Osteogenic activity of bone morphogenetic protein and hydroxyapatite composite implants.

In an experimental study in rats hydroxyapatite (HA) ceramics of characteristics and inactive rat bone matrix were investigated comparatively for their suitability as carriers for osteoinductive factors. Bone morphogenetic protein was extracted from long bones of pigs under dissociative conditions and partially purified by gel filtration. The resulting pBMP was combined with the granular hydroxyapatite ceramics Osprovit, Algipore, Frialit and inactive rat bone matrix (IBM) by precipitation of aliquots of this pBMP fraction onto pellets of each carrier material. The osteogenic activity of these composite implants and of corresponding controls was bioassayed by implantation into muscle pouches of immunodeficient rats. All pBMP-HA ceramic implants elicited ectopic bone formation within 25 days after implantation, whereas control implants did not show any osteoinductive ability. Alkaline phosphatase (AP) activity of the explant tissues was determined for quantitation of bone formation. Due to the high incidence of bone formation found in each pBMP group all HA ceramics tested seem to be basically suitable as carriers for osteoinductive factors. Algipore, a highly porous phycogen HA ceramic, was found to be quantitatively superior to all other materials investigated due to its very large surface available for protein binding.