BMP-2 but not VEGF or PDGF in fibrin matrix supports bone healing in a delayed-union rat model

Martin Kaipel*, Sebastian Schützenberger, Arthur Schultz, James Ferguson, Paul Slezak, Tatjana J Morton, Martijn Van Griensven, Heinz Redl

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Treatment of delayed bone healing and non-unions after fractures, osteotomies or arthrodesis still is a relevant clinical challenge. Artificially applied growth factors can increase bone healing and progressively gain importance in clinical routine. The aim of this study was to determine the effects of rhPDGF-BB, rhVEGF-165, and rhBMP-2 in fibrin matrix on bone healing in a delayed-union rat model. Thirty-seven rats underwent a first operation where a standardized femoral critical size defect was created. A silicone spacer was implanted to impair vascularization within the defect. At 4 weeks the spacer was removed in a second operation and rhPDGF-BB, rhVEGF-165, or rhBMP-2 were applied in a fibrin clot. Animals in a fourth group received a fibrin clot without growth factors. At 8 weeks fibrin bound rhBMP-2 treated animals showed a significantly increased union rate and bone volume within the defect compared to the other groups. Single application of fibrin bound rhPDGF-BB and rhVEGF-165 failed to increase bone healing in our atrophic non-union model.

Original languageEnglish
Pages (from-to)1563-9
Number of pages7
JournalJournal of Orthopaedic Research
Volume30
Issue number10
DOIs
Publication statusPublished - Oct 2012
Externally publishedYes

Keywords

  • Animals
  • Bone Morphogenetic Protein 2/pharmacology
  • Femoral Fractures/drug therapy
  • Femur/pathology
  • Fibrin/pharmacokinetics
  • Fracture Healing/drug effects
  • Fractures, Ununited/drug therapy
  • Male
  • Platelet-Derived Growth Factor/pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Recombinant Proteins/pharmacology
  • Vascular Endothelial Growth Factor A/pharmacology

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