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Platelet-Rich Plasma (PRP) as a Therapeutic Agent: Platelet Biology, Growth Factors and a Review of the Literature

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Part of the book series: Lecture Notes in Bioengineering ((LNBE))

Abstract

The therapeutic basis of platelet-rich plasma use in medicine is derived from the growth factor content and provisional matrix provided by the platelets themselves. This chapter briefly reviews the platelet research which led to the conceptual development of PRP as a treatment and also the early history of its use. An overview of platelet structure and function is provided to enhance the clinician’s understanding of the cell biology behind PRP therapy. The 2 major growth factors in PRP (PDGF and TGFβ) are also discussed. Finally, a review of the experimental PRP literature (in vitro and animal studies) is presented, which describes the evidence for use of PRP in tendon/ligament, bone, and joints. Standardization of PRP use remains a challenging prospect due to the number of variables involved in its preparation and administration. It may be that individually-tailored PRP protocols are actually more beneficial for our patients—only time and further research will bear this out.

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References

  • Ahmad SS, London FS, Walsh PN (2003) The assembly of the factor X-activating complex on activated human platelets. J Thromb Haemost 1(1):48–59

    Google Scholar 

  • Akeda K, An HS, Okuma M, Attawia M, Miyamoto K, Thonar EJ, Lenz ME, Sah RL, Masuda K (2006) Platelet-rich plasma stimulates porcine articular chondrocyte proliferation and matrix biosynthesis. Osteoarthritis Cartilage 14(12):1272–1280. doi:10.1016/j.joca.2006.05.008

    Google Scholar 

  • Alberts B, Bray D, Hopkin K, Johnson A, Lewis J, Raff M, Roberts K, Walter P (2004) Essential cell biology, 2nd edn. Garland Science, NY

    Google Scholar 

  • Albro MB, Cigan AD, Nims RJ, Yeroushalmi KJ, Oungoulian SR, Hung CT, Ateshian GA (2012) Shearing of synovial fluid activates latent TGF-beta. Osteoarthritis Cartilage 20(11):1374–1382. doi:10.1016/j.joca.2012.07.006

    Google Scholar 

  • Andrae J, Gallini R, Betsholtz C (2008) Role of platelet-derived growth factors in physiology and medicine. Genes Dev 22(10):1276–1312. doi:10.1101/gad.1653708

    Google Scholar 

  • Anitua E, Andia I, Sanchez M, Azofra J, del Mar Zalduendo M, de la Fuente M, Nurden P, Nurden AT (2005) Autologous preparations rich in growth factors promote proliferation and induce VEGF and HGF production by human tendon cells in culture. J Orthop Res 23(2):281–286. doi:10.1016/j.orthres.2004.08.015

  • Anitua E, Sanchez M, De la Fuente M, Zalduendo MM, Orive G (2011) Plasma rich in growth factors (PRGF-Endoret) stimulates tendon and synovial fibroblasts migration and improves the biological properties of hyaluronic acid. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1697-4

    Google Scholar 

  • Anitua E, Sanchez M, Nurden AT, Zalduendo MM, de la Fuente M, Azofra J, Andia I (2007) Platelet-released growth factors enhance the secretion of hyaluronic acid and induce hepatocyte growth factor production by synovial fibroblasts from arthritic patients. Rheumatology (Oxford) 46(12):1769–1772. doi:10.1093/rheumatology/kem234

    Google Scholar 

  • Anitua E, Sanchez M, Zalduendo MM, de la Fuente M, Prado R, Orive G, Andia I (2009) Fibroblastic response to treatment with different preparations rich in growth factors. Cell Prolif 42(2):162–170. doi:10.1111/j.1365-2184.2009.00583.x

    Google Scholar 

  • Arguelles D, Carmona JU, Pastor J, Iborra A, Vinals L, Martinez P, Bach E, Prades M (2006) Evaluation of single and double centrifugation tube methods for concentrating equine platelets. Res Vet Sci 81(2):237–245

    Google Scholar 

  • Arora NS, Ramanayake T, Ren YF, Romanos GE (2010) Platelet-rich plasma in sinus augmentation procedures: a systematic literature review: Part II. Implant dentistry 19(2):145–157. doi:10.1097/ID.0b013e3181cd706d

    Google Scholar 

  • Aspenberg P, Virchenko O (2004) Platelet concentrate injection improves Achilles tendon repair in rats. Acta Orthop Scand 75(1):93–99. doi:10.1080/00016470410001708190XR73UPUJEHD1TVW4 [pii]

    Google Scholar 

  • Assoian RK, Grotendorst GR, Miller DM, Sporn MB (1984) Cellular transformation by coordinated action of three peptide growth factors from human platelets. Nature 309(5971):804–806

    Google Scholar 

  • Assoian RK, Komoriya A, Meyers CA, Miller DM, Sporn MB (1983) Transforming growth factor-beta in human platelets. Identification of a major storage site, purification, and characterization. J Biol Chem 258(11):7155–7160

    Google Scholar 

  • Azuma C, Tohyama H, Nakamura H, Kanaya F, Yasuda K (2007) Antibody neutralization of TGF-beta enhances the deterioration of collagen fascicles in a tissue-cultured tendon matrix with ex vivo fibroblast infiltration. J Biomech 40(10):2184–2190. doi:10.1016/j.jbiomech.2006.10.023

    Google Scholar 

  • Balooch G, Balooch M, Nalla RK, Schilling S, Filvaroff EH, Marshall GW, Marshall SJ, Ritchie RO, Derynck R, Alliston T (2005) TGF-beta regulates the mechanical properties and composition of bone matrix. Proc Natl Acad Sci U S A 102(52):18813–18818. doi:10.1073/pnas.0507417102

    Google Scholar 

  • Banks RE, Forbes MA, Kinsey SE, Stanley A, Ingham E, Walters C, Selby PJ (1998) Release of the angiogenic cytokine vascular endothelial growth factor (VEGF) from platelets: significance for VEGF measurements and cancer biology. Br J Cancer 77(6):956–964

    Google Scholar 

  • Banno A, Ginsberg MH (2008) Integrin activation. Biochem Soc Trans 36(Pt 2):229–234. doi:10.1042/BST0360229

    Google Scholar 

  • Barrientos S, Stojadinovic O, Golinko MS, Brem H, Tomic-Canic M (2008) Growth factors and cytokines in wound healing. Wound Repair Regen 16(5):585–601. doi:WRR410 [pii] 10.1111/j.1524-475X.2008.00410.x

  • Bearer EL, Prakash JM, Li Z (2002) Actin dynamics in platelets. Int Rev Cytol 217:137–182

    Google Scholar 

  • Bendinelli P, Matteucci E, Dogliotti G, Corsi MM, Banfi G, Maroni P, Desiderio MA (2010) Molecular basis of anti-inflammatory action of platelet-rich plasma on human chondrocytes: mechanisms of NF-kappaB inhibition via HGF. J Cell Physiol 225(3):757–766. doi:10.1002/jcp.22274

    Google Scholar 

  • Bennett JS, Berger BW, Billings PC (2009) The structure and function of platelet integrins. J Thromb Haemost 7(Suppl 1):200–205. doi:10.1111/j.1538-7836.2009.03378.x

    Google Scholar 

  • Berg C, Trofast C, Bengtsson T (2003) Platelets induce reactive oxygen species-dependent growth of human skin fibroblasts. Eur J Cell Biol 82(11):565–571

    Google Scholar 

  • Bhargava MM, Attia ET, Murrell GA, Dolan MM, Warren RF, Hannafin JA (1999) The effect of cytokines on the proliferation and migration of bovine meniscal cells. Am J Sports Med 27(5):636–643

    Google Scholar 

  • Bi L, Cheng W, Fan H, Pei G (2010) Reconstruction of goat tibial defects using an injectable tricalcium phosphate/chitosan in combination with autologous platelet-rich plasma. Biomaterials 31(12):3201–3211. doi:10.1016/j.biomaterials.2010.01.038

    Google Scholar 

  • Blair P, Flaumenhaft R (2009) Platelet alpha-granules: basic biology and clinical correlates. Blood Rev 23(4):177–189. doi:S0268-960X(09)00029-0 [pii] 10.1016/j.blre.2009.04.001

    Google Scholar 

  • Blakytny R, Ludlow A, Martin GE, Ireland G, Lund LR, Ferguson MW, Brunner G (2004) Latent TGF-beta1 activation by platelets. J Cell Physiol 199(1):67–76. doi:10.1002/jcp.10454

