During the past decade, evidence has accumulated that skeletal tissues
are a major storehouse of growth factors. In vitro and in vivo studie
s suggest that bone-derived growth factors have anabolic effects on bo
ne formation. This review discusses the physiologic role of three grow
th factor systems-(1) insulin-like growth factors, (2) transforming gr
owth factor-beta, and (3) bone morphogenetic proteins-in the regulatio
n of local bone formation and the potential usefulness of these growth
factors in the treatment of bone loss.