Vol. 23 No. 3 (2019)
Endovascular Surgery

Investigation of the cytotoxic effects of magnesium alloys on cell cultures

T. Frolova
Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Novosibirsk State University, Novosibirsk
A. Boykov
Meshalkin National Medical Research Center, Novosibirsk
Bio
A. Tarkova
Meshalkin National Medical Research Center, Novosibirsk
K. Orishchenko
Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk
A. Prokhorikhin
Meshalkin National Medical Research Center, Novosibirsk
D. Malaev
Meshalkin National Medical Research Center, Novosibirsk
O. Sinicyna
Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, Novosibirsk, Novosibirsk State University, Novosibirsk
V. Baystrukov
Meshalkin National Medical Research Center, Novosibirsk
E. Kretov
Meshalkin National Medical Research Center, Novosibirsk
M. Pryamov
Meshalkin National Medical Research Center, Novosibirsk
D. Merson
Togliatti State University, Togliatti
A. Vinogradov
Togliatti State University, Togliatti

Published 2019-11-27

Keywords

  • biocompatibility,
  • biodegradable stents,
  • coronary artery disease,
  • endovascular surgery,
  • magnesium alloys,
  • peripheral artery disease
  • ...More
    Less

How to Cite

Frolova, T., Boykov, A., Tarkova, A., Orishchenko, K., Prokhorikhin, A., Malaev, D., Sinicyna, O., Baystrukov, V., Kretov, E., Pryamov, M., Merson, D., & Vinogradov, A. (2019). Investigation of the cytotoxic effects of magnesium alloys on cell cultures. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 23(3), 22–29. https://doi.org/10.21688/1681-3472-2019-3-22-29

Abstract

Background. Metallic stent implantation is associated with an increased risk of adverse events, such as prolonged endothelial dysfunction, constant traumatisation of the vessel wall, chronic local inflammation and thrombosis. Thus, the development and manufacturing of bioresorbable stents, which maintain the required support during the vessel healing period and completely dissolve without any side effects, is highly relevant. At present, magnesium alloys are regarded the most applicable for this purpose due to their low corrosion resistance and high biocompatibility.
Aim. To assess the cytotoxicity of different magnesium alloys in vitro.
Methods. Using strain tempering, seven samples with different yield stress levels were produced: sample 1, MgZnZr (ZK60) 310 МPа; sample 2, MgZnCa (ZX10) 60 МPа; sample 3, MgZnCa (ZX40) 130 МPа; sample 4, MgYZn (WZ31) 300 МPа; sample 5, MgYZn (WZ31) 275 МPа; sample 6, MgYZn (WZ20) 340 МPа and sample 7, MgZnZr (ZK60) 180 МPа. The samples were incubated in a culture medium to obtain the extract, which was further tested on immortalised human fibroblasts. The cytotoxicity of the obtained extract was assessed using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, flow cytometry, optical microscopy and pH test.
Results. In MTT assay, sample 7 was significantly cytotoxic (mean cell survival: 48% [2% ± 1%]), whereas sample 5 was slightly cytotoxic (mean cell survival: 81% [4% ± 14%]). In optical microscopy, the same samples showed the lowest cell density. In flow cytometry, the number of necrotic cells significantly increased in sample 7 (8.25%) and only slightly increased in samples 1 and 5 (3.449% and 3.626%, respectively). Furthermore, samples 5 and 7 showed the highest medium pH.
Conclusion. The composition and strain tempering method magnesium alloys are directly correlated with the degree of cell necrosis, change in morphology and medium pH in vitro.

Received 7 June 2019. Revised 28 October 2019. Accepted 6 November 2019.

Funding: The work is supported by the Ministry of Science of Russian Federation (project RFMEFI58317X0070).

Conflict of interest: Authors declare no conflict of interest.

