Pilot study characterizing a single pooled preparation of equine platelet lysate for nebulization in the horse.
Abstract: Platelet lysate (PL) demonstrates antimicrobial and anti-inflammatory properties offering potential for treatment of bacterial pneumonia in horses. It remains unknown whether nebulization is suitable for PL administration in horses. This pilot study characterized particle size and flow rate of pooled equine PL (single preparation) nebulized using an equine-specific nebulizer (Flexivent®). Unassigned: Protein composition and antimicrobial activity were compared before and after nebulization. Protein composition was evaluated according to growth factor, antimicrobial peptide and cytokine concentrations and proteomic analysis. To evaluate antimicrobial activity, bacterial growth inhibition [maximum growth (μmax); carrying capacity (K)] were determined for E. coli, Streptococcus equi subsp zooepidemicus and Rhodococcus equi (WT and MDR) using pre- and post-nebulized PL concentrations of 50%. Unassigned: Flow rate and median particle size were 0.8 ml/min and 4.991 μm with 52% of particles ≤ 5 μm. Differences in PL protein composition were detected with nebulization. For E. coli and S. zooepidemicus, nebulization did not alter effect of PL on growth parameters. PL treatments decreased K for S. zooepidemicus (p = 0.009) compared to BHI. For R. equi K was increased post- vs. pre-nebulization (WT and MDR) and μmax increased pre- vs, post-nebulization (MDR). PL treatments increased K and μmax for MDR R. equi and μmax for WT R. equi compared to BHI (p ≤ 0.05). Unassigned: Nebulization of PL in vitro is technically feasible. The results of this study support further investigation to better characterize the effect of nebulization on PL and its suitability for nebulization in horses.
Copyright © 2024 Egli, Boone, Huber, Higgins, Gaonkar, Arrington, Naskou, Peroni, Gordon and Lascola.
Publication Date: 2024-12-12 PubMed ID: 39726585PubMed Central: PMC11670369DOI: 10.3389/fvets.2024.1488942Google Scholar: Lookup
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Summary
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This research is a preliminary investigation into the nebulization of equine platelet lysate (PL) and its potential as a treatment method for bacterial pneumonia in horses. The size of nebulized particles and flow rate of PL were analyzed, along with alterations in protein composition and antimicrobial effectiveness post-nebulization.
Study Design and Process
- The study used a single pooled preparation of equine platelet lysate (PL). This substance has shown potential for the treatment of bacterial pneumonia, a common equine disease. The researchers looked at PL’s protein composition and whether it changed pre- and post-nebulisation.
- The process of nebulization involves using a device (in this case, an equine-specific nebulizer named Flexivent) to create a mist of tiny particles that can be inhaled directly into the lungs.
- To assess the antimicrobial activity of the PL, the study analyzed the ability of pre- and post-nebulized PL to hinder bacterial growth.
Key Findings
- The nebulization process resulted in a median particle size of around 5 micrometers, with the majority (52%) being smaller or equal to that size. The flow rate was measured to be 0.8 milliliters per minute.
- Changes were observed in the protein composition of the PL after nebulization, suggesting that the physical process of nebulization might alter the PL’s properties.
- In terms of bacterial growth inhibition, the effect of the PL remained unchanged for certain types of bacteria following nebulization.
Conclusion
- The results demonstrate that nebulization of equine platelet lysate is technically feasible, and that the nebulizer used in this study could potentially be employed as a delivery method for treating bacterial pneumonia in horses.
- However, the changes observed after nebulization indicate that more research is required to fully understand the effects of nebulization on PL and its ultimate suitability as a form of equine treatment.
Cite This Article
APA
Egli P, Boone L, Huber L, Higgins C, Gaonkar PP, Arrington J, Naskou MC, Peroni J, Gordon J, Lascola KM.
(2024).
Pilot study characterizing a single pooled preparation of equine platelet lysate for nebulization in the horse.
Front Vet Sci, 11, 1488942.
https://doi.org/10.3389/fvets.2024.1488942 Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- Roy J. Carver Biotechnology Center, Proteomics Core, University of Illinois, Urbana, IL, United States.
- Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
- JF Peroni Laboratory, Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, United States.
- JF Peroni Laboratory, Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, United States.
- Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 72 references
- Reuss SM, Giguère S. Update on bacterial pneumonia and pleuropneumonia in the adult horse. Vet Clin North Am Equine Pract (2015) 31:105–20.
- Reuss SM, Cohen ND. Update on bacterial pneumonia in the foal and weanling. Vet Clin North Am Equine Pract (2015) 31:121–35.
- Higgins C, Huber L. Rhodococcus equi: challenges to treat infections and to mitigate antimicrobial resistance. J Equine Vet Sci (2023) 127:104845.
- Bordin AI, Huber L, Sanz MG, Cohen ND. Rhodococcus equi foal pneumonia: update on epidemiology, immunity, treatment and prevention. Equine Vet J (2022) 54:481–94.
- Ferri M, Ranucci E, Romagnoli P, Giaccone V. Antimicrobial resistance: a global emerging threat to public health systems. Crit Rev Food Sci Nutr (2017) 57:2857–76.
- Lord J, Carter C, Smith J, Locke S, Phillips E, Odoi A. Antimicrobial resistance among Streptococcus equi subspecies zooepidemicus and Rhodococcus equi isolated from equine specimens submitted to a diagnostic laboratory in Kentucky, USA. PeerJ (2022) 10:e13682.
- Palma E, Tilocca B, Roncada P. Antimicrobial resistance in veterinary medicine: an overview. Int J Mol Sci (2020) 21:1914.
- Steinman A, Navon-Venezia S. Antimicrobial resistance in horses. Animals (2020) 10:1161.
- Semple JW, Italiano JE Jr, Freedman J. Platelets and the immune continuum. Nat Rev Immunol (2011) 11:264–74.
- Gilbertie JM, Schaer TP, Schubert AG, Jacob ME, Menegatti S, Ashton Lavoie R. Platelet-rich plasma lysate displays antibiofilm properties and restores antimicrobial activity against synovial fluid biofilms in vitro. J Orthop Res (2020) 38:1365–74.
- Zamani M, Yaghoubi Y, Movassaghpour A, Shakouri K, Mehdizadeh A, Pishgahi A. Novel therapeutic approaches in utilizing platelet lysate in regenerative medicine: are we ready for clinical use?. J Cell Physiol (2019) 234:17172–86.
- Gordon J, Álvarez-Narváez S, Peroni JF. Antimicrobial effects of equine platelet lysate. Front Vet Sci (2021) 8:703414.
- Moellerberndt J, Hagen A, Niebert S, Büttner K, Burk J. Cytokines in equine platelet lysate and related blood products. Front Vet Sci (2023) 10:1117829.
- Camargo Garbin L, Lopez C, Carmona JU. A critical overview of the use of platelet-rich plasma in equine medicine over the last decade. Front Vet Sci (2021) 8:641818.
- Ríos DL, López C, Carmona JU. Evaluation of the anti-inflammatory effects of two platelet-rich gel supernatants in an in vitro system of cartilage inflammation. Cytokine (2015) 76:505–13.
- Avellar HK, Lutter JD, Ganta CK, Beard W, Smith JR, Jonnalagadda N. In vitro antimicrobial activity of equine platelet lysate and mesenchymal stromal cells against common clinical pathogens. Can J Vet Res (2022) 86:59–64.
- McCarrell TM. Equine platelet-rich plasma. Vet Clin North Amer: Eq Pract (2023) 39:429–42.
- Soares CS, Babo PS, Reis RL, Carvalho PP, Gomes ME. Platelet-derived products in veterinary medicine: a new trend or an effective therapy?. Trends Biotechnol (2021) 39:225–43.
- Sumner SM, Naskou MC, Thoresen M, Copland I, Peroni JF. Platelet lysate obtained via plateletpheresis performed in standing and awake equine donors. Transfusion (2017) 57:1755–62.
- Gilbertie JM, Schaer TP, Engiles JB, Seiler GS, Deddens BL, Schubert AG. A platelet-rich plasma-derived biologic clears Staphylococcus aureus biofilms while mitigating cartilage degeneration and joint inflammation in a clinically relevant large animal infectious arthritis model. Front Cell Infect Microbiol (2022) 12:895022.
