Summary: Bone morphogenetic proteins have been shown to increase matrix synthesis by articular chondrocytes in short-term cultures. Members of this family of proteins have also been shown to induce endochondral ossification in vivo. The present study was performed to determine if the addition of human recombinant bone morphogenetic protein-2 to a long-term monolayer articular chondrocyte cell culture system affected the ability of the chondrocytes to divide in vitro, whether the cytokine altered expression of the articular chondrocyte phenotype and synthesis of matrix proteoglycans, and whether the cytokine was capable of inducing differentiation to a hypertrophic chondrocyte. Human recombinant bone morphogenetic protein-2 did not alter cell proliferation. It caused 3.5-6.2 times more proteoglycan synthesis by articular chondrocytes during each of the time points tested after 4 days in culture. Total proteoglycan accumulation in the extracellular matrix after 28 days in culture was 6.7 times as great in the treated cultures as in the control. Treatment with human recombinant bone morphogenetic protein-2 maintained the articular chondrocyte phenotype of cells in culture as demonstrated by Northern blot analysis: the expression of type-I collagen genes was increased and that of type-I1 collagen and aggrecan mRNA was lost in untreated chondrocyte cultures after 14-21 days in culture. In contrast, exposure to 100 ngiml human recombinant bone morphogenetic protein-2 maintained expression of type-I1 collagen and increased expression of aggrecan compared with controls during the 28-day culture period. Northern blot analysis of the expression of type-X collagen and osteocalcin by chondrocytes treated with human recombinant bone morphogenetic protein-2 showed a lack of expression of these genes, indicating no alteration in phenotype. These experiments demonstrated the ability of human recombinant bone morphogenetic protein-2 to promote the articular chondrocyte phenotype and matrix synthesis in long-term culture. Characteristics of cell growth were not affected, and the cytokine did not induce differentiation to a hypertrophic chondrocyte.
~Members of the bone morphogenetic protein (BMP) subgroup of the transforming growth factorp superfamily of proteins are believed to play important roles in embryonic development (24). They have also received attention because of their ability to affect adult tissues: BMPs induce new endochondral bone formation at ectopic (32,35) and skeletal (7,12,15) synthesized by the chondrocytes themselves. The specific biochemical and mechanical components of the matrix impart the characteristics necessary for frictionfree and painless movement of joints. The limited capacity of damaged adult articular cartilage to repair has stimulated many investigations into ways of modulating chondrocyte metabolism, some of which have involved exploration of the effect of BMPs. Osteogenin and BMP-4 have been shown to increase collagen and proteoglycan synthesis by cartilage explants and by chondrocytes in sh...