In vitro degradation of pure Mg in response to glucose

Corrosion fatigue of as-extruded Mg-xGa alloys in simulated bodily fluids with various glucose contents

The medical devices are subjected to dynamic loads and surrounding physiological condition of the bodily fluids, which will impact the degradation behavior of magnesium (Mg) alloy implants. In this work, the corrosion fatigue (CF) and corrosion behaviors of Mg-xGa (x = 1, 1.5, and 2 wt%) alloys in Hank's balanced salt solutions (HBSS) with 1 g/L and 3 g/L glucose are thoroughly studied. It is concluded that Mg-2Ga alloy exhibits excellent mechanical and fatigue behaviors. Its ultimate tensile strength (UTS) is 234 MPa, yield strength (YS) is 145 MPa, elongation (EL) is 15%, fatigue limits (σf) is 111 MPa in air, 48 MPa in HBSS with 1 g/L glucose, and 66 MPa in HBSS with 3 g/L glucose. The high glucose content in simulated bodily fluids has the function of inhibiting the corrosion reaction of alloy which is favorable to CF.

Fabrication and Characterization of Biomedical Ti-Mg Composites via Spark Plasma Sintering

The fabrication of Ti-Mg composite biomaterials was investigated using spark plasma sintering (SPS) with varying Mg contents and sintering pressures. The effects of powder mixing, Mg addition, and sintering pressure on the microstructure and mechanical properties of the composite materials were systematically analyzed. Uniform dispersion of Mg within the Ti matrix was achieved, confirming the efficacy of ethanol-assisted ball milling for consistent mixing. The Young's modulus of the composite materials exhibited a linear decrease with increasing Mg content, with Ti-30vol%Mg and Ti-50vol%Mg demonstrating reduced modulus values compared to pure Ti. Based on density measurements, compression tests, and Young's modulus results, it was determined that the sinterability of Ti-30vol%Mg saturates at a sintering pressure of approximately 50 MPa. Moreover, our immersion tests in physiological saline underscore the profound significance of our findings. Ti-30vol%Mg maintained compressive strength above that of cortical bone for 6-to-10 days, with mechanical integrity improving under higher sintering pressures. These findings mark a significant leap towards the development of Ti-Mg composite biomaterials with tailored mechanical properties, thereby enhancing biocompatibility and osseointegration for a wide range of biomedical applications.

Preparation of HA-MAO coatings on β-type alloys and its corrosion resistance in high glucose environments

Aim to provide practical clinical guidance for the treatment of implants in diabetic patients, this study investigated the corrosion mechanism of bionic coatings containing different Ca/P ratios in diabetic environments. The bionic coatings were prepared in β-titanium alloys using micro-arc oxidation (MAO) technology and evaluated for corrosion mechanism, biocompatibility, and safety by cytotoxicity, electrochemical corrosion, and coating bonding force experiments. Ca and P from the electrolyte were integrated into the coating during MAO discharge process to form hydroxyapatite. The coating Ca/P ratio initially increased and then decreased with the electrolyte Ca/P ratio. In vitro cellular experiments demonstrated that increasing the porosity of HA-containing coatings would be beneficial to the growth of cells adhering to their surfaces. Corrosion tests revealed that the corrosion tendency of the coating at higher sugar content was more severe, and a proper elevation of the Ca/P ratio was better for the corrosion resistance of the coating. The bonding analysis of the coatings before and after corrosion showed that an increase in the Ca/P ratio would improve the bonding of the MAO coatings in higher glucose content environments, thus improving the safety of the implants in diabetic patients.

Evaluation of Corrosion Performance of AZ31 Mg Alloy in Physiological and Highly Corrosive Solutions

Resorbable Mg and Mg alloys have gained significant interest as promising biomedical materials. However, corrosion of these alloys can lead to premature reduction in their mechanical properties, and therefore their corrosion rate needs to be controlled. The aim of this study is to select an appropriate environment where the effects of coatings on the corrosion rate of the underlying Mg alloy can be discerned and measured in a relatively short time period. The corrosion resistance of uncoated AZ31 alloy in different solutions [Hank's Balanced Salt Solution, 1× phosphate buffered solution (PBS), 4× PBS, 0.9%, 3.5%, and 5 M sodium chloride (NaCl)] was determined by measuring the weight loss over a 2 week period. Upon exposure to physiological solutions, the uncoated AZ31 alloys exhibited a variable weight increase of 0.4 ± 0.4%. 3.5% and 5 M NaCl solutions led to 0.27 and 9.7 mm/year corrosion rates, respectively, where the compositions of corrosion products from AZ31 in all saline solutions were similar. However, the corrosion of the AZ31 alloy when coated by electrochemical oxidation with two phosphate coatings, one containing fluorine (PF) and another containing both fluorine and silica (PFS), showed 0.3 and 0.25 mm/year corrosion rates, respectively. This is more than 30 times lower than that of the uncoated alloy (7.8 mm/year), making them promising candidates for corrosion protection in severe corrosive environments. Cross-sections of the samples showed that the coatings protected the alloy from corrosion by preventing access of saline to the alloy surface, and this was further reinforced by corrosion products from both the alloy and the coatings forming an additional barrier. The information in this paper provides a methodology for evaluating the effects of coatings on the rate of corrosion of magnesium alloys.

Glucose microenvironment sensitive degradation of arginine modified calcium sulfate reinforced poly(lactide-co-glycolide) composite scaffolds

Poly(lactide-co-glycolide) (PLGA) and calcium sulfate composites are promising biodegradable biomaterials but are still challenging to use in people with high levels of blood glucose or diabetes. To date, the influence of glucose on their degradation has not yet been elucidated and thus calls for more research attention. Herein, a novel calcium sulfate whisker with L-arginine was used to effectively tune its crystal morphology and was employed as a reinforced phase to construct the PLGA-based composite scaffolds (ArgCSH/PLGA) with a sleeve porous structure. ArgCSH/PLGA showed excellent elastic modulus and strength in the compression and bending models. Moreover, an in vitro immersion test showed that ArgCSH/PLGA possessed degradation and redeposition behaviors sensitive to glucose concentration, and the adsorbed Arg played a crucial role in the degradation process. The subsequent cell functional evaluation showed that ArgCSH could effectively protect cells from damage caused by AGEs and promote osteogenic differentiation. The corresponding degradation products of ArgCSH/PLGA displayed the ability to regulate osteoblast bone differentiation and accelerate matrix mineralization. These findings provide new insights into the interaction between biomaterials and the physiological environment, which may be useful in expanding the targeted choice of efficient bone graft biodegradable materials for diabetic osteoporosis.

