The Veterinary Sports Medicine and Rehabilitation Center, Anderson, SC.
College of Veterinary Medicine, Cornell University, Ithaca, NY.
J Am Vet Med Assoc. 2024 Feb 24;262(S1):S8-S15. doi: 10.2460/javma.23.12.0692. Print 2024 Jun 1.
Platelet-rich plasma (PRP) and other platelet-derived products represent a subset of regenerative medicine and have been researched in the veterinary community for the treatment of osteoarthritis, soft tissue wounds, tendinopathies, periodontitis, and fracture repairs. PRP is simple to produce, relatively affordable, safe, and can be delivered on site, making it an appealing therapeutic agent in veterinary medicine. As an orthobiologic for the treatment of osteoarthritis, it is one of few interventions with clinical study support that possess anabolic potential. Platelet product variability is wide ranging and often described in terms of cellular content or platelet enrichment. Growth factors associated with platelet activation and subsequent degranulation may mediate inflammation, modulate cellular immune response, and promote tissue repair. Product composition, dosage, and application likely influence treatment outcomes depending on the classification of the disease targeted. Sufficient canine data regarding the formulation and clinical application of canine PRP exist to warrant review. The aim of this narrative is to provide scientific background and clinical insight for veterinarians regarding platelet product content/formulation, mechanisms of action, considerations for use, and clinical application in dogs.
富含血小板的血浆(PRP)和其他血小板衍生产品代表了再生医学的一个分支,在兽医界已经被研究用于治疗骨关节炎、软组织伤口、腱病、牙周炎和骨折修复。PRP 易于制备,相对便宜,安全,并且可以在现场提供,因此在兽医领域是一种有吸引力的治疗剂。作为治疗骨关节炎的一种组织生物制剂,它是为数不多的具有合成代谢潜力并得到临床研究支持的干预措施之一。血小板产品的可变性范围很广,通常根据细胞含量或血小板富集程度来描述。与血小板激活和随后脱颗粒相关的生长因子可能介导炎症、调节细胞免疫反应并促进组织修复。产品成分、剂量和应用可能会根据目标疾病的分类而影响治疗效果。关于犬 PRP 的制剂和临床应用已经有足够的犬科数据,值得进行审查。本文的目的是为兽医提供关于血小板产品成分/配方、作用机制、使用注意事项以及在犬中的临床应用的科学背景和临床见解。