Level of Platelet Derived Growth Factor(PDGF) in Blood Bank Platelet Concentrate

혈액은행 혈소판농축액의 혈소판유래성장인자 분비능

  • Hong, Yong Taek (Department of Plastic Surgery, Korea University College of Medicine) ;
  • Han, Seung Kyu (Department of Plastic Surgery, Korea University College of Medicine) ;
  • Lee, Byung Il (Department of Plastic Surgery, Korea University College of Medicine) ;
  • Kim, Woo Kyung (Department of Plastic Surgery, Korea University College of Medicine)
  • 홍용택 (고려대학교 의과대학 성형외과학교실) ;
  • 한승규 (고려대학교 의과대학 성형외과학교실) ;
  • 이병일 (고려대학교 의과대학 성형외과학교실) ;
  • 김우경 (고려대학교 의과대학 성형외과학교실)
  • Received : 2006.03.08
  • Published : 2006.11.10

Abstract

Purpose: The purpose of this pilot study was to investigate a potential of platelet concentrate obtained from blood bank(PCBB) in accelerating wound healing and to determine an effective treatment protocol by quantifying levels of platelet derived growth factor (PDGF)-BB in PCBB in vitro. Methods: The first study was designed to investigate quantity of PDGF-BB over stored time of the PCBB. The stored times for each PCBB were 1, 3, 5, 7, 9, 11 and 13 days. The second study was designed to determine efficacy of adding thrombin to stimulate release of PDGF-BB from the platelets of PCBB. The platelets were suspended and incubated in either with or without thrombin. On 30 minutes and days 1, 3, 5, 7 after incubation, the levels of PDGF-BB were measured. Results: PDGF-BB level showed a linear decrease over stored time of PCBB from the first day to the 13th day. Addition of thrombin increased PDGF-BB release from 30 minute through the 5th day. Conclusion: The results indicate that PCBB can provide sufficient amount of growth factors to stimulate wound healing and adding thrombin accelerate it.

Keywords

References

  1. Greenhalgh DC: Wound healing and diabetes mellitus. Clin Plast Surg 30: 37, 2003 https://doi.org/10.1016/S0094-1298(02)00066-4
  2. Han SK, Choi KJ, Kim WK: Clinical application of fresh fibroblast allografts for the treatment of diabetic foot ulcers: a pilot study. Plast Reconstr Surg 114: 1783, 2004 https://doi.org/10.1097/01.PRS.0000142415.57470.DF
  3. Marx RE: Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 62: 489, 2004 https://doi.org/10.1016/j.joms.2003.12.003
  4. Knighton DR, Ciresi KF, Fiegel VD, Austin LL, Butler EL: Classification and treatment of chronic nonhealing wounds. Ann Surg 204: 322, 1986
  5. Knighton DR, Ciresi KF, Fiegel VD, Schumerth S, Butler E, Cerra F: Stimulation of repair in chronic, non-healing, cutaneous ulcers using platelet-derived wound healing formula: a preliminary report. Surg Gynecol Obstet 170: 56, 1990
  6. Krupski WC, Reilly LM, Perez S, Moss KM, Crombleholme PA, Rapp JH: A prospective randomized trial of autologous platelet-derived wound healing factors for treatment of chronic nonhealing wounds: a preliminary report. J Vase Surg 14: 526, 1991 https://doi.org/10.1067/mva.1991.31288
  7. Margolis DJ, Kantor J, Santanna J, Strom BL, Berlin JA: Effectiveness of platelet releasate for treatment of diabetic neuropathic foot ulcers. Diabetes Care 24: 483, 2001 https://doi.org/10.2337/diacare.24.3.483
  8. Crovetti G, Martinelli G, Issi M, Barone M, Guizzardi M, Campanati B, Moroni M, Carabelli A: Platelet gel for healing cutaneous chronic wounds. Transfus Apher Sci 30: 145, 2004 https://doi.org/10.1016/j.transci.2004.01.004
  9. Atri Sc, Misra J, Bisht D, Misra K: Use of homologous platelet factors in achieving total healing of recalcitrant skin ulcers. Surgery 108: 508, 1990
  10. Eppley BL, Woodell JE, Higgins J: Platelet quantification and growth factor analysis from platelet-rich plasma: implications for wound healing. Plast Reconstr Surg 114: 1502, 2004
  11. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR: Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85: 638. 1998 https://doi.org/10.1016/S1079-2104(98)90029-4