Abstract: This study evaluated the quality and bacteriologic safety of platelet-rich plasma (PRP) produced by 3 simple, inexpensive tube centrifugation methods and a commercial system. Citrated equine blood collected from 26 normal horses was processed by 4 methods: blood collection tubes centrifuged at 1200 and 2000 × g, 50-mL conical tube, and a commercial system. White blood cell (WBC), red blood cell (RBC), and platelet counts and mean platelet volume (MPV) were determined for whole blood and PRP, and aerobic and anaerobic cultures were performed. Mean platelet concentrations ranged from 1.55- to 2.58-fold. The conical method yielded the most samples with platelet concentrations greater than 2.5-fold and within the clinically acceptable range of > 250,000 platelets/μL. White blood cell counts were lowest with the commercial system and unacceptably high with the blood collection tubes. The conical tube method may offer an economically feasible and comparatively safe alternative to commercial PRP production systems. Centrifugation en tube pour le traitement du plasma riche en plaquettes chez le cheval. Cette étude a évalué la qualité et l’innocuité bactériologique du plasma riche en plaquettes (PRP) produit par 3 méthodes simples et économiques de centrifugation en tube et un système commercial. Du sang équin citraté prélevé de 26 chevaux normaux a été traité à l’aide de 4 méthodes : des tubes de prélèvement du sang centrifugés à 1200 et à 2000 × g, un tube conique de 50 ml et un système commercial. La numération des globules blancs, des globules rouges et des plaquettes ainsi que le volume moyen des plaquettes ont été déterminés pour le sang total et le PRP et des cultures bactériennes en aérobiose et en anaérobiose ont été réalisées. Les concentrations moyennes des plaquettes s’échelonnaient d’un ordre de grandeur variant de 1,55 à 2,58. La méthode conique a donné le plus d’échantillons avec des concentrations de plaquettes supérieures à un ordre de 2,5 et dans la fourchette cliniquement acceptable de > 250 000 plaquettes/μL. La numération des globules blancs était la plus basse avec le système commercial et était trop élevée par la méthode avec les tubes de prélèvement du sang. La méthode du tube conique peut offrir une méthode de remplacement abordable et d’innocuité comparable aux systèmes de production commerciaux de PRP.(Traduit par Isabelle Vallières).
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research study assessed the quality and safety of platelet-rich plasma (PRP) produced from horse blood using different centrifugation techniques and found that the simpler, low-cost conical tube method can serve as an economically-feasible and comparably safe alternative to commercial systems for PRP production.
Research Methodology
The researchers conducted an experiment on citrated equine blood collected from 26 healthy horses.
The blood was processed using four different methods: blood collection tubes centrifuged at 1200 and 2000 × g, a 50-mL conical tube, and a commercial system.
The researchers evaluated the resultant platelet-rich plasma (PRP) for its quality and safety. They determined the red blood cell (RBC), white blood cell (WBC), and platelet counts and the mean platelet volume (MPV) for both the whole blood and the PRP obtained.
Bacteriologic safety was tested by performing aerobic and anaerobic cultures.
Research Findings
The average concentrations of platelets in the PRP samples ranged between 1.55 and 2.58-fold.
The conical method consistently produced PRP samples with platelet concentrations greater than 2.5-fold and within the clinically acceptable range of over 250,000 platelets/μL.
The commercial method achieved the lowest white blood cell counts, whereas the blood collection tubes method produced unacceptably high counts.
Conclusions
The study found the conical tube method to be potentially an economically feasible and comparatively safe alternative to the commercially available systems for PRP production.
This simplicity and cost-effectiveness can be important for veterinary medicine, providing an accessible treatment option.
Recommendations
Further research may be needed to optimize the procedure and further test for its safety and effectiveness across different scenarios.
Cite This Article
APA
Fontenot RL, Sink CA, Werre SR, Weinstein NM, Dahlgren LA.
(2013).
Simple tube centrifugation for processing platelet-rich plasma in the horse.
Can Vet J, 53(12), 1266-1272.
Department of Large Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Blacksburg, Virginia 24061-0442, USA.
Sink, Carolyn A
Werre, Stephen R
Weinstein, Nicole M
Dahlgren, Linda A
MeSH Terms
Animals
Centrifugation / methods
Centrifugation / veterinary
Erythrocyte Count / methods
Erythrocyte Count / veterinary
Female
Horse Diseases / blood
Horse Diseases / therapy
Horses / blood
Leukocyte Count / methods
Leukocyte Count / veterinary
Male
Platelet Count / methods
Platelet Count / veterinary
Platelet-Rich Plasma / cytology
References
This article includes 48 references
Sampson S, Gerhardt M, Mandelbaum B. Platelet rich plasma injection grafts for musculoskeletal injuries: A review.. Curr Rev Musculoskelet Med 2008;1:165–174.
Simman R, Hoffmann A, Bohinc RJ, Peterson WC, Russ AJ. Role of platelet-rich plasma in acceleration of bone fracture healing.. Ann Plast Surg 2008;61:337–344.
Nikolidakis D, Jansen JA. The biology of platelet-rich plasma and its application in oral surgery: Literature review.. Tissue Eng Part B Rev 2008;14:249–258.
Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration.. Thromb Haemost 2004;91:4–15.
Eppley BL, Woodell JE, Higgins J. Platelet quantification and growth factor analysis from platelet-rich plasma: Implications for wound healing.. Plast Reconstr Surg 2004;114:1502–1508.
Del Bue M, Ricco S, Conti V, Merli E, Ramoni R, Grolli S. Platelet lysate promotes in vitro proliferation of equine mesenchymal stem cells and tenocytes.. Vet Res Commun 2007;31(Suppl 1):289–292.
