Goodale Margaret B, Phelps Holly A, Barnhard Jennifer A, Shoben Abigail B, Brunke Matthew W
1Veterinary Surgical Centers, Vienna, VA.
2Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH.
J Am Vet Med Assoc. 2023 Aug 4;261(11):1-6. doi: 10.2460/javma.23.04.0218. Print 2023 Nov 1.
To evaluate the effect of variable centrifugation protocols on the cellular composition of the final product of a canine autologous conditioned plasma double-syringe system.
30 client-owned healthy adult medium- to large-breed (17- to 45-kg) dogs.
35 mL of anticoagulated whole blood from each subject was aliquoted into 3 samples: a baseline and 2 double syringes. The syringes were processed for platelet-rich plasma (PRP). Each double syringe was randomly assigned to 1 of 5 groups, which varied in centrifugation settings between 580 and 1,304 X g and 5 and 10 minutes. CBC analysis was performed on each of the samples to determine cellular composition. A mixed-effect linear model was fit to the data.
60 PRP samples and 30 whole blood samples were analyzed. Manufacturer settings generated a platelet fold change > 1 but did not increase concentration to the extent expected. When comparing speed alone, increased centrifugation force was associated with lower platelet fold change. When comparing time alone, increased centrifugation time was also associated with lower platelet fold change and lower leukocyte concentration.
Autologous conditioned plasma double syringes require a low volume of initial whole blood, making them preferable for canine PRP in clinical settings. This study aimed to evaluate the effect of the centrifugation protocol on the final product cellular composition in dogs and add to the available data on protocols to maximize platelet yield in PRP. Due to inherent individual variability, this study emphasized the importance of evaluating biological samples prior to administration to predict and improve patient outcomes.
评估不同离心方案对犬自体条件血浆双注射器系统最终产物细胞组成的影响。
30只客户拥有的健康成年中大型(17至45千克)犬。
将每只受试动物的35毫升抗凝全血等分为3份样本:一份基线样本和2份双注射器样本。对注射器进行富血小板血浆(PRP)处理。每个双注射器随机分配到5组中的1组,离心设置在580至1304×g之间,时间为5至10分钟。对每个样本进行全血细胞计数(CBC)分析以确定细胞组成。对数据拟合混合效应线性模型。
分析了60份PRP样本和30份全血样本。制造商设置产生的血小板倍数变化>1,但未将浓度提高到预期程度。单独比较速度时,离心力增加与血小板倍数变化降低相关。单独比较时间时,离心时间增加也与血小板倍数变化降低和白细胞浓度降低相关。
自体条件血浆双注射器所需的初始全血量较少,使其在临床环境中更适合用于犬PRP。本研究旨在评估离心方案对犬最终产物细胞组成的影响,并补充有关方案的数据,以最大限度提高PRP中的血小板产量。由于存在固有的个体差异,本研究强调在给药前评估生物样本以预测和改善患者预后的重要性。