCP‑1 cells (MTT assay). In vivo, cylindrical implants of four compositions were placed bilaterally into the tibial metaphysis of rabbits (n = 4). Complete blood count was performed on day 7; computed tomography (CT) was performed at 3 and 10 months. At 2.5 mg/mL, cell viability was 12.5 ± 1.0 % (Zn–0.5Mg) and 16.8 ± 1.6% (Zn–1Mg). At 1.25 mg/mL, Zn–1Mg showed no toxicity (101.4 ± 3.3 %), whereas Zn–0.5Mg remained cytotoxic (51.3 ± 4.4 %). Recovery to > 80 % viability was observed at 0.62 mg/mL for Zn–0.5Mg and 0.31 mg/mL for Zn–1Mg. In vivo, all animals maintained normal activity; haematological parameters were within normal range. At 3 months, CT showed stable implants without signs of osteolysis. Cortical bone density was 647.3 ± 5.4 HU, trabecular bone density was 510.5 ± 6.4 HU, comparable to intact bone. At 10 months, implants remained visible. Zn–Mg alloys with 0.5–2 wt.% Mg exhibit dose‑dependent cytotoxicity in vitro and satisfactory biocompatibility in vivo without systemic inflammatory reactions or bone resorption over 10 months. The alloy with 1% Mg has a more favourable cell viability profile.

Keywords: computed tomography, biocompatibility, bioabsorbable implants, Zn–Mg alloy, MTT assay

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