- Tang YQ, Yeaman MR, Selsted ME. Antimicrobial peptides from human platelets. Infect Immun (2002) 70:6524–33.
- Beitia M, Delgado D, Sánchez P, Vallejo de la Cueva A, Cugat JR, Sánchez M. Platelet lysate nebulization protocol for the treatment of COVID-19 and its sequels: proof of concept and scientific rationale. Int J Mol Sci (2021) 22:1856.
- Jeyaraman M, Muthu S, Khanna M, Jain R, Anudeep TC, Muthukanagaraj P. Platelet lysate for COVID-19 pneumonia-a newer adjunctive therapeutic avenue. Stem Cell Investig (2021) 8:11.
- Lee YL, Lee LW, Su CY, Hsiao G, Yang YY, Leu SJ. Virally inactivated human platelet concentrate lysate induces regulatory T cells and immunosuppressive effect in a murine asthma model. Transfusion (2013) 53:1918–28.
- Brossi PM, Moreira JJ, Machado TS, Baccarin RY. Platelet-rich plasma in orthopedic therapy: a comparative systematic review of clinical and experimental data in equine and human musculoskeletal lesions. BMC Vet Res (2015) 11:98.
- Sampson S, Gerhardt M, Mandelbaum B. Platelet rich plasma injection grafts for musculoskeletal injuries: a review. Curr Rev Musculoskelet Med (2008) 1:165–74.
- Monteiro SO, Lepage OM, Theoret CL. Effects of platelet-rich plasma on the repair of wounds on the distal aspect of the forelimb in horses. Am J Vet Res (2009) 70:277–82.
- Dzyekanski B, Rocha D, Lopes A, Kunz J, Rebelatto C, Pimpão C. Intrabronchial instillation of platelet-rich plasma in equids with inflammatory airway disease. Estudos Biol (2012) 34:82.
- Pires NR, Miranda S, Costa MFM, Ramos MT, Bernardes C, Alencar NX. Effect of intrabronchial platelet rich plasma on the exercise-induced pulmonary hemorrhage endoscopic score in thoroughbred racehorses using furosemide: a preliminary study. Arq Bras Med Vet Zoot (2021) 73:605–12.
- Salama SM, Kamel IH, Ghanim M, Elsherif AF. The Efficacy of autologous nebulized platelet rich plasma (PRP) as an early adjuvant therapeutic and prognostic treatment modality in the management of inhalation lung injury. Egypt J Plast Reconstruct Surg (2019) 43:203–8.
- Carvalho TC, McConville JT. The function and performance of aqueous aerosol devices for inhalation therapy. J Pharm Pharmacol (2016) 68:556–78.
- Fultz L, Giguère S, Berghaus LJ, Grover GS, Merritt DA. Pulmonary pharmacokinetics of desfuroylceftiofur acetamide after nebulisation or intramuscular administration of ceftiofur sodium to weanling foals. Equine Vet J (2015) 47:473–7.
- Sierra-Rodriguez T, Groover ES, Lascola KM, Mora-Pereira M, Lee YH, Duran SH. Clinical feasibility and airway deposition of nebulized voriconazole in healthy horses. J Equine Vet Sci (2020) 94:103246.
- Kimura S, McCoy AM, Boothe DM, Wooldridge AA, Graff E, Hammack SM. Effects of a single dose of orally and rectally administered misoprostol in an in vivo endotoxemia model in healthy adult horses. Am J Vet Res (2022) 83:ajvr.21.12.0206.
- Boger BL, Manfredie J, Yob C, Weber PSD, Jacobs C. Beta defensins as biomarkers: detectable in LPS-stimulated equine peripheral blood mononuclear cells and normal, aseptic, and probable septic equine synovial fluid. Am J Vet Res (2022) 83:1–7.
- Rios Dl, Lopez C, Carmona JU. Platelet-rich gel supernatants stimulate the release of anti-inflammatory proteins on culture media of normal equine synovial membrane explants. Vet Med Int (2015) 2015:547052.
