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Bone Development

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

The growth and development of bones from fetus to adult.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (592 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The growth and development of bones from fetus to adult. It includes two principal mechanisms of bone growth: growth in length of long bones at the epiphyseal cartilages and growth in thickness by depositing new bone (osteogenesis) with the actions of osteoblasts and osteoclasts.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Bone Growth.

Where it fits in the MeSH classification

Broader topics
Biomineralization
Narrower topics
Calcification, Physiologic; Maxillofacial Development; Osteogenesis

Related concepts

  • Osteogenesis
  • Osteoblasts
  • Osteoclasts

Research landscape

PubMed indexes 82,795 records tagged with the MeSH heading “Bone Development” (counts retrieved 2026-10-31). 20,143 of them (24.3%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 25,860 records.

Reviews account for 7,678 records (9.3%) and meta-analyses for 146. Randomized controlled trials number 740 (0.9%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 23,631 records; 2000-2009: 13,161 records; 2010-2019: 25,860 records; 2020 onward: 20,143 records23,631through 199913,1612000-200925,8602010-201920,1432020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199923,631
2000-200913,161
2010-201925,860
2020 onward20,143
Share of records by publication typeReviews: 9.3 percent; Meta-analyses: 0.2 percent; Randomized controlled trials: 0.9 percentReviews9.3% (7,678)Meta-analyses0.2% (146)Randomized controlled trials0.9% (740)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 82,795 PubMed records
TypeRecordsShare
Reviews7,6789.3%
Meta-analyses1460.2%
Randomized controlled trials7400.9%

Method: PubMed query "Bone Development"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Effects of Periodontal-Specific Exosomes and rhBMP2 on Osteogenic Behaviour and Differentiation of BMSCs
Ahmad P, Siddiqui DA, Bianchi-Smak J, Farshidfar N, Estrin N, Miron RJ, et al.
2026Research article
Design not recorded in structured metadata
8cc by
PMID 41606422 · DOI · PMC12852057
Sensory Nerve-Derived CGRP Controls Osteoclastogenesis by Limiting Macrophage Bioenergetics in Bone Repair
Liu J, Zhang T, Mu Y, Li L, Jin J, Dudley KJ, et al.
2026Research article
Design not recorded in structured metadata
7cc by
PMID 41764371 · DOI · PMC13067781
Atrophic Skeletal Muscle-Derived Extracellular Vesicles Transfer miR-125a-5p to Inhibit Bone Formation in Osteoporosis during Aging
Shao X, Zhang P, Fan Z, Lin J, Chen X, Liu N, et al.
2026Research article
Design not recorded in structured metadata
6cc by
PMID 41747076 · DOI · PMC13137847

Effects of Periodontal-Specific Exosomes and rhBMP2 on Osteogenic Behaviour and Differentiation of BMSCs [1]

Research article Ahmad P, Siddiqui DA, Bianchi-Smak J, Farshidfar N, Estrin N, Miron RJ, et al. · · 2026 · cited 8 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Growth factors, including recombinant human bone morphogenetic protein-2 (rhBMP2), have been clinically utilised for large bone augmentation with good outcomes.
Closing excerpt
Overall, Px significantly enhanced BMSC osteogenesis compared to rhBMP2, highlighting their potential as a cell-free nanotherapeutic in bone tissue engineering.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (200 words)

Growth factors, including recombinant human bone morphogenetic protein-2 (rhBMP2), have been clinically utilised for large bone augmentation with good outcomes. Nevertheless, long-term healing, swelling, safety concerns, and high cost limit their use. Exosomes, nanoscale extracellular vesicles, have emerged as promising regenerative alternatives. This study assessed the osteogenic potential of periodontal-specific exosomes (Px) on bone marrow mesenchymal stem cells (BMSCs) compared to rhBMP2. Px were morphologically characterised by TEM and quantified via BCA assay. BMSCs were treated with Px at 1:10, 1:50, and 1:100 dilutions (100, 20, and 10 μg/mL) and compared to rhBMP2 (100 ng/mL). Px uptake was evaluated using PKH26 labeling. Functional assays included viability, migration, alkaline phosphatase (ALP) activity, alizarin red (ARS) mineralization, collagen, osteocalcin secretion, and RT-PCR analysis of osteogenic genes. Px exhibited spheroidal to cup-shaped morphology and internalisation in BMSCs up to 18 days. Compared to rhBMP2, Px promoted viability (1.14-fold), migration (1.78-fold) up to 1.14 and 1.78-fold, ALP (1.48-, 4.11-fold), ARS (1.43-, 14.71-fold), collagen (1.40-, 3.58-fold), and osteocalcin (1.86-, 5.2-fold). Gene expression demonstrated significant upregulation of ALP (1.73-fold), RUNX2 (1.70-fold), OCN (1.36-fold), and OPN (1.35-fold). Overall, Px significantly enhanced BMSC osteogenesis compared to rhBMP2, highlighting their potential as a cell-free nanotherapeutic in bone tissue engineering.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41606422 · DOI · PMC12852057

