Autologous Conditioned Serum.
Abstract: Autologous conditioned serum was developed in the mid 1990s as an expeditious, practical, and relatively inexpensive means of generating the interleukin-1 receptor antagonist, a naturally occurring inhibitor of the cytokine interleukin-1. The latter is thought to be an important mediator of inflammation, pain, and tissue destruction in musculoskeletal conditions. ACS has been widely and successfully used in the local treatment of human and equine osteoarthritis and radicular compression; it has also shown promise in treating tendinopathies, muscle injuries, and tunnel widening after reconstruction of the anterior cruciate ligament. Experience suggests that autologous conditioned serum is safe and effective.
Copyright © 2016 Elsevier Inc. All rights reserved.
Publication Date: 2016-10-30 PubMed ID: 27788906DOI: 10.1016/j.pmr.2016.06.003Google Scholar: Lookup
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Summary
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The research article is about Autologous Conditioned Serum (ACS), a developement from the mid-1990s, which serves as a cost-effective method for the production of interleukin-1 receptor antagonist. The research explores its utility in treating musculoskeletal conditions, due to its role in mediating inflammation, pain, and tissue damage.
Development and Utilization of Autologous Conditioned Serum
- The research explains the development of Autologous conditioned serum (ACS) in the mid-1990s. ACS is a result of a patient’s blood, conditioned in a specialized way to increase the levels of certain anti-inflammatory proteins and growth factors, which include the Interleukin-1 receptor antagonist (IL-1Ra).
- Interleukin-1 receptor antagonist is a natural inhibitor of the cytokine interleukin-1, which plays a crucial role in inflammation, pain, and tissue destruction in musculoskeletal conditions. With ACS, ample amounts of this inhibitor can be produced in a cost-effective, easy, and quicker way.
Application of Autologous Conditioned Serum
- The research reveals that ACS demonstrated a high level of utility in human and equine osteoarthritis and radicular compression. It has been used mainly in the local treatment of these medical conditions.
- Additionally, ACS has also proven its worth in treating tendinopathies and muscle injuries. It also shows promising results in narrow tunneling, which is a common occurrence after the reconstruction of the anterior cruciate ligament.
Safety and Effectiveness of Autologous Conditioned Serum
- The research highlights that the use of ACS in treatments is generally viewed as safe and effective. The experience and results from its utility have suggested its safety and efficacy, which warrants further investigations and applications in the medical field.
Cite This Article
APA
Evans CH, Chevalier X, Wehling P.
(2016).
Autologous Conditioned Serum.
Phys Med Rehabil Clin N Am, 27(4), 893-908.
https://doi.org/10.1016/j.pmr.2016.06.003 Publication
Researcher Affiliations
- Rehabilitation Medicine Research Center, Mayo Clinic, 200, First Street Southwest, Rochester, MN 55905, USA. Electronic address: Evans.christopher@mayo.edu.
- Department of Rheumatology, Hopital Henri Mondor, UPEC Paris XII University, Bd De latter de Tassigny, Creteil 94010, France.
- Orthogen AG, Ernst-Schneider-Platz 1, Düsseldorf 40212, Germany.
MeSH Terms
- Animals
- Biological Therapy
- Horses
- Humans
- Interleukin 1 Receptor Antagonist Protein / therapeutic use
- Interleukin-1 / therapeutic use
- Muscular Diseases / therapy
- Pain
- Serum / immunology
Citations
This article has been cited 20 times.- Saraf A, Hussain A, Bishnoi S, Habib H, Garg A. Serial intraarticular injections of growth factor concentrate in knee osteoarthritis: A placebo controlled randomized study.. J Orthop 2023 Mar;37:46-52.
- Ippolito M, Spurio G, Compagno V, Rizzo A, Di Simone M, Corsale AM, Mazzola G, Giarratano A, Meraviglia S, Cortegiani A, Alongi A. Autologous conditioned serum for chronic pain in patients with osteoarthritis: A feasibility observational study.. Br J Pain 2023 Feb;17(1):103-111.
- Vitali M, Ometti M, Pironti P, Salvato D, Sandrucci A, Leone O, Salini V. Clinical and functional evaluation of bone marrow aspirate concentrate vs autologous conditioned serum in the treatment of knee osteoarthritis.. Acta Biomed 2022 Oct 26;93(5):e2022222.
- Karsmarski OP, Hawthorne BC, Cusano A, LeVasseur MR, Wellington IJ, McCarthy MB, Cote MP, Mazzocca AD. Activated Serum Increases In Vitro Cellular Proliferation and Growth Factor Expression of Musculoskeletal Cells.. J Clin Med 2022 Jun 15;11(12).
