Three Manual Noncommercial Methods to Prepare Equine Platelet-Rich Plasma.
Abstract: In light of PRP's increasing popularity in veterinary practice, this study aimed to compare three manual methods to prepare and cool equine PRP. The blood of 18 clinically healthy mares was collected via venipuncture in a blood transfusion bag (method 1), blood tubes (method 2), and a syringe (method 3). In method 1, samples were double centrifuged; method 2 involved one centrifugation, and in method 3 the syringe was kept in an upright position to sediment for 4 h. After processing with three methods, PRP and platelet-poor plasma (PPP) were extracted and assessed for red (RBC) and white blood cell counts (WBC), platelet counts, and viability. In a subset of mares (n = 6), samples were processed with the three methods, and PRP was evaluated at 6 and 24 h postcooling at 5 °C. Method 1 resulted in the highest and method 3 in the lowest platelet concentration (p < 0.05), and the latter also had greater contamination with WBC than the others (p < 0.001). Platelet viability was similar across treatments (p > 0.05). Cooling for 24 h did not affect platelet counts in all methods (p > 0.05); however, platelet viability was reduced after cooling PRP produced by method 3 (p = 0.04), and agglutination increased over time in all methods (p < 0.001). The three methods increased (1.8-5.6-fold) platelet concentration in PRP compared to whole blood without compromising platelet viability. In conclusion, all three methods concentrated platelets and while cooling affected their viability. It remains unknown whether the different methods and cooling would affect PRP's clinical efficacy.
Publication Date: 2021-05-21 PubMed ID: 34063777PubMed Central: PMC8223772DOI: 10.3390/ani11061478Google Scholar: Lookup
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- Journal Article
- Animal Studies
- Blood
- Cell Viability
- Clinical Examination
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Comparative Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Equine Health
- Equine Science
- Hematology
- In Vivo
- Laboratory Methods
- Platelets
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
- Veterinary Research
Summary
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 study investigates three manual noncommercial ways to prepare equine Platelet-rich Plasma (PRP) and evaluates their effectiveness by looking at factors like platelet concentration, cell contamination, and platelet viability after cooling.
Research Methodologies
- The study involved blood samples from 18 clinically healthy mares. Three preparation methods were used. Method 1 used a blood transfusion bag with double centrifugation. Method 2 involved blood tubes with one centrifugation. Method 3 used a syringe, allowing it to sediment for 4 hours while held upright.
- The PRP and platelet-poor plasma (PPP) derived from these methods were then evaluated for red and white blood cell counts, platelet counts, and their viability.
- For a subset of six mares, samples prepared through all three methods were cooled at 5°C and evaluated after 6 and 24 hours.
Research Findings
- The method using the blood transfusion bag (Method 1) resulted in the highest platelet concentration, while the method using the syringe (Method 3) resulted in the lowest.
- Method 3 also had higher contamination with white blood cells (WBC) compared to the other two methods.
- The viability of the platelets was found to be similar across all three methods.
- Cooling the PRP for 24 hours did not affect the platelet counts in any of the methods. However, platelet viability was reduced after cooling the PRP produced by the syringe method (Method 3).
- All three methods were capable of raising the platelet concentration in the PRP when compared to whole blood, without compromising the viability of the platelets.
Conclusion
- The research concludes that all three manual methods effectively concentrated platelets, but cooling affected their viability. However, it remains unclear if the differences in methods and the cooling process would impact the clinical effectiveness of the PRP.
Cite This Article
APA
Segabinazzi LGTM, Podico G, Rosser MF, Nanjappa SG, Alvarenga MA, Canisso IF.
(2021).
Three Manual Noncommercial Methods to Prepare Equine Platelet-Rich Plasma.
Animals (Basel), 11(6).
https://doi.org/10.3390/ani11061478 Publication
Researcher Affiliations
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana, IL 61802, USA.
- School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18618681, SP, Brazil.
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana, IL 61802, USA.
- Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana, IL 61802, USA.