Schnabel LV, Fortier LA, McCarrel TM, Sundman EA, Boswell S. PRP: What we know and where are we going?. Proc Am Col Vet Surg Vet Symp 2011;21:103.
Castillo TN, Pouliot MA, Kim HJ, Dragoo JL. Comparison of growth factor and platelet concentration from commercial platelet-rich plasma separation systems.. Am J Sports Med 2011;39:266–271.
McLellan J, Plevin S. Does it matter which platelet-rich plasma we use?. Equine Vet Educ 2011;23:101–104.
Sundman EA, Cole BJ, Fortier LA. Growth factor and catabolic cytokine concentrations are influenced by the cellular composition of platelet-rich plasma.. Am J Sports Med 2011;39:2135–2140.
Werther K, Christensen IJ, Nielsen HJ. Determination of vascular endothelial growth factor (VEGF) in circulating blood: Significance of VEGF in various leucocytes and platelets.. Scand J Clin Lab Invest 2002;62:343–350.
McCarrel T, Fortier L. 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 2009;27:1033–1042.
Dohan Ehrenfest DM, Rasmusson L, Albrektsson T. Classification of platelet concentrates: From pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends Biotechnol 2009;27:158–167.
Palmer DS, Aye MT, Dumont L. Prevention of cytokine accumulation in platelets obtained with the COBE spectra apheresis system.. Vox Sang 1998;75:115–123.
Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts.. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:638–646.
Liu Y, Kalen A, Risto O, Wahlstrom O. Fibroblast proliferation due to exposure to a platelet concentrate in vitro is pH dependent.. Wound Repair Regen 2002;10:336–340.
Weibrich G, Hansen T, Kleis W, Buch R, Hitzler WE. Effect of platelet concentration in platelet-rich plasma on peri-implant bone regeneration.. Bone 2004;34:665–671.
Haynesworth SE, Kadiyala S, Liang L, Bruder SP. Mitogenic stimulation of human mesenchymal stem cells by platelet releasate suggests a mechanism for enhancement of bone repair by platelet concentrate.. Trans Orthop Res Soc 1996;21:462.
Graziani F, Cei S, Ducci F, Giuca MR, Donos N, Gabriele M. In vitro effects of different concentration of PRP on primary bone and gingival cell lines. Preliminary results.. Minerva Stomatol 2005;54:15–22.
Mastrangelo AN, Vavken P, Fleming BC, Harrison SL, Murray MM. Reduced platelet concentration does not harm PRP effectiveness for ACL repair in a porcine in vivo model.. J Orthop Res 2011;29:1002–1007.
Christensen K, Vang S, Brady C. Autologous platelet gel: An in vitro analysis of platelet-rich plasma using multiple cycles.. J Extra Corpor Technol 2006;38:249–253.
McCarrel T, Minas T, Fortier L. Optimization of white blood cell concentration in platelet rich plasma (PRP) for the treatment of tendonitis.. Vet Surgery 2011;40:E37.
Bielecki T, Gazdzik TS, Szczepanski T. Benefit of percutaneous injection of autologous platelet-leukocyte-rich gel in patients with delayed union and nonunion.. Eur Surg Res 2008;40:289–296.
Everts PA, Devilee RJ, Brown Mahoney C. Exogenous application of platelet-leukocyte gel during open subacromial decompression contributes to improved patient outcome. A prospective randomized double-blind study.. Eur Surg Res 2008;40:203–210.
Bielecki TM, Gazdzik TS, Arendt J, Szczepanski T, Krol W, Wielkoszynski T. Antibacterial effect of autologous platelet gel enriched with growth factors and other active substances: An in vitro study.. J Bone Joint Surg Br 2007;89:417–420.
Cieslik-Bielecka A, Gazdzik TS, Bielecki TM, Cieslik T. Why the platelet-rich gel has antimicrobial activity?. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:303–305.
Lincoln JA, Lefkowitz DL, Cain T. Exogenous myeloperoxidase enhances bacterial phagocytosis and intracellular killing by macrophages.. Infect Immun 1995;63:3042–3047.
Zimmermann R, Jakubietz R, Jakubietz M. Different preparation methods to obtain platelet components as a source of growth factors for local application.. Transfusion 2001;41:1217–1224.
Laufer N, Grover NB, Ben-Sasson S, Freund H. Effects of adenosine diphosphate, colchicine and temperature on size of human platelets.. Thromb Haemost 1979;41:491–497.
Alvarez ME, Giraldo CE, Carmona JU. Monitoring bacterial contamination in equine platelet concentrates obtained by the tube method in a clean laboratory environment under three different technical conditions.. Equine Vet J 2010;42:63–67.
Perego R, Spada E, Baggiani L, Martino PA, Proverbio D. Efficacy of a Semi Automated Commercial Closed System for Autologous Leukocyte- and Platelet-Rich Plasma (l-prp) Production in Dogs: A Preliminary Study. Animals (Basel) 2020 Aug 4;10(8).
Kaewkhao K, Chotivanich K, Winterberg M, Day NP, Tarning J, Blessborn D. High sensitivity methods to quantify chloroquine and its metabolite in human blood samples using LC-MS/MS. Bioanalysis 2019 Mar;11(5):333-347.
Gutiérrez CM, López C, Giraldo CE, Carmona JU. Study of a Two-Step Centrifugation Protocol for Concentrating Cells and Growth Factors in Bovine Platelet-Rich Plasma. Vet Med Int 2017;2017:1950401.