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Animals : an open access journal from MDPI2021; 11(6); doi: 10.3390/ani11061478

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

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

ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 11
Issue: 6

Researcher Affiliations

Segabinazzi, Lorenzo G T M
  • 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.
Podico, Giorgia
  • 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.
Rosser, Michael F
  • Department of Pathobiology, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61802, USA.
Nanjappa, Som G
  • Department of Pathobiology, College of Veterinary Medicine, University of Illinois Urbana-Champaign, Urbana, IL 61802, USA.
Alvarenga, Marco A
  • School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu 18618681, SP, Brazil.
Canisso, Igor F
  • 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
  1. 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.
    doi: 10.1016/j.tibtech.2020.07.011pubmed: 32868100google scholar: lookup
  2. Bos-Mikich A., De Oliveira R., Frantz N.. Platelet-rich plasma therapy and reproductive medicine. J. Assist. Reprod. Genet. 2018;35:753–756.
    doi: 10.1007/s10815-018-1159-8pmc: PMC5984895pubmed: 29564738google scholar: lookup
  3. 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.
  4. 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.
    pmc: PMC8146422pubmed: 33922743
  5. 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.
  6. 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.
  7. 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.
  8. 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.
    doi: 10.1016/j.jevs.2021.103389pubmed: 33781416google scholar: lookup
  9. 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.
    doi: 10.1002/jcp.22274pubmed: 20568106google scholar: lookup
  10. 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.
    doi: 10.1007/s10815-018-1386-zpmc: PMC6504981pubmed: 30610660google scholar: lookup
  11. 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.
    doi: 10.1186/1471-2180-13-47pmc: PMC3599521pubmed: 23442413google scholar: lookup
  12. 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.
  13. 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.
  14. 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.
    doi: 10.1016/j.jevs.2017.10.009pubmed: 30929771google scholar: lookup
  15. 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.
    doi: 10.1186/s40781-018-0178-4pmc: PMC6098823pubmed: 30147942google scholar: lookup
  16. 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.
    doi: 10.1186/s13028-016-0226-3pmc: PMC4932754pubmed: 27377748google scholar: lookup
  17. 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.
    doi: 10.1111/jvim.15472pmc: PMC6524399pubmed: 30868640google scholar: lookup
  18. 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.
    doi: 10.1111/evj.12288pubmed: 24773596google scholar: lookup
  19. 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.
  20. 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.
    doi: 10.3390/ijms21041432pmc: PMC7073041pubmed: 32093296google scholar: lookup
  21. Mack J.P., Miles J., Stolla M.. Cold-Stored Platelets: Review of Studies in Humans. Transfus. Med. Rev. 2020;34:221–226.
    doi: 10.1016/j.tmrv.2020.08.003pubmed: 33039263google scholar: lookup
  22. . 121st Blood Products Advisory Committee Meeting; Proceedings of the Tommy Douglas Conference Center; Silver Spring, MD, USA. 22 November 2019.
  23. Levy J.H., Neal M.D., Herman J.H.. Bacterial contamination of platelets for transfusion: Strategies for prevention. Crit. Care. 2018;22:1–8.
    doi: 10.1186/s13054-018-2212-9pmc: PMC6204059pubmed: 30367640google scholar: lookup
  24. AAEP. Vaccination Guidelines. American Association of Equine Practitioners Lexington, KY, USA: 2020.
  25. AAEP. Internal Parasite Control Guidelines. American Association of Equine Practitioners Lexington, KY, USA: 2020.
  26. 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.
    doi: 10.1016/j.redox.2019.101250pmc: PMC6586953pubmed: 31226648google scholar: lookup
  27. 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.
  28. 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.
    doi: 10.1016/j.rvsc.2005.12.008pubmed: 16969921google scholar: lookup
  29. 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.
  30. 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.
  31. 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.
    doi: 10.1080/01652176.2016.1141257pubmed: 26828234google scholar: lookup
  32. 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.
    doi: 10.1016/j.tvjl.2017.04.005pubmed: 28697880google scholar: lookup
  33. 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.
  34. 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.
  35. 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.
  36. 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.
    doi: 10.3389/fvets.2016.00029pmc: PMC4829588pubmed: 27148544google scholar: lookup
  37. 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.
    doi: 10.1177/0363546509349921pubmed: 19875361google scholar: lookup
  38. 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.
    doi: 10.1136/vr.162.7.208pubmed: 18281627google scholar: lookup
  39. 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.
  40. 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.
    doi: 10.1071/RD14390pubmed: 25786411google scholar: lookup
  41. 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.
  42. 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.
    doi: 10.1111/vcp.12491pubmed: 28411369google scholar: lookup
  43. 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.
    doi: 10.1186/s12917-015-0370-4pmc: PMC4364319pubmed: 25889052google scholar: lookup
  44. 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.
  45. 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.
    doi: 10.1111/rda.13717pubmed: 32474982google scholar: lookup
  46. 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.
  47. 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.
    doi: 10.1002/jor.20853pubmed: 19170097google scholar: lookup
  48. 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.
  49. 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.
    doi: 10.1177/0363546512442334pubmed: 22495144google scholar: lookup
  50. 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.
    doi: 10.1016/j.tripleo.2005.07.010pubmed: 16504851google scholar: lookup
  51. 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.
    doi: 10.1177/0363546513507566pubmed: 24136860google scholar: lookup
  52. 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.
  53. 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.
    doi: 10.1016/0093-691X(91)90358-Kpubmed: 16726743google scholar: lookup
  54. 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.
  55. 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.
    doi: 10.1016/j.jevs.2018.10.009pubmed: 30929774google scholar: lookup
  56. 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.
    doi: 10.1016/j.transci.2016.01.006pubmed: 26847865google scholar: lookup

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