journal article·2023-03-22Open access

Improving Bone Formation by Guided Bone Regeneration Using a Collagen Membrane with rhBMP-2: A Novel Concept

Narae Jung, Jaehan Park, Sang-Hyun Park, Seunghan Oh, Sungtae Kim, Sung-Won Cho, Jong-Eun Kim, Hong Seok Moon, Young-Bum Park

Abstract

We examined whether recombinant human bone morphogenetic protein-2 (rhBMP-2) when applied to collagen membranes, would reinforce them during guided bone regeneration. Four critical cranial bone defects were created and treated in 30 New Zealand white rabbits, including a control group, critical defect only; group 1, collagen membrane only; group 2, biphasic calcium phosphate (BCP) only; group 3, collagen membrane + BCP; group 4, collagen membrane with rhBMP-2 (1.0 mg/mL); group 5, collagen membrane with rhBMP-2 (0.5 mg/mL); group 6, collagen membrane with rhBMP-2 (1.0 mg/mL) + BCP; and group 7, collagen membrane with rhBMP-2 (0.5 mg/mL) + BCP. After a 2-, 4-, or 8-week healing period, the animals were sacrificed. The combination of collagen membranes with rhBMP-2 and BCP yielded significantly higher bone formation rates compared to the other groups (control group and groups 1–5 < groups 6 and 7; p < 0.05). A 2-week healing period yielded significantly lower bone formation than that at 4 and 8 weeks (2 < 4 = 8 weeks; p < 0.05). This study proposes a novel GBR concept in which rhBMP-2 is applied to collagen membranes outside instead of inside the grafted area, thereby inducing quantitatively and qualitatively enhanced bone regeneration in critical bone defects.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Bone Tissue Engineering Materials · Dental Implant Techniques and Outcomes · Periodontal Regeneration and Treatments

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Clinical Dentistry, Oral Science Research Center, BK21 FOUR Project, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea

Department of Prosthodontics, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea

Osong Research Institute, TaeWoong Medical Co., Ltd., 55-7 Osongsaengmyeong 2-ro, Heungdeok-gu, Cheongju 28161, Republic of Korea

Department of Dental Biomaterials and Institute of Biomaterials & Implant, College of Dentistry, Wonkwang University, 460 Iksandae-ro, Iksan 54538, Republic of Korea

Department of Periodontology, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea

Division of Anatomy and Developmental Biology, Department of Oral Biology, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea

Funding

Basic Science Research Program through the National Research Foundation of Korea (NRF)

References (45)