    Google Scholar 

  • Blaney Davidson EN, Scharstuhl A, Vitters EL, van der Kraan PM, van den Berg WB (2005) Reduced transforming growth factor-beta signaling in cartilage of old mice: role in impaired repair capacity. Arthritis Res Ther 7(6):R1338–R1347. doi:10.1186/ar1833

    Google Scholar 

  • Boilard E, Nigrovic PA, Larabee K, Watts GF, Coblyn JS, Weinblatt ME, Massarotti EM, Remold-O’Donnell E, Farndale RW, Ware J, Lee DM (2010) Platelets amplify inflammation in arthritis via collagen-dependent microparticle production. Science 327(5965):580–583. doi:10.1126/science.1181928

    Google Scholar 

  • Bosch G, Moleman M, Barneveld A, van Weeren PR, van Schie HT (2011a) The effect of platelet-rich plasma on the neovascularization of surgically created equine superficial digital flexor tendon lesions. Scand J Med Sci Sports 21(4):554–561. doi:10.1111/j.1600-0838.2009.01070.x

    Google Scholar 

  • Bosch G, Rene van Weeren P, Barneveld A, van Schie HT (2011b) Computerised analysis of standardised ultrasonographic images to monitor the repair of surgically created core lesions in equine superficial digital flexor tendons following treatment with intratendinous platelet rich plasma or placebo. Vet J 187(1):92–98. doi:10.1016/j.tvjl.2009.10.014

  • Bosch G, van Schie HT, de Groot MW, Cadby JA, van de Lest CH, Barneveld A, van Weeren PR (2010) Effects of platelet-rich plasma on the quality of repair of mechanically induced core lesions in equine superficial digital flexor tendons: a placebo-controlled experimental study. J Orthop Res 28(2):211–217. doi:10.1002/jor.20980

    Google Scholar 

  • Boswell SG, Cole BJ, Sundman EA, Karas V, Fortier LA (2012) Platelet-rich plasma: a milieu of bioactive factors. Arthroscopy 28(3):429–439. doi:10.1016/j.arthro.2011.10.018

    Google Scholar 

  • Brass L (2010) Understanding and evaluating platelet function. Hematology/the education program of the american society of hematology american society of hematology education program pp. 387–396. doi:10.1182/asheducation-2010.1.387

  • Brass LF (2003) Thrombin and platelet activation. Chest 124(3 Suppl):18S–25S

    Google Scholar 

  • Brass LF, Jiang H, Wu J, Stalker TJ, Zhu L (2006) Contact-dependent signaling events that promote thrombus formation. Blood Cells Mol Dis 36(2):157–161. doi:S1079-9796(06)00016-7 [pii] 10.1016/j.bcmd.2005.12.015

    Google Scholar 

  • Brass LF, Wannemacher KM, Ma P, Stalker TJ (2011) Regulating thrombus growth and stability to achieve an optimal response to injury. J Thromb Haemost 9(Suppl 1):66–75. doi:10.1111/j.1538-7836.2011.04364.x

    Google Scholar 

  • Brown KK, Henson PM, Maclouf J, Moyle M, Ely JA, Worthen GS (1998) Neutrophil-platelet adhesion: relative roles of platelet P-selectin and neutrophil beta2 (DC18) integrins. Am J Respir Cell Mol Biol 18(1):100–110

    Google Scholar 

  • Brunner G, Nguyen H, Gabrilove J, Rifkin DB, Wilson EL (1993) Basic fibroblast growth factor expression in human bone marrow and peripheral blood cells. Blood 81(3):631–638

    Google Scholar 

  • Caplan AI, Correa D (2011) PDGF in bone formation and regeneration: new insights into a novel mechanism involving MSCs. J Orthop Res 29(12):1795–1803. doi:10.1002/jor.21462

    Google Scholar 

  • Celiker MY, Ramamurthy N, Xu JW, Wang M, Jiang Y, Greenwald R, Shi YE (2002) Inhibition of adjuvant-induced arthritis by systemic tissue inhibitor of metalloproteinases 4 gene delivery. Arthritis Rheum 46(12):3361–3368. doi:10.1002/art.10648

    Google Scholar 

  • Celotti F, Colciago A, Negri-Cesi P, Pravettoni A, Zaninetti R, Sacchi MC (2006) Effect of platelet-rich plasma on migration and proliferation of SaOS-2 osteoblasts: role of platelet-derived growth factor and transforming growth factor-beta. Wound Repair Regen 14(2):195–202. doi:10.1111/j.1743-6109.2006.00110.x

    Google Scholar 

  • Cenni E, Avnet S, Fotia C, Salerno M, Baldini N (2010) Platelet-rich plasma impairs osteoclast generation from human precursors of peripheral blood. J Orthop Res 28(6):792–797. doi:10.1002/jor.21073

    Google Scholar 

  • Chang PC, Seol YJ, Cirelli JA, Pellegrini G, Jin Q, Franco LM, Goldstein SA, Chandler LA, Sosnowski B, Giannobile WV (2010) PDGF-B gene therapy accelerates bone engineering and oral implant osseointegration. Gene Ther 17(1):95–104. doi:10.1038/gt.2009.117

    Google Scholar 

  • Chen G, Deng C, Li YP (2012a) TGF-beta and BMP signaling in osteoblast differentiation and bone formation. Int J Biol Sci 8(2):272–288. doi:10.7150/ijbs.2929

    MathSciNet  Google Scholar 

  • Chen L, Dong SW, Liu JP, Tao X, Tang KL, Xu JZ (2012b) Synergy of tendon stem cells and platelet-rich plasma in tendon healing. J Orthop Res 30(6):991–997. doi:10.1002/jor.22033

    Google Scholar 

  • Choo T, Marino V, Bartold PM (2011) Effect of PDGF-BB and beta-tricalcium phosphate (beta-TCP) on bone formation around dental implants: a pilot study in sheep. Clin Oral Implants Res. doi:10.1111/j.1600-0501.2011.02345.x

    Google Scholar 

  • Clark RA, Ghosh K, Tonnesen MG (2007a) Tissue engineering for cutaneous wounds. J Invest Dermatol 127(5):1018–1029. doi:10.1038/sj.jid.5700715

    Google Scholar 

  • Clark SR, Ma AC, Tavener SA, McDonald B, Goodarzi Z, Kelly MM, Patel KD, Chakrabarti S, McAvoy E, Sinclair GD, Keys EM, Allen-Vercoe E, Devinney R, Doig CJ, Green FH, Kubes P (2007b) Platelet TLR4 activates neutrophil extracellular traps to ensnare bacteria in septic blood. Nat Med 13(4):463–469. doi:10.1038/nm1565

    Google Scholar 

  • Clemetson KJ, Clemetson JM (2007) Platelet receptors. In: Michelson AD (ed) Platelets, 2nd edn. Academic Press, Elsevier, Burlington, pp 117–134

    Google Scholar 

  • Cognasse F, Hamzeh-Cognasse H, Lafarge S, Delezay O, Pozzetto B, McNicol A, Garraud O (2008) Toll-like receptor 4 ligand can differentially modulate the release of cytokines by human platelets. Br J Haematol 141(1):84–91. doi:10.1111/j.1365-2141.2008.06999.x

    Google Scholar 

  • Coppinger JA, Cagney G, Toomey S, Kislinger T, Belton O, McRedmond JP, Cahill DJ, Emili A, Fitzgerald DJ, Maguire PB (2004) Characterization of the proteins released from activated platelets leads to localization of novel platelet proteins in human atherosclerotic lesions. Blood 103(6):2096–2104. doi:10.1182/blood-2003-08-2804 2003-08-2804 [pii]

    Google Scholar 

  • Costa MA, Wu C, Pham BV, Chong AK, Pham HM, Chang J (2006) Tissue engineering of flexor tendons: optimization of tenocyte proliferation using growth factor supplementation. Tissue Eng 12(7):1937–1943. doi:10.1089/ten.2006.12.1937

    Google Scholar 

  • Cox D, Kerrigan SW, Watson SP (2011) Platelets and the innate immune system: mechanisms of bacterial-induced platelet activation. J Thromb Haemost 9(6):1097–1107. doi:10.1111/j.1538-7836.2011.04264.x

    Google Scholar 

  • Dallari D, Fini M, Stagni C, Torricelli P, Nicoli Aldini N, Giavaresi G, Cenni E, Baldini N, Cenacchi A, Bassi A, Giardino R, Fornasari PM, Giunti A (2006) In vivo study on the healing of bone defects treated with bone marrow stromal cells, platelet-rich plasma, and freeze-dried bone allografts, alone and in combination. J Orthop Res 24(5):877–888. doi:10.1002/jor.20112

