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富血小板血浆(PRP)对大鼠跟腱愈合的影响。

Effects of platelet-rich plasma (PRP) on the healing of Achilles tendons of rats.

机构信息

Physical Medicine Service, Department of Motility Sciences, University Hospital of Liège, University of Liège, Liège, Belgium.

出版信息

Wound Repair Regen. 2012 Sep-Oct;20(5):748-56. doi: 10.1111/j.1524-475X.2012.00826.x. Epub 2012 Aug 10.

Abstract

Platelet-rich plasma (PRP) contains growth factors involved in the tissular healing process. The aim of the study was to determine if an injection of PRP could improve the healing of sectioned Achilles tendons of rats. After surgery, rats received an injection of PRP (n = 60) or a physiological solution (n = 60) in situ. After 5, 15, and 30 days, 20 rats of both groups were euthanized and 15 collected tendons were submitted to a biomechanical test using cryo-jaws before performing transcriptomic analyses. Histological and biochemical analyses were performed on the five remaining tendons in each group. Tendons in the PRP group were more resistant to rupture at 15 and 30 days. The mechanical stress was significantly increased in tendons of the PRP group at day 30. Histological analysis showed a precocious deposition of fibrillar collagen at day 5 confirmed by a biochemical measurement. The expression of tenomodulin was significantly higher at day 5. The messenger RNA levels of type III collagen, matrix metalloproteinases 2, 3, and 9, were similar in the two groups at all time points, whereas type I collagen was significantly increased at day 30 in the PRP group. In conclusion, an injection of PRP in sectioned rat Achilles tendon influences the early phase of tendon healing and results in an ultimately stronger mechanical resistance.

摘要

富含血小板的血浆 (PRP) 含有参与组织愈合过程的生长因子。本研究旨在确定 PRP 注射是否可以改善大鼠切断的跟腱的愈合。手术后,大鼠在原位接受 PRP(n=60)或生理溶液(n=60)注射。第 5、15 和 30 天,每组 20 只大鼠被安乐死,15 只收集的肌腱在进行转录组分析之前使用冷冻夹具进行生物力学测试。对每组的五个剩余肌腱进行组织学和生化分析。第 15 天和第 30 天,PRP 组的肌腱更能抵抗破裂。第 30 天,PRP 组肌腱的机械应力显著增加。组织学分析显示第 5 天纤维状胶原的早期沉积,这通过生化测量得到证实。第 5 天腱调蛋白的表达明显更高。在所有时间点,两组的 III 型胶原、基质金属蛋白酶 2、3 和 9 的信使 RNA 水平相似,而 PRP 组的 I 型胶原在第 30 天显著增加。总之,PRP 注射到切断的大鼠跟腱中会影响肌腱愈合的早期阶段,并导致最终更强的机械阻力。

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