Effects of serum proteins on corrosion rates and product bioabsorbability of biodegradable metals

Corrodible metals are the newest kind of biodegradable materials and raise a new problem of the corrosion products. However, the removal of the precipitated products has been unclear and even largely ignored in publications. Herein, we find that albumin, an abundant macromolecule in serum, enhances the solubility of corrosion products of iron in blood mimetic Hank's solution significantly. This is universal for other main biodegradable metals such as magnesium, zinc and polyester-coated iron. Albumin also influences corrosion rates in diverse trends in Hank's solution and normal saline. Based on quantitative study theoretically and experimentally, both the effects on corrosion rates and soluble fractions are interpreted by a unified mechanism, and the key factor leading to different corrosion behaviors in corrosion media is the interference of albumin to the Ca/P passivation layer on the metal surface. This work has illustrated that the interactions between metals and media macromolecules should be taken into consideration in the design of the next-generation metal-based biodegradable medical devices in the formulism of precision medicine. The improved Hank's solution in the presence of albumin and with a higher content of initial calcium salt is suggested to access biodegradable metals potentially for cardiovascular medical devices, where the content of calcium salt is calculated after consideration of chelating of calcium ions by albumin, resulting in the physiological concentration of free calcium ions.

Comparison of microstructure, mechanical property, and degradation rate of Mg-1Li-1Ca and Mg-4Li-1Ca alloys

Mg-1 wt.% Li-1 wt.% Ca (LX11) and Mg-4 wt.% Li-1 wt.% Ca (LX41) alloys share the same hexagonal closed-packed crystalline structure. However, the differences in microstructure, mechanical properties, and degradation rates between the two alloys are not well understood. Hereby, the above three aspects of LX11 and LX41 alloys were studied via optical microscopy, tensile tests, and electrochemical polarization and electrochemical impedance spectroscopy, together with hydrogen evolution. The concentration of the released Mg²⁺, Ca²⁺, and Li⁺ ions was analyzed using a flame atomic absorption spectrophotometer. Results demonstrated that the LX11 alloy was composed of finer α-Mg grains, fewer twins, and smaller volume fractions of the intermetallic phases Mg₂Ca than the LX41 alloy. The increasing Li concentration generated a weak decrease in the yield strength of the Mg-Li-Ca alloys, a remarkable increase in elongation to failure, and a stable ultimate tensile strength. The LX11 alloy had better corrosion resistance than the LX41 alloy. The release rate of the cations (Mg²⁺, Ca²⁺, and Li⁺) varied significantly with time. The release rate of metallic ions in Hank's solution cannot reflect the true corrosion rate of Mg-Li-Ca alloys due to the formation of the precipitated corrosion products and their difference in solubility. The dealloying corrosion mechanism of the Mg₂Ca phase in Mg-Li-Ca alloys was proposed.

Effect of Glucose Contents on Electrochemical Corrosion Behavior of Ti/ZrO2 Brazing Joint in SBF

The effect of glucose content on the electrochemical corrosion behavior of the Ti/ZrO₂ brazing joint in simulated body fluid (SBF) was researched by the means of SEM morphologies, electrochemical and XPS analyses. Herein, pitting is observed to be a dominating corrosion model under the investigated glucose content. The pitting corrosion of the joint in 200 mg/dL SBF is minimal. In addition, the joint in 200 mg/dL SBF manifests the best corrosion resistance by electrochemical analyses, which indicates that glucose content has a bidirectional effect on corrosion of the Ti/ZrO₂ brazing joint. Additionally, the corrosion current value and impedance of titanium and brazing joint are close, which indicates that their corrosion resistance is similar. Finally, the OH^-, Cl^-, Sn²⁺/Sn⁴⁺ and -COOH on the joint surface are found by XPS analysis, and the mechanism of Ti/ZrO₂ brazing joint corrosion is elucidated. The study provides a novel understanding of the corrosion behavior and relevant corrosion mechanism of the Ti/ZrO₂ brazing joint in body fluids with different glucose content.

Toward understanding in vivo corrosion: Influence of interfacial hydrogen gas build-up on degradation of magnesium alloy implants

Limited material transport, causing gas cavities formation, is commonly observed during the degradation of magnesium implants, yet its effects on corrosion are not understood. Herein, a bespoke cell was designed, allowing for the incorporation of an additional agarose layer above the corroding magnesium sample. This design replicates the limited material transport in vitro and enables us to understand its influence on corrosion of magnesium alloys. This work investigated the influence of varying thickness of agarose (0-0.9 mm) on the corrosion of Mg-Zn-Zr magnesium alloy maintained at 37°C in phosphate-buffered saline (PBS). The introduction of agarose slowed transport of material away from the corroding magnesium surface, including the evolved hydrogen forming a gas cavity. It has been found that an initial increase in the agarose thickness (or the reduction in material transport) of 0.3 mm leads to an increase in the corrosion rate of the magnesium alloy by 62%. However, with a further increase in agarose thickness from 0.3 to 0.9 mm, the corrosion rate decreases by 37%. This observation has been attributed to the accumulation of, and competition between, chloride and hydroxide ions near the alloy's surface. In the presence of materials barrier, hydrogen measurement is no longer a reliable method for the measurement of corrosion rates. This study underscores the importance of the consideration of limited material transport during the in vitro corrosion tests of biomedical implants.

