Publication: The matrix synthesis and anti-inflammatory effect of autologous leukocyte-poor platelet rich plasma in human cartilage explants
Authors
Simental Mendía, Mario ; Vilchez Cavazos, Félix ; García Garza, Rubén ; Lara Arias, Jorge ; Montes de Oca Luna, Roberto ; Said Fernández, Salvador ; Martínez Rodríguez, Herminia G.
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Publisher
Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
DOI: 10.14670/HH-11-961
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info:eu-repo/semantics/article
Description
Abstract
Objective. To determine the effects of
autologous leukocyte-poor platelet-rich plasma (LPPRP) on the expression of markers involved in cartilageextracellular matrix production and inflammation in
cartilage explants bearing osteoarthritis. Materials and
Methods. Cartilage explants and LP-PRP were obtained
from 10 patients who underwent total knee arthroplasty.
The explants were cultured in spinner flasks for 28 days
in the presence of interleukin (IL)-1β and/or LP-PRP.
The gene expression of catabolic (MMP13, ADAMTS5,
and IL1β) and anabolic factors (COL2A1, ACAN, and
SOX9) was quantified. A histological assessment was
performed according to a modified Mankin score, and
quantification of type II and I collagen deposition.
Results. The gene expression of catabolic factors and the
Mankin score were lower in LP-PRP- and LP-PRP/IL1β- than in IL-1β-treated explants, suggesting less
matrix degradation in explants cultured in the presence
of LP-PRP. Higher expression of genes involved in
cartilage matrix restoration was observed in LP-PRP and
LP-PRP/IL-1β- when compared to IL-1β-treated
explants. The explants treated with LP-PRP and LPPRP/IL-1β exhibited a higher deposition of type II
collagen as well as a lower deposition of type I collagen
and also better surface integrity and a significant
increase in the number of chondrocytes. Conclusion. LPPRP treatment favored restoration in early osteoarthritic
cartilage and reduced the pro-inflammatory effect of IL1β. LP-PRP is a promising therapy for early
osteoarthritis, as it promotes extracellular matrix repair,
reduces inflammation, and slows cartilage degeneration.
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Citation
Histology and Histopathology, Vol.33, nº6, (2018)
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