Gupta Ashim, Potty Anish G, Maffulli Nicola
Regenerative Orthopaedics, Noida, India.
Future Biologics, Lawrenceville, GA, United States.
Front Pain Res (Lausanne). 2023 Jun 15;4:1216190. doi: 10.3389/fpain.2023.1216190. eCollection 2023.
Osteoarthritis (OA) induces tremendous amounts of stress and financial burden on patients and healthcare systems worldwide. Current treatments have limitations and do not address the etiopathogenetic cause of OA. Regenerative medicine may circumvent limitations posed by traditional modalities and relies on the utilization of biologics including platelet-rich plasma (PRP). Several peer-reviewed studies have documented the safety and efficacy of autologous PRP in mitigating symptoms in knee and hip OA patients. Nonetheless, only few studies investigated the safety and efficacy of allogenic PRP. This mini review summarizes the outcomes of preclinical and clinical studies using allogenic PRP for treatment of knee or hip OA. We identified 3 preclinical and 1 clinical study using allogenic PRP for treatment of knee OA, and only 1 clinical study using allogenic PRP for treatment of hip OA. Administration of allogenic PRP is safe and probably efficacious in patients with knee or hip OA. However, more pre-clinical studies and high-powered, multi-center, non-randomized and randomized controlled trials with extended follow-up are warranted to further establish the safety and efficacy of allogenic PRP to justify its clinical use.
骨关节炎(OA)给全球患者和医疗系统带来了巨大的压力和经济负担。目前的治疗方法存在局限性,无法解决OA的病因。再生医学可能会规避传统治疗方式带来的局限性,并依赖于包括富血小板血浆(PRP)在内的生物制剂的应用。多项经过同行评审的研究记录了自体PRP在减轻膝关节和髋关节OA患者症状方面的安全性和有效性。尽管如此,只有少数研究调查了异体PRP的安全性和有效性。这篇小型综述总结了使用异体PRP治疗膝关节或髋关节OA的临床前和临床研究结果。我们确定了3项使用异体PRP治疗膝关节OA的临床前研究和1项临床研究,以及仅1项使用异体PRP治疗髋关节OA的临床研究。对于膝关节或髋关节OA患者,异体PRP的应用是安全的,可能也是有效的。然而,需要更多的临床前研究以及高影响力、多中心、非随机和随机对照试验,并进行长期随访,以进一步确定异体PRP的安全性和有效性,从而证明其临床应用的合理性。