In order to assess the ability of six potential bone graft substitutes
to support the growth of human osteoblasts, these cells were grown in
culture and then plated onto fragments of the six materials and cultu
red for a further period of 15 days. Tests to confirm the osteoblastic
phenotype of the cells included spectrophotometric alkaline phosphata
se assay; Western blotting of secreted osteocalcin, osteonectin, bone
sialoprotein, and collagen type I; and mineralization within the cultu
res provided with a supplemented medium. Cells were seeded onto the ma
terials in 24-well plates (Nunc, Naperville, IL) at density levels 12
500 cells/cm2 and 25 000 cells/cm2. Specimens were examined after the
15-day culture period by scanning electron microscopy. At a seeding de
nsity of 12 500 cells/cm2 results showed that the human osteoblasts ha
d greatest affinities for demineralized rat bone and demineralized Sur
gibone(R), whilst few osteoblasts were found attached to Pyrost(R), Su
rgibone(R), or coral. The collagen matrix of Callopat(R) hydrated in t
he culture media exposing the hydroxyapatite crystals within it, and t
hese became the foci for cell attachment and growth. At a seeding dens
ity of 25 000 cells/cm2 the osteoblasts had attached to and proliferat
ed upon the surfaces of all the materials, forming multilayers, with t
he exception of Surgibone(R). These experiments demonstrated that all
the materials, with the exception of nondemineralized Surgibone(R), we
re biocompatable for human osteoblasts. The final population of osteob
lasts on the bone graft substitutes appeared to be influenced by cell
plating density, surface topography, and antigenicity of the materials
.