Universidad de León, Faculty of Health Sciences, SALBIS Research Group, Nursing Department - León, Spain.
Universidad Complutense de Madrid, School of Nursing, Physiotherapy and Podiatry, Nursing Department - Madrid, Spain.
Rev Assoc Med Bras (1992). 2021 Apr;67(4):536-541. doi: 10.1590/1806-9282.20200989.
Clinical studies claim that platelet-rich plasma (PRP) accelerates tissue healing due to its high concentration of growth factors and that the combination with leukocytes improves the antimicrobial effect of the concentrate. Most of these studies obtained PRP using different separation systems, and few analyzed the content of the PRP used for treatment. This study characterized the composition of PRP and white blood cells (WBC) from a single donor produced by three commercially available PRP separation systems and two anticoagulated general analytical tubes.
Five patients donated 50 mL of blood, which was processed to produce PRP and WBC using three PRP concentration systems (i.e., Easy PRP Kit, GloPRP, and Wego) and two tubes for general analysis anticoagulated with ethylenediaminetetraacetic acid (EDTA) and citrate. Platelets and WBC in combination with their concentrates were analyzed by automated systems in a clinical laboratory.
There were no significant differences in the average concentrations of PRP platelets and WBC between GloPRP and the tubes for general analysis with EDTA and citrate; however, the Easy PRP Kit gave results much superior to the rest of the methods, especially comparing it with the Wego Kit, whose concentrates were especially low, even nonexistent for WBC.
The Easy PRP Kit concentrates WBC-rich PRP, resulting in increased WBC concentrations, compared with low WBC-low PRP of GloPRP and general tube methods for EDTA and citrate analysis and the even lower concentration of PRP from the Wego Kit, with the absence of leukocytes.
临床研究声称,富血小板血浆(PRP)由于其高浓度的生长因子而加速组织愈合,并且与白细胞结合可提高浓缩物的抗菌效果。这些研究大多使用不同的分离系统获得 PRP,很少分析用于治疗的 PRP 的含量。本研究对来自三个市售 PRP 分离系统和两个抗凝普通分析管的单个供体的 PRP 和白细胞(WBC)的组成进行了特征描述。
五位患者捐献了 50 毫升血液,使用三种 PRP 浓度系统(即 Easy PRP 试剂盒、GloPRP 和 Wego)和两个抗凝 EDTA 和柠檬酸盐的普通分析管,对其进行处理以产生 PRP 和 WBC。通过临床实验室的自动系统分析血小板和 WBC 及其浓缩物。
GloPRP 与 EDTA 和柠檬酸盐的普通分析管之间的 PRP 血小板和 WBC 的平均浓度没有显着差异;然而,Easy PRP 试剂盒的结果明显优于其余方法,尤其是与 Wego 试剂盒相比,后者的浓缩物特别低,甚至不存在 WBC。
Easy PRP 试剂盒浓缩富含 WBC 的 PRP,与 GloPRP 的低 WBC-低 PRP 和 EDTA 分析的普通管方法以及 Wego 试剂盒的 PRP 浓度更低相比,WBC 浓度更高,后者甚至没有白细胞。