    Google Scholar 

  • de Mos M, van der Windt AE, Jahr H, van Schie HT, Weinans H, Verhaar JA, van Osch GJ (2008) Can platelet-rich plasma enhance tendon repair? a cell culture study. Am J Sports Med 36(6):1171–1178. doi:10.1177/0363546508314430

    Google Scholar 

  • de Vos RJ, Weir A, van Schie HT, Bierma-Zeinstra SM, Verhaar JA, Weinans H, Tol JL (2010) Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA 303(2):144–149. doi:303/2/144 [pii]10.1001/jama.2009.1986

    Google Scholar 

  • Dees C, Akhmetshina A, Zerr P, Reich N, Palumbo K, Horn A, Jungel A, Beyer C, Kronke G, Zwerina J, Reiter R, Alenina N, Maroteaux L, Gay S, Schett G, Distler O, Distler JH (2011) Platelet-derived serotonin links vascular disease and tissue fibrosis. J Exp Med 208(5):961–972. doi:10.1084/jem.20101629

    Google Scholar 

  • Del Fabbro M, Bortolin M, Taschieri S, Weinstein R (2011) Is platelet concentrate advantageous for the surgical treatment of periodontal diseases? a systematic review and meta-analysis. J Periodontol 82(8):1100–1111. doi:10.1902/jop.2010.100605

    Google Scholar 

  • Dimond L (1914) Blood platelets in the treatment of disease. Br Med J 2(2811):828–829

    Google Scholar 

  • Donnelly BP, Nixon AJ, Haupt JL, Dahlgren LA (2006) Nucleotide structure of equine platelet-derived growth factor-A and -B and expression in horses with induced acute tendinitis. Am J Vet Res 67(7):1218–1225. doi:10.2460/ajvr.67.7.1218

    Google Scholar 

  • Doucet C, Ernou I, Zhang Y, Llense JR, Begot L, Holy X, Lataillade JJ (2005) Platelet lysates promote mesenchymal stem cell expansion: a safety substitute for animal serum in cell-based therapy applications. J Cell Physiol 205(2):228–236. doi:10.1002/jcp.20391

    Google Scholar 

  • Doyle JJ, Gerber EE, Dietz HC (2012) Matrix-dependent perturbation of TGFbeta signaling and disease. FEBS Lett 586(14):2003–2015. doi:10.1016/j.febslet.2012.05.027

    Google Scholar 

  • Eagle H (1935) Studies on blood coagulation : I. The role of prothrombin and of platelets in the formation of thrombin. J Gen Physiol 18(4):531–545

    Google Scholar 

  • Erpenbeck L, Schon MP (2010) Deadly allies: the fatal interplay between platelets and metastasizing cancer cells. Blood 115(17):3427–3436. doi:10.1182/blood-2009-10-247296

    Google Scholar 

  • Everts PA, Brown Mahoney C, Hoffmann JJ, Schonberger JP, Box HA, van Zundert A, Knape JT (2006) Platelet-rich plasma preparation using three devices: implications for platelet activation and platelet growth factor release. Growth Factors 24(3):165–171. doi:10.1080/08977190600821327

    Google Scholar 

  • Fallouh L, Nakagawa K, Sasho T, Arai M, Kitahara S, Wada Y, Moriya H, Takahashi K (2010) Effects of autologous platelet-rich plasma on cell viability and collagen synthesis in injured human anterior cruciate ligament. J Bone Joint Surg Am 92(18):2909–2916. doi:92/18/2909 [pii] 10.2106/JBJS.I.01158

    Google Scholar 

  • Feinstein MB, Fraser C (1975) Human platelet secretion and aggregation induced by calcium ionophores. Inhibition by PGE1 and dibutyryl cyclic AMP. J gen physiol 66(5):561–581

    Google Scholar 

  • Fenwick SA, Curry V, Harrall RL, Hazleman BL, Hackney R, Riley GP (2001) Expression of transforming growth factor-beta isoforms and their receptors in chronic tendinosis. J Anat 199(Pt 3):231–240

    Google Scholar 

  • Ferguson MW, O’Kane S (2004) Scar-free healing: from embryonic mechanisms to adult therapeutic intervention. Philos Trans R Soc Lond B Biol Sci 359(1445):839–850. doi:10.1098/rstb.2004.1475 LQD5XA1X2TJ3L73X [pii]

    Google Scholar 

  • Ferreira CF, Carriel Gomes MC, Filho JS, Granjeiro JM, Oliveira Simoes CM, Magini Rde S (2005) Platelet-rich plasma influence on human osteoblasts growth. Clin Oral Implants Res 16(4):456–460. doi:10.1111/j.1600-0501.2005.01145.x

    Google Scholar 

  • Finney BA, Schweighoffer E, Navarro-Nunez L, Benezech C, Barone F, Hughes CE, Langan SA, Lowe KL, Pollitt AY, Mourao-Sa D, Sheardown S, Nash GB, Smithers N, Reis e Sousa C, Tybulewicz VL, Watson SP (2012) CLEC-2 and Syk in the megakaryocytic/platelet lineage are essential for development. Blood 119(7):1747–1756. doi:10.1182/blood-2011-09-380709

    Google Scholar 

  • Fortier LA, Barker JU, Strauss EJ, McCarrel TM, Cole BJ (2011) The role of growth factors in cartilage repair. Clin Orthop Relat Res 469(10):2706–2715. doi:10.1007/s11999-011-1857-3

    Google Scholar 

  • Frechette JP, Martineau I, Gagnon G (2005) Platelet-rich plasmas: growth factor content and roles in wound healing. J Dent Res 84(5):434–439

    Google Scholar 

  • Freyria AM, Mallein-Gerin F (2012) Chondrocytes or adult stem cells for cartilage repair: the indisputable role of growth factors. Injury 43(3):259–265. doi:10.1016/j.injury.2011.05.035

    Google Scholar 

  • Furukawa K, Fujiwara H, Sato Y, Zeng BX, Fujii H, Yoshioka S, Nishi E, Nishio T (2007) Platelets are novel regulators of neovascularization and luteinization during human corpus luteum formation. Endocrinology 148(7):3056–3064. doi:10.1210/en.2006-1687

    Google Scholar 

  • Garcia RV, Gabrielli MA, Hochuli-Vieira E, Spolidorio LC, Filho JG, Neto FA, de Cardoso LA, Shibli JA (2010) Effect of platelet-rich plasma on peri-implant bone repair: a histologic study in dogs. J Oral Implantol 36(4):281–290. doi:10.1563/AAID-JOI-D-09-00056

    Google Scholar 

  • Giacco F, Perruolo G, D’Agostino E, Fratellanza G, Perna E, Misso S, Saldalamacchia G, Oriente F, Fiory F, Miele C, Formisano S, Beguinot F, Formisano P (2006) Thrombin-activated platelets induce proliferation of human skin fibroblasts by stimulating autocrine production of insulin-like growth factor-1. FASEB J 20(13):2402–2404. doi:fj.06-6104fje [pii] 10.1096/fj.06-6104fje

    Google Scholar 

  • Giusti I, Rughetti A, D’Ascenzo S, Millimaggi D, Pavan A, Dell’Orso L, Dolo V (2009) Identification of an optimal concentration of platelet gel for promoting angiogenesis in human endothelial cells. Transfusion 49(4):771–778. doi:10.1111/j.1537-2995.2008.02033.x

    Google Scholar 

  • Graziani F, Ivanovski S, Cei S, Ducci F, Tonetti M, Gabriele M (2006) The in vitro effect of different PRP concentrations on osteoblasts and fibroblasts. Clin Oral Implants Res 17(2):212–219. doi:10.1111/j.1600-0501.2005.01203.x

    Google Scholar 

  • Greiling D, Clark RA (1997) Fibronectin provides a conduit for fibroblast transmigration from collagenous stroma into fibrin clot provisional matrix. J Cell Sci 110(Pt 7):861–870

    Google Scholar 

  • Grimaud E, Heymann D, Redini F (2002) Recent advances in TGF-beta effects on chondrocyte metabolism. Potential therapeutic roles of TGF-beta in cartilage disorders. Cytokine Growth Factor Rev 13(3):241–257

    Google Scholar 

  • Grozovsky R, Hoffmeister KM, Falet H (2010) Novel clearance mechanisms of platelets. Curr Opin Hematol 17(6):585–589. doi:10.1097/MOH.0b013e32833e7561

    Google Scholar 

  • Gruber R, Karreth F, Fischer MB, Watzek G (2002) Platelet-released supernatants stimulate formation of osteoclast-like cells through a prostaglandin/RANKL-dependent mechanism. Bone 30(5):726–732

    Google Scholar 

  • Gumieiro EH, Abrahao M, Jahn RS, Segretto H, Alves MT, Nannmark U, Granstrom G, Dib LL (2010) Platelet-rich plasma in bone repair of irradiated tibiae of Wistar rats. Acta Cir Bras 25(3):257–263

