The kinetics of the formation of calcium-deficient and carbonated hydr
oxyapatite at 38-degrees-C were investigated by isothermal calorimetry
. Hydroxyapatite (HAp) was formed by reaction of the particulate calci
um phosphates CaHPO4 and Ca4(PO4)2O. Compared with its rate of formati
on in DI water, the formation of calcium-deficient HAp is significantl
y inhibited in serum. When serum is diluted with DI water, the extent
of inhibition varies with the extent of dilution. When collagen or HAp
seeds are present the extent of inhibition in serum is reduced. The k
inetics of HAp formation were also examined in various concentrations
of albumin to establish the extent to which inhibition is associated w
ith the presence of this plasma protein. While HAp formation is inhibi
ted in albumin, the extent of inhibition is not as great as in serum.
The formation of carbonated HAp is also inhibited in serum and albumin
. However, the extent of inhibition is significantly reduced. The vari
ations in sodium and carbonate in solution during HAp formation indica
te that these species are incorporated at different rates, with carbon
ate incorporation being more rapid. Elevated sodium concentrations in
solution result in solution pH values near 12. The reduction in the in
hibition of HAp formation may be associated with the reaction to carbo
nated HAp occurring at elevated pH or with the influence of pH on prot
ein adsorption.