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注射用富血小板纤维蛋白(I-PRF)在骨组织工程中的可行性及其在口腔颌面重建中的应用:从实验室到临床。

The feasibility of injectable PRF (I-PRF) for bone tissue engineering and its application in oral and maxillofacial reconstruction: From bench to chairside.

机构信息

Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Biomater Adv. 2022 Mar;134:112557. doi: 10.1016/j.msec.2021.112557. Epub 2021 Nov 24.

Abstract

Among all the biomaterials introduced in the field of bone tissue engineering, injectable platelet-rich fibrin (I-PRF) has recently gained considerable attention. I-PRF, as a rich source of biologically active molecules, is a potential candidate which can be easily obtained in bedside and constitutes several biological factors which can result in higher anti-bacterial, anti-inflammatory and regenerative capabilities. According to the studies evaluating the osteogenic efficacy of I-PRF, this biomaterial has exhibited favorable outcomes in terms of adhesion, differentiation, migration, proliferation and mineralization potential of stem cells. In addition, the injectability and ease-of-applicability of this biomaterial has led to its various clinical applications in the oral and maxillofacial bone regeneration such as ridge augmentation, sinus floor elevation, cleft palate reconstruction and so on. Furthermore, to enhance the clinical performance of I-PRF, albumin gel-PRF as a long-lasting material for long-term utilization has been recently introduced with a gradual increase in growth factor release pattern. This review provides a comprehensive approach to better evaluate the applicability of I-PRF by separately appraising its performance in in-vitro, in-vivo and clinical situations. The critical approach of this review toward the different production protocols and different physical and biological aspects of I-PRF can pave the way for future studies to better assess the efficacy of I-PRF in bone regeneration.

摘要

在骨组织工程领域引入的所有生物材料中,可注射富血小板纤维蛋白(I-PRF)最近受到了相当大的关注。I-PRF 作为生物活性分子的丰富来源,是一种潜在的候选物,可在床边轻松获得,并构成了几种生物因素,从而具有更高的抗菌、抗炎和再生能力。根据评估 I-PRF 成骨效果的研究,这种生物材料在干细胞的黏附、分化、迁移、增殖和矿化潜力方面表现出了良好的效果。此外,由于这种生物材料具有可注射性和易于应用的特点,它已在口腔颌面骨再生的各种临床应用中得到了广泛应用,如牙槽嵴增高、鼻窦底提升、腭裂重建等。此外,为了提高 I-PRF 的临床性能,最近引入了白蛋白凝胶-PRF 作为一种长效材料,可用于长期应用,并具有逐渐增加的生长因子释放模式。本综述通过分别评估 I-PRF 在体外、体内和临床情况下的性能,提供了一种全面的方法来更好地评估其适用性。本综述对不同生产方案和 I-PRF 的不同物理和生物学方面的批判性方法,为未来的研究铺平了道路,以更好地评估 I-PRF 在骨再生中的疗效。

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