    Google Scholar 

  • Hakimi M, Jungbluth P, Sager M, Betsch M, Herten M, Becker J, Windolf J, Wild M (2010) Combined use of platelet-rich plasma and autologous bone grafts in the treatment of long bone defects in mini-pigs. Injury 41(7):717–723. doi:10.1016/j.injury.2009.12.005

    Google Scholar 

  • Han B, Woodell-May J, Ponticiello M, Yang Z, Nimni M (2009) The effect of thrombin activation of platelet-rich plasma on demineralized bone matrix osteoinductivity. J Bone Joint Surg Am 91(6):1459–1470. doi:91/6/1459 [pii] 10.2106/JBJS.H.00246

  • Han J, Meng HX, Tang JM, Li SL, Tang Y, Chen ZB (2007) The effect of different platelet-rich plasma concentrations on proliferation and differentiation of human periodontal ligament cells in vitro. Cell Prolif 40(2):241–252. doi:10.1111/j.1365-2184.2007.00430.x

    Google Scholar 

  • Harrison S, Vavken P, Kevy S, Jacobson M, Zurakowski D, Murray MM (2011) Platelet activation by collagen provides sustained release of anabolic cytokines. Am J Sports Med 39(4):729–734. doi:0363546511401576 [pii] 10.1177/0363546511401576

    Google Scholar 

  • Hartley PS (2007) Platelet senescence and death. Clinical laboratory 53(3–4):157–166

    Google Scholar 

  • Haseltine WA (2011) Interview: commercial translation of cell-based therapies and regenerative medicine: learning by experience. Interview by Emily Culme-Seymour. Regenerative med 6(4):431–435. doi:10.2217/rme.11.40

    Google Scholar 

  • Haupt JL, Donnelly BP, Nixon AJ (2006) Effects of platelet-derived growth factor-BB on the metabolic function and morphologic features of equine tendon in explant culture. Am J Vet Res 67(9):1595–1600. doi:10.2460/ajvr.67.9.1595

    Google Scholar 

  • Heldin CH, Westermark B (1999) Mechanism of action and in vivo role of platelet-derived growth factor. Physiol Rev 79(4):1283–1316

    Google Scholar 

  • Herr AB, Farndale RW (2009) Structural insights into the interactions between platelet receptors and fibrillar collagen. J Biol Chem 284(30):19781–19785. doi:10.1074/jbc.R109.013219

    Google Scholar 

  • Hinck AP (2012) Structural studies of the TGF-betas and their receptors - insights into evolution of the TGF-beta superfamily. FEBS Lett 586(14):1860–1870. doi:10.1016/j.febslet.2012.05.028

    Google Scholar 

  • Huang S, Wang Z (2010) Influence of platelet-rich plasma on proliferation and osteogenic differentiation of skeletal muscle satellite cells: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110(4):453–462. doi:10.1016/j.tripleo.2010.02.009

    Google Scholar 

  • Imler SM, Doshi AN, Levenston ME (2004) Combined effects of growth factors and static mechanical compression on meniscus explant biosynthesis. Osteoarthritis Cartilage 12(9):736–744. doi:10.1016/j.joca.2004.05.007

    Google Scholar 

  • Ishida K, Kuroda R, Miwa M, Tabata Y, Hokugo A, Kawamoto T, Sasaki K, Doita M, Kurosaka M (2007) The regenerative effects of platelet-rich plasma on meniscal cells in vitro and its in vivo application with biodegradable gelatin hydrogel. Tissue Eng 13(5):1103–1112. doi:10.1089/ten.2006.0193

    Google Scholar 

  • Italiano JE Jr, Richardson JL, Patel-Hett S, Battinelli E, Zaslavsky A, Short S, Ryeom S, Folkman J, Klement GL (2008) Angiogenesis is regulated by a novel mechanism: pro- and antiangiogenic proteins are organized into separate platelet alpha granules and differentially released. Blood 111(3):1227–1233. doi:10.1182/blood-2007-09-113837

    Google Scholar 

  • Janowska-Wieczorek A, Wysoczynski M, Kijowski J, Marquez-Curtis L, Machalinski B, Ratajczak J, Ratajczak MZ (2005) Microvesicles derived from activated platelets induce metastasis and angiogenesis in lung cancer. Int J Cancer J Int du cancer 113(5):752–760. doi:10.1002/ijc.20657

    Google Scholar 

  • Jensen TB, Rahbek O, Overgaard S, Soballe K (2004) Platelet rich plasma and fresh frozen bone allograft as enhancement of implant fixation. An experimental study in dogs. J Orthop Res 22(3):653–658. doi:10.1016/j.orthres.2003.10.006

    Google Scholar 

  • Jensen TB, Rahbek O, Overgaard S, Soballe K (2005) No effect of platelet-rich plasma with frozen or processed bone allograft around noncemented implants. Int Orthop 29(2):67–72. doi:10.1007/s00264-004-0622-6

    Google Scholar 

  • Jiang H, Rhee S, Ho CH, Grinnell F (2008) Distinguishing fibroblast promigratory and procontractile growth factor environments in 3-D collagen matrices. FASEB J 22(7):2151–2160. doi:fj.07-097014 [pii] 10.1096/fj.07-097014

    Google Scholar 

  • Jo CH, Kim JE, Yoon KS, Shin S (2012) Platelet-rich plasma stimulates cell proliferation and enhances matrix gene expression and synthesis in tenocytes from human rotator cuff tendons with degenerative tears. Am J Sports Med 40(5):1035–1045. doi:10.1177/0363546512437525

    Google Scholar 

  • Junt T, Schulze H, Chen Z, Massberg S, Goerge T, Krueger A, Wagner DD, Graf T, Italiano JE Jr, Shivdasani RA, von Andrian UH (2007) Dynamic visualization of thrombopoiesis within bone marrow. Science 317(5845):1767–1770. doi:10.1126/science.1146304

    Google Scholar 

  • Kaigler D, Avila G, Wisner-Lynch L, Nevins ML, Nevins M, Rasperini G, Lynch SE, Giannobile WV (2011) Platelet-derived growth factor applications in periodontal and peri-implant bone regeneration. Expert Opin Biol Ther 11(3):375–385. doi:10.1517/14712598.2011.554814

    Google Scholar 

  • Kaipel M, Schutzenberger S, Schultz A, Ferguson J, Slezak P, Morton TJ, Van Griensven M, Redl H (2012) BMP-2 but not VEGF or PDGF in fibrin matrix supports bone healing in a delayed-union rat model. J Orthop Res 30(10):1563–1569. doi:10.1002/jor.22132

    Google Scholar 

  • Kajikawa Y, Morihara T, Sakamoto H, Matsuda K, Oshima Y, Yoshida A, Nagae M, Arai Y, Kawata M, Kubo T (2008) Platelet-rich plasma enhances the initial mobilization of circulation-derived cells for tendon healing. J Cell Physiol 215(3):837–845. doi:10.1002/jcp.21368

    Google Scholar 

  • Kakudo N, Minakata T, Mitsui T, Kushida S, Notodihardjo FZ, Kusumoto K (2008) Proliferation-promoting effect of platelet-rich plasma on human adipose-derived stem cells and human dermal fibroblasts. Plast Reconstr Surg 122(5):1352–1360. doi:10.1097/PRS.0b013e3181882046

    Google Scholar 

  • Kanno T, Takahashi T, Tsujisawa T, Ariyoshi W, Nishihara T (2005) Platelet-rich plasma enhances human osteoblast-like cell proliferation and differentiation. J Oral Maxillofac Surg 63(3):362–369. doi:10.1016/j.joms.2004.07.016

    Google Scholar 

  • Kaplan DR, Chao FC, Stiles CD, Antoniades HN, Scher CD (1979) Platelet alpha granules contain a growth factor for fibroblasts. Blood 53(6):1043–1052

    Google Scholar 

  • Karey KP, Sirbasku DA (1989) Human platelet-derived mitogens. II. Subcellular localization of insulinlike growth factor I to the alpha-granule and release in response to thrombin. Blood 74(3):1093–1100

    Google Scholar 

  • Karpatkin S (1978) Heterogeneity of human platelets. VI. correlation of platelet function with platelet volume. Blood 51(2):307–316

    Google Scholar 

  • Kasten P, Vogel J, Geiger F, Niemeyer P, Luginbuhl R, Szalay K (2008) The effect of platelet-rich plasma on healing in critical-size long-bone defects. Biomaterials 29(29):3983–3992. doi:10.1016/j.biomaterials.2008.06.014

