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Interaction of bone morphogenetic proteins with cells of the osteoclast lineage: review of the existing evidence

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Abstract

The present review evaluates the existing scientific proofs of this supplementary role of the BMPs and summarises its clinical implications. Bone regeneration is a process consisting of bone formation and bone resorption, two different but closely coupling pathways, which in most circumstances proceed simultaneously. Plenty of evidence has also characterised the bone morphogenetic proteins (BMPs) as inducing factors of bone formation. However, there is also evidence that these multifunctioning proteins affect bone resorption and the osteoclast homeostasis utilising various pathways. The present review evaluates the existing scientific evidence of this supplementary role of the BMPs, and summarises its clinical implications.

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References

  1. Olsen BR, Reginato AM, Wang W (2000) Bone development. Annu Rev Cell Dev Biol 16:191–220

    Article  PubMed  CAS  Google Scholar 

  2. Einhorn TA, Lee CA (2001) Bone regeneration: new findings and potential clinical applications. J Am Acad Orthop Surg 9:157–165

    PubMed  CAS  Google Scholar 

  3. Boskey AL, Posner AS (1984) Bone structure, composition, and mineralization. Orthop Clin North Am 15:597–612

    PubMed  CAS  Google Scholar 

  4. Yoshikawa H, Takaoka K (1994) Bone remodelling and its regulators. Nippon Rinsho 52:2262–2267

    PubMed  CAS  Google Scholar 

  5. Urist MR (1965) Bone: formation by autoinduction. Science 150:893–899

    Article  PubMed  CAS  Google Scholar 

  6. Urist MR, Strates BS (1971) Bone morphogenetic protein. J Dent Res 50:1392–1406

    PubMed  CAS  Google Scholar 

  7. Wozney JM, Rosen V, Celeste AJ et al (1988) Novel regulators of bone formation: molecular clones and activities. Science 242:1528–1534

    Article  PubMed  CAS  Google Scholar 

  8. Wang EA, Rosen V, Cordes P et al (1988) Purification and characterization of other distinct bone-inducing factors. Proc Natl Acad Sci USA 85:9484–9488

    Article  PubMed  CAS  Google Scholar 

  9. Wang EA, Rosen V, D’Alessandro JS et al (1990) Recombinant human bone morphogenetic protein induces bone formation. Proc Natl Acad Sci USA 87:2220–2224

    Article  PubMed  CAS  Google Scholar 

  10. Ozkaynak E, Rueger DC, Drier EA et al (1990) OP-1 cDNA encodes an osteogenic protein in the TGF-beta family. Embo J 9:2085–2093

    PubMed  CAS  Google Scholar 

  11. Bessho K, Kusumoto K, Fujimura K et al (1999) Comparison of recombinant and purified human bone morphogenetic protein. Br J Oral Maxillofac Surg 37:2–5

    Article  PubMed  CAS  Google Scholar 

  12. Sakou T (1998) Bone morphogenetic proteins: from basic studies to clinical approaches. Bone 22:591–603

    Article  PubMed  CAS  Google Scholar 

  13. Termaat MF, Den Boer FC, Bakker FC et al (2005) Bone morphogenetic proteins. Development and clinical efficacy in the treatment of fractures and bone defects. J Bone Joint Surg Am 87:1367–1378

    Article  PubMed  CAS  Google Scholar 

  14. Cheng H, Jiang W, Phillips FM et al (2003) Osteogenic activity of the fourteen types of human bone morphogenetic proteins (BMPs). J Bone Joint Surg Am 85-A:1544–1552

    PubMed  Google Scholar 

  15. Jung RE, Glauser R, Scharer P et al (2003) Effect of rhBMP-2 on guided bone regeneration in humans. Clin Oral Implants Res 14:556–568

    Article  PubMed  Google Scholar 

  16. Geesink RG, Hoefnagels NH, Bulstra SK (1999) Osteogenic activity of OP-1 bone morphogenetic protein (BMP-7) in a human fibular defect. J Bone Joint Surg Br 81:710–718

    Article  PubMed  CAS  Google Scholar 

  17. Tsumaki N, Yoshikawa H (2005) The role of bone morphogenetic proteins in endochondral bone formation. Cytokine Growth Factor Rev 16:279–285

