The risk of tumor with the use of recombinant human bone morphogenetic proteins

Introduction Bone morphogenetic proteins (BMPs) are members of a large family of growth factors known as the transforming growth factor-β (TGF-β) superfamily. BMPs are known for their ability to induce bone formation and successfully used in orthopaedic and neurosurgical applications. Various prot...

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Main Authors: Ural F. Mukhametov, Sergey V. Lyulin, Dmitry Yu. Borzunov, Rinat A. Sufianov, Ilgiz F. Gareev
Format: Article
Language:English
Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2022-08-01
Series:Гений oртопедии
Subjects:
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author Ural F. Mukhametov
Sergey V. Lyulin
Dmitry Yu. Borzunov
Rinat A. Sufianov
Ilgiz F. Gareev
author_facet Ural F. Mukhametov
Sergey V. Lyulin
Dmitry Yu. Borzunov
Rinat A. Sufianov
Ilgiz F. Gareev
author_sort Ural F. Mukhametov
collection DOAJ
description Introduction Bone morphogenetic proteins (BMPs) are members of a large family of growth factors known as the transforming growth factor-β (TGF-β) superfamily. BMPs are known for their ability to induce bone formation and successfully used in orthopaedic and neurosurgical applications. Various proteins, such as BMP-2, 4, 7, have been reported to have osteoinductive abilities. Recombinant human bone morphogenetic protein-2 (rhBMP-2) and recombinant human bone morphogenetic protein-7 (rhBMP-7) are widely used for surgical correction of bone defects and spinal fusions. In addition to the effect on bone formation, BMPs also play a role in cell lineage determination, differentiation, proliferation and apoptosis, and BMP receptors are present in many cell types including tumor cells. A large number of studies in vitro and in vivo have examined the role of BMPs as stimulating oncogenesis and metastasis. Therefore, there are some concerns about the use of rhBMPs in clinical practice. Objective In the present study, we aimed to investigate the causal relationship between the use of rhBMPs and oncogenesis by presenting the results of some preclinical and clinical studies. Material and methods For a comprehensive search, we used the following databases: PubMed, Embase, the Cochrane Database and Google Scholar to identifying studies that described a causal relationship between therapeutic use of rhBMPs and oncogenesis. Results The paper represents the findings on the role and identification of molecular mechanisms of BMP involvement in oncogenesis. In addition to that, the studies reporting a risk of oncological diseases with the use of rhBMPs in both preclinical and clinical studies were also analyzed. Conclusion There is a need for further clinical trials in a wide population over a longer timeframe.
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spelling doaj.art-e3aee1b9a2604ad9b180d17f86a5209e2022-12-22T02:34:34ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2022-08-0128459259810.18019/1028-4427-2022-28-4-592-598The risk of tumor with the use of recombinant human bone morphogenetic proteinsUral F. Mukhametov0https://orcid.org/0000-0003-3694-3302Sergey V. Lyulin1https://orcid.org/0000-0002-2549-1059Dmitry Yu. Borzunov2https://orcid.org/0000-0003-3720-5467Rinat A. Sufianov3https://orcid.org/0000-0003-4031-0540Ilgiz F. Gareev4https://orcid.org/0000-0002-4965-0835Republican Clinical Hospital. G.G. Kuvatova, Russia, Ufa, Russian FederationMedical Center Carmel", Chelyabinsk, Russian FederationUral State Medical University, Ekaterinburg, Russian FederationSechenov First Moscow State Medical University Moscow, Russian FederationBashkir State Medical University, Ufa, Russian FederationIntroduction Bone morphogenetic proteins (BMPs) are members of a large family of growth factors known as the transforming growth factor-β (TGF-β) superfamily. BMPs are known for their ability to induce bone formation and successfully used in orthopaedic and neurosurgical applications. Various proteins, such as BMP-2, 4, 7, have been reported to have osteoinductive abilities. Recombinant human bone morphogenetic protein-2 (rhBMP-2) and recombinant human bone morphogenetic protein-7 (rhBMP-7) are widely used for surgical correction of bone defects and spinal fusions. In addition to the effect on bone formation, BMPs also play a role in cell lineage determination, differentiation, proliferation and apoptosis, and BMP receptors are present in many cell types including tumor cells. A large number of studies in vitro and in vivo have examined the role of BMPs as stimulating oncogenesis and metastasis. Therefore, there are some concerns about the use of rhBMPs in clinical practice. Objective In the present study, we aimed to investigate the causal relationship between the use of rhBMPs and oncogenesis by presenting the results of some preclinical and clinical studies. Material and methods For a comprehensive search, we used the following databases: PubMed, Embase, the Cochrane Database and Google Scholar to identifying studies that described a causal relationship between therapeutic use of rhBMPs and oncogenesis. Results The paper represents the findings on the role and identification of molecular mechanisms of BMP involvement in oncogenesis. In addition to that, the studies reporting a risk of oncological diseases with the use of rhBMPs in both preclinical and clinical studies were also analyzed. Conclusion There is a need for further clinical trials in a wide population over a longer timeframe.bone morphogenetic proteinsrecombinant human bone morphogenetic proteinsoncogenesiscomplicationtherapy
spellingShingle Ural F. Mukhametov
Sergey V. Lyulin
Dmitry Yu. Borzunov
Rinat A. Sufianov
Ilgiz F. Gareev
The risk of tumor with the use of recombinant human bone morphogenetic proteins
Гений oртопедии
bone morphogenetic proteins
recombinant human bone morphogenetic proteins
oncogenesis
complication
therapy
title The risk of tumor with the use of recombinant human bone morphogenetic proteins
title_full The risk of tumor with the use of recombinant human bone morphogenetic proteins
title_fullStr The risk of tumor with the use of recombinant human bone morphogenetic proteins
title_full_unstemmed The risk of tumor with the use of recombinant human bone morphogenetic proteins
title_short The risk of tumor with the use of recombinant human bone morphogenetic proteins
title_sort risk of tumor with the use of recombinant human bone morphogenetic proteins
topic bone morphogenetic proteins
recombinant human bone morphogenetic proteins
oncogenesis
complication
therapy
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