Sensory Nerve-Derived CGRP Controls Osteoclastogenesis by Limiting Macrophage Bioenergetics in Bone Repair [2]

Research article Liu J, Zhang T, Mu Y, Li L, Jin J, Dudley KJ, et al. · · 2026 · cited 7 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Bone healing is a tightly orchestrated, multiphase process that requires coordinated interactions between immune cells and skeletal cells.
Closing excerpt
It emphasizes the potential of incorporating sensory signals into therapeutic strategies, particularly those targeting immunometabolism in bone regeneration.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (193 words)

Bone healing is a tightly orchestrated, multiphase process that requires coordinated interactions between immune cells and skeletal cells. Sensory nerves act as intrinsic effectors of the inflammatory response, whose role in osteoimmunology during healing remains poorly defined. Using a bone healing model with sensory denervation, it's shown that sensory nerves protect bone repair by suppressing excessive osteoclastogenesis. During the acute inflammatory phase, sensory nerves are upstream regulators of macrophage activation. At the molecular level, calcitonin gene-related peptide (CGRP), a sensory neuron-derived neuropeptide, is identified to modulate macrophage activation by restricting key functions such as migration, phagocytosis, and pro-inflammatory cytokine production. Importantly, CGRP rapidly constrains adenosine triphosphate (ATP) synthesis and mitochondrial respiration in activating macrophages, accompanied by downregulation of genes associated with oxidative phosphorylation and mitochondrial complex components. Following the metabolic alterations, macrophages exposed to CGRP show attenuated osteoclastogenic capacity, with decreased secretion of multiple key factors that support osteoclast differentiation and survival. Together, these findings indicate a neuro-immune-metabolic axis in bone healing, where sensory nerve-derived CGRP influences macrophage bioenergetics and thereby contributes to osteoimmunoligical regulation. It emphasizes the potential of incorporating sensory signals into therapeutic strategies, particularly those targeting immunometabolism in bone regeneration.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41764371 · DOI · PMC13067781

Atrophic Skeletal Muscle-Derived Extracellular Vesicles Transfer miR-125a-5p to Inhibit Bone Formation in Osteoporosis during Aging [3]

Research article Shao X, Zhang P, Fan Z, Lin J, Chen X, Liu N, et al. · · 2026 · cited 6 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Understanding how skeletal muscle influences bone formation is essential for uncovering the mechanisms of muscle-bone communication and developing therapies for osteoporosis.
Closing excerpt
Our findings reveal a novel endocrine pathway from muscle to bone mediated by EV-associated miRNA and highlight miR-125a-5p as a promising therapeutic target for sarcopenia-related osteoporosis.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (199 words)

Understanding how skeletal muscle influences bone formation is essential for uncovering the mechanisms of muscle-bone communication and developing therapies for osteoporosis. Here, we demonstrate that extracellular vesicles (EVs) derived from atrophic skeletal muscle (Aged-SKM-EVs) inhibit bone formation during aging. Utilizing a muscle-specific EV tracking transgenic mouse model, we found that Aged-SKM-EVs were significantly increased and taken up by osteoblasts in bone during aging. Notably, pharmacological blockade of muscle EV generation via a skeletal muscle-targeted delivery of GW4869 significantly restored osteoblast activity and alleviated bone loss in aged mice. Functional studies revealed that Aged-SKM-EVs suppressed bone formation and inhibited osteogenic differentiation both in vivo and in vitro. Mechanistically, we identified miR-125a-5p as a key cargo enriched in EVs from sarcopenic patients and aged mice. Muscle-specific overexpression of miR-125a-5p inhibited osteogenesis and exacerbated muscle atrophy and bone loss, whereas silencing miR-125a-5p in skeletal muscle effectively reversed these effects. Further investigation demonstrated that miR-125a-5p inhibits osteogenic differentiation by directly targeting Sirt7 in preosteoblasts, thereby disrupting SIRT7-mediated histone deacetylation at the Sp7 promoter and suppressing Sp7 transcription. Our findings reveal a novel endocrine pathway from muscle to bone mediated by EV-associated miRNA and highlight miR-125a-5p as a promising therapeutic target for sarcopenia-related osteoporosis.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41747076 · DOI · PMC13137847