    Article  PubMed  CAS  Google Scholar 

  18. Yamaguchi A, Katagiri T, Ikeda T et al (1991) Recombinant human bone morphogenetic protein-2 stimulates osteoblastic maturation and inhibits myogenic differentiation in vitro. J Cell Biol 113:681–687

    Article  PubMed  CAS  Google Scholar 

  19. Harwood PJ, Giannoudis PV (2005) Application of bone morphogenetic proteins in orthopaedic practice: their efficacy and side effects. Expert Opin Drug Saf 4:75–89

    Article  PubMed  CAS  Google Scholar 

  20. Dimitriou R, Dahabreh Z, Katsoulis E et al (2005) Application of recombinant BMP-7 on persistent upper and lower limb non-unions. Injury 36(Suppl 4):S51–S59

    Article  PubMed  Google Scholar 

  21. Wong RK, Hagg EU, Rabie AB et al (2002) Bone induction in clinical orthodontics: a review. Int J Adult Orthodon Orthognath Surg 17:140–149

    PubMed  Google Scholar 

  22. Trippel SB, Coutts RD, Einhorn TA et al (1996) Instructional course lectures, the American Academy of Orthopaedic Surgeons - growth factors as therapeutic agents. J Bone Joint Surg Am 78:1272–1286

    Google Scholar 

  23. Cook SD (1999) Preclinical and clinical evaluation of osteogenic protein-1 (BMP-7) in bony sites. Orthopedics 22:669–671

    PubMed  CAS  Google Scholar 

  24. Kain MS, Einhorn TA (2005) Recombinant human bone morphogenetic proteins in the treatment of fractures. Foot Ankle Clin 10:639–650, viii

    Article  PubMed  Google Scholar 

  25. Meraw SJ, Reeve CM, Lohse CM et al (2000) Treatment of peri-implant defects with combination growth factor cement. J Periodontol 71:8–13

    Article  PubMed  CAS  Google Scholar 

  26. Cook SD, Barrack RL, Shimmin A et al (2001) The use of osteogenic protein-1 in reconstructive surgery of the hip. J Arthroplasty 16:88–94

    Article  PubMed  CAS  Google Scholar 

  27. Einhorn TA, Trippel SB (1997) Growth factor treatment of fractures. Instr Course Lect 46:483–486

    PubMed  CAS  Google Scholar 

  28. Friedlaender GE, Perry CR, Cole JD et al (2001) Osteogenic protein-1 (bone morphogenetic protein-7) in the treatment of tibial nonunions. J Bone Joint Surg Am 83-A Suppl 1:S151–S158

    PubMed  Google Scholar 

  29. Einhorn TA (2003) Clinical applications of recombinant human BMPs: early experience and future development. J Bone Joint Surg Am 85-A Suppl 3:82–88

    PubMed  Google Scholar 

  30. Govender S, Csimma C, Genant HK et al (2002) Recombinant human bone morphogenetic protein-2 for treatment of open tibial fractures: a prospective, controlled, randomized study of four hundred and fifty patients. J Bone Joint Surg Am 84-A:2123–2134

    PubMed  Google Scholar 

  31. Sakata H, Takagi K (1987) Effect of bone marrow mononuclear phagocytes on the bone matrix-induced bone formation in rats. Clin Orthop Relat Res 253–258

  32. Tanaka S, Nakamura I, Inoue J et al (2003) Signal transduction pathways regulating osteoclast differentiation and function. J Bone Miner Metab 21:123–133

    Article  PubMed  Google Scholar 

  33. Serke S, Sauberlich S, Abe Y et al (1991) Analysis of CD34-positive hemopoietic progenitor cells from normal human adult peripheral blood: flow-cytometrical studies and in-vitro colony (CFU-GM, BFU-E) assays. Ann Hematol 62:45–53

    Article  PubMed  CAS  Google Scholar 

  34. Miyamoto T, Ohneda O, Arai F et al (2001) Bifurcation of osteoclasts and dendritic cells from common progenitors. Blood 98:2544–2554

    Article  PubMed  CAS  Google Scholar 

  35. Roodman GD (2006) Regulation of osteoclast differentiation. Ann N Y Acad Sci 1068:100–109

    Article  PubMed  CAS  Google Scholar 

  36. Dougall WC, Glaccum M, Charrier K et al (1999) RANK is essential for osteoclast and lymph node development. Genes Dev 13:2412–2424