- Department of Pathobiology, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61802, USA.
- Department of Pathobiology, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61802, USA.
- School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18618681, SP, Brazil.
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana, IL 61802, USA.
- Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois Urbana Champaign, Urbana, IL 61802, USA.
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 56 references
- Soares C.S., Babo P.S., Reis R.L., Carvalho P.P., Gomes M.E.. Platelet-Derived Products in Veterinary Medicine: A New Trend or an Effective Therapy?. Trends Biotechnol 2020;20:30206–30207.
- Bos-Mikich A., De Oliveira R., Frantz N.. Platelet-rich plasma therapy and reproductive medicine. J. Assist. Reprod. Genet. 2018;35:753–756.
- Segabinazzi L.G., Friso A.M., Correal S.B., Crespilho A.M., Dell’Aqua J.A., Miró J., Papa F.O., Alvarenga M.A.. Uterine clinical findings, fertility rate, leucocyte migration, and COX-2 protein levels in the endometrial tissue of susceptible mares treated with platelet-rich plasma before and after AI. Theriogenology 2017;104:120–126.
- Segabinazzi L.G.T.M., Canisso I.F., Podico G., Cunha L.L., Novello G., Rosser M.F., Loux S.C., Lima F.S., Alvarenga M.A.. Intrauterine blood plasma platelet-therapy mitigates persistent breeding-induced endometritis, reduces uterine infections, and improves embryo recovery in mares. Antibiotics 2021;2021:490.
- Reghini M.F.S., Ramires Neto C., Segabinazzi L.G., Castro Chaves M.M.B., Dell’Aqua C.d.P.F., Bussiere M.C.C., Dell’Aqua J.A., Papa F.O., Alvarenga M.A.. Inflammatory response in chronic degenerative endometritis mares treated with platelet-rich plasma. Theriogenology 2016;86:516–522.
- Metcalf E.S., Scoggin K., Troedsson M.H.T.. The effect of platelet-rich plasma on endometrial pro-inflammatory cytokines in susceptible mares following semen deposition. J. Equine Vet. Sci. 2012;32:498.
- Metcalf E.S.. The effect of Platelet-Rich Plasma (PRP) on intraluminal fluid and pregnancy rates in mares susceptible to persistent mating-induced endometritis (PMIE). J. Equine Vet. Sci. 2014;34:128.
- Pasch L., Schmidt A., King W.. Clinical observations after pre breeding intrauterine plasma infusion in 18 mares inseminated with thawed frozen semen. J. Equine Vet. Sci. 2021;99:103389.
- Bendinelli P., Matteucci E., Dogliotti G., Corsi M.M., Banfi G., Maroni P., Desiderio M.A.. Molecular basis of anti-inflammatory action of platelet-rich plasma on human chondrocytes: Mechanisms of NF-κB inhibition via HGF. J. Cell. Physiol. 2010;225:757–766.
- Bos-Mikich A., Ferreira M.O., de Oliveira R., Frantz N.. Platelet-rich plasma or blood-derived products to improve endometrial receptivity?. J. Assist. Reprod. Genet. 2019;36:613–620.
- Drago L., Bortolin M., Vassena C., Taschieri S., Del Fabbro M.. Antimicrobial activity of pure platelet-rich plasma against microorganisms isolated from oral cavity. BMC Microbiol. 2013;13:47.
- Anitua E., Alonso R., Girbau C., Aguirre J.J., Muruzabal F., Orive G.. Antibacterial effect of plasma rich in growth factors (PRGF®-Endoret®) against Staphylococcus aureus and Staphylococcus epidermidis strains. Clin. Exp. Dermatol. 2012;37:652–657.
- Álvarez M., López C., Giraldo C., Samudio I., Carmona J.. In vitro bactericidal activity of equine platelet concentrates, platelet poor plasma, and plasma against methicillin-resistant Staphylococcus aureus. Arch. Med. Vet. 2011;43:155–161.