References

  1. Zhou W.R., Zheng Y.F., Leeflang M.A., Zhou J. Mechanical property, biocorrosion and in vitro biocompatibility evaluations of Mg-Li-(Al)-(RE) alloys for future cardiovascular stent application. Acta biomater. 2013;9(10):8488-98. PMID: 23385218. https://doi.org/10.1016/j.actbio.2013.01.032
  2. Salahshoor M., Guo Y. Biodegradable orthopedic magnesium-calcium (MgCa) alloys, processing, and corrosion performance. Materials. 2012;5(1):135-155. PMCID: PMC5448945, PMID: 28817036. https://doi.org/10.3390/ma5010135
  3. Прохорихин А.А., Фартаков Е.И., Малаев Д.У., Бойков А.А., Ойдуп-Оол С.В., Байструков В.И., Гражданкин И.О., Зубарев Д.Д., Покушалов Е.А., Кретов Е.И. Оценка эффективности и безопасности биодеградируемого каркаса Absorb: 6-месячные результаты регистра Gabi R: Russia. Патология кровообращения и кардиохирургия. 2019;23(1S):S26-S33. http://dx.doi.org/10.21688/1681-3472-2019-1S-S26-S33 [Prokhorikhin A.A., Fartakov E.I., Malaev D.U., Boykov A.A., Oidup-Ool S.V., Baystrukov V.I., Grazhdankin I.O., Zubarev D.D., Pokushalov E.A., Kretov E.I. Efficacy and safety of bioresorbable vascular scaffold Absorb: 6-month outcomes of GABI-R: Russia registry. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2019;23(1S):S26-S33. (In Russ.) http://dx.doi.org/10.21688/1681-3472-2019-1S-S26-S33]
  4. Kaliyadan A., Siu H., Fischman D.L., Ruggiero N.J. 2nd, Jasti B., Walinsky P., Ogilby J.D., Savage M.P. "Very" very late stent thrombosis: acute myocardial infarction from drug-eluting stent thrombosis more than 5 years after implantation. J Invasive Cardiol. 2014;26(9):413-6. PMID: 25198482.
  5. Okura H., Takagi T., Yoshida K. Therapies targeting inflammation after stent implantation. Curr Vasc Pharmacol. 2013;11(4):399-406. PMID: 23905635.
  6. Alexy R.D., Levi D.S. Materials and manufacturing technologies available for production of a pediatric bioabsorbable stent. BioMed Res Int. 2013;2013:137985. PMID: 24089660, PMCID: PMC3780513. https://doi.org/10.1155/2013/137985
  7. Pliam M.B., Zapolanski A., Anastassiou P., Ryan C.J., Manila L.L., Shaw R.E., Pira B.K. Influence of prior coronary stenting on the immediate and mid-term outcome of isolated coronary artery bypass surgery. Innovations. 2007;2(5):217-25. PMID: 22437130. https://doi.org/10.1097/IMI.0b013e31815bdbc1
  8. Erne P., Schier M., Resink T.J. The road to bioabsorbable stents: reaching clinical reality? Cardiovasc Intervent Radiol. 2006;29(1):11-6. PMID: 16195840. https://doi.org/10.1007/s00270-004-0341-9
  9. Peuster M., Wohlsein P., Brugmann M., Ehlerding M., Seidler K., Fink C., Brauer H., Fischer A., Hausdorf G. A novel approach to temporary stenting: degradable cardiovascular stents produced from corrodible metal—results 6–18 months after implantation into New Zealand white rabbits. Heart. 2001;86(5):563-569. PMCID: PMC1729971, PMID: 11602554. https://doi.org/10.1136/heart.86.5.563
  10. Mao L., Shen L., Chen J., Zhang X., Kwak M., Wu Y., Fan R., Zhang L., Pei J., Yuan G., Song C., Ge J., Ding W. A promising biodegradable magnesium alloy suitable for clinical vascular stent application. Scientific reports. 2017;7:46343. Available from https://www.nature.com/articles/srep46343
  11. Li Z., Gu X., Lou S., Zheng Y. The development of binary Mg-Ca alloys for use as biodegradable materials within bone. Biomaterials. 2008;29(10):1329-44. PMID: 18191191. https://doi.org/10.1016/j.biomaterials.2007.12.021
  12. Heublein B., Rohde R., Kaese V., Niemeyer M., Hartung W., Haverich A. Biocorrosion of magnesium alloys: a new principle in cardiovascular implant technology? Heart. 2003;89(6):651-6. PMID: 12748224, PMCID: PMC1767674. https://doi.org/10.1136/heart.89.6.651
  13. Moravej M., Mantovani D. Biodegradable metals for cardiovascular stent application: interests and new opportunities. Int J Mol Sci. 2011;12(7):4250-70. PMCID: PMC3155349, PMID: 21845076. https://doi.org/10.3390/ijms12074250
  14. Vinogradov A., Vasilev E., Kopylov V.I., Linderov M., Brilevesky A., Merson D. High performance fine-grained biodegradable Mg-Zn-Ca alloys processed by severe plastic deformation. Metals. 2019;9(2):186. https://doi.org/10.3390/met9020186
  15. Vinogradov A., Vasilev E., Linderov M., Merson D. Evolution of mechanical twinning during cyclic deformation of Mg-Zn-Ca alloys. Metals. 2016;6(12):304. https://doi.org/10.3390/met6120304
  16. Vasilev E., Linderov M., Nugmanov D., Sitdikov O., Markushev M., Vinogradov A. Fatigue performance of Mg-Zn-Zr alloy processed by hot severe plastic deformation. Metals. 2015;5(4):2316-27. https://doi.org/10.3390/met5042316
  17. Orlov D., Raab G., Lamark T.T., Popov M., Estrin Y. Improvement of mechanical properties of magnesium alloy ZK60 by integrated extrusion and equal channel angular pressing. Acta Materialia. 2011;59(1):375-85. https://doi.org/10.1016/j.actamat.2010.09.043
  18. Zhang B., Hou Y., Wang X., Wang Y., Geng L. Mechanical properties, degradation performance and cytotoxicity of Mg–Zn–Ca biomedical alloys with different compositions. Mater Sci Eng C. 2011;31(8):1667-73. https://doi.org/10.1016/j.msec.2011.07.015
  19. Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983;65(1-2):55-63. PMID: 6606682. https://doi.org/10.1016/0022-1759(83)90303-4