Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration

Magnesium-degradable implants have excellent mechanical and osteogenic properties for temporary orthopedic use but are underutilized due to insufficient methods to monitor implant osseointegration and tissue healing. This study evaluated the use of circulatory biomarkers to monitor the bilateral imp...

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Main Authors: Eduarda Mota-Silva, Diana C. Martinez, Giuseppina Basta, Serena Babboni, Serena del Turco, Davide Fragnito, Stefano Salvadori, Claudia Kusmic, Leon Riehakainen, Daniele Panetta, Beatrice Campanella, Massimo Onor, Tomasz Plocinski, Wojciech Swieszkowski, Luca Menichetti
Format: Article
Language:English
Published: SAGE Publishing 2025-04-01
Series:Journal of Tissue Engineering
Online Access:https://doi.org/10.1177/20417314241290595
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author Eduarda Mota-Silva
Diana C. Martinez
Giuseppina Basta
Serena Babboni
Serena del Turco
Davide Fragnito
Stefano Salvadori
Claudia Kusmic
Leon Riehakainen
Daniele Panetta
Beatrice Campanella
Massimo Onor
Tomasz Plocinski
Wojciech Swieszkowski
Luca Menichetti
author_facet Eduarda Mota-Silva
Diana C. Martinez
Giuseppina Basta
Serena Babboni
Serena del Turco
Davide Fragnito
Stefano Salvadori
Claudia Kusmic
Leon Riehakainen
Daniele Panetta
Beatrice Campanella
Massimo Onor
Tomasz Plocinski
Wojciech Swieszkowski
Luca Menichetti
author_sort Eduarda Mota-Silva
collection DOAJ
description Magnesium-degradable implants have excellent mechanical and osteogenic properties for temporary orthopedic use but are underutilized due to insufficient methods to monitor implant osseointegration and tissue healing. This study evaluated the use of circulatory biomarkers to monitor the bilateral implantation of a Mg-alloy in rats’ femurs. A total of 16 biomarkers were measured from plasma samples collected at multiple timepoints up to 90 days post-implantation. Mg-alloy, Ti-alloy, and Sham (noncritical bone defect) groups were followed with computed tomography, histological, and SEM-EDX analysis. The Sham group showed higher DKK1, OPG, VEGF, and KIM-1 levels than implanted groups. The Mg-alloy group had delayed bone regeneration due to gas release but demonstrated active regeneration up to 180 days and superior osseointegration. Elevated IL-10 and reduced FGF23 at day 28 correlated with accelerated implant degradation. These results underline the complex interactions between biomaterials and biological systems in orthopedic applications and show the value of circulating markers to follow-up implantation.
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publisher SAGE Publishing
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series Journal of Tissue Engineering
spelling doaj-art-5626585cd98d403eb5a589e2d5cb472a2025-08-20T03:52:16ZengSAGE PublishingJournal of Tissue Engineering2041-73142025-04-011610.1177/20417314241290595Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regenerationEduarda Mota-Silva0Diana C. Martinez1Giuseppina Basta2Serena Babboni3Serena del Turco4Davide Fragnito5Stefano Salvadori6Claudia Kusmic7Leon Riehakainen8Daniele Panetta9Beatrice Campanella10Massimo Onor11Tomasz Plocinski12Wojciech Swieszkowski13Luca Menichetti14Institute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyBiomaterials Group, Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, PolandInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyIstituto di Chimica dei Composti Organometallici, CNR, San Cataldo Research Area, Pisa, ItalyIstituto di Chimica dei Composti Organometallici, CNR, San Cataldo Research Area, Pisa, ItalyBiomaterials Group, Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, PolandBiomaterials Group, Materials Design Division, Faculty of Materials Science and Engineering, Warsaw University of Technology, Warsaw, PolandInstitute of Clinical Physiology, CNR, San Cataldo Research Area, Pisa, ItalyMagnesium-degradable implants have excellent mechanical and osteogenic properties for temporary orthopedic use but are underutilized due to insufficient methods to monitor implant osseointegration and tissue healing. This study evaluated the use of circulatory biomarkers to monitor the bilateral implantation of a Mg-alloy in rats’ femurs. A total of 16 biomarkers were measured from plasma samples collected at multiple timepoints up to 90 days post-implantation. Mg-alloy, Ti-alloy, and Sham (noncritical bone defect) groups were followed with computed tomography, histological, and SEM-EDX analysis. The Sham group showed higher DKK1, OPG, VEGF, and KIM-1 levels than implanted groups. The Mg-alloy group had delayed bone regeneration due to gas release but demonstrated active regeneration up to 180 days and superior osseointegration. Elevated IL-10 and reduced FGF23 at day 28 correlated with accelerated implant degradation. These results underline the complex interactions between biomaterials and biological systems in orthopedic applications and show the value of circulating markers to follow-up implantation.https://doi.org/10.1177/20417314241290595
spellingShingle Eduarda Mota-Silva
Diana C. Martinez
Giuseppina Basta
Serena Babboni
Serena del Turco
Davide Fragnito
Stefano Salvadori
Claudia Kusmic
Leon Riehakainen
Daniele Panetta
Beatrice Campanella
Massimo Onor
Tomasz Plocinski
Wojciech Swieszkowski
Luca Menichetti
Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
Journal of Tissue Engineering
title Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
title_full Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
title_fullStr Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
title_full_unstemmed Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
title_short Monitoring osseointegration and degradation of Mg-alloy implants through plasma biomarkers of inflammation and bone regeneration
title_sort monitoring osseointegration and degradation of mg alloy implants through plasma biomarkers of inflammation and bone regeneration
url https://doi.org/10.1177/20417314241290595
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