- Pereira R.C.d.F., De La Côrte F.D., Brass K.E., da Silva Azevedo M., Gallio M., Cantarelli C., Dau S.L., Cezar A.S., Inkelmann M.A.. Evaluation of three methods of platelet-rich plasma for treatment of equine distal limb skin wounds. J. Equine Vet. Sci. 2019;72:1–7.
- Lee E.-B., Kim J.-W., Seo J.-P.. Comparison of the methods for platelet rich plasma preparation in horses. J. Anim. Sci. Technol. 2018;60:20.
- Rinnovati R., Romagnoli N., Gentilini F., Lambertini C., Spadari A.. The influence of environmental variables on platelet concentration in horse platelet-rich plasma. Acta Vet. Scand. 2016;58:45.
- Bozorgmanesh R., Magdesian K.G., Sutton-Burges J.W., Owens S.D., Tablin F.. Equine platelet concentrate preparation and validation. J. Vet. Intern. Med. 2019;33:1500–1506.
- Hessel L.N., Bosch G., van Weeren P.R., Ionita J.C.. Equine autologous platelet concentrates: A comparative study between different available systems. Equine Vet. J. 2015;47:319–325.
- Maia L., de Souza M.V., Ribeiro Júnior J.I., de Oliveira A.C., Alves G.E.S., dos Anjos Benjamin L., Silva Y.F.R.S., Zandim B.M., do Carmo LopesMoreira J.. Platelet-Rich Plasma in the Treatment of Induced Tendinopathy in Horses: Histologic Evaluation. J. Equine Vet. Sci. 2009;29:618–626.
- Canisso I.F., Segabinazzi L.G.T.M., Fedorka C.E.. Persistent Breeding-Induced Endometritis in mares—A multifaceted challenge: From clinical aspects to immunopathogenesis and pathobiology. Int. J. Mol. Sci. 2020;21:1432.
- Mack J.P., Miles J., Stolla M.. Cold-Stored Platelets: Review of Studies in Humans. Transfus. Med. Rev. 2020;34:221–226.
- . 121st Blood Products Advisory Committee Meeting; Proceedings of the Tommy Douglas Conference Center; Silver Spring, MD, USA. 22 November 2019.
- Levy J.H., Neal M.D., Herman J.H.. Bacterial contamination of platelets for transfusion: Strategies for prevention. Crit. Care. 2018;22:1–8.
- AAEP. Vaccination Guidelines. American Association of Equine Practitioners Lexington, KY, USA: 2020.
- AAEP. Internal Parasite Control Guidelines. American Association of Equine Practitioners Lexington, KY, USA: 2020.
- Pennell E.N., Wagner K.H., Mosawy S., Bulmer A.C.. Acute bilirubin ditaurate exposure attenuates ex vivo platelet reactive oxygen species production, granule exocytosis and activation. Redox Biol. 2019;26:101250.
- O’Shea C.M., Werre S.R., Dahlgren L.A.. Comparison of Platelet Counting Technologies in Equine Platelet Concentrates. Vet. Surg. 2015;44:304–313.
- Argüelles D., Carmona J.U., Pastor J., Iborra A., Viñals L., Martínez P., Bach E., Prades M.. Evaluation of single and double centrifugation tube methods for concentrating equine platelets. Res. Vet. Sci. 2006;81:237–245.
- Pichereau F., Décory M., Cuevas Ramos G.. Autologous platelet concentrate as a treatment for horses with refractory fetlock osteoarthritis. J. Equine Vet. Sci. 2014;34:489–493.
- Textor J.A., Tablin F.. Intra-articular use of a platelet-rich product in normal horses: Clinical signs and cytologic responses. Vet. Surg. 2013;42:499–510.
- Tyrnenopoulou P., Diakakis N., Karayannopoulou M., Savvas I., Koliakos G.. Evaluation of intra-articular injection of autologous platelet lysate (PL) in horses with osteoarthritis of the distal interphalangeal joint. Vet. Q. 2016;36:56–62.
