Equine veterinary journal2011; 43(5); 516-521; doi: 10.1111/j.2042-3306.2010.00321.x

Autologous conditioned serum: the comparative cytokine profiles of two commercial methods (IRAP and IRAP II) using equine blood.

Abstract: Osteoarthritis (OA) is one of the most prevalent and debilitating conditions affecting the horse. Autologous conditioned serum (ACS), commercially available as IRAP and IRAP II, is a recently developed treatment for OA in which plasma is prepared from venous blood by incubation with glass beads for 24 h. This product has been shown to increase anti-inflammatory cytokines and growth factors in human blood. However, data for equine ACS preparations are lacking. Objective: To characterise the protein profiles produced by commercially available ACS systems in equine blood. Methods: Blood was drawn from 5 horses into 6 groups: red top vacutainer (control), IRAP and IRAP II, with and without heparin. Samples were collected 1 or 24 h post draw and analysed for IL-1ra, IL-10, IGF-1, TGF-β, TNF-α and IL-1β using ELISAs. Results: Twenty-four hour IRAP and IRAP II samples contained significantly higher levels of all cytokines relative to 1 h serum controls. At 24 h, IRAP II contained significantly higher levels of IL-1ra and IRAP contained significantly higher levels of TNF-α, compared to 24 h controls. In addition, TGF-β, IL-10 and IL-1β in IRAP and IRAP II sera were similar to 24 h serum controls. The addition of heparin significantly reduced levels of IGF-1, TNF-α and TGF-β, and significantly elevated levels of IL-1ra. Conclusions: The cytokine profile that IRAP II produced is modestly better than IRAP. Incubation of whole blood in glass tubes stimulated cytokine synthesis, although not as efficiently as IRAP II. Conclusions: Although high levels of IL-1ra were found in ACS, elevation of other factors suggests these cytokines play a previously understated role in clinical improvements. Because ACS has been shown to alleviate clinical symptoms of OA, the present study suggests that factors other than IL-1ra alone might be involved in its clinical efficacy. Species-dependent elevations of cytokines warrant further investigation and optimisation of the systems appears to be necessary based on the differences between human and equine blood.
Publication Date: 2011-03-11 PubMed ID: 21496084DOI: 10.1111/j.2042-3306.2010.00321.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research investigates the effect of two commercially available treatments – IRAP and IRAP II – on horse blood to compare their efficiency for treating Osteoarthritis (OA). The study found that both treatments boosted anti-inflammatory cytokines and growth factors, with IRAP II producing marginally better results than IRAP.

Methodology

  • The study used blood samples drawn from five horses, which were divided into six groups: red top vacutainer (control), IRAP and IRAP II, applied both with and without the addition of heparin.
  • Samples were collected at 1 hour or 24 hours after the draw and were analysed for different cytokines (proteins impacting cell behaviour) using Enzyme-Linked Immunosorbent Assays (ELISAs). The measured cytokines included IL-1ra, IL-10, IGF-1, TGF-β, TNF-α and IL-1β.

Results

  • Data showed that 24-hour IRAP and IRAP II samples had significantly higher levels of all cytokines compared to the 1-hour controls.
  • At the 24-hour mark, IRAP II samples contained notably higher levels of IL-1ra, a protein that regulates inflammation, while IRAP samples had higher levels of TNF-α, a cytokine involved in inflammatory reactions.
  • Meanwhile, the levels of TGF-β, IL-10 and IL-1β were found to be similar in both IRAP and IRAP II comparisons to control.
  • The addition of heparin (a medication that prevents blood clots) decreased levels of IGF-1, TNF-α and TGF-β, and increased levels of IL-1ra.

Conclusions

  • The study indicates that even though IRAP II produced a slightly better cytokine profile than IRAP, both treatments increase cytokine synthesis in equine blood.
  • Additionally, the study suggests that not only high IL-1ra levels, but also other related factors, might play a role in clinical improvements relating to OA therapy.
  • Due to observed species-dependent variations in cytokine levels, further investigation and optimization of these anti-OA systems is recommended, especially considering differences between human and equine blood.

Cite This Article

APA
Hraha TH, Doremus KM, McIlwraith CW, Frisbie DD. (2011). Autologous conditioned serum: the comparative cytokine profiles of two commercial methods (IRAP and IRAP II) using equine blood. Equine Vet J, 43(5), 516-521. https://doi.org/10.1111/j.2042-3306.2010.00321.x

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 43
Issue: 5
Pages: 516-521

Researcher Affiliations

Hraha, T H
  • Gail Holmes Equine Orthopaedic Research Center, Colorado State University, Colorado, USA.
Doremus, K M
    McIlwraith, C W
      Frisbie, D D

        MeSH Terms

        • Animals
        • Blood Transfusion, Autologous / veterinary
        • Cytokines / genetics
        • Cytokines / metabolism
        • Enzyme-Linked Immunosorbent Assay / veterinary
        • Gene Expression Regulation
        • Horses / blood
        • Interleukin-1 Receptor Accessory Protein / metabolism
        • RNA, Messenger / genetics
        • RNA, Messenger / metabolism
        • Real-Time Polymerase Chain Reaction / veterinary
        • Serum / chemistry

        Citations

        This article has been cited 25 times.
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