    Google Scholar 

  • Katzel EB, Wolenski M, Loiselle AE, Basile P, Flick LM, Langstein HN, Hilton MJ, Awad HA, Hammert WC, O’Keefe RJ (2011) Impact of Smad3 loss of function on scarring and adhesion formation during tendon healing. J Orthop Res 29(5):684–693. doi:10.1002/jor.21235

    Google Scholar 

  • Kieswetter K, Schwartz Z, Alderete M, Dean DD, Boyan BD (1997) Platelet derived growth factor stimulates chondrocyte proliferation but prevents endochondral maturation. Endocrine 6(3):257–264. doi:10.1007/BF02820501

    Google Scholar 

  • Kim ES, Kim JJ, Park EJ (2010) Angiogenic factor-enriched platelet-rich plasma enhances in vivo bone formation around alloplastic graft material. J Adv prosthodont 2(1):7–13. doi:10.4047/jap.2010.2.1.7

    Google Scholar 

  • Kohler N, Lipton A (1974) Platelets as a source of fibroblast growth-promoting activity. Exp Cell Res 87(2):297–301

    Google Scholar 

  • Kon E, Filardo G, Delcogliano M, Fini M, Salamanna F, Giavaresi G, Martin I, Marcacci M (2010) Platelet autologous growth factors decrease the osteochondral regeneration capability of a collagen-hydroxyapatite scaffold in a sheep model. BMC musculoskelet disord 11:220. doi:10.1186/1471-2474-11-220

    Google Scholar 

  • Krijgsveld J, Zaat SA, Meeldijk J, van Veelen PA, Fang G, Poolman B, Brandt E, Ehlert JE, Kuijpers AJ, Engbers GH, Feijen J, Dankert J (2000) Thrombocidins, microbicidal proteins from human blood platelets, are C-terminal deletion products of CXC chemokines. J Biol Chem 275(27):20374–20381

    Google Scholar 

  • Kruger JP, Hondke S, Endres M, Pruss A, Siclari A, Kaps C (2012) Human platelet-rich plasma stimulates migration and chondrogenic differentiation of human subchondral progenitor cells. J Orthop Res 30(6):845–852. doi:10.1002/jor.22005

    Google Scholar 

  • Kurita J, Miyamoto M, Ishii Y, Aoyama J, Takagi G, Naito Z, Tabata Y, Ochi M, Shimizu K (2011) Enhanced vascularization by controlled release of platelet-rich plasma impregnated in biodegradable gelatin hydrogel. Ann thorac surg 92(3):837–844; discussion 844. doi:10.1016/j.athoracsur.2011.04.084

  • Lam WA, Chaudhuri O, Crow A, Webster KD, Li TD, Kita A, Huang J, Fletcher DA (2011) Mechanics and contraction dynamics of single platelets and implications for clot stiffening. Nat Mater 10(1):61–66. doi:10.1038/nmat2903

    Google Scholar 

  • Langlois S, Gingras D, Beliveau R (2004) Membrane type 1-matrix metalloproteinase (MT1-MMP) cooperates with sphingosine 1-phosphate to induce endothelial cell migration and morphogenic differentiation. Blood 103(8):3020–3028. doi:10.1182/blood-2003-08-2968

    Google Scholar 

  • Larson BJ, Longaker MT, Lorenz HP (2010) Scarless fetal wound healing: a basic science review. Plast Reconstr Surg 126(4):1172–1180. doi:10.1097/PRS.0b013e3181eae781

    Google Scholar 

  • Leslie M (2010) Cell biology. Beyond clotting: the powers of platelets. Science 328(5978):562–564. doi:10.1126/science.328.5978.562

    Google Scholar 

  • Lindemann S, Tolley ND, Dixon DA, McIntyre TM, Prescott SM, Zimmerman GA, Weyrich AS (2001) Activated platelets mediate inflammatory signaling by regulated interleukin 1beta synthesis. J Cell Biol 154(3):485–490. doi:10.1083/jcb.200105058

    Google Scholar 

  • Loppnow H, Bil R, Hirt S, Schonbeck U, Herzberg M, Werdan K, Rietschel ET, Brandt E, Flad HD (1998) Platelet-derived interleukin-1 induces cytokine production, but not proliferation of human vascular smooth muscle cells. Blood 91(1):134–141

    Google Scholar 

  • Luttenberger T, Schmid-Kotsas A, Menke A, Siech M, Beger H, Adler G, Grunert A, Bachem MG (2000) Platelet-derived growth factors stimulate proliferation and extracellular matrix synthesis of pancreatic stellate cells: implications in pathogenesis of pancreas fibrosis. Lab invest J Tech Methods Pathol 80(1):47–55

    Google Scholar 

  • Lynch SE, Nixon JC, Colvin RB, Antoniades HN (1987) Role of platelet-derived growth factor in wound healing: synergistic effects with other growth factors. Proc Natl Acad Sci U S A 84(21):7696–7700

    Google Scholar 

  • Lyras DN, Kazakos K, Agrogiannis G, Verettas D, Kokka A, Kiziridis G, Chronopoulos E, Tryfonidis M (2010) Experimental study of tendon healing early phase: is IGF-1 expression influenced by platelet rich plasma gel? Orthop Traumatol Surg Res 96(4):381–387. doi:S1877-0568(10)00064-2 [pii] 10.1016/j.otsr.2010.03.010

  • Lyras DN, Kazakos K, Verettas D, Botaitis S, Agrogiannis G, Kokka A, Pitiakoudis M, Kotzakaris A (2009a) The effect of platelet-rich plasma gel in the early phase of patellar tendon healing. Arch Orthop Trauma Surg 129(11):1577–1582. doi:10.1007/s00402-009-0935-4

    Google Scholar 

  • Lyras DN, Kazakos K, Verettas D, Polychronidis A, Tryfonidis M, Botaitis S, Agrogiannis G, Simopoulos C, Kokka A, Patsouris E (2009b) The influence of platelet-rich plasma on angiogenesis during the early phase of tendon healing. Foot Ankle Int 30(11):1101–1106. doi:50032717 [pii] 10.3113/FAI.2009.1101

    Google Scholar 

  • Mancinelli L, Cronin M, Sadee W (2000) Pharmacogenomics: the promise of personalized medicine. AAPS pharmSci 2(1):E4

    Google Scholar 

  • Marden LJ, Fan RS, Pierce GF, Reddi AH, Hollinger JO (1993) Platelet-derived growth factor inhibits bone regeneration induced by osteogenin, a bone morphogenetic protein, in rat craniotomy defects. J Clin Invest 92(6):2897–2905. doi:10.1172/JCI116912

    Google Scholar 

  • Martel C, Cointe S, Maurice P, Matar S, Ghitescu M, Theroux P, Bonnefoy A (2011) Requirements for membrane attack complex formation and anaphylatoxins binding to collagen-activated platelets. PLoS ONE 6(4):e18812. doi:10.1371/journal.pone.0018812

    Google Scholar 

  • Martineau I, Lacoste E, Gagnon G (2004) Effects of calcium and thrombin on growth factor release from platelet concentrates: kinetics and regulation of endothelial cell proliferation. Biomaterials 25(18):4489–4502. doi:10.1016/j.biomaterials.2003.11.013 S0142961203010792 [pii]

    Google Scholar 

  • Martinello T, Bronzini I, Perazzi A, Testoni S, De Benedictis GM, Negro A, Caporale G, Mascarello F, Iacopetti I, Patruno M (2012) Effects of in vivo applications of peripheral blood-derived mesenchymal stromal cells (PB-MSCs) and platlet-rich plasma (PRP) on experimentally injured deep digital flexor tendons of sheep. J Orthop Res. doi:10.1002/jor.22205

    Google Scholar 

  • Marx RE (2004) Platelet-rich plasma: evidence to support its use. J Oral Maxillofac Surg 62(4):489–496. doi:S0278239103012722 [pii]

    Google Scholar 

  • Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR (1998) Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85(6):638–646. doi:S1079-2104(98)90029-4 [pii]

    Google Scholar 

  • Mazzocca AD, McCarthy MB, Chowaniec DM, Cote MP, Romeo AA, Bradley JP, Arciero RA, Beitzel K (2012) Platelet-rich plasma differs according to preparation method and human variability. J Bone Joint Surg Am 94(4):308–316. doi:10.2106/JBJS.K.00430

    Google Scholar 

  • Mazzucco L, Medici D, Serra M, Panizza R, Rivara G, Orecchia S, Libener R, Cattana E, Levis A, Betta PG, Borzini P (2004) The use of autologous platelet gel to treat difficult-to-heal wounds: a pilot study. Transfusion 44(7):1013–1018. doi:10.1111/j.1537-2995.2004.03366.x TRF03366 [pii]

