Bj. Cole et al., USE OF BONE MORPHOGENETIC PROTEIN-2 ON ECTOPIC POROUS-COATED IMPLANTSIN THE RAT, Clinical orthopaedics and related research, (345), 1997, pp. 219-228
The ability of recombinant human bone morphogenetic protein 2 to remai
n osteoinductive and stimulate appositional bone formation on a porous
coated implant was tested in a rat quadriceps muscle pouch. Implants
with or without hydroxyapatite were used to compare the effects on bon
e formation of two different doses (23 mu g or 46 mu g) of recombinant
human bone morphogenetic protein 2 against controls as evidenced by c
ontact radiography, histologic examination, and backscatter scanning e
lectron microscopic analysis, Cylindrical plasma sprayed porous titani
um implants were placed bilaterally within a muscle pouch surgically c
reated in 48 Lewis rats, Implants treated with recombinant human bone
morphogenetic protein 2 formed significantly more bone than did contro
l implants independent of the dose or presence of hydroxyapatite, In a
ll implants with bone formation, osteoinduction via endochondral ossif
ication began within 7 days, By 21 days, cartilage largely was replace
d by bone and marrow The results of this ectopic, nonweightbearing in
vivo assay suggest that recombinant human bone morphogenetic protein 2
remains biologically active after application to a titanium implant a
nd may be used to enhance appositional bone formation by direct applic
ation to the implant surface.