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Bone repair scaffold coated with bone morphogenetic protein-2 for bone regeneration in murine calvarial defect model: Systematic review and quality evaluation

Zeng, J. H. and Qiu, P. and Xiong, L. and Liu, S. W. and Ding, L. H. and Xiong, S. L. and Li, J. T. and Xiao, Z. B. and Zhang, T.

Int J Artif Organs (2019) 42: 325–337

DOI: 10.1177/0391398819834944

Abstract

To systematically assess the effects of hydroxyapatite bone repair scaffold coated with bone morphogenetic protein-2 on murine calvarial defect models and to determine the quality of studies according to the Animal Research Reporting in In Vivo Experiments guidelines. Internet search was performed in duplicate using PubMed, MEDLINE, Ovid and Embase databases (without restrictions on publication date). The Animal Research Reporting in In Vivo Experiments guidelines were used to evaluate the quality of selected studies. Following screening, 12 studies were eligible for the review. Studies with average quality coefficients predominated (66.67%), followed by poor (25%) and excellent (8.33%) quality coefficients. Minimum quality scores were assigned to the Animal Research Reporting in In Vivo Experiments guideline items: housing and husbandry (9), allocation (11), outcomes (12), interpretation (18) and generalizability (19). Sprague-Dawley rats were the most frequently used (50%) species, and most studies had a sample size of more than 30 (58.33%). A defect dimension of 5 mm was the most common (33.33%). The biological hydroxyapatite composite scaffold was common (50%), and the bioactive factors were bone morphogenetic protein-2 (50%) and recombinant human bone morphogenetic protein-2 (50%). Histomorphometric results showed that bone morphogenetic protein-2 enhanced the capacity to regenerate bone considerably. In addition, scaffolds with bone morphogenetic protein-2 resulted in a significant increase in the blood vessel in the new bone. The findings suggested that data on animal experiments of hydroxyapatite scaffold coated with bone morphogenetic protein-2 in murine calvarial defect models lack homogeneity. Animal experiment should follow the Animal Research Reporting in In Vivo Experiments guidelines to promote the high quality, integrity and reproducibility. This systematic review suggested that bone morphogenetic protein-2 enhanced the capacity to regenerate bone and the angiogenesis in the new bone.

Citation

Zeng, J. H., Qiu, P., Xiong, L., Liu, S. W., Ding, L. H., Xiong, S. L., Li, J. T., Xiao, Z. B., & Zhang, T. (2019). Bone repair scaffold coated with bone morphogenetic protein-2 for bone regeneration in murine calvarial defect model: Systematic review and quality evaluation. Int J Artif Organs, 42(7), 325–337. https://doi.org/10.1177/0391398819834944 Animals, Rats, Humans, Mice, Rats, Sprague-Dawley, Models, Animal, Reproducibility of Results, *Tissue Scaffolds, Recombinant Proteins, *Transforming Growth Factor beta, *Bone Morphogenetic Protein 2, *Bone Regeneration, *Durapatite, *Reconstructive Surgical Procedures, bone morphogenetic protein-2, cranial, Hydroxyapatite, osteanagenesis, Skull/*surgery

Keywords