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在自然发生的犬骨关节炎模型中单次关节内注射自体血小板疗法的应用报告——一项初步研究。

A report on the use of a single intra-articular administration of autologous platelet therapy in a naturally occurring canine osteoarthritis model - a preliminary study.

作者信息

Alves J C, Santos A, Jorge P, Lavrador C, Carreira L Miguel

机构信息

Divisão de Medicina Veterinária, Guarda Nacional Republicana (GNR), Rua Presidente Arriaga, 9, 1200-771, Lisbon, Portugal.

MED - Mediterranean Institute for Agriculture, Environment and Development, Instituto de Investigação e Formação Avançada, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554, Évora, Portugal.

出版信息

BMC Musculoskelet Disord. 2020 Feb 27;21(1):127. doi: 10.1186/s12891-020-3140-9.


DOI:10.1186/s12891-020-3140-9
PMID:32106842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7047415/
Abstract

BACKGROUND: Osteoarthritis (OA) represents a significant burden to societies, as it affects quality of life, performance and poses a large healthcare cost. We aimed to describe the use of a single intra-articular (IA) injection of an autologous platelet therapy in the management of osteoarthritis (OA) in a naturally occurring canine model. METHODS: Fifteen police working dogs with bilateral hip OA were treated with 3 ml of platelet concentrate per hip joint, produced with the V-PET kit. Response to treatment was measured by the Canine Brief Pain Inventory (CBPI, divided in pain interference score - PIS, and Pain Severity Score - PSS), Liverpool Osteoarthritis in Dogs (LOAD), Canine Orthopedic Index (COI, divided in four dimensions: function, gait, stiffness and quality of life - QOL) and the Hudson Visual Analogue Scale (HVAS). Seven different time points were considered: T0 (before treatment), T1 (after 15 days), T2, T3, T4, T5 and T6 (after 1, 2, 3, 4 and 5 months respectively). Results from each evaluation moment were compared with T0 with a Paired Samples T-Test, and a p < 0.05 was set. RESULTS: Significant differences were observed at T1 (p < 0.01 for HVAS, PSS, COI, Gait and QOL; p = 0.01 for PIS; p = 0.02 for Function; and p < 0.05 for Stiffness), T2 (p < 0.01 for PSS, PIS and Gait; p = 0.01 for COI; p = 0.02 for HVAS, Function and QOL; and p = 0.04 for Stiffness), T3 (p < 0.01 for HVAS, PSS, PIS, Function and Gait; p = 0.01 for COI; and p = 0.02 for QOL), T4 (p < 0.01 for PSS; p = 0.03 for PIS and Gait), T5 (p < 0.01 for COI, Function and Gait; p = 0.03 for PSS, PIS and Stiffness), T6 (p < 0.01 for PSS, Function and Gait; p = 0.04 for PIS; p < 0.05 for COI) and T7 (p < 0.01 for PSS, Function and Gait; p = 0.01 for COI; and p < 0.05 for PIS). CONCLUSIONS: Autologous platelet therapy was used without apparent harm in the subjects. A single administration produced significant improvements, which lasted several months, and therefore warrants further study.

摘要

背景:骨关节炎(OA)给社会带来了沉重负担,因为它会影响生活质量、身体机能,并产生高昂的医疗费用。我们旨在描述在自然发生的犬类模型中,单次关节内(IA)注射自体血小板疗法在骨关节炎(OA)治疗中的应用。 方法:15只患有双侧髋关节OA的警犬,每只髋关节注射3毫升用V-PET试剂盒制备的血小板浓缩液。通过犬类简短疼痛量表(CBPI,分为疼痛干扰评分 - PIS和疼痛严重程度评分 - PSS)、犬类利物浦骨关节炎量表(LOAD)、犬类骨科指数(COI,分为四个维度:功能、步态、僵硬程度和生活质量 - QOL)以及哈德逊视觉模拟量表(HVAS)来衡量治疗反应。考虑了七个不同的时间点:T0(治疗前)、T1(15天后)、T2、T3、T4、T5和T6(分别在1、2、3、4和5个月后)。每个评估时刻的结果与T0进行配对样本t检验,设定p < 0.05。 结果:在T1(HVAS、PSS、COI、步态和QOL的p < 0.01;PIS的p = 0.01;功能的p = 0.02;僵硬程度的p < 0.05)、T2(PSS、PIS和步态的p < 0.01;COI的p = 0.01;HVAS、功能和QOL的p = 0.02;僵硬程度的p = 0.04)、T3(HVAS、PSS、PIS、功能和步态的p < 0.01;COI的p = 0.01;QOL的p = 0.02)、T4(PSS的p < 0.01;PIS和步态的p = 0.03)、T5(COI、功能和步态的p < 0.01;PSS、PIS和僵硬程度的p = 0.03)、T6(PSS、功能和步态的p < 0.01;PIS的p = 0.04;COI的p < 0.05)和T7(PSS、功能和步态的p < 0.01;COI的p = 0.01;PIS的p < 0.05)观察到显著差异。 结论:自体血小板疗法在受试对象中使用未发现明显危害。单次给药产生了显著改善,且持续数月,因此值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b56/7047415/5441f1e07036/12891_2020_3140_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b56/7047415/83ec828e0a07/12891_2020_3140_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b56/7047415/5441f1e07036/12891_2020_3140_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b56/7047415/83ec828e0a07/12891_2020_3140_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b56/7047415/5441f1e07036/12891_2020_3140_Fig2_HTML.jpg

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[6]
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[7]
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[9]
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[10]
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本文引用的文献

[1]
Survey of Handlers of 158 Police Dogs in New Zealand: Functional Assessment and Canine Orthopedic Index.

Front Vet Sci. 2019-4-16

[2]
Spontaneous dog osteoarthritis - a One Medicine vision.

Nat Rev Rheumatol. 2019-5

[3]
Can Plasma Rich in Growth Factors Be Safe for Parental Use? A Safety Study in the Canine Model.

Int J Mol Sci. 2018-9-11

[4]
Effect of leukocyte-reduced platelet-rich plasma on osteoarthritis caused by cranial cruciate ligament rupture: A canine gait analysis model.

PLoS One. 2018-3-19

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Effect of an Oral Joint Supplement When Compared to Carprofen in the Management of Hip Osteoarthritis in Working Dogs.

Top Companion Anim Med. 2017-12

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Spontaneous painful disease in companion animals can facilitate the development of chronic pain therapies for humans.

Osteoarthritis Cartilage. 2017-11-24

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Effects of administration of adipose-derived stromal vascular fraction and platelet-rich plasma to dogs with osteoarthritis of the hip joints.

Am J Vet Res. 2016-9

[8]
Evaluation of Clinical Metrology Instrument in Dogs with Osteoarthritis.

J Vet Intern Med. 2016-5

[9]
Multiple injections of leukoreduced platelet rich plasma reduce pain and functional impairment in a canine model of ACL and meniscal deficiency.

J Orthop Res. 2016-4

[10]
Does platelet-rich plasma have a role in the treatment of osteoarthritis?

Joint Bone Spine. 2016-1

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