Growth factors are endogenous proteins capable of stimulating new bone form
ation, but their clinical benefit for systemic stimulation of bone mass has
not been demonstrated. The critical challenge is to deliver a significant
dose of the proteins to bone after intravenous injection. This challenge ma
y be overcome by derivatizing proteins with ligands that exhibit a high bon
e affinity (e.g., bisphosphonates). To demonstrate the feasibility of this
approach, l-amino-l,l-diphosphonate methane (aminoBP) was conjugated to a m
odel protein, albumin. The conjugation was performed by (1) converting the
amino group of aminoBP to a thiol group using 2-iminothiolane, (2) derivati
zing the albumin amino groups with a thiol-reactive sulfosuccinimidyl-4-(N-
maleimidamethyl)-1-cyclohexane carboxylate, and (3) reacting the derivatize
d albumin with thiolated aminoBP. Typically, 1-4 aminoBP molecules per albu
min were obtained The conjugated albumin exhibited a high affinity to hydro
xyapatite that was proportional to the extent of conjugation. The conjugate
s were shown to exhibit a high affinity to bone matrix in vitro in a serum-
containing medium. Once bound to bone matrix, the conjugates were found to
desorb more slowly than the unmodified albumin; especially from bone whose
organic matrix was removed by ashing. In conclusion, conjugation of bisphos
phonates to albumin was shown to impart a high bone affinity to the protein
, and such conjugates can be potentially targeted to bone.