PMID- 17557338 OWN - NLM STAT- MEDLINE DCOM- 20071129 LR - 20181201 IS - 0736-0266 (Print) IS - 0736-0266 (Linking) VI - 25 IP - 11 DP - 2007 Nov TI - In vitro and in vivo optimization of impaction allografting by demineralization and addition of rh-OP-1. PG - 1425-37 AB - Impaction allografting is a bone tissue engineering technique currently used in lower limb reconstruction orthopedic surgery. Our hypothesis was that biological optimization can be achieved by demineralization and addition of osteogenic protein-1 (OP-1) to the allograft. The objective of our in vitro study was to evaluate human mesenchymal stem cell (MSC) proliferation (Alamar Blue assay, titrated thymidine assay, total DNA Hoechst 33258, and scanning electron microscopy) and osteogenic differentiation (alkaline phosphatase assay) in two types of impacted carrier, namely, demineralized bone matrix (DBM) and insoluble collagenous bone matrix (ICBM), with or without OP-1. The objective in vivo was to compare the osteogenic potential of impacted DBM with or without OP-1, with that of impacted fresh frozen allograft (FFA), again with or without OP-1. DBM + OP-1 optimized osteoinduction and significantly improved (p < 0.05) proliferation and differentiation in comparison to the majority of all other graft preparation in vitro. In addition, DBM + OP-1 was significantly superior, with regard to osteogenesis, compared to the impacted FFA alone (p < 0.001), FFA + OP-1 (p = 0.01) and DBM alone (p = 0.02) in vivo. We propose that partial demineralization and addition of OP-1 provides a good method for improving the osteoinductive properties of fresh allograft currently used in the impaction grafting technique. CI - (c) 2007 Orthopaedic Research Society. FAU - Tsiridis, Eleftherios AU - Tsiridis E AD - Biomaterials and Biomimetics Group, King's College London, University of London, Guy's Hospital, London SE1 9RT, United Kingdom. etsiridis@doctors.org.uk FAU - Ali, Zubier AU - Ali Z FAU - Bhalla, Amit AU - Bhalla A FAU - Heliotis, Manolis AU - Heliotis M FAU - Gurav, Neelam AU - Gurav N FAU - Deb, Sanjukta AU - Deb S FAU - DiSilvio, Lucy AU - DiSilvio L LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Orthop Res JT - Journal of orthopaedic research : official publication of the Orthopaedic Research Society JID - 8404726 RN - 0 (BMP7 protein, human) RN - 0 (Bmp7 protein, rat) RN - 0 (Bone Morphogenetic Protein 7) RN - 0 (Bone Morphogenetic Proteins) RN - EC 3.1.3.1 (Alkaline Phosphatase) SB - IM MH - Adult MH - Alkaline Phosphatase/metabolism MH - Animals MH - *Bone Demineralization Technique MH - Bone Marrow Cells/drug effects/ultrastructure MH - Bone Matrix/*transplantation MH - Bone Morphogenetic Protein 7 MH - Bone Morphogenetic Proteins/*pharmacology MH - Bone Transplantation/instrumentation/*methods MH - Cell Differentiation/drug effects MH - Cell Proliferation/drug effects MH - Cells, Cultured MH - Humans MH - Male MH - Mesenchymal Stem Cells/drug effects/enzymology/ultrastructure MH - Osteogenesis/drug effects/physiology MH - Rats MH - Rats, Wistar MH - Tissue Engineering/instrumentation/*methods MH - Transplantation, Homologous EDAT- 2007/06/09 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/06/09 09:00 PHST- 2007/06/09 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/06/09 09:00 [entrez] AID - 10.1002/jor.20387 [doi] PST - ppublish SO - J Orthop Res. 2007 Nov;25(11):1425-37. doi: 10.1002/jor.20387.