Insight into synergetic effects of serum albumin and glucose on the biodegradation behavior of WE43 alloy in simulated body fluid

The biodegradation rate of Mg alloy medical devices, such as screws and plates for temporary bone fracture fixation or coronary angioplasty stents, is an increasingly important area of study.In vitromodels of the corrosion behavior of these devices use revised simulated body fluid (m-SBF) based on a healthy individual's blood chemistry. Therefore, model outputs have limited application to patients with altered blood plasma glucose or protein concentrations. This work studies the biodegradation behavior of Mg alloy WE43 in m-SBF modified with varying concentrations of glucose and bovine serum albumin (BSA) to (1) mimic a range of disease states and (2) determine the contributions of each biomolecule to corrosion. Measurements include the Mg ion release rate, electrolyte pH, the extent of hydrogen evolution (as a proxy for corrosion rate), surface morphology, and corrosion product composition and effects. BSA (0.1 g l^-1) suppresses the rate of hydrogen evolution (about 30%) after 24 h and-to a lesser degree-Mg²⁺release in both the presence and absence of glucose. This effect gets more pronounced with time, possibly due to BSA adsorption on the Mg surface. Electrochemical studies confirm that adding glucose (2 g l^-1) to the solution containing BSA (0.1 g l^-1) caused a decrease in corrosion resistance (by around 40%), and concomitant increase in the hydrogen evolution rate (from 10.32 to 11.04 mg cm^-2d^-1) to levels far beyond the tolerance limits of live tissues.

Morphological and Surface Potential Characterization of Protein Nanobiofilm Formation on Magnesium Alloy Oxide: Their Role in Biodegradation

The formation of a protein nanobiofilm on the surface of degradable biomaterials such as magnesium (Mg) and its alloys influences metal ion release, cell adhesion/spreading, and biocompatibility. During the early stage of human body implantation, competition and interaction between inorganic species and protein molecules result in a complex film containing Mg oxide and a protein layer. This film affects the electrochemical properties of the metal surface, the protein conformational arrangement, and the electronic properties of the protein/Mg oxide interface. In this study, we discuss the impact of various simulated body fluids, including sodium chloride (NaCl), phosphate-buffered saline (PBS), and Hanks' solutions on protein adsorption, electrochemical interactions, and electrical surface potential (ESP) distribution at the adsorbed protein/Mg oxide interface. After 10 min of immersion in NaCl, atomic force microscopy (AFM) and scanning Kelvin probe force microscopy (SKPFM) showed a higher surface roughness related to enhanced degradation and lower ESP distribution on a Mg-based alloy than those in other solutions. Furthermore, adding bovine serum albumin (BSA) to all solutions caused a decline in the total surface roughness and ESP magnitude on the Mg alloy surface, particularly in the NaCl electrolyte. Using SKPFM surface analysis, we detected a protein nanobiofilm (∼10-20 nm) with an aggregated and/or fibrillary morphology only on the Mg surface exposed in Hanks' and PBS solutions; these surfaces had a lower ESP value than the oxide layer.

Designing Advanced Biomedical Biodegradable Mg Alloys: A Review

The increased demand for alloys that can serve as implantation devices with outstanding bio-properties has led to the development of numerous biomedical Mg-based alloys. These alloys have been extensively investigated for their performance in living tissue with mixed results. Hence, there are still major concerns regarding the use of magnesium alloys for such applications. Among the issues raised are elevated corrosion rates, hydrogen generation, and the maintenance of mechanical integrity for designated healing times. In addition, toxicity can arise from the addition of alloying elements that are intended to improve the mechanical integrity and corrosion resistance of Mg alloys. The current work reviews the recent advances in the development of Mg alloys for applications as bio-absorbable materials in living organic environments. In particular, it attempts to develop a roadmap of effective factors that can be utilized when designing Mg alloys. Among the factors reviewed are the effects of alloying additions and processing methods on the exhibited mechanical properties and corrosion rates in simulated bio-fluids used in biomedical applications.

Organo-metallic electrolyte additive for regulating hydrogen evolution and self-discharge in Mg–air aqueous battery

Metal–air battery with cutting-edge electrolyte modification technologies.

Mechanical Behavior and In Vitro Corrosion of Cubic Scaffolds of Pure Magnesium Processed by Severe Plastic Deformation

Reports in the literature show that severe plastic deformation can improve mechanical strength, ductility, and corrosion resistance of pure magnesium, which suggests good performance for biodegradable applications. However, the reported results were based on testing of small samples on limited directions. The present study reports compression testing of larger samples, at different directions, in pure magnesium processed by hot rolling, equal channel angular pressing (ECAP), and high pressure torsion (HPT). The results show that severe plastic deformation through ECAP and HPT reduces anisotropy and increases strength and strain rate sensitivity. Also, scaffolds were fabricated from the material with different processing histories and immersed in Hank’s solution for up to 14 days. The as-cast material displays higher corrosion rate and localized corrosion and it is reported that severe plastic deformation induces uniform corrosion and reduces the corrosion rate.

Laser-Sintered Mg-Zn Supersaturated Solid Solution with High Corrosion Resistance

Solid solutions of Zn as an alloy element in Mg matrixes are expected to show improved corrosion resistance due to the electrode potential being positively shifted. In this study, a supersaturated solid solution of Mg-Zn alloy was achieved using mechanical alloying (MA) combined with laser sintering. In detail, supersaturated solid solution Mg-Zn powders were firstly prepared using MA, as it was able to break through the limit of phase diagram under the action of forced mechanical impact. Then, the alloyed Mg-Zn powders were shaped into parts using laser sintering, during which the limited liquid phase and short cooling time maintained the supersaturated solid solution. The Mg-Zn alloy derived from the as-milled powders for 30 h presented enhanced corrosion potential and consequently a reduced corrosion rate of 0.54 mm/year. Cell toxicity tests confirmed that the Mg-Zn solid solution possessed good cytocompatibility for potential clinical applications. This study offers a new strategy for fabricating Mg-Zn solid solutions using laser sintering with MA.