    Google Scholar 

  • McCarrel T, Fortier L (2009) Temporal growth factor release from platelet-rich plasma, trehalose lyophilized platelets, and bone marrow aspirate and their effect on tendon and ligament gene expression. J Orthop Res 27(8):1033–1042. doi:10.1002/jor.20853

    Google Scholar 

  • McCarrel TM, Minas T, Fortier LA (2012) Optimization of leukocyte concentration in platelet-rich plasma for the treatment of tendinopathy. J Bone Joint Surg Am 94(19):e1431–e1438. doi:10.2106/JBJS.L.00019

    Google Scholar 

  • McMorran BJ, Marshall VM, de Graaf C, Drysdale KE, Shabbar M, Smyth GK, Corbin JE, Alexander WS, Foote SJ (2009) Platelets kill intraerythrocytic malarial parasites and mediate survival to infection. Science 323(5915):797–800. doi:10.1126/science.1166296

    Google Scholar 

  • Milano G, Deriu L, Sanna Passino E, Masala G, Manunta A, Postacchini R, Saccomanno MF, Fabbriciani C (2012) Repeated platelet concentrate injections enhance reparative response of microfractures in the treatment of chondral defects of the knee: an experimental study in an animal model. Arthroscopy 28(5):688–701. doi:10.1016/j.arthro.2011.09.016

    Google Scholar 

  • Milano G, Sanna Passino E, Deriu L, Careddu G, Manunta L, Manunta A, Saccomanno MF, Fabbriciani C (2010) The effect of platelet rich plasma combined with microfractures on the treatment of chondral defects: an experimental study in a sheep model. Osteoarthritis Cartilage 18(7):971–980. doi:10.1016/j.joca.2010.03.013 S1063-4584(10)00113-5 [pii]

    Google Scholar 

  • Mishra A, Tummala P, King A, Lee B, Kraus M, Tse V, Jacobs CR (2009) Buffered platelet-rich plasma enhances mesenchymal stem cell proliferation and chondrogenic differentiation. Tissue Eng Part C Methods 15(3):431–435. doi:10.1089/ten.tec.2008.0534 10.1089/ten.tec.2008.0534 [pii]

    Google Scholar 

  • Mohammad KS, Chen CG, Balooch G, Stebbins E, McKenna CR, Davis H, Niewolna M, Peng XH, Nguyen DH, Ionova-Martin SS, Bracey JW, Hogue WR, Wong DH, Ritchie RO, Suva LJ, Derynck R, Guise TA, Alliston T (2009) Pharmacologic inhibition of the TGF-beta type I receptor kinase has anabolic and anti-catabolic effects on bone. PLoS ONE 4(4):e5275. doi:10.1371/journal.pone.0005275

    Google Scholar 

  • Montesano R, Orci L (1988) Transforming growth factor beta stimulates collagen-matrix contraction by fibroblasts: implications for wound healing. Proc Natl Acad Sci U S A 85(13):4894–4897

    Google Scholar 

  • Mooren RE, Hendriks EJ, van den Beucken JJ, Merkx MA, Meijer GJ, Jansen JA, Stoelinga PJ (2010) The effect of platelet-rich plasma in vitro on primary cells: rat osteoblast-like cells and human endothelial cells. Tissue Eng Part A 16(10):3159–3172. doi:10.1089/ten.tea.2009.0832

    Google Scholar 

  • Morizaki Y, Zhao C, An KN, Amadio PC (2010) The effects of platelet-rich plasma on bone marrow stromal cell transplants for tendon healing in vitro. J Hand Surg 35(11):1833–1841. doi:10.1016/j.jhsa.2010.07.034

    Google Scholar 

  • Moustakas A, Pardali K, Gaal A, Heldin CH (2002) Mechanisms of TGF-beta signaling in regulation of cell growth and differentiation. Immunol Lett 82(1–2):85–91

    Google Scholar 

  • Muthard RW, Diamond SL (2012) Blood clots are rapidly assembled hemodynamic sensors: flow arrest triggers intraluminal thrombus contraction. Arterioscler Thromb Vasc Biol. doi:10.1161/ATVBAHA.112.300312

    Google Scholar 

  • Nakamura T, Nawa K, Ichihara A, Kaise N, Nishino T (1987) Purification and subunit structure of hepatocyte growth factor from rat platelets. FEBS Lett 224(2):311–316

    Google Scholar 

  • Nurden AT (2011) Platelets, inflammation and tissue regeneration. Thromb Haemost 105(Suppl 1):S13–S33. doi:10.1160/THS10-11-0720

    Google Scholar 

  • Ogino Y, Ayukawa Y, Kukita T, Koyano K (2006) The contribution of platelet-derived growth factor, transforming growth factor-beta1, and insulin-like growth factor-I in platelet-rich plasma to the proliferation of osteoblast-like cells. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101(6):724–729. doi:10.1016/j.tripleo.2005.08.016 S1079-2104(05)00706-7 [pii]

    Google Scholar 

  • Okabe K, Yamada Y, Ito K, Kohgo T, Yoshimi R, Ueda M (2009) Injectable soft-tissue augmentation by tissue engineering and regenerative medicine with human mesenchymal stromal cells, platelet-rich plasma and hyaluronic acid scaffolds. Cytotherapy 11(3):307–316. doi:10.1080/14653240902824773

    Google Scholar 

  • Olorundare OE, Peyruchaud O, Albrecht RM, Mosher DF (2001) Assembly of a fibronectin matrix by adherent platelets stimulated by lysophosphatidic acid and other agonists. Blood 98(1):117–124

    Google Scholar 

  • Ono A, Westein E, Hsiao S, Nesbitt WS, Hamilton JR, Schoenwaelder SM, Jackson SP (2008) Identification of a fibrin-independent platelet contractile mechanism regulating primary hemostasis and thrombus growth. Blood 112(1):90–99. doi:10.1182/blood-2007-12-127001

    Google Scholar 

  • Pierce GF, Vande Berg J, Rudolph R, Tarpley J, Mustoe TA (1991) Platelet-derived growth factor-BB and transforming growth factor beta 1 selectively modulate glycosaminoglycans, collagen, and myofibroblasts in excisional wounds. Am J Pathol 138(3):629–646

    Google Scholar 

  • Piguet PF, Vesin C (1994) Pulmonary platelet trapping induced by bleomycin: correlation with fibrosis and involvement of the beta 2 integrins. Int J Exp Pathol 75(5):321–328

    Google Scholar 

  • Plaas A, Velasco J, Gorski DJ, Li J, Cole A, Christopherson K, Sandy JD (2011) The relationship between fibrogenic TGFbeta1 signaling in the joint and cartilage degradation in post-injury osteoarthritis. Osteoarthritis Cartilage 19(9):1081–1090. doi:10.1016/j.joca.2011.05.003

    Google Scholar 

  • Plachokova AS, van den Dolder J, van den Beucken JJ, Jansen JA (2009) Bone regenerative properties of rat, goat and human platelet-rich plasma. Int J Oral Maxillofac Surg 38(8):861–869. doi:10.1016/j.ijom.2009.04.009

    Google Scholar 

  • Pohlers D, Huber R, Ukena B, Kinne RW (2006) Expression of platelet-derived growth factors C and D in the synovial membrane of patients with rheumatoid arthritis and osteoarthritis. Arthritis Rheum 54(3):788–794. doi:10.1002/art.21670

    Google Scholar 

  • Ranly DM, McMillan J, Keller T, Lohmann CH, Meunch T, Cochran DL, Schwartz Z, Boyan BD (2005) Platelet-derived growth factor inhibits demineralized bone matrix-induced intramuscular cartilage and bone formation. A study of immunocompromised mice. J Bone Joint Surg Am 87(9):2052–2064. doi:10.2106/JBJS.D.02752

    Google Scholar 

  • Reigstad LJ, Varhaug JE, Lillehaug JR (2005) Structural and functional specificities of PDGF-C and PDGF-D, the novel members of the platelet-derived growth factors family. The FEBS J 272(22):5723–5741. doi:10.1111/j.1742-4658.2005.04989.x

    Google Scholar 

  • Rendu F, Brohard-Bohn B (2001) The platelet release reaction: granules’ constituents, secretion and functions. Platelets 12(5):261–273. doi:10.1080/09537100120068170

    Google Scholar 

  • Ribatti D, Nico B, Crivellato E (2011) The role of pericytes in angiogenesis. Int J dev biol 55(3):261–268. doi:10.1387/ijdb.103167dr

    Google Scholar 

  • Rink TJ (1988) Cytosolic calcium in platelet activation. Experientia 44(2):97–100

