scholarly journals Bone morphogenetic protein-induced heterotopic bone formation: What have we learned from the history of a half century?

2015 ◽  
Vol 51 (2) ◽  
pp. 42-50 ◽  
Author(s):  
Takenobu Katagiri ◽  
Kenji Osawa ◽  
Sho Tsukamoto ◽  
Mai Fujimoto ◽  
Arei Miyamoto ◽  
...  
2016 ◽  
Vol 24 (5) ◽  
pp. 857-861 ◽  
Author(s):  
Timothy Chryssikos ◽  
Kenneth M. Crandall ◽  
Charles A. Sansur

Heterotopic bone formation within the spinal canal is a known complication of bone morphogenetic protein–2 (BMP-2) and presents a clinical and surgical challenge. Imaging modalities are routinely used for operative planning in this setting. Here, the authors present the case of a 59-year-old woman with cauda equina syndrome following intraoperative BMP-2 administration. Plain film myelographic studies showed a region of severe stenosis that was underappreciated on CT myelography due to a heterotopic bony lesion mimicking the dorsal aspect of a circumferentially patent thecal sac. When evaluating spinal stenosis under these circumstances, it is important to carefully consider plain myelographic images in addition to postmyelography CT images as the latter may underestimate the true degree of stenosis due to the potentially similar radiographic appearances of evolving BMP-2–induced heterotopic bone and intrathecal contrast. Alternatively, comparison of sequentially acquired noncontrast CT scans with CT myelographic images may also assist in distinguishing BMP-2–induced heterotopic bony lesions from the thecal sac. Further studies are needed to elucidate the roles of the available imaging techniques in this setting and to characterize the connection between the radiographic and histological appearances of BMP-2–induced heterotopic bone.


1997 ◽  
Vol 337 ◽  
pp. 261-266 ◽  
Author(s):  
Toshiyuki Kawakami ◽  
Tatsushi Kawai ◽  
Noriyuki Takei ◽  
Toshihiko Kise ◽  
Shigeo Eda ◽  
...  

2014 ◽  
Vol 8 (1-2) ◽  
pp. 104 ◽  
Author(s):  
Yozo Mitsui ◽  
Hiroaki Yasumoto ◽  
Miho Hiraki ◽  
Naoko Arichi ◽  
Noriyoshi Ishikawa ◽  
...  

The precise mechanism of heterotopic ossification caused by several types of tumours is largely unknown. However, recent studies have indicated that bone morphogenetic protein 2 (BMP2) is closely linked to the Wnt/β-catenin signaling pathway in this rare phenomenon of bone formation. We report a rare case of adrenal myelolipoma (ML) in a 27-year-old woman with heterotopic bone formation. Immunohistochemical findings showed BMP2 expression in the cytoplasm of tumour cells, as well as the matrix adjacent to newly developed bone tissue. In addition, β-catenin was prominent in the cytoplasm and nuclei of BMP2-positive tumour cells. To the best of our knowledge, this is the first report of adrenal ML showing heterotopic ossification with accelerated expression of both BMP2 and β-catenin. Our case findings indicate that BMP2 overexpression via aberrant canonical Wnt/β-catenin signaling may contribute to heterotopic bone formation occurring in adrenal ML.


2020 ◽  
Author(s):  
E Lingling ◽  
Helin Xin ◽  
Xing Wang ◽  
Tao Cheng ◽  
Shou Zhang ◽  
...  

Abstract Background: Human umbilical cord mesenchymal stem cells (hUC-MSCs) have been suggested as an alternative source of MSCs. However, the studies on its bone formation ability in oral maxillo-facial bone defect are rare. This study investigated the bone formation ability of recombinant human bone morphogenetic protein-7 (rhBMP-7)-induced hUC-MSCs combined with nano-hydroxyapatite/collagen/poly(L-lactide) (nHAC/PLA) in the back of nude mice and jaw bone defect of rabbit. Methods: The characteristics of hUC-MSCs were analyzed by plastic adherence, cell phenotype and multilineage differentiation potential. Cell proliferation was examined using a CCK-8 assay. Osteogenic differentiation was evaluated by quantitative calcium concentration, phosphorous concentration, alkaline phosphatase (ALP) activity, osteocalcin (OCN) concentration, mineral formation, and the mRNA levels of ALP, OCN and bone morphogenetic protein (BMP)-2. Scanning electron microscopy was used to observe cell adhesion, growth and differentiation. Bone formation was assessed by immunohistochemical staining, micro-CT and hematoxylin and eosin staining. Results: The isolated hUC-MSCs expressed CD105, CD90 and CD73, did not express CD45, CD34, CD11a and HLA-DR, exhibited self-renewal potential, and favored osteogenesis and adipogenesis. The exogenously-added rhBMP-7 attenuated the inhibitory effect of the serum-free osteogenic media (OMD) on the proliferation of hUC-MSCs combined with nHAC/PLA, increased the promoting effect of OMD on osteogenic differentiation of hUC-MSCs in two or three-dimensional culture, and enhanced its heterotopic bone formation and jaw bone defect repair abilities. Furthermore, the bone formation of in situ bone defect was significantly superior to heterotopic bone formation. Conclusions: That the microenvironment formed by the regenerative engineered constructs and the in situ bone defect microenvironment closely matched that of the bone tissue in its native state may be essential for sufficient and timely bone regeneration. The endogenously-produced BMPs may serve an important regulatory role in the process. These results paved the way for developing allogeneic hUC-MSCs-based constructs for clinical jaw bone regenerative therapeutic applications.


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