    Article  PubMed  CAS  Google Scholar 

  37. Lacey DL, Timms E, Tan HL et al (1998) Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell 93:165–176

    Article  PubMed  CAS  Google Scholar 

  38. Otsuka E, Notoya M, Hagiwara H (2003) Treatment of myoblastic C2C12 cells with BMP-2 stimulates vitamin D-induced formation of osteoclasts. Calcif Tissue Int 73:72–77

    Article  PubMed  CAS  Google Scholar 

  39. Kanatani M, Sugimoto T, Kaji H et al (1995) Stimulatory effect of bone morphogenetic protein-2 on osteoclast-like cell formation and bone-resorbing activity. J Bone Miner Res 10:1681–1690

    PubMed  CAS  Google Scholar 

  40. Manolagas SC, Jilka RL (1995) Bone marrow, cytokines, and bone remodeling. Emerging insights into the pathophysiology of osteoporosis. N Engl J Med 332:305–311

    Article  PubMed  CAS  Google Scholar 

  41. Choi SJ, Han JH, Roodman GD (2001) ADAM8: a novel osteoclast stimulating factor. J Bone Miner Res 16:814–822

    Article  PubMed  CAS  Google Scholar 

  42. Takahashi S, Reddy SV, Chirgwin JM et al (1994) Cloning and identification of annexin II as an autocrine/paracrine factor that increases osteoclast formation and bone resorption. J Biol Chem 269:28696–28701

    PubMed  CAS  Google Scholar 

  43. Udagawa N (2002) Mechanisms involved in bone resorption. Biogerontology 3:79–83

    Article  PubMed  CAS  Google Scholar 

  44. Suda T, Takahashi N, Udagawa N et al (1999) Modulation of osteoclast differentiation and function by the new members of the tumor necrosis factor receptor and ligand families. Endocr Rev 20:345–357

    Article  PubMed  CAS  Google Scholar 

  45. Kerr JF, Wyllie AH, Currie AR (1972) Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics. Br J Cancer 26:239–257

    PubMed  CAS  Google Scholar 

  46. Wyllie AH, Kerr JF, Currie AR (1980) Cell death: the significance of apoptosis. Int Rev Cytol 68:251–306

    PubMed  CAS  Google Scholar 

  47. Koide M, Murase Y, Yamato K et al (1999) Bone morphogenetic protein-2 enhances osteoclast formation mediated by interleukin-1alpha through upregulation of osteoclast differentiation factor and cyclooxygenase-2. Biochem Biophys Res Commun 259:97–102

    Article  PubMed  CAS  Google Scholar 

  48. Suda T, Jimi E, Nakamura I et al (1997) Role of 1 alpha,25-dihydroxyvitamin D3 in osteoclast differentiation and function. Methods Enzymol 282:223–235

    PubMed  CAS  Google Scholar 

  49. Nicholson GC, Moseley JM, Sexton PM et al (1986) Abundant calcitonin receptors in isolated rat osteoclasts. Biochemical and autoradiographic characterization. J Clin Invest 78:355–360

    PubMed  CAS  Google Scholar 

  50. Hattersley G, Chambers TJ (1989) Calcitonin receptors as markers for osteoclastic differentiation: correlation between generation of bone-resorptive cells and cells that express calcitonin receptors in mouse bone marrow cultures. Endocrinology 125:1606–1612

    Article  PubMed  CAS  Google Scholar 

  51. Takada Y, Kusuda M, Hiura K et al (1992) A simple method to assess osteoclast-mediated bone resorption using unfractionated bone cells. Bone Miner 17:347–359

    Article  PubMed  CAS  Google Scholar 

  52. Massague J (1996) TGFbeta signaling: receptors, transducers, and Mad proteins. Cell 85:947–950

    Article  PubMed  CAS  Google Scholar 

  53. Derynck R, Feng XH (1997) TGF-beta receptor signaling. Biochim Biophys Acta 1333:F105–F150

    PubMed  CAS  Google Scholar 

  54. Chen D, Zhao M, Mundy G (2004) Bone Morphogenetic Proteins. Growth Factors 22:233–241

    Article  PubMed  CAS  Google Scholar 

  55. Lieberman JR, Daluiski A, Einhorn TA (2002) The role of growth factors in the repair of bone. Biology and clinical applications. J Bone Joint Surg Am 84-A:1032–1044