- Romero A., Barrachina L., Ranera B., Remacha A.R., Moreno B., de Blas I., Sanz A., Vázquez F.J., Vitoria A., Junquera C.. Comparison of autologous bone marrow and adipose tissue derived mesenchymal stem cells, and platelet rich plasma, for treating surgically induced lesions of the equine superficial digital flexor tendon. Vet. J. 2017;224:76–84.
- Carmona J.U., López C.. Autologous platelet concentrates as a treatment for shoulder injury in a horse. J. Equine Vet. Sci. 2011;31:506–510.
- Carmona J.U., López C., Samudio I.J.. Autologous platelet concentrates as an adjunctive treatment for chronic laminitis in a mare with pituitary pars intermedia dysfunction. J. Equine Vet. Sci. 2013;33:191–195.
- López C., Carmona J.U.. Platelet-rich plasma as an adjunctive therapy for the management of a severe chronic distal limb wound in a foal. J. Equine Vet. Sci. 2014;34:1128–1133.
- Mirza M.H., Bommala P., Richbourg H.A., Rademacher N., Kearney M.T., Lopez M.J.. Gait changes vary among horses with naturally occurring osteoarthritis following intra-articular administration of autologous platelet-rich plasma. Front. Vet. Sci. 2016;3:1–9.
- Foster T.E., Puskas B.L., Mandelbaum B.R., Gerhardt M.B., Rodeo S.A.. Platelet-rich plasma: From basic science to clinical applications. Am. J. Sports Med. 2009;37:2259–2272.
- Argüelles D., Carmona J.U., Climent F., Muñoz E., Prades M.. Autologous platelet concentrates as a treatment for musculoskeletal lesions in five horses. Vet. Rec. 2008;162:208–211.
- Carmona J.U., Argüelles D., Climent F., Prades M.. Autologous platelet concentrates as a treatment of horses with osteoarthritis: A preliminary pilot clinical study. J. Equine Vet. Sci. 2007;27:167–170.
- Scoggin C.F.. Not just a number: Effect of age on fertility, pregnancy and offspring vigour in thoroughbred brood-mares. Reprod. Fertil. Dev. 2015;27:872–879.
- Woodward E.M., Christoffersen M., Campos J., Squires E.L., Troedsson M.H.T.. Susceptibility to persistent breeding-induced endometritis in the mare: Relationship to endometrial biopsy score and age, and variations between seasons. Theriogenology 2012;78:495–501.
- Bozorgmanesh R., Sutton-Burges J.W., Tablin F.. Comparison of equine platelet function and survival in whole blood collected in acid-citrate-dextrose solution or citrate-phosphate-dextrose-adenine solution. Vet. Clin. Pathol. 2017;46:262–268.
- Giraldo C.E., Álvarez M.E., Carmona J.U.. Effects of sodium citrate and acid citrate dextrose solutions on cell counts and growth factor release from equine pure-platelet rich plasma and pure-platelet rich gel. BMC Vet. Res. 2015;11:1–7.
- Gottschall J.L., Johnston V.L., Rzad L., Anderson A.J., Aster R.H.. Importance of White Blood Cells in Platelet Storage. Vox Sang. 1984;47:101–107.
- Andrade Junior L.R.P., Segabinazzi L.G.T.M., Oliveira S.N., Dell’Aqua J.A., Papa F.O.. An approach to rescue the fertility of stallions with a high level of hemospermia. Reprod. Domest. Anim. 2020:1–5.
- Neves A.P., Keller A., Trein C.R., Möller G., Jobim M.I.M., Castilho L.F.F., de Itapema Cardoso M.R., Leibold W., Zerbe H., Klug E.. Use of leukocytes as treatment for endometritis in mares experimentally infected with Streptococcus equi subsp. zooepidemicus. Anim. Reprod. Sci. 2007;97:314–322.
- 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.