Clinical translation and challenges of biodegradable magnesium-based interference screws in ACL reconstruction

As one of the most promising fixators developed for anterior cruciate ligament (ACL) reconstruction, biodegradable magnesium (Mg)-based interference screws have gained increasing attention attributed to their appropriate modulus and favorable biological properties during degradation after surgical insertion. However, its fast degradation and insufficient mechanical strength have also been recognized as one of the major causes to limit their further application clinically. This review focused on the following four parts. Firstly, the advantages of Mg or its alloys over their counterparts as orthopaedic implants in the fixation of tendon grafts in ACL reconstruction were discussed. Subsequently, the underlying mechanisms behind the contributions of Mg ions to the tendon-bone healing were introduced. Thirdly, the technical challenges of Mg-based interference screws towards clinical trials were discussed, which was followed by the introduction of currently used modification methods for gaining improved corrosion resistance and mechanical properties. Finally, novel strategies including development of Mg/Titanium (Ti) hybrid fixators and Mg-based screws with innovative structure for achieving clinically customized therapies were proposed. Collectively, the advancements in the basic and translational research on the Mg-based interference screws may lay the foundation for exploring a new era in the treatment of the tendon-bone insertion (TBI) and related disorders.

Mg Biodegradation Mechanism Deduced from the Local Surface Environment under Simulated Physiological Conditions

Although certified magnesium-based implants are launched some years ago, the not well-defined Mg degradation mechanism under physiological conditions makes it difficult to standardize its use as a degradable biomaterial for a wide range of implant applications. Among other variables influencing the Mg degradation mechanism, monitoring the pH in the corrosive solution and, especially, at the corroding interface is important due to its direct relation with the formation and stability of the degradation products layer. The interface pH (pH at the Mg/solution interface) developed on Mg-2Ag and E11 alloys are studied in situ during immersion under dynamic conditions (1.5 mL min-1 ) in HBSS with and without the physiological amount of Ca2+ cations (2.5 × 10-3 m). The results show that the precipitation/dissolution of amorphous phosphate-containing phases, that can be associated with apatitic calcium-phosphates Ca10-x (PO4 )6-x (HPO4 or CO3 )x (OH or ½ CO3 )2-x with 0 ≤ x ≤ 2 (Ap-CaP), promoted in the presence of Ca2+ generates an effective local pH buffering system at the surface. Thus, high alkalinization is prevented, and the interface pH is stabilized in the range of 7.6 to 8.5.

Biodegradable magnesium-based biomaterials: An overview of challenges and opportunities

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.

Experimental Apparent Stern–Geary Coefficients for AZ31B Mg Alloy in Physiological Body Fluids for Accurate Corrosion Rate Determination

The corrosion behavior of AZ31B Mg alloy exposed to Ringer’s, phosphate-buffered saline (PBS), Hank’s, and simulated body fluid (SBF) solutions for 4 days was investigated using electrochemical impedance spectroscopy (EIS), potentiodynamic polarization, weight loss, and surface characterization. Changes in corrosion rates with immersion time determined by weight loss measurements were compared with EIS data to determine the possibility of obtaining quantitative electrochemical information. In addition, changes in the protective properties of the corrosion product layer calculated from the EIS parameters were evaluated as a function of their surface chemical composition as determined by X-ray photoelectron spectroscopy (XPS) and visual observations of the corroded specimen’s surface. Apparent Stern–Geary coefficients for the AZ31B Mg alloy in each test solution were calculated using the relationship between icorr from weight loss measurements and the EIS data (both Rp and Rt). This provided experimental reference B′ values that may be used as a useful tool in independent investigations to improve the accuracy of corrosion rates of AZ31B Mg alloy in simulated body solutions.

In-Vitro Degradation of Hollow Silica Reinforced Magnesium Syntactic Foams in Different Simulated Body Fluids for Biomedical Applications

This article reports the mechanical and biocorrosion behaviour of hollow silica nanosphere (SiO2) reinforced (0.5–2 vol.%) magnesium (Mg) syntactic foams. Room temperature tensile properties’ characterization suggests that the increased addition of hollow silica nanospheres resulted in a progressive increase in tensile yield strength (TYS) and ultimate tensile strength (UTS) with Mg-2 vol.% SiO2 exhibiting a maximum TYS of 167 MPa and a UTS of 217 MPa. The degradation behaviour of the developed Mg-SiO2 syntactic foams in four different simulated body fluids (SBFs): artificial blood plasma solution (ABPS), phosphate-buffered saline solution (PBS), artificial saliva solution (ASS) and Hanks’ balanced saline solution (HBSS) was investigated by using potentiodynamic polarization studies. Results indicate that corrosion resistance of the Mg-SiO2 syntactic foam decreases with increasing chloride ion concentration of the SBF. Mg-1.0 vol.% SiO2 displayed the best corrosion response and its corrosion susceptibility pertaining to corrosion rate and polarisation curves in different SBF solutions can be ranked in the following order: ABPS > PBS > HBSS > ASS. The surface microstructure demonstrated the presence of a better passivated layer on the syntactic foams compared to pure Mg. The observed increase in corrosion resistance is correlated with intrinsic changes in microstructure due to the presence of hollow silica nanospheres. Further, the effect of corrosive environment on the degradation behaviour of Mg has been elucidated.

