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血小板再生能力在现代医学中的应用。

Applications of the regenerative capacity of platelets in modern medicine.

作者信息

Cecerska-Heryć Elżbieta, Goszka Małgorzata, Serwin Natalia, Roszak Marta, Grygorcewicz Bartłomiej, Heryć Rafał, Dołęgowska Barbara

机构信息

Department of Laboratory Medicine, Pomeranian Medical University of Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.

Department of Laboratory Medicine, Pomeranian Medical University of Szczecin, Powstancow Wielkopolskich 72, 70-111 Szczecin, Poland.

出版信息

Cytokine Growth Factor Rev. 2022 Apr;64:84-94. doi: 10.1016/j.cytogfr.2021.11.003. Epub 2021 Dec 2.

Abstract

Platelets produce platelet growth factors such as PDGF, IGF-1, EGF-, HGF, TGFβ, bFGF, and VEGF, which are crucial in regulating all stages of the wound healing process. The source of these substances is platelet-rich plasma (PRP). Over the past five decades, the interest and use of the regenerative properties of platelets have increased significantly in many different fields of medicine around the world. PRP and PRF plate preparations are used in: 1. Dentistry (they reduce bleeding, facilitate and accelerate soft tissue healing and bone regeneration - FGF 2, IGF-1, IGF-2, TGF-β1, and PDGF); 2. Sports medicine - IGF-1, IGF-2, TGF-β, VEGF, PDGF and bFGF, EGF); 3. dermatology and cosmetology (treatment of alopecia, hair reconstruction - FGF-7, HGF, acne scars, skin rejuvenation and regeneration, treatment of chronic and poorly healing wounds, burns, and acquired vitiligo); 4. Gynecology and reproductive medicine (treatment of infertility, erectile dysfunction - PDGF-β, TGF-β, IGF-1, in sexual dysfunction - PDGF, in vaginal atrophy); 5 Ophthalmology (in the healing of corneal epithelial wounds, in the treatment of dormant corneal ulcers, dry eye syndrome and the reconstruction of the corneal surface; 6. Neurology (regeneration of neurons, pain alleviation, and clinical symptoms - TGF-β 1, IGF-1, PDGF, VEGF) and FGF). Platelet-rich plasma therapy is a very interesting alternative and complement to traditional methods of treatment. However, the potential for using platelets is still not fully understood. The composition of platelet-rich plasma depends on many factors that may affect its use's efficacy and clinical benefits. Further research is necessary to standardize PRP delivery's preparation procedures and methods for a specific disease entity or clinical case.

摘要

血小板产生血小板生长因子,如血小板衍生生长因子(PDGF)、胰岛素样生长因子-1(IGF-1)、表皮生长因子(EGF)、肝细胞生长因子(HGF)、转化生长因子β(TGFβ)、碱性成纤维细胞生长因子(bFGF)和血管内皮生长因子(VEGF),这些因子对调节伤口愈合过程的各个阶段至关重要。这些物质的来源是富血小板血浆(PRP)。在过去的五十年里,血小板再生特性在全球许多不同医学领域的关注度和应用显著增加。富血小板血浆(PRP)和富血小板纤维蛋白(PRF)制剂用于:1. 牙科(它们减少出血,促进并加速软组织愈合和骨再生——FGF 2、IGF-1、IGF-2、TGF-β1和PDGF);2. 运动医学——IGF-1、IGF-2、TGF-β、VEGF、PDGF和bFGF、EGF;3. 皮肤科和美容医学(治疗脱发、毛发重建——FGF-7、HGF、痤疮疤痕、皮肤年轻化和再生、治疗慢性和难愈合伤口、烧伤以及获得性白癜风);4. 妇科和生殖医学(治疗不孕症、勃起功能障碍——PDGF-β、TGF-β、IGF-1,治疗性功能障碍——PDGF,治疗阴道萎缩);5. 眼科(用于角膜上皮伤口愈合、治疗静止性角膜溃疡、干眼症以及角膜表面重建);6. 神经科(神经元再生、缓解疼痛以及改善临床症状——TGF-β 1、IGF-1、PDGF、VEGF)和FGF。富血小板血浆疗法是传统治疗方法非常有趣的替代和补充。然而,血小板的使用潜力仍未被完全理解。富血小板血浆的成分取决于许多因素,这些因素可能会影响其使用的疗效和临床益处。有必要进行进一步研究,以规范针对特定疾病实体或临床病例的富血小板血浆递送的制备程序和方法。

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