Review Article

Ordinary and Activated Bone Grafts: Applied Classification and the Main Features

Table 1

The main factors of the local regulation of reparative osteogenesis. EPC: endothelial progenitor cells.

FactorEffect on osteogenesisEffect on angiogenesis

BMP-2, BMP-4Activation of proliferation, differentiation, synthesis of components of bone intercellular matrix, and growth factors (VEGF, bFGF, etc.) [27, 28] Biological action is decreased by impact of BMP-3 [29].Influence on EPC. Stimulation of migration, proliferation, and formation of capillary-like structures; increase of VEGF and ANG-1 receptor expression; no effect on cell differentiation and survival [30, 31].

BMP-3Suppression of differentiation; decrease of osteogenic activity [29].

BMP-6Decrease of proliferative activity of MMSCs and activation of their differentiation [32] (to a greater extent than the other BMPs [33]). Activation of EPC proliferation; organization of capillary-like structures [34].

BMP-7Activation of proliferation, differentiation, and synthesis of components of bone intercellular matrix [35].Increase of endothelial cell proliferation, production of VEGF receptors, and induction of capillary-like structure formation [36].

BMP-9Increase of bone intercellular matrix production without negative regulation by BMP-3 [37].Activation of endothelial cell proliferation, including production of angiogenic factor receptors (VEGF and ANG-1) [38].

Vascular endothelial growth factor (VEGF)Increase of proliferative activity, differentiation, and chemotaxis induction by gradient of concentration [3942].Stimulation of proliferation, differentiation, migration, formation of capillary-like structures, and inhibition of endothelial cell apoptosis [4345].

Stromal-derived factor-1 (SDF-1)Induction of cambial cell homing by concentration gradient and inhibition of differentiation [46].Activation of migration, proliferation, adhesion, and differentiation of EPCs [47].

Angiopoietins 1 and 2Activation of differentiation; intercellular contact formation of endothelial cells in vessel wall (vascular stabilization) [48, 49].

ErythropoietinStimulation of MMSC differentiation to osteoblasts and monocytes to osteoclasts, without increase of their activity [50]; increase of chondrocyte proliferation [51].Stimulation of endothelial cell proliferation [52] and NO production [53].

Basic fibroblast growth factorIncrease of proliferation and suppression of differentiation [54].Increase of proliferation and suppression of EPC differentiation [55].

Hepatocyte growth factoractivation of differentiation and synthesis of bone intercellular matrix components [56].Activation of proliferation and migration [57], inhibition of apoptosis, and decrease of endothelial permeability [58].

Insulin-like growth factor-1Increase of mechanic sensitivity of specialized cells, induction of differentiation, and synthesis of bone intercellular matrix components in response to physical exercise [59].Activation of migration, proliferation and differentiation of endothelial cells, and induction of capillary-like structure formation [60].

PDGF-AAInsignificant increase of proliferation and differentiation; chemotaxis activation (to lesser extent than when exposed to PDGF-BB) [61]; increase of IGF-1 production.

PDGF-BBActivation of cell proliferation and migration [62].Induction of pericyte migration, adhesion and incorporation to walls of forming vessels, and activation of EPC migration [63].

TGF-β1Increase of proliferative activity, decrease of differentiation, and synthesis of bone intercellular matrix components [64].Activation, migration, proliferation, and formation of capillary-like structures [65].

AngiogeninRelease of endothelial cells from vascular vessels and their activation and stimulation of migration and proliferation [66].