Controlling the dissolution of iron through the development of nanostructured Fe-Mg for biomedical applications

In the field of biodegradable metallic materials, rapid and non-uniform biodegradation, caused by uncontrolled corrosion rates, is a potential shortcoming. Among the prominent biodegradable materials, magnesium is an attractive choice, however, it is prone to rapid dissolution. In contrast, iron possesses a slow dissolution rate. To approach the middle ground, instead of making magnesium more corrosion-resistant, the less-explored approach of making iron less corrosion-resistant is employed here. In this study, iron, and magnesium, having contrasting corrosion rates, are combined via magnetron co-sputtering. The idea of combinatorial synthesis is employed to fabricate two model nanostructured Fe-Mg samples, i.e. CSFM-1 (Fe₈₅Mg₁₅), and CSFM-2 (Fe₆₅Mg₃₅), exhibiting a controlled and uniform degradation in phosphate-buffer saline solution. The structural characterization of the two samples demonstrates a substitutional solid solution of bcc-Fe-Mg in CSFM-1 and an amorphous short-range-ordered structure in the CSFM-2 sample. Electrochemical investigation shows increased corrosion rates for the two Fe-Mg samples in comparison to pure Fe, validated by relatively active corrosion potentials, higher corrosion current densities, faster anodic dissolution, and lower charge transfer resistances, governed by chemical composition and non-equilibrium nanostructures. Finally, nano-indentation testing of the two samples reveals relatively higher hardness and lower elastic moduli, a suitable combination for bio-implants. STATEMENT OF SIGNIFICANCE: The use of Mg as a biodegradable in-vivo  implant material is problematic because of its high dissolution rate and potential for hydrogen gas generation. This is the first time that the idea of combinatorial synthesis is employed to fabricate two model nanostructured Fe-Mg systems, i.e. CSFM-1 (Fe₈₅Mg₁₅), and CSFM-2 (Fe₆₅Mg₃₅), exhibiting a controlled and uniform degradation. The structural characterization of the two systems demonstrates a substitutional solid solution of bcc-Fe-Mg in CSFM-1 and an amorphous short-range-ordered structure in the CSFM-2 system. Electrochemical investigation shows increased biodegradation rates for the two Fe-Mg systems in comparison to pure Fe, validated by relatively active corrosion potentials, higher corrosion current densities, faster anodic dissolution, and lower charge transfer resistances, governed by chemical composition and non-equilibrium nanostructures.

Microbial ingress and in vitro degradation enhanced by glucose on bioabsorbable Mg-Li-Ca alloy

Biodegradable magnesium alloys are challenging to be implanted in patients with hyperglycemia and diabetes. A hypothesis is suggested that glucose accelerates microbial ingress and in vitro degradation of Mg-Li-Ca implants. Corrosion resistance and mechanical properties was demonstrated using electrochemical, hydrogen evolution and tensile tests. The bacteria from Hank's solution were isolated via 16S rRNA gene analysis. The results revealed that Mg-1Li-1Ca alloy exhibited different responses to Hank's solution with and without glucose. The solution acidity was ascribed to Microbacterium hominis and Enterobacter xiangfangensis, indicating that glucose promoted microbial activity and degradation and deterioration in mechanical property of Mg-1Li-1Ca alloy.

Biodegradation behavior of micro-arc oxidation coating on magnesium alloy-from a protein perspective

Protein exerts a critical influence on the degradation behavior of absorbable magnesium (Mg)-based implants. However, the interaction mechanism between protein and a micro-arc oxidation (MAO) coating on Mg alloys remains unclear. Hereby, a MAO coating was fabricated on AZ31 Mg alloy. And its degradation behavior in phosphate buffer saline (PBS) containing bovine serum albumin (BSA) was investigated and compared with that of the uncoated alloy. Surface morphologies and chemical compositions were studied using Field-emission scanning electron microscope (FE-SEM), Fourier transform infrared spectrophotometer (FT-IR) and X-ray diffraction (XRD). The degradation behavior of the bare Mg alloy and its MAO coating was studied through electrochemical and hydrogen evolution tests. Cytotoxicity assay was applied to evaluate the biocompatibility of Mg alloy substrate and MAO coating. Results indicated that the presence of BSA decreased the degradation rate of Mg alloy substrate because BSA (RCH(NH₂)COO‾) molecules combined with Mg²⁺ ions to form (RCH(NH₂)COO)₂Mg and thus inhibited the dissolution of Mg(OH)₂ by impeding the attack of Cl‾ ions. In the case of MAO coated Mg alloy, the adsorption of BSA on MAO coating and the formation of (RCH(NH₂)COO)₂Mg exhibited a synergistic effect and enhanced the corrosion resistance of the coated alloy significantly. Furthermore, cell bioactive assay suggested that the MAO coating had good viability for MG63 cells due to its high surface area.

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BSA reduces degradation of Mg substrate due to the formation of (RCH(NH₂)COO)₂Mg.

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BSA inhibits degradation of MAO coating by acting as a protective layer.

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MAO coating promotes cell proliferation due to higher surface area.

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Cells were rounded shaped on MAO coating owing to the rough surface.

In vitro degradation of pure magnesium-the synergetic influences of glucose and albumin

The biocorrosion of magnesium in the external physiological environment is still difficult to accurately evaluate the degradation behavior in vivo, particularly, in the microenvironment of the patients with hyperglycemia or diabetes. Thus, we explored the synergistic effects of glucose and protein on the biodegradation of pure magnesium, so as to have a deeper understanding the mechanism of the degradation in vivo. The surface morphology and corrosion product composition of pure magnesium were investigated using SEM, EDS, FTIR, XRD and XPS. The effect of glucose and albumin on the degradation rate of pure magnesium was investigated via electrochemical and immersion tests. The adsorption of glucose and albumin on the sample surface was observed using fluorescence microscopy. The results showed that the presence of 2 g/L glucose changed the micromorphology of corrosion products on the magnesium surface by reacting with metal cations, thus inhibiting the corrosion of pure magnesium. Protein formed a barrier layer to protect the magnesium at early stage of immersion. The chelation reaction between protein and magnesium surface might accelerate the degradation at later stage. There may be a critical glucose (albumin) content. Biodegradation of pure magnesium was inhibited at low concentrations and promoted at high concentrations. The synergistic effect of glucose and protein restrained the adsorption of aggressive chloride ions to a certain extent, and thus inhibited the degradation of pure magnesium considerably. Moreover, XPS results indicated that glucose promoted the adsorption of protein on the sample surface.

