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.
Similar content being viewed by others
References
Olsen BR, Reginato AM, Wang W (2000) Bone development. Annu Rev Cell Dev Biol 16:191–220
Einhorn TA, Lee CA (2001) Bone regeneration: new findings and potential clinical applications. J Am Acad Orthop Surg 9:157–165
Boskey AL, Posner AS (1984) Bone structure, composition, and mineralization. Orthop Clin North Am 15:597–612
Yoshikawa H, Takaoka K (1994) Bone remodelling and its regulators. Nippon Rinsho 52:2262–2267
Urist MR (1965) Bone: formation by autoinduction. Science 150:893–899
Urist MR, Strates BS (1971) Bone morphogenetic protein. J Dent Res 50:1392–1406
Wozney JM, Rosen V, Celeste AJ et al (1988) Novel regulators of bone formation: molecular clones and activities. Science 242:1528–1534
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
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
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
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
Sakou T (1998) Bone morphogenetic proteins: from basic studies to clinical approaches. Bone 22:591–603
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
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
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
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
Tsumaki N, Yoshikawa H (2005) The role of bone morphogenetic proteins in endochondral bone formation. Cytokine Growth Factor Rev 16:279–285
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
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
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
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
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
Cook SD (1999) Preclinical and clinical evaluation of osteogenic protein-1 (BMP-7) in bony sites. Orthopedics 22:669–671
Kain MS, Einhorn TA (2005) Recombinant human bone morphogenetic proteins in the treatment of fractures. Foot Ankle Clin 10:639–650, viii
Meraw SJ, Reeve CM, Lohse CM et al (2000) Treatment of peri-implant defects with combination growth factor cement. J Periodontol 71:8–13
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
Einhorn TA, Trippel SB (1997) Growth factor treatment of fractures. Instr Course Lect 46:483–486
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
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
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
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
Tanaka S, Nakamura I, Inoue J et al (2003) Signal transduction pathways regulating osteoclast differentiation and function. J Bone Miner Metab 21:123–133
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
Miyamoto T, Ohneda O, Arai F et al (2001) Bifurcation of osteoclasts and dendritic cells from common progenitors. Blood 98:2544–2554
Roodman GD (2006) Regulation of osteoclast differentiation. Ann N Y Acad Sci 1068:100–109
Dougall WC, Glaccum M, Charrier K et al (1999) RANK is essential for osteoclast and lymph node development. Genes Dev 13:2412–2424
Lacey DL, Timms E, Tan HL et al (1998) Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell 93:165–176
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
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
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
Choi SJ, Han JH, Roodman GD (2001) ADAM8: a novel osteoclast stimulating factor. J Bone Miner Res 16:814–822
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
Udagawa N (2002) Mechanisms involved in bone resorption. Biogerontology 3:79–83
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
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
Wyllie AH, Kerr JF, Currie AR (1980) Cell death: the significance of apoptosis. Int Rev Cytol 68:251–306
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
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
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
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
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
Massague J (1996) TGFbeta signaling: receptors, transducers, and Mad proteins. Cell 85:947–950
Derynck R, Feng XH (1997) TGF-beta receptor signaling. Biochim Biophys Acta 1333:F105–F150
Chen D, Zhao M, Mundy G (2004) Bone Morphogenetic Proteins. Growth Factors 22:233–241
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
Massague J, Wotton D (2000) Transcriptional control by the TGF-beta/Smad signaling system. Embo J 19:1745–1754
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
Canalis E, Economides AN, Gazzerro E (2003) Bone morphogenetic proteins, their antagonists, and the skeleton. Endocr Rev 24:218–235
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
Yanagita M (2005) BMP antagonists: their roles in development and involvement in pathophysiology. Cytokine Growth Factor Rev 16:309–317
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
Hentunen TA, Cunningham NS, Vuolteenaho O et al (1994) Osteoclast recruiting activity in bone matrix. Bone Miner 25:183–198
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
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
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
Nishimura T, Simmons DJ, Mainous EG (1997) The origin of bone formed by heterotopic periosteal autografts. J Oral Maxillofac Surg 55:1265–1268
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
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
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
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
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
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
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
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
Koseki T, Gao Y, Okahashi N et al (2002) Role of TGF-beta family in osteoclastogenesis induced by RANKL. Cell Signal 14:31–36
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
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
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
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
Wise GE, Ding D, Yao S (2004) Regulation of secretion of osteoprotegerin in rat dental follicle cells. Eur J Oral Sci 112:439–444
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Dimitriou R, Tsiridis E, Giannoudis PV (2005) Current concepts of molecular aspects of bone healing. Injury 36:1392–1404
Poynton AR, Lane JM (2002) Safety profile for the clinical use of bone morphogenetic proteins in the spine. Spine 27:S40–S48
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
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
Author information
Authors and Affiliations
Corresponding author
Additional information
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.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00198-007-0441-x