- Zucca E, Corsini E, Galbiati V, Lange-Consiglio A, Ferrucci F. Evaluation of amniotic mesenchymal cell derivatives on cytokine production in equine alveolar macrophages: an in vitro approach to lung inflammation. Stem Cell Res Ther (2016) 7:137.
- Rappsilber J, Mann M, Ishihama Y. Protocol for micro-purification, enrichment, pre-fractionation and storage of peptides for proteomics using StageTips. Nat Protoc (2007) 2:1896–906.
- Pirie RS, McGorum BC. Inhalation therapy for equine lower respiratory tract disease. In Pract (2017) 39:317–27.
- Cha ML, Costa LR. Inhalation therapy in horses. Vet Clin North Am Equine Pract (2017) 33:29–46.
- Carvalho TC, Peters JI, Williams RO 3rd. Influence of particle size on regional lung deposition–what evidence is there?. Int J Pharm (2011) 406:1–10.
- Ari A. Jet, ultrasonic, and mesh nebulizers: an evaluation of nebulizers for better clinical outcomes. Eur J Pulmonol (2014) 16:1–7.
- Windberger UBA, Plasenzotti R, Korak KJ. Whole blood viscosity, plasma viscosity and erythrocyte aggregation in nine mammalian species: reference values and comparison of data. Exp Physiol (2003) 88:431–40.
- Pennati A, Apfelbeck T, Brounts S, Galipeau J. Washed equine platelet extract as an anti-inflammatory biologic pharmaceutical. Tissue Eng Part A (2021) 27:582–92.
- Giraldo CE, López C, Álvarez ME, Samudio IJ, Prades M, Carmona JU. Effects of the breed, sex and age on cellular content and growth factor release from equine pure-platelet rich plasma and pure-platelet rich gel. BMC Vet Res (2013) 9:29.
- Pezzanite LM, Chow L, Dow SW, Goodrich LR, Gilbertie JM, Schnabel LV. Antimicrobial properties of equine stromal cells and platelets and future directions. Vet Clin Equine (2023) 39:565–78.
- Strandberg G, Sellberg F, Sommar P, Ronaghi M, Lubenow N, Knutson F. Standardizing the freeze-thaw preparation of growth factors from platelet lysate. Transfusion (2017) 57:1058–65.
- Hagen A, Lehmann H, Aurich S, Bauer N, Melzer M, Moellerberndt J. Scalable production of equine platelet lysate for multipotent mesenchymal stromal cell culture. Front Bioeng Biotechnol (2021) 8:613621.
- Naskou MC, Sumner S, Berezny A, Copland IB, Peroni JF. Fibrinogen-depleted equine platelet lysate affects the characteristics and functionality of mesenchymal stem cells. Stem Cells Dev (2019) 28:1572–80.
- McClain AK, McCarrel TM. The effect of four different freezing conditions and time in frozen storage on the concentration of commonly measured growth factors and enzymes in equine platelet-rich plasma over six months. BMC Vet Res (2019) 15:292.
- Beitia M, Delgado D, Mercader J, Gimeno I, Espregueira-Mendes J, Aizpurua B. The effect of short-term cryopreservation on the properties and functionality of platelet-rich plasma. Platelets (2023) 34:2210243.
- Naskou MC, Tyma JF, Gordon J, Berezny A, Kemelmakher H, Richey AC. Equine platelet lysate gel: a matrix for mesenchymal stem cell delivery. Stem Cells Dev (2022) 31:569–78.
- Ionita CR, Troillet AR, Vahlenkamp TW, Winter K, Brehm W, Ionita JC. Comparison of humoral insulin-like growth factor-1, platelet-derived growth factor-BB, transforming growth factor-β1, and interleukin-1 receptor antagonist concentrations among equine autologous blood-derived preparations. Am J Vet Res (2016) 77:898–905.
- Sad EP, Hess TM, Santos HA, Lessa DAB, Botteon PTL. Molecular and cellular evaluation of horses with summer pasture associated asthma syndrome. J Equine Vet Sci (2023) 131:104928.