    PubMed  Google Scholar 

  56. Massague J, Wotton D (2000) Transcriptional control by the TGF-beta/Smad signaling system. Embo J 19:1745–1754

    Article  PubMed  CAS  Google Scholar 

  57. Granjeiro JM, Oliveira RC, Bustos-Valenzuela JC et al (2005) Bone morphogenetic proteins: from structure to clinical use. Braz J Med Biol Res 38:1463–1473

    Article  PubMed  CAS  Google Scholar 

  58. Canalis E, Economides AN, Gazzerro E (2003) Bone morphogenetic proteins, their antagonists, and the skeleton. Endocr Rev 24:218–235

    Article  PubMed  CAS  Google Scholar 

  59. Kuriyama S, Lupo G, Ohta K et al (2006) Tsukushi controls ectodermal patterning and neural crest specification in Xenopus by direct regulation of BMP4 and X-delta-1 activity. Development 133:75–88

    Article  PubMed  CAS  Google Scholar 

  60. Yanagita M (2005) BMP antagonists: their roles in development and involvement in pathophysiology. Cytokine Growth Factor Rev 16:309–317

    Article  PubMed  CAS  Google Scholar 

  61. Cunningham NS, Paralkar V, Reddi AH (1992) Osteogenin and recombinant bone morphogenetic protein 2B are chemotactic for human monocytes and stimulate transforming growth factor beta 1 mRNA expression. Proc Natl Acad Sci US`A 89:11740–11744

    Article  PubMed  CAS  Google Scholar 

  62. Hentunen TA, Cunningham NS, Vuolteenaho O et al (1994) Osteoclast recruiting activity in bone matrix. Bone Miner 25:183–198

    Article  PubMed  CAS  Google Scholar 

  63. Nakase T, Nomura S, Yoshikawa H et al (1994) Transient and localized expression of bone morphogenetic protein 4 messenger RNA during fracture healing. J Bone Miner Res 9:651–659

    Article  PubMed  CAS  Google Scholar 

  64. Hentunen TA, Lakkakorpi PT, Tuukkanen J et al (1995) Effects of recombinant human osteogenic protein-1 on the differentiation of osteoclast-like cells and bone resorption. Biochem Biophys Res Commun 209:433–443

    Article  PubMed  CAS  Google Scholar 

  65. Hodges PT, Baehner FL, Masuhara K et al (1997) Immunolocalization of bone morphogenetic protein-4 and -6 in human growth plate. Trans Orthop Res Soc 22:615

    Google Scholar 

  66. Nishimura T, Simmons DJ, Mainous EG (1997) The origin of bone formed by heterotopic periosteal autografts. J Oral Maxillofac Surg 55:1265–1268

    Article  PubMed  CAS  Google Scholar 

  67. Helder MN, Karg H, Bervoets TJ et al (1998) Bone morphogenetic protein-7 (osteogenic protein-1, OP-1) and tooth development. J Dent Res 77:545–554

    Article  PubMed  CAS  Google Scholar 

  68. Hofbauer LC, Dunstan CR, Spelsberg TC et al (1998) Osteoprotegerin production by human osteoblast lineage cells is stimulated by vitamin D, bone morphogenetic protein-2, and cytokines. Biochem Biophys Res Commun 250:776–781

    Article  PubMed  CAS  Google Scholar 

  69. Onishi T, Ishidou Y, Nagamine T et al (1998) Distinct and overlapping patterns of localization of bone morphogenetic protein (BMP) family members and a BMP type II receptor during fracture healing in rats. Bone 22:605–612

    Article  PubMed  CAS  Google Scholar 

  70. Anderson H, Hodges P, Moylan P (1999) Bone morphogenetic protein expression by cells of human and rat growth plate, metaphysis and articular cartilage. J Bone Miner Res 14(Suppl 1):S530–S539

    Google Scholar 

  71. Abe E, Yamamoto M, Taguchi Y et al (2000) Essential requirement of BMPs-2/4 for both osteoblast and osteoclast formation in murine bone marrow cultures from adult mice: antagonism by noggin. J Bone Miner Res 15:663–673

