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