- Giguère S, Viel L, Lee E, MacKay RJ, Hernandez J, Franchini M. Cytokine induction in pulmonary airways of horses with heaves and effect of therapy with inhaled fluticasone propionate. Vet Immunol Immunopathol (2002) 85:147–58.
- Kolsuz M, Erginel S, Alataş O, Alataş F, Metintaş M, Uçgun I. Acute phase reactants and cytokine levels in unilateral community-acquired pneumonia. Respiration (2003) 70:615–22.
- Le NTN, Han CL, Delila L, Nebie O, Chien HT, Wu YW. Proteomics of human platelet lysates and insight from animal studies on platelet protein diffusion to hippocampus upon intranasal administration. APL Bioeng (2024) 8:026111.
- Rodrigues RM, Valim VS, Berger M, da Silva APM, Fachel FNS, Wilke II. The proteomic and particle composition of human platelet lysate for cell therapy products. J Cell Biochem (2022) 123:1495–505.
- Bianchetti A, Chinello C, Guindani M, Braga S, Neva A, Verardi R. A blood bank standardized production of human platelet lysate for mesenchymal stromal cell expansion: proteomic characterization and biological effects. Front Cell Dev Biol (2021) 9:650490.
- Dhople V, Krukemeyer A, Ramamoorthy A. The human beta-defensin-3, an antibacterial peptide with multiple biological functions. Biochim Biophys Acta (2006) 1758:1499–512.
- Fu J, Zong X, Jin M, Min J, Wang F, Wang Y. Mechanisms and regulation of defensins in host defense. Transduct Target Ther (2023) 8:300.
- Meade KG, O'Farrelly C. β-Defensins: farming the microbiome for homeostasis and health. Front Immunol (2019) 9:3072.
- Shariati A, Moradabadi A, Ghaznavi-Rad E, Dadmanesh M, Komijani M, Nojoomi F. Investigation into antibacterial and wound healing properties of platelets lysate against Acinetobacter baumannii and Klebsiella pneumoniae burn wound infections. Ann Clin Microbiol Antimicrob (2021) 20:40.
- Valtetsiotis K, Di Martino A, Brunello M, D'Agostino C, Poluzzi R, Ferri R. Platelet lysate for the treatment of osteoarthritis: a systematic review of preclinical and clinical studies. Musculoskelet Surg (2024) 108:275–88.
- Franini A, Entani MG, Colosio E, Melotti L, Patruno M. Case report: Flexor carpi ulnaris tendinopathy in a lure-coursing dog treated with three platelet-rich plasma and platelet lysate injections. Front Vet Sci (2023) 10:1003993.
- Burnouf T, Chou ML, Wu YW, Su CY, Lee LW. Antimicrobial activity of platelet (PLT)-poor plasma, PLT-rich plasma, PLT gel, and solvent/detergent-treated PLT lysate biomaterials against wound bacteria. Transfusion (2013) 53:138–46.
- López C, Carmona JU, Giraldo CE, Alvarez ME. Bacteriostatic effect of equine pure platelet-rich plasma and other blood products against methicillin-sensitive Staphylococcus aureus. An in vitro study. Vet Comp Orthop Traumatol (2014) 27:372–8.
- Mariani E, Filardo G, Canella V, Berlingeri A, Bielli A, Cattini L. Platelet-rich plasma affects bacterial growth in vitro. Cytotherapy (2014) 16:1294–304.
- Moojen DJ, Everts PA, Schure RM, Overdevest EP, van Zundert A, Knape JT. Antimicrobial activity of platelet-leukocyte gel against Staphylococcus aureus. J Orthop Res (2008) 26:404–10.
- Drago L, Bortolin M, Vassena C, Romanò CL, Taschieri S, Del Fabbro M. Plasma components and platelet activation are essential for the antimicrobial properties of autologous platelet-rich plasma: an in vitro study. PLoS ONE (2014) 9:e107813.
- Deppermann C, Kubes P. Platelets and infection. Semin Immunol (2016) 28:536–45.
- Morrell CN, Aggrey AA, Chapman LM, Modjeski KL. Emerging roles for platelets as immune and inflammatory cells. Blood (2014) 123:2759–67.
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