Show source-provided references
1. Formulation, delivery and stability of bone morphogenetic proteins for effective bone regeneration10.1007/s11095-017-2147-x ↗
2. Guided bone regeneration for the reconstruction of alveolar bone defects10.4103/ams.ams_76_17 ↗
3. Guided Bone Regeneration: Biological principle and therapeutic applications10.1111/j.1600-0501.2010.01922.x ↗
4. Bone augmentation techniques for horizontal and vertical alveolar ridge deficiency in oral implantology10.1016/j.coms.2019.01.005 ↗
5. Preclinical and clinical studies of a collagen membrane (Bio-Gide)10.1016/S0142-9612(96)00175-5 ↗
6. Guided bone regeneration: Materials and biological mechanisms revisited10.1111/eos.12364 ↗
7. Collagen based barrier membranes for periodontal guided bone regeneration applications10.1007/s10266-016-0267-0 ↗
8. Distinctive bone regeneration of calvarial defects using biphasic calcium phosphate supplemented ultraviolet-crosslinked collagen membrane10.5051/jpis.2020.50.1.14 ↗
9. BMP-2 encapsulated polysaccharide nanoparticle modified biphasic calcium phosphate scaffolds for bone tissue regeneration10.1002/jbm.a.35282 ↗
10. Ridge augmentation and maxillary sinus grafting with a biphasic calcium phosphate: Histologic and histomorphometric observations10.1111/j.1600-0501.2009.01708.x ↗
11. Effect of micro- and macroporosity of bone substitutes on their mechanical properties and cellular response10.1023/B:JMSM.0000004006.90399.b4 ↗
12. Bone regeneration using collagen type I vitrigel with bone morphogenetic protein-210.1016/j.jbiosc.2008.10.007 ↗
13. Adsorption and release kinetics of growth factors on barrier membranes for guided tissue/bone regeneration: A systematic review10.1016/j.archoralbio.2019.02.006 ↗
14. Bone morphogenetic proteins in tissue engineering: The road from laboratory to clinic, part II (BMP delivery)10.1002/term.74 ↗
15. Bone morphogenetic proteins in tissue engineering: The road from the laboratory to the clinic, part I (basic concepts)10.1002/term.63 ↗
16. Gkiliopoulos, D., Tsamesidis, I., Theocharidou, A., Pouroutzidou, G.K., Christodoulou, E., Stalika, E., Xanthopoulos, K., Bikiaris, D., Triantafyllidis, K., and Kontonasaki, E. (2022). SBA-15 mesoporous silica as delivery vehicle for rhBMP-2 bone morphogenic protein for dental applications. Nanomaterials, 12.10.3390/nano12050822 ↗
17. Effect of guided bone regeneration on bone quality surrounding dental implants10.1016/j.jbiomech.2018.08.011 ↗
18. Evaluation of different combinations of biphasic calcium phosphate and growth factors for bone formation in calvarial defects in a rabbit model10.11607/prd.2633 ↗
19. Accelerating bone healing by decorating BMP-2 on porous composite scaffolds10.1021/acsabm.9b00761 ↗
20. Microcomputed tomography and histological study of bone regeneration using tooth biomaterial with BMP-2 in rabbit calvarial defects10.1155/2021/6690221 ↗
21. Hyaluronan supports recombinant human bone morphogenetic protein-2 induced bone reconstruction of advanced alveolar ridge defects in dogs. A Pilot Study10.1902/jop.2001.72.5.651 ↗
22. Periodontal repair in dogs: Evaluation of rhBMP-2 carriers
23. Response of the mouse femoral muscle to an implant of a composite of bone morphogenetic protein and plaster of paris10.1097/00003086-198809000-00043 ↗
24. A review of the clinical side effects of bone morphogenetic protein-210.1089/ten.teb.2015.0357 ↗
25. Controlled release of BMP-2 using a heparin-conjugated carrier system reduces in vivo adipose tissue formation10.1002/jbm.a.35207 ↗
26. Reduction of adipose tissue formation by the controlled release of BMP-2 using a hydroxyapatite-coated collagen carrier system for sinus-augmentation/extraction-socket grafting10.3390/ma8115411 ↗
27. Bone morphogenetic protein-2 and vascular endothelial growth factor in bone tissue regeneration: New insight and perspectives10.1111/os.12112 ↗
28. Imparting bone mineral affinity to osteogenic proteins through heparin–bisphosphonate conjugates10.1016/j.jconrel.2004.05.001 ↗
29. Guided bone regeneration in standardized calvarial defects in rats using bio-oss and β-tricalcium phosphate with adjunct platelet-derived growth factor therapy: A real-time in vivo microcomputed tomographic, biomechanical, and histologic analysis10.11607/prd.2265 ↗
30. Real-time assessment of guided bone regeneration in standardized calvarial defects using a combination of bone graft and platelet-derived growth factor with and without collagen membrane: An in vivo microcomputed tomographic and histologic experiment in rats10.11607/prd.2277 ↗
31. Osteogenic potential of BMP-2-releasing self-assembled membranes10.1089/ten.tea.2012.0667 ↗
32. Collagen sponges for bone regeneration with rhBMP-210.1016/j.addr.2003.08.010 ↗
33. Injectable BMP-2 delivery system based on collagen-derived microspheres and alginate induced bone formation in a time- and dose-dependent manner10.22203/eCM.v035a17 ↗
34. Addition of a synthetically fabricated osteoinductive biphasic calcium phosphate bone graft to BMP2 improves new bone formation10.1111/cid.12384 ↗
35. Formation of osteoclast-like cells on HA and TCP ceramics10.1016/j.actbio.2007.03.014 ↗
36. In vitro osteoclast resorption of bone substitute biomaterials used for implant site augmentation: A pilot study
37. Is the tunnel technique more effective than open augmentation with a titanium-reinforced polytetrafluoroethylene membrane for horizontal ridge augmentation?10.1016/j.joms.2016.04.031 ↗
38. Comparative study of three different membranes for guided bone regeneration of rat cranial defects10.1054/ijom.2000.0011 ↗
39. A feasibility study evaluating anin situformed synthetic biodegradable membrane for guided bone regeneration in dogs10.1111/j.1600-0501.2008.01633.x ↗
40. Studies of bone morphogenetic protein-based surgical repair10.1016/j.addr.2012.03.014 ↗
41. Bone regeneration with recombinant human bone morphogenetic protein-2 (rhBMP-2) using absorbable collagen sponges (ACS): Influence of processing on ACS characteristics and formulation10.1081/PDT-100101374 ↗
42. Optimized procedure for renaturation of recombinant human bone morphogenetic protein-2 at high protein concentration10.1002/bit.10906 ↗
43. Comparison of collagen membrane and bone substitute as a carrier for rhBMP-2 in lateral onlay graft10.1111/clr.12320 ↗
44. Lateral ridge augmentation using particulated or block bone substitutes biocoated with rhGDF-5 and rhBMP-2: An immunohistochemical study in dogs
45. An overview of osteocalcin progress10.1007/s00774-015-0734-7 ↗