Investigating the role of PDGF as a potential drug therapy in bone formation and fracture healing

Expert Opin Investig Drugs. 2009 Nov;18(11):1633-54. doi: 10.1517/13543780903241607.

Abstract

Background: Platelet-derived growth factor (PDGF) has been shown in vivo to increase bone formation and supplement fracture healing, and may have a role as a therapeutic agent in the treatment of bone loss and fracture healing in humans.

Objective: A comprehensive review of the recent literature on the effect of PDGF on bone mineral density and fracture healing.

Methods: In vitro and in vivo evidence was systematically collected using medical search engines MEDLINE/OVID (1950 to March 2008) and EMBASE (1980 to March 2008) databases.

Results/conclusion: Evidence to date suggests that PDGF-BB, and to a lesser extent PDGF-AA, may have potential therapeutic use in the treatment of osteoporosis and bone healing in humans. Additionally, by targeting alpha-receptors on osteoblasts, a potential anabolic effect on bone metabolism in humans can be anticipated; however, more research needs to be done to assess the role of beta-receptors in human bone.

Publication types

  • Review

MeSH terms

  • Animals
  • Becaplermin
  • Bone Density / drug effects
  • Drug Delivery Systems
  • Fracture Healing / drug effects*
  • Humans
  • Osteogenesis / drug effects
  • Osteoporosis / drug therapy*
  • Osteoporosis / physiopathology
  • Platelet-Derived Growth Factor / pharmacology
  • Platelet-Derived Growth Factor / therapeutic use*
  • Proto-Oncogene Proteins c-sis

Substances

  • Platelet-Derived Growth Factor
  • Proto-Oncogene Proteins c-sis
  • platelet-derived growth factor A
  • Becaplermin