Kim N H, Yang K H, Lee H M, Oh S H
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1992 Mar;33(1):54-63. doi: 10.3349/ymj.1992.33.1.54.
Segmental long bone defects due to infection or trauma is a difficult problem to manage in patients. We studied the effect of porcine bone morphogenetic protein (pBMP) on healing of defects in the rabbit radius. Porcine BMP was separated and purified from the tibia and femur of pigs by repeated solubilization and precipitation of the protein with different concentrations of urea and GuHCl. The osteoinductive activity of pBMP was confirmed by bioassay using No. 615 mice. In rabbits, about a 15 mm length of radii were removed and 20 mg of pBMP was implanted in the defected area with fibrin sealant (FS), while only FS was implanted in controls. Union of the affected area was observed in 6 weeks in the experimental side. There was no definite evidence of bone bridging across the affected area in the controls. This suggests that pBMP has a bone forming activity in other species and the clinical use of pBMP in treating patients with segmental bone defects is promising.
由于感染或创伤导致的节段性长骨缺损是患者治疗中的一个难题。我们研究了猪骨形态发生蛋白(pBMP)对兔桡骨缺损愈合的影响。通过用不同浓度的尿素和盐酸胍反复溶解和沉淀蛋白质,从猪的胫骨和股骨中分离并纯化出猪BMP。使用615小鼠通过生物测定法证实了pBMP的骨诱导活性。在兔子中,切除约15毫米长的桡骨,将20毫克pBMP与纤维蛋白密封剂(FS)一起植入缺损区域,而对照组仅植入FS。实验侧在6周时观察到患区愈合。对照组没有明确的证据表明有骨桥接跨越患区。这表明pBMP在其他物种中具有骨形成活性,pBMP在治疗节段性骨缺损患者中的临床应用前景广阔。