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Mechanisms of bone development and repair [4]
    Salhotra A, Shah HN, Levi B, Longaker MT · Nat Rev Mol Cell Biol · 2020 · cited 884 times (Europe PMC)
  • Research article Wnt/β-catenin signaling components and mechanisms in bone formation, homeostasis, and disease [5]
    Hu L, Chen W, Qian A, Li YP · Bone Res · 2024 · cited 277 times (Europe PMC)
  • Research article Regulation of Osteoblast Differentiation by Cytokine Networks [6]
    Amarasekara DS, Kim S, Rho J · Int J Mol Sci · 2021 · cited 261 times (Europe PMC)
  • Research article The endothelium-bone axis in development, homeostasis and bone and joint disease [7]
    Tuckermann J, Adams RH · Nat Rev Rheumatol · 2021 · cited 206 times (Europe PMC)
  • Research article The osteocyte as a signaling cell [8]
    Delgado-Calle J, Bellido T · Physiol Rev · 2022 · cited 205 times (Europe PMC)
  • Research article Making and shaping endochondral and intramembranous bones [9]
    Galea GL, Zein MR, Allen S, Francis-West P · Dev Dyn · 2021 · cited 142 times (Europe PMC)

References

  1. Ahmad P, Siddiqui DA, Bianchi-Smak J, Farshidfar N, Estrin N, Miron RJ, et al.. Effects of Periodontal-Specific Exosomes and rhBMP2 on Osteogenic Behaviour and Differentiation of BMSCs. . 2026. PMID 41606422 · DOI · PMC12852057
  2. Liu J, Zhang T, Mu Y, Li L, Jin J, Dudley KJ, et al.. Sensory Nerve-Derived CGRP Controls Osteoclastogenesis by Limiting Macrophage Bioenergetics in Bone Repair. . 2026. PMID 41764371 · DOI · PMC13067781
  3. Shao X, Zhang P, Fan Z, Lin J, Chen X, Liu N, et al.. Atrophic Skeletal Muscle-Derived Extracellular Vesicles Transfer miR-125a-5p to Inhibit Bone Formation in Osteoporosis during Aging. . 2026. PMID 41747076 · DOI · PMC13137847
  4. Salhotra A, Shah HN, Levi B, Longaker MT. Mechanisms of bone development and repair. Nat Rev Mol Cell Biol. 2020. PMID 32901139 · DOI · PMC7699981
  5. Hu L, Chen W, Qian A, Li YP. Wnt/β-catenin signaling components and mechanisms in bone formation, homeostasis, and disease. Bone Res. 2024. PMID 38987555 · DOI · PMC11237130
  6. Amarasekara DS, Kim S, Rho J. Regulation of Osteoblast Differentiation by Cytokine Networks. Int J Mol Sci. 2021. PMID 33799644 · DOI · PMC7998677
  7. Tuckermann J, Adams RH. The endothelium-bone axis in development, homeostasis and bone and joint disease. Nat Rev Rheumatol. 2021. PMID 34480164 · DOI · PMC7612477
  8. Delgado-Calle J, Bellido T. The osteocyte as a signaling cell. Physiol Rev. 2022. PMID 34337974 · DOI · PMC8858675
  9. Galea GL, Zein MR, Allen S, Francis-West P. Making and shaping endochondral and intramembranous bones. Dev Dyn. 2021. PMID 33314394 · DOI · PMC7986209

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Evidence strength

EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

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Related research topics

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All 542 articles in Anatomy and Physiology →

At a glance

82,795
PubMed records on this heading
24%
published since 2020
7,678
review articles
740
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • ChondrogenesisAnatomy and Physiology
  • Muscle DevelopmentAnatomy and Physiology
  • Growth and DevelopmentAnatomy and Physiology
  • AmelogenesisAnatomy and Physiology
  • DiapauseAnatomy and Physiology

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