title: Comparison of morphological changes in efferent lymph nodes after implantation of resorbable and non-resorbable implants in rabbits.
abstract: BACKGROUND
  Magnesium alloys as biodegradable implant materials received much interest in recent years. It is known that products of implant degradation can induce several types of immune response. Hence, the aim of this study was to examine the morphological changes of efferent lymph nodes after implantation of different resorbable magnesium alloys (MgCa0.8, LAE442) in comparison to commercially available resorbable (PLA) and non-resorbable (titanium) implant materials as well as control groups without implant material.
  
  
  METHODS
  The different implant materials were inserted intramedullary into the rabbit tibia. After postoperative observation periods of three and six months, popliteal lymph nodes were examined histologically and immunhistologically and compared to lymph nodes of sham operated animals and animals without surgery. Haematoxylin and eosin staining was performed for cell differentiation. Mouse anti-CD79α and rat anti-CD3 monoclonal primary antibodies were used for B- and T-lymphocyte detection, mouse anti-CD68 primary antibodies for macrophage detection. Evaluation of all sections was performed applying a semi quantitative score.
  
  
  RESULTS
  The histological evaluation demonstrated low and moderate levels of morphological changes for both magnesium alloys (LAE442 and MgCa0.8). Higher than moderate values were reached for titanium in sinus histiocytosis and histiocytic apoptosis (3 months) and for PLA in histiocytic apoptosis (3 and 6 months). The immune response to all investigated implants had a non-specific character and predominantly was a foreign-body reaction. LAE442 provoked the lowest changes which might be due to a lower degradation rate in comparison to MgCa0.8. Therewith it is a promising candidate for implants with low immunogenic potential.
  
  
  CONCLUSIONS
  Both examined magnesium alloys did not cause significantly increased morphological changes in efferent lymph nodes in comparison to the widely used implant materials titanium and PLA. LAE442 induced even lower immunological reactions. Therewith MgCa0.8 and especially LAE442 are appropriate candidates for biomedical use.
authors.affiliation: Department of Pathology, Dnipropetrovs’k State Medical Academy, str. Zhovtneva ploshcha 14, 49005 Dnipropetrovs’k, Ukraine.
authors.forename: Alexandr
authors.initials: A
authors.lastname: Bondarenko
authors.forename: Marion
authors.initials: M
authors.lastname: Hewicker-Trautwein
authors.forename: Nina
authors.initials: N
authors.lastname: Erdmann
authors.forename: Nina
authors.initials: N
authors.lastname: Angrisani
authors.forename: Janin
authors.initials: J
authors.lastname: Reifenrath
authors.forename: Andrea
authors.initials: A
authors.lastname: Meyer-Lindenberg
mesh_terms: D020341:Absorbable Implants / Q000009:adverse effects*; D000497:Alloys / Q000009:adverse effects*; D000818:Animals; D017209:Apoptosis / Q000276:immunology; D005260:Female; D006644:Histiocytes / Q000166:cytology / Q000276:immunology; D015618:Histiocytosis, Sinus / Q000276:immunology / Q000473:pathology; D007150:Immunohistochemistry; D008198:Lymph Nodes / Q000166:cytology* / Q000276:immunology / Q000473:pathology; D008274:Magnesium / Q000009:adverse effects* / Q000276:immunology; D011817:Rabbits
chemical_list: D000497:Alloys; D008274:Magnesium