- Everts P.A.M., Hoffmann J., Weibrich G., Mahoney C.B., Schönberger J.P.A.M., Van Zundert A., Knape J.T.A.. Differences in platelet growth factor release and leucocyte kinetics during autologous platelet gel formation. Transfus. Med. 2006;16:363–368.
- Dragoo J.L., Braun H.J., Durham J.L., Ridley B.A., Odegaard J.I., Luong R., Arnoczky S.P.. Comparison of the acute inflammatory response of two commercial platelet-rich plasma systems in healthy rabbit tendons. Am. J. Sports Med. 2012;40:1274–1281.
- Dohan D.M., Choukroun J., Diss A., Dohan S.L., Dohan A.J.J., Mouhyi J., Gogly B.. Platelet-rich fibrin (PRF): A second-generation platelet concentrate. Part III: Leucocyte activation: A new feature for platelet concentrates?. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endodontol. 2006;101.
- Boswell S.G., Schnabel L.V., Mohammed H.O., Sundman E.A., Minas T., Fortier L.A.. Increasing platelet concentrations in leukocyte-reduced platelet-rich plasma decrease collagen gene synthesis in tendons. Am. J. Sports Med. 2014;42:42–49.
- Carmona J.U.. Use of Autologous Platelet Concentrates for the Treatment Of Musculoskeletal Injuries in the Horse. Ph.D. Thesis. Universitat Autònoma de Barcelona; Bellaterra, Spain: 2006.
- Brinsko S.P., Varner D.D., Blanchard T.L.. The effect of uterine lavage performed four hours post insemination on pregnancy rate in mares. Theriogenology 1991;35:1111–1119.
- Currie L.M., Harper J.R., Allan H., Connor J.. Inhibition of cytokine accumulation and bacterial growth during storage of platelet concentrates at 4 °C with retention of in vitro functional activity. Transfusion 1997;37:18–24.
- Kwirant L.A.d.A., De La Corte F.D., Cantarelli C., Cargnelutti J.F., Martins M., Cabral M.W., Maciel N., Rubin M.I.B.. Cooling and cryopreservation of equine platelet-rich plasma with dimethyl sulfoxide and trehalose. J. Equine Vet. Sci. 2019;72:112–116.
- Handigund M., Bae T.W., Lee J., Cho Y.G.. Evaluation of in vitro storage characteristics of cold stored platelet concentrates with N acetylcysteine (NAC). Transfus. Apher. Sci. 2016;54:127–138.
Citations
This article has been cited 5 times.- Carmona JU, López C, Argüelles D. Addressing Heterogeneity in Equine PRP Therapies: A Scoping Review of Methods, Evidence, and Commercial Validation. Animals (Basel) 2025 Dec 13;15(24).
- Bungărdean D, Pall E, Daradics Z, Popescu M, Tripon MA, Lupșan AF, Crecan CM, Morar IA, Nicolescu A, Bora FD, Marcus I. In Vitro Effects of PRP, Ozonized PRP, Hyaluronic Acid, Paracetamol, and Polyacrylamide on Equine Synovial Fluid-Derived Mesenchymal Stem Cells. Life (Basel) 2025 Oct 4;15(10).
- Mazzuchini MP, Lisboa FP, de Castro JI, Alvarenga MA, Segabinazzi LGTM, Canisso IF. In vitro antimicrobial activity of non-traditional therapies for infectious endometritis in mares. Equine Vet J 2025 Jul;57(4):1118-1126.
- Novello G, Souza FF, Canisso IF. Platelet-Rich Plasma Proteome of Mares Susceptible to Persistent-Breeding-Induced Endometritis Differs from Resistant Mares. Animals (Basel) 2024 Jul 18;14(14).
- Fantini P, Jiménez R, Vilés K, Iborra A, Palhares MS, Catalán J, Prades M, Miró J. Simple Tube Centrifugation Method for Platelet-Rich Plasma (PRP) Preparation in Catalonian Donkeys as a Treatment of Endometritis-Endometrosis. Animals (Basel) 2021 Oct 9;11(10).
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