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体外研究冷冻血小板富血浆对与伤口愈合相关细胞的影响。

In vitro studies on the effects of cryopreserved platelet-rich plasma on cells related to wound healing.

机构信息

Department of Blood Transfusion, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.

出版信息

Platelets. 2024 Dec;35(1):2347331. doi: 10.1080/09537104.2024.2347331. Epub 2024 May 9.

Abstract

Platelet-rich plasma (PRP) holds promise as a therapeutic modality for wound healing; however, immediate utilization encounters challenges related to volume, concentration, and consistency. Cryopreservation emerges as a viable solution, preserving PRP's bioactive components and extending its shelf life. This study explores the practicality and efficacy of cryopreserved platelet-rich plasma (cPRP) in wound healing, scrutinizing both cellular mechanisms and clinical implications. Fresh PRP and cPRP post freeze-thaw underwent assessment in macrophage, fibroblast, and endothelial cell cultures. The impact of cPRP on active component release and cell behavior pertinent to wound healing was evaluated. Varied concentrations of cPRP (1%, 5%, 10%) were examined for their influence on cell polarization, migration, and proliferation. The results showed minimal changes in cPRP's IL-1β levels, a slight decrease in PDGF-BB, and superior effects on macrophage M2 polarization and fibroblast migration, while no statistical significance was observed in endothelial cell angiogenesis and proliferation. Remarkably, 5% PRP exhibited the most significant stimulation among all cPRP concentrations, notably impacting cell proliferation, angiogenesis, and migration. The discussion underscores that cPRP maintains platelet phenotype and function over extended periods, with 5% cPRP offering the most favorable outcomes, providing a pragmatic approach for cold storage to extend post-thaw viability and amplify therapeutic effects.

摘要

富含血小板的血浆 (PRP) 作为一种治疗伤口愈合的方法具有很大的潜力;然而,立即使用会遇到与体积、浓度和一致性相关的挑战。冷冻保存成为一种可行的解决方案,可以保留 PRP 的生物活性成分并延长其保质期。本研究探讨了冷冻保存的富含血小板的血浆 (cPRP) 在伤口愈合中的实用性和疗效,深入研究了细胞机制和临床意义。新鲜 PRP 和冷冻解冻后的 cPRP 在巨噬细胞、成纤维细胞和内皮细胞培养物中进行了评估。评估了 cPRP 对与伤口愈合相关的活性成分释放和细胞行为的影响。研究了不同浓度的 cPRP(1%、5%、10%)对细胞极化、迁移和增殖的影响。结果表明,cPRP 的 IL-1β 水平变化不大,PDGF-BB 略有下降,对巨噬细胞 M2 极化和成纤维细胞迁移的影响较好,而内皮细胞血管生成和增殖没有统计学意义。值得注意的是,5% PRP 在所有 cPRP 浓度中表现出最显著的刺激作用,显著影响细胞增殖、血管生成和迁移。讨论强调,cPRP 可以在较长时间内保持血小板表型和功能,5% cPRP 提供了最有利的结果,为冷储存提供了一种实用的方法,可以延长解冻后的活力并放大治疗效果。

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