Chinese People's Liberation Army (PLA) General Hospital, Chinese PLA Medical School, No. 28 Fuxing Road, Haidian District, Beijing, 100853, China; Beijing Institute of Radiation Medicine, No. 27 Taiping Road, Haidian District, Beijing, 100850, China.
Chinese People's Liberation Army (PLA) General Hospital, Chinese PLA Medical School, No. 28 Fuxing Road, Haidian District, Beijing, 100853, China.
Biochem Biophys Res Commun. 2023 Sep 10;672:185-192. doi: 10.1016/j.bbrc.2023.05.123. Epub 2023 Jun 10.
Abnormal function of injured muscle with innervation loss is a challenge in sports medicine. The difficulty of rehabilitation is regenerating and reconstructing the skeletal muscle tissue and the neuromuscular junction (NMJ). Platelet-rich plasma (PRP) releases various growth factors that may provide an appropriate niche for tissue regeneration. However, the specific mechanism of the PRP's efficacy on muscle healing remains unknown. In this study, we injected PRP with different concentration gradients (800, 1200, 1600 × 10 pl/L) or saline into a rat gastrocnemius laceration model. The results of histopathology and neuromyography show that PRP improved myofibers regeneration, facilitated electrophysiological recovery, and reduced fibrosis in a concentration-dependent manner. Furthermore, we found that PRP promotes the activity of satellite cells by upregulating the expression of the myogenic regulatory factor (MyoD, myogenin). Meanwhile, PRP promotes the regeneration and maturation of acetylcholine receptor (AChR) clusters of the Neuromuscular junction (NMJ) on the regenerative myofibers. Finally, we found that the expression of the Agrin, LRP4, and MuSK was upregulated in the PRP-treated groups, which may contribute to AChR cluster regeneration and functional recovery. The conclusions proposed a hypothesis for PRP treatment's efficacy and mechanism in muscle injuries, indicating promising application prospects.
失神经损伤肌肉的异常功能是运动医学面临的挑战。康复的难点在于再生和重建骨骼肌组织和神经肌肉接头(NMJ)。富含血小板的血浆(PRP)释放各种生长因子,可为组织再生提供合适的微环境。然而,PRP 对肌肉愈合疗效的确切机制尚不清楚。在这项研究中,我们将不同浓度梯度(800、1200、1600×10 pl/L)的 PRP 或生理盐水注入大鼠比目鱼肌撕裂模型。组织病理学和肌电图的结果表明,PRP 以浓度依赖的方式改善肌纤维再生,促进电生理恢复,并减少纤维化。此外,我们发现 PRP 通过上调肌源性调节因子(MyoD、myogenin)的表达促进卫星细胞的活性。同时,PRP 促进再生肌纤维上神经肌肉接头(NMJ)乙酰胆碱受体(AChR)簇的再生和成熟。最后,我们发现 Agrin、LRP4 和 MuSK 的表达在 PRP 处理组中上调,这可能有助于 AChR 簇的再生和功能恢复。该结论提出了 PRP 治疗肌肉损伤的疗效和机制假说,表明其具有广阔的应用前景。