I have read many articles regarding osteogenic-induced differentiation of bioactive materials (HA, TCP, Bioactive Glass), and I have observed that when the test is performed through indirect contact, using conditioned medium, usually there is a P precipitation after the incubation, which is related to the addition of the material. In this way, is the indirect contact in vitro test a test unable to properly evaluate the the effects of the ionic dissolution products derived from the bioceramic, as long as the concentration of P has not been properly taken into consideration? Or does this test just show that the P helps in the mineralization of the extracellular matrix process through precipitating on the cell surface, and mostly of the other cellular phenomena are controlled by other ions?
Note: Usually the P concentration significantly varies.
Note 2: Usually, the authors associate the results with Ca variation, and Ca signaling pathways, which usually does not precipitate, or precipitates less than P (in terms of relative percentage).