Corrosion resistance and antibacterial activity of zinc-loaded montmorillonite coatings on biodegradable magnesium alloy AZ31

A Zinc-loaded montmorillonite (Zn-MMT) coating was hydrothermally prepared using Zn²⁺ ion intercalated sodium montmorillonite (Na-MMT) upon magnesium (Mg) alloy AZ31 as bone repairing materials. Biodegradation rate of the Mg-based materials was studied via potentiodynamic polarization curves, electrochemical impedance spectroscopy (EIS) and hydrogen evolution tests. Results revealed that both Na-MMT and Zn-MMT coatings exhibited better corrosion resistance in Dulbecco's modified eagle medium (DMEM) + 10% calf serum (CS) than bare Mg alloy AZ31 counterparts. Hemolysis results demonstrated that hemocompatibility of the Na-MMT and Zn-MMT coatings were 5%, and lower than that of uncoated Mg alloy AZ31 pieces. In vitro MTT tests and live-dead stain of osteoblast cells (MC3T3-E1) indicated a significant improvement in cytocompatibility of both Na-MMT and Zn-MMT coatings. Antibacterial properties of two representative bacterial strains associated with device-related infection, i.e. Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus), were employed to explore the antibacterial behavior of the coatings. The measured inhibitory zone and bacterial growth rate confirmed that Zn-MMT coatings exhibited higher suppression toward both E. coli and S. aureus than that of Na-MMT coatings. The investigation on antibacterial mechanism through scanning electron microscopy (SEM) and lactate dehydrogenase (LDH) release assay manifested that Zn-MMT coating led to severe breakage of bacterial membrane of E. coli and S. aureus, which resulted in a release of cytoplasmic materials from the bacterial cells. In addition, the good inhibition of Zn-MMT coatings against E. coli and S. aureus might be attributed to the slow but sustainable release of Zn²⁺ ions (up to 144 h) from the coatings into the culture media. This study provides a novel coating strategy for manufacturing biodegradable Mg alloys with good corrosion resistance, biocompatibility and antibacterial activity for future orthopedic applications. STATEMENT OF SIGNIFICANCE: The significance of the current work is to develop a corrosion-resistant and antibacterial Zn-MMT coating on magnesium alloy AZ31 through a hydrothermal method. The Zn-MMT coating on magnesium alloy AZ31 shows better corrosion resistance, biocompatibility and excellent antibacterial ability than magnesium alloy AZ31. This study provides a novel coating on Mg alloys for future orthopedic applications.

Influence of proteins on the corrosion behavior of a chitosan-bioactive glass coated magnesium alloy

The current study explored the degradation behavior of a WE43 Mg alloy during immersion tests in Dulbecco's Modified Eagle's Medium (DMEM) for 3d and 7d, for a bare alloy surface as well as for samples with surface pre-treatment, and finally for samples coated with chitosan-bioactive glass. The immersion tests were conducted with and without addition of serum, to study the influence of proteins on the degradation process. Mass-loss was measured to determine the corrosion rate after 3d and 7d of immersion. The samples were analyzed by SEM with respect to their surface morphology and the chemical composition was screened by high-resolution XPS. The results demonstrate not only a significant, time-dependent influence of serum addition on the corrosion behavior of the materials studied, but noteworthy is that depending on the sample type, proteins in solution were observed to either accelerate or inhibit corrosion. These results are discussed in correlation to observed changes in surface chemistry taking place upon immersion in the absence and presence of proteins.

Bi-layered silane-TiO2/collagen coating to control biodegradation and biointegration of Mg alloys

Magnesium alloys have shown high potential as biodegradable implants for bone repair applications. However, their fast degradation in physiological media demands tuning their corrosion rate to accompany the natural tissue healing processes. Here, a new bi-layered silane-TiO₂/collagen coating efficient in stabilizing and biofunctionalizing the surface of AZ31 and ZE41 Mg alloys is presented. Corrosion tests performed in cell culture medium over 7 weeks showed that the bi-layered coating promotes the formation of a stable layer of Mg(OH)₂/MgCO₃/CaCO₃ that provides effective protection to the alloys at advanced immersion stages. The intrinsic reactivity of each alloy plus formation of transitory calcium phosphate phases, resulted in distinct corrosion behavior in the short term. Cell experiments showed that the bi-layered coating improved osteoblasts and fibroblasts proliferation compared to bare and silane-TiO₂-coated alloys. Different responses in terms of cell adhesion could be related to the intrinsic corrosion rate of each alloy and some toxicity from the alloying elements. The results evidenced the complex interplay between alloy nature, coating-alloy combination and cell type. The silane-TiO₂/collagen coating showed to be a promising strategy to improve cell response and viability and to control degradation rate of Mg alloys in the long term.

A Magnesium-based Nanobiocomposite Processed by a Novel Technique Combining High Shear Solidification and Hot Extrusion

BACKGROUND

Most of the currently available Mg-based biomaterials corrode too fast in the physiological environment, causing many problems including hydrogen bubble release and premature mechanical failure. It is commonly recognized that high biodegradation rate is the major factor limiting their clinical applications.

OBJECTIVE

The present research aims to develop a new magnesium (Mg)-based biomaterial with a controlled biodegradation rate.

METHODS

A magnesium-hydroxyapatite (Mg-1.61Zn-0.18Mn-0.5Ca/1HA) nanocomposite was developed by a novel technique which combines high shear solidification and hot extrusion, followed by heat treatment. The microstructure and biodegradation rate of the nanocomposite in HBSS Hanks' Balanced Salt Solution were assessed. Biodegradation behaviour was studied using electrochemical corrosion and immersion test. Optical Microscopy (OM), Scanning Electron Microscopy (SEM) and Energy Dispersive Spectroscopy (EDS) were used to characterize the surface microstructure, biodegradation morphology and to analyse the biodegradation products. Few patents were also cited in the article.

RESULTS

Under the optimized procedure of high shear solidification, extrusion and heat treatment at 400°C, the Mg-1.61Zn-0.18Mn-0.5Ca/1HA exhibited a satisfactory biodegradation rate of 0.12±0.04 mm/year.

CONCLUSION

This technology shows a potential of breakthrough innovation in the manufacturing of Mg-based biomaterials with a decreased biodegradation rate.

Assessment of magnesium-based biomaterials: from bench to clinic

This review presents the operation procedures of commonly used standard methods for assessment of Mg-based biomaterials from bench to clinic.

