J Sports Sci Med. 2012 Sep 1;11(3):551-6. eCollection 2012.
Platelet-rich plasma (PRP) has been employed to treat sports injuries to possibly accelerate healing and regeneration. This method offers some potential, especially for athletes. Growth factors are generally prohibited by the World Anti Doping Agency with exception to PRP which may induce adverse effects. The aim of this study was to evaluate any systemic increase of growth factors such as Insulin Like Growth Factor-1, Endothelial Growth Factors, Platelet-Derived Growth Factors, Fibroblast Growth Factors, Vascular-Endothelial Growth Factor and Transforming Growth Factors after local intramuscular administration of PRP in young, healthy male subjects keeping in mind adverse treatment effects. Enriched plasma from centrifuged blood samples was injected into the gluteus muscle. Venous blood was collected and serum prepared before as well as 0.5, 3 and 24 hours after PRP administration. Growth factors were analyzed using ELISA test kits. No significant systemic increase of growth factor levels was found after PRP injection except TGF-β2. For that reason the PRP method may be applied for muscle injury treatment in elite athletes although further studies are necessary to clarify the response to the unspecific increased TGF-β2 blood levels, which could increase the risk for local fibrosis. Key pointsMuscle injuryAutologous conditioned plasmaSystemic circulating growth factorsDoping.
富血小板血浆(PRP)已被用于治疗运动损伤,以加速愈合和再生。这种方法具有一定的潜力,特别是对运动员而言。生长因子通常被世界反兴奋剂机构禁止,但 PRP 除外,因为它可能会引起不良反应。本研究的目的是评估在年轻健康男性受试者中,局部肌肉内注射 PRP 后,胰岛素样生长因子-1、内皮生长因子、血小板衍生生长因子、成纤维细胞生长因子、血管内皮生长因子和转化生长因子等生长因子是否会全身性增加,并注意治疗的不良反应。从离心的血液样本中提取富含血浆,然后将其注入臀肌。在 PRP 给药前、给药后 0.5、3 和 24 小时采集静脉血并制备血清。使用 ELISA 试剂盒分析生长因子。除 TGF-β2 外,PRP 注射后生长因子水平无明显全身性增加。因此,尽管需要进一步研究来阐明对非特异性 TGF-β2 血液水平升高的反应,但 PRP 方法可用于精英运动员的肌肉损伤治疗,因为这可能会增加局部纤维化的风险。
关键点:肌肉损伤;自体条件血浆;全身循环生长因子;兴奋剂。
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