Tissue engineered bone using select growth factors: A comprehensive review of animal studies and clinical translation studies in man
1 Bone and Joint Research Group, Centre for Human Development Stem Cells and Regeneration, University of Southampton, Southampton, UK
2 Wolfson Centre for Stem Cells, University of Nottingham, Nottingham, UK
3 Institute for Science and Technology in Medicine, Keele University, Stoke-on-Trent, UK
* These authors contributed equally as corresponding authors
Abstract
There is a growing socio-economic need for effective strategies to repair damaged bone resulting from disease, trauma and surgical intervention. Bone tissue engineering has received substantial investment over the last few decades as a result. A multitude of studies have sought to examine the efficacy of multiple growth factors, delivery systems and biomaterials withinin vivoanimal models for the repair of critical-sized bone defects. Defect repair requires recapitulation ofinvivosignalling cascades, including osteogenesis, chondrogenesis and angiogenesis, in an orchestrated spatiotemporal manner. Strategies to drive parallel, synergistic and consecutive signalling of factors including BMP-2, BMP-7/OP-1, FGF, PDGF, PTH, PTHrP, TGF-β3, VEGF and Wnts have demonstrated improved bone healing within animal models. Enhanced bone repair has also been demonstrated in the clinic following European Medicines Agency and Food and Drug Administration approval of BMP-2, BMP-7/OP-1, PDGF, PTH and PTHrP. The current review assesses thein vivoand clinical data surrounding the application of growth factors for bone regeneration. This review has examined data published between 1965 and 2013. All bone tissue engineering studies investigatingin vivoresponse of the growth factors listed above, or combinations thereof, utilising animal models or human trials were included. All studies were compiled from PubMed-NCBI using search terms including ‘growth factor name’, ‘in vivo’, ‘model/animal’, ‘human’, and ‘bone tissue engineering’. Focus is drawn to thein vivosuccess of osteoinductive growth factors incorporated within material implants both in animals and humans, and identifies the unmet challenges within the skeletal regenerative area.
Keywords
- Animal model
- bone tissue engineering
- BMP-2
- BMP-7
- clinical translation
- FGF
- human studies
- in vivo
- OP-1
- PDGF
- PTH
- PTHrP
- TGF-β3
- VEGF
- Wnt proteins
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