A new corrosion-inhibiting strategy for biodegradable magnesium: reduced nicotinamide adenine dinucleotide (NADH)

Utilization of biodegradable metals in biomedical fields is emerging because it avoids high-risk and uneconomic secondary surgeries for removing implantable devices. Mg and its alloys are considered optimum materials for biodegradable implantable devices because of their high biocompatibility; however, their excessive and uncontrollable biodegradation is a difficult challenge to overcome. Here, we present a novel method of inhibiting Mg biodegradation by utilizing reduced nicotinamide adenine dinucleotide (NADH), an endogenous cofactor present in all living cells. Incorporating NADH significantly increases Mg corrosion resistance by promoting the formation of thick and dense protective layers. The unique mechanism by which NADH enables corrosion inhibition was discovered by combined microscopic and spectroscopic analyses. NADH is initially self-adsorbed onto the surface of Mg oxide layers, preventing Cl⁻ ions from dissolving Mg oxides, and later recruits Ca²⁺ ions to form stable Ca-P protective layers. Furthermore, stability of NADH as a corrosion inhibitor of Mg under physiological conditions were confirmed using cell tests. Moreover, excellent cell adhesion and viability to Mg treated with NADH shows the feasibility of introduction of NADH to Mg-based implantable system. Our strategy using NADH suggests an interesting new way of delaying the degradation of Mg and demonstrates potential roles for biomolecules in the engineering the biodegradability of metals.

The current trends of Mg alloys in biomedical applications-A review

Magnesium (Mg) has emerged as an ideal alternative to the permanent implant materials owing to its enhanced properties such as biodegradation, better mechanical strengths than polymeric biodegradable materials and biocompatibility. It has been under investigation as an implant material both in cardiovascular and orthopedic applications. The use of Mg as an implant material reduces the risk of long-term incompatible interaction of implant with tissues and eliminates the second surgical procedure to remove the implant, thus minimizes the complications. The hurdle in the extensive use of Mg implants is its fast degradation rate, which consequently reduces the mechanical strength to support the implant site. Alloy development, surface treatment, and design modification of implants are the routes that can lead to the improved corrosion resistance of Mg implants and extensive research is going on in all three directions. In this review, the recent trends in the alloying and surface treatment of Mg have been discussed in detail. Additionally, the recent progress in the use of computational models to analyze Mg bioimplants has been given special consideration. © 2018 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 107B: 1970-1996, 2019.

Manipulating the degradation behavior and biocompatibility of Mg alloy through a two-step treatment combining sliding friction treatment and micro-arc oxidation

Manipulating the degradation rate of biomedical Mg alloys has always been a challenge. In this study, a two-step treatment including sliding friction treatment (SFT) and micro-arc oxidation (MAO) was adopted to acquire a unique Mg-based architecture containing three typical layers comprising a MAO coating/nanocrystalline (NC) layer/coarse-grained (CG) matrix. It was found that the modified topmost MAO coating possessed enhanced corrosion resistance, cytocompatibility and hemocompatibility. The intermediate NC layer sandwiched between the coating and CG matrix was an ideal transition layer capable of avoiding degradation rate upsurge caused by coating breakdown; meanwhile, it provided an effective reinforcing effect on the overall mechanical strength. More importantly, the corrosion resistance of these layers was ranked in the order: MAO coating > NC layer > CG matrix. This kind of gradually increasing corrosion rate of the three layers with depth renders the two-step treatment a promising approach to design Mg-based implants possessing controllable degradation rates.

Corrosion resistance of a novel SnO2-doped dicalcium phosphate coating on AZ31 magnesium alloy

A SnO₂-doped dicalcium phosphate coating was prepared on AZ31 alloy by means of hydrothermal deposition. The results showed that the coating possessed a globular morphology with a long lamellar crystalline structure and a thickness of approximately 40 μm. The surface of the coating became smooth with an increase additive amount of the SnO₂ nanoparticles. The corrosion current density and hydrogen evolution rate of the coating prepared in presence of SnO₂ were reduced compared to the coating without SnO₂ and the bare AZ31 substrate, indicating an improvement in the corrosion resistance of the SnO₂-doped coating.

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A thick and dense SnO₂-doped DCPA coating forms via hydrothermal deposition.

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The DCPA coating doped with 10 g L⁻¹ SnO₂ exhibits the best corrosion resistance.

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SnO₂ provided heterogeneous nucleation sites for the deposition of Ca²⁺ and HPO₄²⁻.

Magnesium degradation under physiological conditions - Best practice

This review focusses on the application of physiological conditions for the mechanistic understanding of magnesium degradation. Despite the undisputed relevance of simplified laboratory setups for alloy screening purposes, realistic and predictive in vitro setups are needed. Due to the complexity of these systems, the review gives an overview about technical measures, defines some caveats and can be used as a guideline for the establishment of harmonized laboratory approaches.

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Physiological conditions are mandatory for mechanistic understanding of magnesium degradation.

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Guidelines and caveats for experimental setups are reviewed.

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Media composition is essential for reliable experiments.

In Situ Mg/MgO-Embedded Mesoporous Carbon Derived from Magnesium 1,4-Benzenedicarboxylate Metal Organic Framework as Sustainable Li-S Battery Cathode Support

Development of advanced carbon cathode support with the ability to accommodate high sulfur (S) content as well as effective confinement of the sulfur species during charge-discharge is of great importance for sustenance of Li-S battery. A facile poly(vinylpyrrolidone)-assisted solvothermal method is reported here to prepare Mg-1,4-benzenedicarboxylate metal organic framework (MOF) from which mesoporous carbon is derived by thermal treatment, where the hexagonal sheetlike morphology of the parent MOF is retained. Existence of abundant pores of size 4 and 9 nm extended in three dimensions with zigzag mazelike channels helps trapping of S in the carbon matrix through capillary effect, resulting in high S loading. When tested as a cathode for lithium-sulfur battery, a reversible specific capacity of 1184 mAh g^-1 could be achieved at 0.02 C. As evidenced by X-ray photoelectron spectroscopy, in situ generated Mg in the carbon structure enhances the conductivity, whereas MgO provides support to S immobilization through chemical interactions between Mg and sulfur species for surface polarity compensation, restricting the dissolution of polysulfide into the electrolyte, the main cause for the "shuttle phenomenon" and consequent capacity fading. The developed cathode shows good electrochemical stability with reversible capacities of 602 and 328 mAh g^-1 at 0.5 and 1.0 C, respectively, with retentions of 64 and 67% after 200 cycles. The simple MOF-derived strategy adopted here would help design new carbon materials for Li-S cathode support.