    Article  PubMed  CAS  Google Scholar 

  72. Anderson HC, Hodges PT, Aguilera XM et al (2000) Bone morphogenetic protein (BMP) localization in developing human and rat growth plate, metaphysis, epiphysis, and articular cartilage. J Histochem Cytochem 48:1493–1502

    PubMed  CAS  Google Scholar 

  73. Kaneko H, Arakawa T, Mano H et al (2000) Direct stimulation of osteoclastic bone resorption by bone morphogenetic protein (BMP)-2 and expression of BMP receptors in mature osteoclasts. Bone 27:479–486

    Article  PubMed  CAS  Google Scholar 

  74. Itoh K, Udagawa N, Katagiri T et al (2001) Bone morphogenetic protein 2 stimulates osteoclast differentiation and survival supported by receptor activator of nuclear factor-kappaB ligand. Endocrinology 142:3656–3662

    Article  PubMed  CAS  Google Scholar 

  75. Koseki T, Gao Y, Okahashi N et al (2002) Role of TGF-beta family in osteoclastogenesis induced by RANKL. Cell Signal 14:31–36

    Article  PubMed  CAS  Google Scholar 

  76. Irie K, Alpaslan C, Takahashi K et al (2003) Osteoclast differentiation in ectopic bone formation induced by recombinant human bone morphogenetic protein 2 (rhBMP-2). J Bone Miner Metab 21:363–369

    Article  PubMed  CAS  Google Scholar 

  77. Kusu N, Laurikkala J, Imanishi M et al (2003) Sclerostin is a novel secreted osteoclast-derived bone morphogenetic protein antagonist with unique ligand specificity. J Biol Chem 278:24113–24117

    Google Scholar 

  78. Mishina Y, Starbuck MW, Gentile MA et al (2004) Bone morphogenetic protein type IA receptor signaling regulates postnatal osteoblast function and bone remodeling. J Biol Chem 279:27560–27566

    Article  PubMed  CAS  Google Scholar 

  79. Saito A, Suzuki Y, Ogata S et al (2004) Prolonged ectopic calcification induced by BMP-2-derived synthetic peptide. J Biomed Mater Res A 70:115–121

    Article  PubMed  CAS  Google Scholar 

  80. Wise GE, Ding D, Yao S (2004) Regulation of secretion of osteoprotegerin in rat dental follicle cells. Eur J Oral Sci 112:439–444

    Article  PubMed  CAS  Google Scholar 

  81. Cowan CM, Aalami OO, Shi YY et al (2005) Bone morphogenetic protein 2 and retinoic acid accelerate in vivo bone formation, osteoclast recruitment, and bone turnover. Tissue Eng 11:645–658

    Article  PubMed  CAS  Google Scholar 

  82. Little DG, McDonald M, Bransford R et al (2005) Manipulation of the anabolic and catabolic responses with OP-1 and zoledronic acid in a rat critical defect model. J Bone Miner Res 20:2044–2052

    Article  PubMed  CAS  Google Scholar 

  83. Liu D, Yao S, Pan F et al (2005) Chronology and regulation of gene expression of RANKL in the rat dental follicle. Eur J Oral Sci 113:404–409

    Article  PubMed  CAS  Google Scholar 

  84. Takahashi D, Odajima T, Morita M et al (2005) Formation and resolution of ankylosis under application of recombinant human bone morphogenetic protein-2 (rhBMP-2) to class III furcation defects in cats. J Periodontal Res 40:299–305

    Article  PubMed  CAS  Google Scholar 

  85. Wildemann B, Kadow-Romacker A, Lubberstedt M et al (2005) Differences in the fusion and resorption activity of human osteoclasts after stimulation with different growth factors released from a polylactide carrier. Calcif Tissue Int 76:50–55

    Article  PubMed  CAS  Google Scholar 

  86. Feeley BT, Krenek L, Liu N et al (2006) Overexpression of noggin inhibits BMP-mediated growth of osteolytic prostate cancer lesions. Bone 38:154–166

    Article  PubMed  CAS  Google Scholar 

  87. Ghosh-Choudhury N, Singha PK, Woodruff K et al (2006) Concerted action of Smad and CREB-binding protein regulates bone morphogenetic protein-2-stimulated osteoblastic colony-stimulating factor-1 expression. J Biol Chem 281:20160–20170

