Background: Preclinical and clinical studies indicate that deproteinized ca
ncellous bovine bone is osteoconductive and may be osteopromotive. Previous
studies using commercial preparations failed to demonstrate the presence o
f protein, implicating bone-mineral composition and 3-dimensional structure
as reasons for clinical success; however, these studies did not examine wh
ether osteoinductive factors might be present in close association with the
mineral phase.
Methods: Deproteinized cancellous bovine bone was decalcified and any prote
in present released by chaotropic solvents using the protocol described for
purification of bone morphogenetic proteins (BMPs). Three extracts were ob
tained and tested for their ability to support osteoinduction in the calf m
uscle of nude mice.
Results: Protein content averaged 11 mug/g based on absorbance at 280 nm us
ing bovine serum albumin as a standard. All extracts contained material tha
t stained positively with silver stain after sodium dodecyl sulfate polyacr
ylamide gel electrophoresis (SDS PAGE). Western blots of these gels indicat
ed the presence of transforming growth factor-beta (TGF-beta) and BMP-2, Al
l 3 extracts were osteoinductive in the nude mouse model when combined with
inactive DFDBA, and bone formation was comparable to that induced by activ
e DFDBA, Deproteinized cancellous bovine bone by itself was not osteoinduct
ive in the nude mouse, but in a clinical case, exhibited osteoclastic resor
ption with adjacent new bone formation.
Conclusions: The results suggest that small amounts of protein are present
in deproteinized cancellous bovine bone in close association with the miner
al phase, Some of the extracted material has osteoinductive potential and m
ay contain growth factors, This may explain the osteopromotive ability of d
eproteinized cancellous bovine bone clinically.