- Coşkun HS, Yurtbay A, Say F. Platelet Rich Plasma Versus Autologous Conditioned Serum in Osteoarthritis of the Knee: Clinical Results of a Five-Year Retrospective Study.. Cureus 2022 Apr;14(4):e24500.
- Aghamohammadi D, Sharifi S, Shakouri SK, Eslampour Y, Dolatkhah N. Autologous conditioned serum (Orthokine) injection for treatment of classical trigeminal neuralgia: results of a single-center case series.. J Med Case Rep 2022 May 8;16(1):183.
- Raeissadat SA, Rayegani SM, Sohrabi MR, Jafarian N, Bahrami MN. Effectiveness of intra-articular autologous-conditioned serum injection in knee osteoarthritis: a meta-analysis study.. Future Sci OA 2021 Oct;7(9):FSO759.
- Karjalainen TV, Silagy M, O'Bryan E, Johnston RV, Cyril S, Buchbinder R. Autologous blood and platelet-rich plasma injection therapy for lateral elbow pain.. Cochrane Database Syst Rev 2021 Sep 30;9(9):CD010951.
- Camargo Garbin L, Morris MJ. A Comparative Review of Autologous Conditioned Serum and Autologous Protein Solution for Treatment of Osteoarthritis in Horses.. Front Vet Sci 2021;8:602978.
- Otahal A, Kramer K, Kuten-Pella O, Weiss R, Stotter C, Lacza Z, Weber V, Nehrer S, De Luna A. Characterization and Chondroprotective Effects of Extracellular Vesicles From Plasma- and Serum-Based Autologous Blood-Derived Products for Osteoarthritis Therapy.. Front Bioeng Biotechnol 2020;8:584050.
- Genç E, Yüksel S, Çağlar A, Beytemur O, Güleç MA. Comparison on effects of platelet-rich plasma versus autologous conditioned serum on Achilles tendon healing in a rat model.. Acta Orthop Traumatol Turc 2020 Jul;54(4):438-444.
- Angadi DS, Macdonald H, Atwal N. Autologous cell-free serum preparations in the management of knee osteoarthritis: what is the current clinical evidence?. Knee Surg Relat Res 2020 Mar 23;32(1):16.
- Vitali M, Ometti M, Drossinos A, Pironti P, Santoleri L, Salini V. Autologous conditioned serum: clinical and functional results using a novel disease modifying agent for the management of knee osteoarthritis.. J Drug Assess 2020;9(1):43-51.
- Buchheit T, Huh Y, Maixner W, Cheng J, Ji RR. Neuroimmune modulation of pain and regenerative pain medicine.. J Clin Invest 2020 May 1;130(5):2164-2176.
- Dehghani B, Rodeo S. Cell Therapy-a Basic Science Primer for the Sports Medicine Clinician.. Curr Rev Musculoskelet Med 2019 Dec;12(4):436-445.
- Blázquez R, Sánchez-Margallo FM, Reinecke J, Álvarez V, López E, Marinaro F, Casado JG. Conditioned Serum Enhances the Chondrogenic and Immunomodulatory Behavior of Mesenchymal Stem Cells.. Front Pharmacol 2019;10:699.
- Linardi RL, Dodson ME, Moss KL, King WJ, Ortved KF. The Effect of Autologous Protein Solution on the Inflammatory Cascade in Stimulated Equine Chondrocytes.. Front Vet Sci 2019;6:64.
- Huang D, Liu YQ, Liang LS, Lin XW, Song T, Zhuang ZG, Wang SL, Bao HG, Wang L, Zhang XW, Cheng ZG, Duan BL, Qiu WD, Xiong YC, Liu JF. The Diagnosis and Therapy of Degenerative Knee Joint Disease: Expert Consensus from the Chinese Pain Medicine Panel.. Pain Res Manag 2018;2018:2010129.
- Strümper R. Intra-Articular Injections of Autologous Conditioned Serum to Treat Pain from Meniscal Lesions.. Sports Med Int Open 2017 Oct;1(6):E200-E205.
- Genç E, Beytemur O, Yuksel S, Eren Y, Çağlar A, Küçükyıldırım BO, Güleç MA. Investigation of the biomechanical and histopathological effects of autologous conditioned serum on healing of Achilles tendon.. Acta Orthop Traumatol Turc 2018 May;52(3):226-231.
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