Platzer Hadrian, Kubon Kristina Dorothea, Diederichs Solvig, Bork Alena, Gantz Simone, Schiltenwolf Marcus, Renkawitz Tobias, Bangert Yannic
Orthopädische Universitätsklinik Heidelberg, Ruprecht-Karls-Universität, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
Orthopadie (Heidelb). 2023 Nov;52(11):907-915. doi: 10.1007/s00132-023-04442-x. Epub 2023 Oct 16.
The variability of PRP is a major contributor to the lack of evidence regarding the therapeutic effect of PRP in musculoskeletal diseases. In a large study, we are currently investigating factors that may influence PRP variability. Interim results showed that concentrations of IL‑6, but not IGF‑1 or cellular constituents, were significantly decreased in PRP samples from vegans compared with omnivores and tended to be decreased compared to samples from vegetarians. This suggests that diet may have a significant influence on therapeutically active PRP constituents. However, the constituents studied here did not appear to be significantly affected by the timing of the sampling. Identification of significant variables affecting PRP composition will be critical to provide sufficient medical evidence for the therapeutic effects of PRP in orthopedic conditions.
富血小板血浆(PRP)的变异性是导致缺乏PRP对肌肉骨骼疾病治疗效果证据的主要因素。在一项大型研究中,我们目前正在调查可能影响PRP变异性的因素。中期结果显示,与杂食者相比,纯素食者的PRP样本中白细胞介素-6(IL-6)浓度显著降低,而胰岛素样生长因子-1(IGF-1)或细胞成分浓度无显著变化;与素食者的样本相比,纯素食者的PRP样本中IL-6浓度也有降低趋势。这表明饮食可能对具有治疗活性的PRP成分有显著影响。然而,此处研究的成分似乎不受采样时间的显著影响。识别影响PRP组成的显著变量对于为PRP在骨科疾病中的治疗效果提供充分的医学证据至关重要。