    Google Scholar 

  • Rodman NF Jr, Painter JC, Mc DN (1963) Platelet disintegration during clotting. J Cell Biol 16:225–241

    Google Scholar 

  • Ross R (1999) Atherosclerosis–an inflammatory disease. N Engl J Med 340(2):115–126. doi:10.1056/NEJM199901143400207

    Google Scholar 

  • Ross R, Glomset J, Kariya B, Harker L (1974) A platelet-dependent serum factor that stimulates the proliferation of arterial smooth muscle cells in vitro. Proc Natl Acad Sci U S A 71(4):1207–1210

    Google Scholar 

  • Saito M, Takahashi KA, Arai Y, Inoue A, Sakao K, Tonomura H, Honjo K, Nakagawa S, Inoue H, Tabata Y, Kubo T (2009) Intraarticular administration of platelet-rich plasma with biodegradable gelatin hydrogel microspheres prevents osteoarthritis progression in the rabbit knee. Clin Exp Rheumatol 27(2):201–207. doi:2584 [pii]

    Google Scholar 

  • Sampson S, Gerhardt M, Mandelbaum B (2008) Platelet rich plasma injection grafts for musculoskeletal injuries: a review. Curr Rev Musculoskelet Med 1(3–4):165–174. doi:10.1007/s12178-008-9032-5

    Google Scholar 

  • Sanchez M, Anitua E, Andia I (2010) Poor standardization in platelet-rich therapies hampers advancement. Arthroscopy 26(6):725–726; author reply 726. doi:S0749-8063(10)00204-5 [pii] 10.1016/j.arthro.2010.03.002

    Google Scholar 

  • Sanchez M, Anitua E, Azofra J, Aguirre JJ, Andia I (2008) Intra-articular injection of an autologous preparation rich in growth factors for the treatment of knee OA: a retrospective cohort study. Clin Exp Rheumatol 26(5):910–913

    Google Scholar 

  • Sanchez M, Anitua E, Azofra J, Andia I, Padilla S, Mujika I (2007) Comparison of surgically repaired Achilles tendon tears using platelet-rich fibrin matrices. Am J Sports Med 35(2):245–251. doi:10.1177/0363546506294078 0363546506294078 [pii]

    Google Scholar 

  • Sanchez-Gonzalez DJ, Mendez-Bolaina E, Trejo-Bahena NI (2012) Platelet-rich plasma peptides: key for regeneration. Int J Pept 2012:532519. doi:10.1155/2012/532519

    Google Scholar 

  • Scharstuhl A, Glansbeek HL, van Beuningen HM, Vitters EL, van der Kraan PM, van den Berg WB (2002) Inhibition of endogenous TGF-beta during experimental osteoarthritis prevents osteophyte formation and impairs cartilage repair. J Immunol 169(1):507–514

    Google Scholar 

  • Schmidt MB, Chen EH, Lynch SE (2006) A review of the effects of insulin-like growth factor and platelet derived growth factor on in vivo cartilage healing and repair. Osteoarthritis Cartilage 14(5):403–412. doi:10.1016/j.joca.2005.10.011

    Google Scholar 

  • Schnabel LV, Mohammed HO, Miller BJ, McDermott WG, Jacobson MS, Santangelo KS, Fortier LA (2007) Platelet rich plasma (PRP) enhances anabolic gene expression patterns in flexor digitorum superficialis tendons. J Orthop Res 25(2):230–240. doi:10.1002/jor.20278

    Google Scholar 

  • Schnabel LV, Sonea HO, Jacobson MS, Fortier LA (2008) Effects of platelet rich plasma and acellular bone marrow on gene expression patterns and DNA content of equine suspensory ligament explant cultures. Equine Vet J 40(3):260–265. doi:10.2746/042516408X278030 EVJ07118 [pii]

    Google Scholar 

  • Sehgal S, Storrie B (2007) Evidence that differential packaging of the major platelet granule proteins von Willebrand factor and fibrinogen can support their differential release. J Thromb Haemost 5(10):2009–2016. doi:10.1111/j.1538-7836.2007.02698.x JTH02698 [pii]

    Google Scholar 

  • Semple E, Speck ER, Aslam R, Kim M, Kumar V, Semple JW (2008) Evaluation of platelet gel characteristics using thrombin produced by the thrombin processing device: a comparative study. J Oral Maxillofac Surg 66(4):632–638. doi:10.1016/j.joms.2007.06.623 S0278-2391(07)01410-3 [pii]

    Google Scholar 

  • Semple JW, Italiano JE Jr, Freedman J (2011) Platelets and the immune continuum. Nat Rev Immunol 11(4):264–274. doi:10.1038/nri2956

    Google Scholar 

  • Seno T, Inoue N, Gao D, Okuda M, Sumi Y, Matsui K, Yamada S, Hirata KI, Kawashima S, Tawa R, Imajoh-Ohmi S, Sakurai H, Yokoyama M (2001) Involvement of NADH/NADPH oxidase in human platelet ROS production. Thromb Res 103(5):399–409

    Google Scholar 

  • Servin-Trujillo MA, Reyes-Esparza JA, Garrido-Farina G, Flores-Gazca E, Osuna-Martinez U, Rodriguez-Fragoso L (2011) Use of a graft of demineralized bone matrix along with TGF-beta1 leads to an early bone repair in dogs. J Vet Med sci Jpn Soc Vet Sci 73(9):1151–1161

    Google Scholar 

  • Slapnicka J, Fassmann A, Strasak L, Augustin P, Vanek J (2008) Effects of activated and nonactivated platelet-rich plasma on proliferation of human osteoblasts in vitro. J Oral Maxillofac Surg 66(2):297–301. doi:10.1016/j.joms.2007.05.022

    Google Scholar 

  • Slater M, Patava J, Kingham K, Mason RS (1995) Involvement of platelets in stimulating osteogenic activity. J Orthop Res 13(5):655–663. doi:10.1002/jor.1100130504

    Google Scholar 

  • Spreafico A, Chellini F, Frediani B, Bernardini G, Niccolini S, Serchi T, Collodel G, Paffetti A, Fossombroni V, Galeazzi M, Marcolongo R, Santucci A (2009) Biochemical investigation of the effects of human platelet releasates on human articular chondrocytes. J Cell Biochem 108(5):1153–1165. doi:10.1002/jcb.22344

    Google Scholar 

  • Steed DL (2006) Clinical evaluation of recombinant human platelet-derived growth factor for the treatment of lower extremity ulcers. Plast reconstr surg 117(7 Suppl):143S–149S; discussion 150S–151S. doi:10.1097/01.prs.0000222526.21512.4c

  • Stellos K, Gawaz M (2007) Platelet interaction with progenitor cells: potential implications for regenerative medicine. Thromb Haemost 98(5):922–929

    Google Scholar 

  • Sun Y, Feng Y, Zhang CQ, Chen SB, Cheng XG (2010) The regenerative effect of platelet-rich plasma on healing in large osteochondral defects. Int Orthop 34(4):589–597. doi:10.1007/s00264-009-0793-2

    Google Scholar 

  • Sundman EA, Cole BJ, Fortier LA (2011) Growth factor and catabolic cytokine concentrations are influenced by the cellular composition of platelet-rich plasma. Am J Sports Med 39(10):2135–2140. doi:10.1177/0363546511417792

    Google Scholar 

  • Sutter WW, Kaneps AJ, Bertone AL (2004) Comparison of hematologic values and transforming growth factor-beta and insulin-like growth factor concentrations in platelet concentrates obtained by use of buffy coat and apheresis methods from equine blood. Am J Vet Res 65(7):924–930

    Google Scholar 

  • Svensson Holm AC, Bengtsson T, Grenegard M, Lindstrom EG (2011) Platelet membranes induce airway smooth muscle cell proliferation. Platelets 22(1):45–55. doi:10.3109/09537104.2010.515696

    Google Scholar 

  • Taylor DW, Petrera M, Hendry M, Theodoropoulos JS (2011) A systematic review of the use of platelet-rich plasma in sports medicine as a new treatment for tendon and ligament injuries. Clin J Sport Med 21(4):344–352. doi:10.1097/JSM.0b013e31821d0f65

    Google Scholar 

  • Theoret CL, Barber SM, Moyana TN, Gordon JR (2002) Preliminary observations on expression of transforming growth factors beta1 and beta3 in equine full-thickness skin wounds healing normally or with exuberant granulation tissue. Vet Surg 31(3):266–273

    Google Scholar 

  • Thomopoulos S, Das R, Silva MJ, Sakiyama-Elbert S, Harwood FL, Zampiakis E, Kim HM, Amiel D, Gelberman RH (2009) Enhanced flexor tendon healing through controlled delivery of PDGF-BB. J Orthop Res 27(9):1209–1215. doi:10.1002/jor.20875

