Intervertebral disc (IVD) degeneration is the leading trigger of low back pain, which causes disability and leads to enormous healthcare toll worldwide. Biological treatment with growth factors has evolved as potential therapy for IVD regeneration. Bone morphogenetic protein 2 (BMP-2) and BMP-7 have shown promise in this regard. In the current study, we evaluated the effect of BMP-2/7 heterodimer for disc regeneration both in vitro and in organ culture. Nucleus pulposus (NP) cells isolated from bovine caudal disc were cultured in a fibrin-hyaluronan (FBG-HA) hydrogel for up to 14 days. BMP-2/7 heterodimer covalently incorporated within the hydrogel up-regulated the aggrecan and type II collagen gene expression, and glycosaminoglycan synthesis of NP cells. The activity of the BMP-2/7 heterodimer was dose dependent. The higher dose of BMP-2/7 was further assessed in an IVD whole organ system. After 14 days of culture with cyclic dynamic load, the BMP-2/7 heterodimer delivered into the nucleotomized region showed potential to stimulate the gene expression and synthesis of proteoglycan in the remaining NP tissue after partial nucleotomy. The gene expression level of type I collagen and alkaline phosphatase in the native disc tissue were not affected by BMP-2/7 treatment, indicating no adverse fibroblastic or osteogenic effect on the disc tissue. Intradiscal delivery of BMP-2/7 heterodimer may be a promising therapeutic approach for NP regeneration. The current IVD whole organ partial nucleotomy model may be utilized for screening of other biomaterials or drugs to treat early degenerative disc disorders. Keywords: BMP-2/7 heterodimer; nucleus pulposus regeneration; intervertebral disc; whole organ cultureThe intervertebral disc (IVD) is composed of the central gel-like nucleus pulposus (NP), the surrounding annulus fibrosus (AF), and the cartilaginous endplates that anchor the discs to the adjacent vertebrae. 1 The main functions of the IVD are to provide flexibility to the spine, and to transmit mechanical loads. Low back pain caused by IVD degeneration is the leading cause of disability worldwide. 2 Biological approaches for treatment of IVD degeneration have recently evolved, including the use of recombinant or natural proteins that can lead to the restoration of the disc. 3,4 Bone morphogenetic proteins (BMPs) are involved in a variety of developmental processes, including bone, cartilage and IVD formation. 5,6 In particular, BMP-2 and BMP-7 have been investigated in musculoskeletal research and have demonstrated promising potential for IVD regeneration. BMP-2 can up-regulate the gene expression and protein synthesis of extracellular matrix components in rabbit 7 and human NP cells 8,9 cultured in vitro. In a rabbit in vivo study, treatment with adeno-associated viral vector carrying the gene for BMP-2 delayed the degeneration process in annulotomized discs. 10 BMP-7 was found to stimulate matrix synthesis in NP and AF cells from rabbit 11,12 and human 13 origin. It also inhibited cellular apoptosis, in...