In Vitro Degradation of Pure Magnesium-The Effects of Glucose and/or Amino Acid

The influences of glucose and amino acid (L-cysteine) on the degradation of pure magnesium have been investigated using SEM, XRD, Fourier transformed infrared (FTIR), X-ray photoelectron spectroscopy (XPS), polarization and electrochemical impedance spectroscopy and immersion tests. The results demonstrate that both amino acid and glucose inhibit the corrosion of pure magnesium in saline solution, whereas the presence of both amino acid and glucose accelerates the corrosion rate of pure magnesium. This may be due to the formation of -C=N- bonding (a functional group of Schiff bases) between amino acid and glucose, which restricts the formation of the protective Mg(OH)₂ precipitates.

Mechanical properties, in vitro corrosion and biocompatibility of newly developed biodegradable Mg-Zr-Sr-Ho alloys for biomedical applications

Our previous studies have demonstrated that Mg-Zr-Sr alloys can be anticipated as excellent biodegradable implant materials for load-bearing applications. In general, rare earth elements (REEs) are widely used in magnesium (Mg) alloys with the aim of enhancing the mechanical properties of Mg-based alloys. In this study, the REE holmium (Ho) was added to an Mg-1Zr-2Sr alloy at different concentrations of Mg1Zr2SrxHo alloys (x = 0, 1, 3, 5 wt. %) and the microstructure, mechanical properties, degradation behaviour and biocompatibility of the alloys were systematically investigated. The results indicate that the addition of Ho to Mg1Zr2Sr led to the formation of the intermetallic phases MgHo3, Mg2Ho and Mg17Sr2 which resulted in enhanced mechanical strength and decreased degradation rates of the Mg-Zr-Sr-Ho alloys. Furthermore, Ho addition (≤5 wt. %) to Mg-Zr-Sr alloys led to enhancement of cell adhesion and proliferation of osteoblast cells on the Mg-Zr-Sr-Ho alloys. The in vitro biodegradation and the biocompatibility of the Mg-Zr-Sr-Ho alloys were both influenced by the Ho concentration in the Mg alloys; Mg1Zr2Sr3Ho exhibited lower degradation rates than Mg1Zr2Sr and displayed the best biocompatibility compared with the other alloys.

Biodegradable Magnesium (Mg) Implantation Does Not Impose Related Metabolic Disorders in Rats with Chronic Renal Failure

Mg and its alloys have been considered as one of the most promising biodegradable medical devices, but it was still unclear whether hypermagnesemia involved health risks would occur in persons with kidney disease due to their deteriorated kidney function for Mg ions excretion from their body. In this study, we established a chronic renal failure (CRF) model in rats induced by adenine administration prior to Mg implantation, aiming to predict if CRF patients are suitable for the use of Mg implants. The results showed that Mg levels in serum, urine, feces and internal organs had no significant changes after Mg implantation for both normal and CRF rats. Biochemical indices detection and histopathological analysis in kidney, liver and heart tissue confirmed that Mg implants did not induce any extra damage in animals even with renal failure. Our study indicates that Mg based orthopaedic medical device may be considered for use in CRF patients without biosafety concerns.

In vitro corrosion of pure magnesium and AZ91 alloy-the influence of thin electrolyte layer thickness

In vivo degradation predication faces a huge challenge via in vitro corrosion test due to the difficulty for mimicking the complicated microenvironment with various influencing factors. A thin electrolyte layer (TEL) cell for in vitro corrosion of pure magnesium and AZ91 alloy was presented to stimulate the in vivo corrosion in the micro-environment built by the interface of the implant and its neighboring tissue. The results demonstrated that the in vivo corrosion of pure Mg and the AZ91 alloy was suppressed under TEL condition. The AZ91 alloy was more sensitive than pure Mg to the inhibition of corrosion under a TEL thickness of less than 200 µm. The TEL thickness limited the distribution of current, and thus localized corrosion was more preferred to occur under TEL condition than in bulk solution. The TEL cell might be an appropriate approach to simulating the in vivo degradation of magnesium and its alloys.

Examining the elemental contribution towards the biodegradation of Mg–Zn–Ca ternary metallic glasses

Here we analysed Mg–Zn–Ca metallic glasses that are promising biomaterials for orthopaedic applications with a specific emphasis on the individual element's role in biodegradation.

Mitigation of Corrosion on Magnesium Alloy by Predesigned Surface Corrosion

Rapid corrosion of magnesium alloys is undesirable in structural and biomedical applications and a general way to control corrosion is to form a surface barrier layer isolating the bulk materials from the external environment. Herein, based on the insights gained from the anticorrosion behavior of corrosion products, a special way to mitigate aqueous corrosion is described. The concept is based on pre-corrosion by a hydrothermal treatment of Al-enriched Mg alloys in water. A uniform surface composed of an inner compact layer and top Mg-Al layered double hydroxide (LDH) microsheet is produced on a large area using a one-step process and excellent corrosion resistance is achieved in saline solutions. Moreover, inspired by the super-hydrophobic phenomenon in nature such as the lotus leaves effect, the orientation of the top microsheet layer is tailored by adjusting the hydrothermal temperature, time, and pH to produce a water-repellent surface after modification with fluorinated silane. As a result of the trapped air pockets in the microstructure, the super-hydrophobic surface with the Cassie state shows better corrosion resistance in the immersion tests. The results reveal an economical and environmentally friendly means to control and use the pre-corrosion products on magnesium alloys.