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血库血小板浓缩物在加速糖尿病溃疡伤口愈合方面的潜在用途。

Potential use of blood bank platelet concentrates to accelerate wound healing of diabetic ulcers.

作者信息

Han Seung-Kyu, Kim Deok-Woo, Jeong Seong-Ho, Hong Yong-Taek, Woo Hong-Suh, Kim Woo-Kyung, Gottrup Finn

机构信息

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea.

出版信息

Ann Plast Surg. 2007 Nov;59(5):532-7. doi: 10.1097/01.sap.0000258983.25728.0b.

Abstract

Many clinical trials have shown the effectiveness of platelet releasates on diabetic wound healing, but large volumes of blood must be aspirated from patients and a platelet separator is required. This study was undertaken to investigate the potential of blood bank platelet concentrate (BBPC) for accelerating diabetic wound healing. Platelet-derived growth factor-BB (PDGF-BB) contents in BBPC were determined by enzyme-linked immunosorbent assay in vitro, and the in vivo study involved comparing extents of wound healing in BBPC-treated and control groups using diabetic mouse wound models. In the in vitro study, 5.2 +/- 1.2 pg of PDGF-BB was found to be released by 1 million platelets in fresh BBPC, and adding thrombin to BBPC significantly increased the levels of PDGF-BB released. Our in vivo study in diabetic mice revealed that BBPC treatment greatly accelerated wound healing. Our results suggest that BBPC has potential to accelerate the healing of diabetic ulcers.

摘要

许多临床试验已表明血小板释放物对糖尿病伤口愈合有效,但必须从患者体内抽取大量血液,且需要血小板分离器。本研究旨在探讨血库血小板浓缩物(BBPC)促进糖尿病伤口愈合的潜力。体外通过酶联免疫吸附测定法测定BBPC中血小板衍生生长因子-BB(PDGF-BB)的含量,体内研究则使用糖尿病小鼠伤口模型比较BBPC治疗组和对照组的伤口愈合程度。在体外研究中,发现新鲜BBPC中每100万个血小板释放5.2±1.2 pg的PDGF-BB,向BBPC中添加凝血酶可显著提高PDGF-BB的释放水平。我们对糖尿病小鼠的体内研究表明,BBPC治疗可大大加速伤口愈合。我们的结果表明,BBPC有加速糖尿病溃疡愈合的潜力。

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