    Article  PubMed  CAS  Google Scholar 

  88. Miyaji H, Sugaya T, Kato K et al (2006) Dentin resorption and cementum-like tissue formation by bone morphogenetic protein application. J Periodontal Res 41:311–315

    Article  PubMed  CAS  Google Scholar 

  89. Okamoto M, Murai J, Yoshikawa H et al (2006) Bone morphogenetic proteins in bone stimulate osteoclasts and osteoblasts during bone development. J Bone Miner Res 21:1022–1033

    Article  PubMed  CAS  Google Scholar 

  90. Wan C, He Q, Li G (2006) Osteoclastogenesis in the nonadherent cell population of human bone marrow is inhibited by rhBMP-2 alone or together with rhVEGF. J Orthop Res 24:29–36

    Article  PubMed  CAS  Google Scholar 

  91. Wutzl A, Brozek W, Lernbass I et al (2006) Bone morphogenetic proteins 5 and 6 stimulate osteoclast generation. J Biomed Mater Res A 77:75–83

    PubMed  Google Scholar 

  92. Yamamoto Y, Udagawa N, Matsuura S et al (2006) Osteoblasts provide a suitable microenvironment for the action of receptor activator of nuclear factor-kappaB ligand. Endocrinology 147:3366–3374

    Article  PubMed  CAS  Google Scholar 

  93. Ellies DL, Viviano B, McCarthy J et al (2006) Bone density ligand, Sclerostin, directly interacts with LRP5 but not LRP5G171V to modulate Wnt activity. J Bone Miner Res 21:1738–1749

    Article  PubMed  CAS  Google Scholar 

  94. Poole KE, van Bezooijen RL, Loveridge N et al (2005) Sclerostin is a delayed secreted product of osteocytes that inhibits bone formation. Faseb J 19:1842–1844

    PubMed  CAS  Google Scholar 

  95. van Bezooijen RL, Roelen BA, Visser A et al (2004) Sclerostin is an osteocyte-expressed negative regulator of bone formation, but not a classical BMP antagonist. J Exp Med 199:805–814

    Article  PubMed  CAS  Google Scholar 

  96. Laursen M, Hoy K, Hansen ES et al (1999) Recombinant bone morphogenetic protein-7 as an intracorporal bone growth stimulator in unstable thoracolumbar burst fractures in humans: preliminary results. Eur Spine J 8:485–490

    Article  PubMed  CAS  Google Scholar 

  97. Pradhan BB, Bae HW, Dawson EG et al (2006) Graft resorption with the use of bone morphogenetic protein: lessons from anterior lumbar interbody fusion using femoral ring allografts and recombinant human bone morphogenetic protein-2. Spine 31:E277–E284

    Article  PubMed  Google Scholar 

  98. Jeppsson C, Astrand J, Tagil M et al (2003) A combination of bisphosphonate and BMP additives in impacted bone allografts. Acta Orthop Scand 74:483–489

    Article  PubMed  Google Scholar 

  99. Dimitriou R, Tsiridis E, Giannoudis PV (2005) Current concepts of molecular aspects of bone healing. Injury 36:1392–1404

    Article  PubMed  Google Scholar 

  100. Poynton AR, Lane JM (2002) Safety profile for the clinical use of bone morphogenetic proteins in the spine. Spine 27:S40–S48

    Article  PubMed  Google Scholar 

  101. Hansen SM, Sasso RC (2006) Resorptive response of rhBMP2 simulating infection in an anterior lumbar interbody fusion with a femoral ring. J Spinal Disord Tech 19:130–134

    Article  PubMed  Google Scholar 

  102. Höstner J, Karrhölm J, Hultmark P (2000) Early failures after femoral revisions using milled allograft bone mixed with OP-1. Poster Presentation. In SOF 2000. pp 205–206

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Correspondence to P. V. Giannoudis.

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Note: This work is attributed to the Academic Unit, Trauma and Orthopaedic Surgery, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.

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Giannoudis, P.V., Kanakaris, N.K. & Einhorn, T.A. Interaction of bone morphogenetic proteins with cells of the osteoclast lineage: review of the existing evidence. Osteoporos Int 18, 1565–1581 (2007). https://doi.org/10.1007/s00198-007-0441-x

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