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富血小板血浆(PRP)与骨诱导载体基质联合用于骨再生的潜力

The Combined Potential of PRP and Osteoinductive Carrier Matrices for Bone Regeneration.

作者信息

Meglei Anastasiia Yurevna, Nedorubova Irina Alekseevna, Basina Viktoriia Pavlovna, Chernomyrdina Viktoria Olegovna, Goldshtein Dmitry Vadimovich, Bukharova Tatiana Borisovna

机构信息

Research Centre for Medical Genetics, 115478 Moscow, Russia.

出版信息

Int J Mol Sci. 2025 Aug 30;26(17):8457. doi: 10.3390/ijms26178457.

DOI:10.3390/ijms26178457
PMID:40943378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12428504/
Abstract

In regenerative medicine, orthobiologics, particularly platelet-rich plasma (PRP), are widely used due to their ability to enhance natural tissue repair mechanisms. PRP contains a concentrated pool of growth factors and cytokines that enhance regeneration while also acting as a biomimetic scaffold, thereby optimizing the microenvironment for tissue healing. In bone tissue engineering, PRP is commonly combined with synthetic or natural biomaterials, as its fibrin matrix alone lacks sufficient mechanical stability. However, even such composite systems frequently exhibit limited osteoinductive capacity, necessitating further supplementation with bioactive components. This review evaluates the regenerative potential of PRP in bone defect healing when combined with osteoinductive agents in preclinical in vivo models. We present compelling experimental evidence supporting the efficacy of this combined therapeutic approach.

摘要

在再生医学中,骨生物制品,尤其是富含血小板血浆(PRP),因其能够增强自然组织修复机制而被广泛应用。PRP含有浓缩的生长因子和细胞因子池,这些因子既能促进再生,又能作为仿生支架,从而优化组织愈合的微环境。在骨组织工程中,PRP通常与合成或天然生物材料结合使用,因为其单独的纤维蛋白基质缺乏足够的机械稳定性。然而,即使是这样的复合系统也常常表现出有限的骨诱导能力,因此需要进一步补充生物活性成分。本综述评估了PRP与骨诱导剂联合应用于临床前体内模型中骨缺损愈合时的再生潜力。我们提供了令人信服的数据证据来支持这种联合治疗方法的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e9/12428504/69d0f1ee5cf3/ijms-26-08457-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e9/12428504/69d0f1ee5cf3/ijms-26-08457-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e9/12428504/69d0f1ee5cf3/ijms-26-08457-g001.jpg

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本文引用的文献

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Collagen-Platelet-Rich Plasma Mixed Hydrogels as a pBMP2 Delivery System for Bone Defect Regeneration.富含胶原蛋白-血小板血浆混合水凝胶作为用于骨缺损再生的骨形态发生蛋白2递送系统
Biomedicines. 2024 Oct 26;12(11):2461. doi: 10.3390/biomedicines12112461.
2
Methacrylated gelatin and platelet-rich plasma based hydrogels promote regeneration of critical-sized bone defects.甲基丙烯酸化明胶和富血小板血浆基水凝胶促进临界尺寸骨缺损的再生。
Regen Biomater. 2024 Mar 5;11:rbae022. doi: 10.1093/rb/rbae022. eCollection 2024.
3
Engineered three-dimensional bioactive scaffold for enhanced bone regeneration through modulating transplanted adipose derived mesenchymal stem cell and stimulating angiogenesis.
通过调节移植的脂肪来源间充质干细胞和刺激血管生成来增强骨再生的工程化三维生物活性支架
Front Bioeng Biotechnol. 2024 Jan 26;12:1342590. doi: 10.3389/fbioe.2024.1342590. eCollection 2024.
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Advances with Platelet-Rich Plasma for Bone Healing.富含血小板血浆促进骨愈合的研究进展
Biologics. 2024 Jan 25;18:29-59. doi: 10.2147/BTT.S290341. eCollection 2024.
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Platelet-rich plasma in orthopedics: Bridging innovation and clinical applications for bone repair.富血小板血浆在骨科中的应用:为骨修复架起创新与临床应用的桥梁。
J Orthop Surg (Hong Kong). 2024 Jan-Apr;32(1):10225536231224952. doi: 10.1177/10225536231224952.
6
Adenovirus-Based Gene Therapy for Bone Regeneration: A Comparative Analysis of In Vivo and Ex Vivo Gene Delivery.腺病毒载体基因治疗骨再生:体内和体外基因递送的比较分析。
Cells. 2023 Jul 1;12(13):1762. doi: 10.3390/cells12131762.
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3D printed polylactic acid/gelatin-nano-hydroxyapatite/platelet-rich plasma scaffold for critical-sized skull defect regeneration.3D 打印聚乳酸/明胶-纳米羟基磷灰石/富血小板血浆支架用于临界尺寸颅骨缺损再生。
Biomed Eng Online. 2022 Dec 12;21(1):86. doi: 10.1186/s12938-022-01056-w.
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Comparative Efficiency of Gene-Activated Matrices Based on Chitosan Hydrogel and PRP Impregnated with Polyplexes for Bone Regeneration.基于壳聚糖水凝胶和 PRP 浸渍的多聚物的基因激活基质的比较效率用于骨再生。
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