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一种新颖且方便的无任何添加剂的 PRP 制备和激活方法:温度控制 PRP。

A Novel and Convenient Method for the Preparation and Activation of PRP without Any Additives: Temperature Controlled PRP.

机构信息

Department of Plastic and Aesthetic Surgery, Nanfang Hospital of Southern Medical University, Guangzhou, China.

出版信息

Biomed Res Int. 2018 May 13;2018:1761865. doi: 10.1155/2018/1761865. eCollection 2018.

Abstract

Platelet rich plasma (PRP) is a concentrate of autologous platelets which contain enrichment growth factors (GFs). However, the addition of exogenous anticoagulant and procoagulant may result in clinical side effects and raise the price of PRP. Herein, we report a novel method named temperature controlled PRP (t-PRP), in which exogenous additives are dispensable in the preparation and activation process. Human blood samples were processed by a two-step centrifugation process under hypothermic conditions (4°C) to obtain t-PRP and rewarming up to 37°C to activate t-PRP. Contemporary PRP (c-PRP) was processed as the control. t-PRP showed a physiological pH value between 7.46 and 7.48 and up to 6.58 ± 0.45-fold significantly higher platelet concentration than that of whole blood compared with c-PRP (4.06-fold) in the preparation process. Meanwhile, t-PRP also maintained a stable GF level between plasma and PRP. After activation, t-PRP demonstrated natural fiber scaffolding, which trapped more platelet and GFs, and exhibited a slow release and degradation rate of GFs. In addition, t-PRP exhibited the function of promoting wound healing. t-PRP is a novel and convenient method for the preparation and activation of PRP without any additives. Compared to c-PRP, t-PRP reflects more physiologic characteristics while maintaining high quality.

摘要

富含血小板的血浆 (PRP) 是富含生长因子 (GFs) 的自体血小板浓缩物。然而,添加外源性抗凝剂和促凝剂可能会导致临床副作用,并提高 PRP 的价格。在此,我们报告了一种名为温度控制 PRP (t-PRP) 的新方法,该方法在制备和激活过程中不需要添加外源性添加剂。通过在低温 (4°C) 下进行两步离心处理,从人血样本中获得 t-PRP,并将其升温至 37°C 以激活 t-PRP。当代 PRP (c-PRP) 作为对照进行处理。与 c-PRP 相比,在制备过程中,t-PRP 的 pH 值在 7.46 至 7.48 之间,血小板浓度高达 6.58 ± 0.45 倍,显著高于全血 (4.06 倍)。同时,t-PRP 也保持了血浆和 PRP 之间稳定的 GF 水平。激活后,t-PRP 表现出天然纤维支架结构,可捕获更多的血小板和 GFs,并表现出 GF 的缓慢释放和降解速率。此外,t-PRP 还具有促进伤口愈合的功能。t-PRP 是一种新型且方便的 PRP 制备和激活方法,无需添加任何添加剂。与 c-PRP 相比,t-PRP 更能反映生理特性,同时保持高质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f12/5971324/9f4cf209a9e5/BMRI2018-1761865.001.jpg

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