Matrix vesicles (MVs) induce the primary mineralization in collagen-ri
ch hard tissue such as bone, mineralizing cartilage and dentine. Calci
um and phosphate ions accumulate at the inner MV membrane. This accumu
lation takes place in association with phospholipids alone and/or in a
ssociation with Annexin V, which displays Ca ion channel activity when
inserted in membranes; consequently, Annexin V may be involved in Ca
uptake by matrix vesicles. This first crystal nuclei are formed at the
se macromolecules of the MV inner membrane. They grow to stable nanome
tre-sized particles, dots, which coalesce to form chains of dots alone
the macromolecules of the MV inner membrane. At the same time, or sho
rtly afterwards, chains of these Ca phosphate dots also develop inside
the MVs. The measured centre-to-centre distances between the nucleati
ng sites, called active sites, along the MV matrix molecules. The mine
ralization does not stop at the MV membrane but expands continuously i
nto the extra-vesicular region in radial directions to form nodules. T
hese radiating Ca phosphate chains, which coalesce to form needles, ar
e composed of such primary dots, which have developed at the nucleatin
g sites of the corresponding macromolecules.