Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8510, Japan.
Division of Hematology and Oncology, Graduate School of Health Sciences, Niigata University, Niigata 951-9518, Japan.
Int J Mol Sci. 2023 Sep 2;24(17):13592. doi: 10.3390/ijms241713592.
Platelet-rich plasma (PRP) has been increasingly used in sports medicine owing to its various advantages. The purpose of our project was to standardize the parameters before performing large-scale clinical trials in the near future to precisely evaluate individual PRP quality. To examine the effects of regular exercise on PRP quality, this study focused on young female athletes, who have been relatively less studied. Blood samples were obtained from female college athletes (n = 35) and ordinary healthy adults (n = 30), which were considered as controls, and leukocyte-rich PRP (L-PRP) was prepared manually. Body composition indices were determined using a bathroom weight scale equipped with an impedance meter. Growth factors and cytokines were quantified using ELISA kits. Platelet-derived growth factor-BB (PDGF-BB) and Transforming-growth factors β1 (TGFβ1) levels (per platelet) in L-PRP were significantly lower in female athletes than in controls. In contrast, Interleukin-1β and Interleukin 1 receptor antagonist (IL-1RA) levels (per platelet and L-PRP) in L-PRP were significantly higher in athletes, and this difference was more prominent in IL-1RA. These findings suggest that L-PRP from athletes may facilitate the inflammatory phase of the healing process by regulating the pro-inflammatory and anti-inflammatory balance. These chemical compositions can be adopted as "must-check" parameters to characterize individual PRP preparations prior to clinical trials.
富血小板血浆(PRP)因其诸多优势,在运动医学领域的应用日益广泛。我们的项目旨在为未来进行大规模临床试验制定参数标准,以便更准确地评估个体 PRP 质量。为了研究规律运动对 PRP 质量的影响,本研究关注的是女性青年运动员,她们的研究相对较少。从女性大学生运动员(n=35)和普通健康成年人(n=30)中抽取血液样本,后者被视为对照组,并手动制备富含白细胞的 PRP(L-PRP)。使用配备阻抗仪的浴室秤确定身体成分指标。使用 ELISA 试剂盒定量测定生长因子和细胞因子。与对照组相比,运动员的 L-PRP 中血小板衍生生长因子-BB(PDGF-BB)和转化生长因子β1(TGFβ1)(每个血小板)水平显著降低。相比之下,运动员的 L-PRP 中白细胞介素-1β和白细胞介素 1 受体拮抗剂(IL-1RA)(每个血小板和 L-PRP)水平显著升高,且 IL-1RA 差异更为明显。这些发现表明,运动员的 L-PRP 可能通过调节促炎和抗炎平衡来促进愈合过程的炎症期。这些化学成分可作为“必检”参数,用于在临床试验前对个体 PRP 制剂进行特征描述。