    Google Scholar 

  • Thon JN, Macleod H, Begonja AJ, Zhu J, Lee KC, Mogilner A, Hartwig JH, Italiano JE Jr (2012) Microtubule and cortical forces determine platelet size during vascular platelet production. Nat commun 3:852. doi:10.1038/ncomms1838

    Google Scholar 

  • Tohidnezhad M, Varoga D, Wruck CJ, Brandenburg LO, Seekamp A, Shakibaei M, Sonmez TT, Pufe T, Lippross S (2011) Platelet-released growth factors can accelerate tenocyte proliferation and activate the anti-oxidant response element. Histochem Cell Biol 135(5):453–460. doi:10.1007/s00418-011-0808-0

    Google Scholar 

  • Torricelli P, Fini M, Filardo G, Tschon M, Pischedda M, Pacorini A, Kon E, Giardino R (2011) Regenerative medicine for the treatment of musculoskeletal overuse injuries in competition horses. Int Orthop 35(10):1569–1576. doi:10.1007/s00264-011-1237-3

    Google Scholar 

  • Uutela M, Wirzenius M, Paavonen K, Rajantie I, He Y, Karpanen T, Lohela M, Wiig H, Salven P, Pajusola K, Eriksson U, Alitalo K (2004) PDGF-D induces macrophage recruitment, increased interstitial pressure, and blood vessel maturation during angiogenesis. Blood 104(10):3198–3204. doi:10.1182/blood-2004-04-1485

    Google Scholar 

  • Van Buul GM, Koevoet WL, Kops N, Bos PK, Verhaar JA, Weinans H, Bernsen MR, van Osch GJ (2011) Platelet-rich plasma releasate inhibits inflammatory processes in osteoarthritic chondrocytes. Am J Sports Med 39(11):2362–2370. doi:10.1177/0363546511419278

    Google Scholar 

  • Villela DL, Santos VL (2010) Evidence on the use of platelet-rich plasma for diabetic ulcer: a systematic review. Growth Factors 28(2):111–116. doi:10.3109/08977190903468185

    Google Scholar 

  • Villeneuve J, Block A, Le Bousse-Kerdiles MC, Lepreux S, Nurden P, Ripoche J, Nurden AT (2009) Tissue inhibitors of matrix metalloproteinases in platelets and megakaryocytes: a novel organization for these secreted proteins. Exp Hematol 37(7):849–856. doi:10.1016/j.exphem.2009.03.009

    Google Scholar 

  • Virchenko O, Grenegard M, Aspenberg P (2006) Independent and additive stimulation of tendon repair by thrombin and platelets. Acta Orthop 77(6):960–966. doi:10.1080/17453670610013295 770235901 [pii]

    Google Scholar 

  • Visser LC, Arnoczky SP, Caballero O, Kern A, Ratcliffe A, Gardner KL (2010) Growth factor-rich plasma increases tendon cell proliferation and matrix synthesis on a synthetic scaffold: an in vitro study. Tissue Eng Part A 16(3):1021–1029. doi:10.1089/ten.TEA.2009.0254

    Google Scholar 

  • Vordemvenne T, Paletta JR, Hartensuer R, Pap T, Raschke MJ, Ochman S (2011) Cooperative effects in differentiation and proliferation between PDGF-BB and matrix derived synthetic peptides in human osteoblasts. BMC musculoskeletal disorders 12:263. doi:10.1186/1471-2474-12-263

    Google Scholar 

  • Wang L, Ostberg O, Wihlborg AK, Brogren H, Jern S, Erlinge D (2003) Quantification of ADP and ATP receptor expression in human platelets. J Thromb Haemost 1(2):330–336

    Google Scholar 

  • Wang X, Qiu Y, Triffitt J, Carr A, Xia Z, Sabokbar A (2012) Proliferation and differentiation of human tenocytes in response to platelet rich plasma: an in vitro and in vivo study. J Orthop Res 30(6):982–990. doi:10.1002/jor.22016

    Google Scholar 

  • Waselau M, Sutter WW, Genovese RL, Bertone AL (2008) Intralesional injection of platelet-rich plasma followed by controlled exercise for treatment of midbody suspensory ligament desmitis in Standardbred racehorses. J Am Vet Med Assoc 232(10):1515–1520. doi:10.2460/javma.232.10.1515 10.2460/javma.232.10.1515 [pii]

    Google Scholar 

  • Weibrich G, Hansen T, Kleis W, Buch R, Hitzler WE (2004) Effect of platelet concentration in platelet-rich plasma on peri-implant bone regeneration. Bone 34(4):665–671. doi:10.1016/j.bone.2003.12.010

    Google Scholar 

  • Weibrich G, Kleis WK, Streckbein P, Moergel M, Hitzler WE, Hafner G (2012) Comparison of point-of-care methods for preparation of platelet concentrate (platelet-rich plasma). Int J Oral Maxillofac Implants 27(4):762–769

    Google Scholar 

  • Weicht B, Maitz P, Kandler B, Fischer MB, Watzek G, Gruber R (2007) Activated platelets positively regulate RANKL-mediated osteoclast differentiation. J Cell Biochem 102(5):1300–1307. doi:10.1002/jcb.21360

    Google Scholar 

  • Weyrich AS, Lindemann S, Zimmerman GA (2003) The evolving role of platelets in inflammation. J Thromb Haemost 1(9):1897–1905

    Google Scholar 

  • Weyrich AS, Schwertz H, Kraiss LW, Zimmerman GA (2009) Protein synthesis by platelets: historical and new perspectives. J Thromb Haemost 7(2):241–246. doi:10.1111/j.1538-7836.2008.03211.x JTH3211 [pii]

    Google Scholar 

  • White JG (2007) Platelet Structure. In: Michelson AD (ed) Platelets, 2nd edn. Academic Press, Elsevier, Burlington, pp 45–71

    Google Scholar 

  • Witte LD, Kaplan KL, Nossel HL, Lages BA, Weiss HJ, Goodman DS (1978) Studies of the release from human platelets of the growth factor for cultured human arterial smooth muscle cells. Circ Res 42(3):402–409

    Google Scholar 

  • Wozniak MA, Kwong L, Chodniewicz D, Klemke RL, Keely PJ (2005) R-Ras controls membrane protrusion and cell migration through the spatial regulation of Rac and Rho. Mol Biol Cell 16(1):84–96. doi:10.1091/mbc.E04-04-0277

    Google Scholar 

  • Wu CC, Chen WH, Zao B, Lai PL, Lin TC, Lo HY, Shieh YH, Wu CH, Deng WP (2011) Regenerative potentials of platelet-rich plasma enhanced by collagen in retrieving pro-inflammatory cytokine-inhibited chondrogenesis. Biomaterials 32(25):5847–5854. doi:10.1016/j.biomaterials.2011.05.002

    Google Scholar 

  • Xu J, Clark RA (1996) Extracellular matrix alters PDGF regulation of fibroblast integrins. J Cell Biol 132(1–2):239–249

    Google Scholar 

  • Zargar Baboldashti N, Poulsen RC, Franklin SL, Thompson MS, Hulley PA (2011) Platelet-rich plasma protects tenocytes from adverse side effects of dexamethasone and ciprofloxacin. Am J Sports Med 39(9):1929–1935. doi:10.1177/0363546511407283

    Google Scholar 

  • Zhang J, Wang JH (2010) Platelet-rich plasma releasate promotes differentiation of tendon stem cells into active tenocytes. Am J Sports Med 38(12):2477–2486. doi:10.1177/0363546510376750 0363546510376750 [pii]

    Google Scholar 

  • Zimmermann R, Jakubietz R, Jakubietz M, Strasser E, Schlegel A, Wiltfang J, Eckstein R (2001) Different preparation methods to obtain platelet components as a source of growth factors for local application. Transfusion 41(10):1217–1224

    Google Scholar 

  • Zou Z, Chen H, Schmaier AA, Hynes RO, Kahn ML (2007) Structure-function analysis reveals discrete beta3 integrin inside-out and outside-in signaling pathways in platelets. Blood 109(8):3284–3290. doi:10.1182/blood-2006-10-051664

    Google Scholar 

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Textor, J. (2014). Platelet-Rich Plasma (PRP) as a Therapeutic Agent: Platelet Biology, Growth Factors and a Review of the Literature. In: Lana, J., Andrade Santana, M., Dias Belangero, W., Malheiros Luzo, A. (eds) Platelet-Rich Plasma. Lecture Notes in Bioengineering. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40117-6_2

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