Evaluation of platelet-rich plasma from diabetic donors shows increased platelet vascular endothelial growth factor release. 2019

Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
Doctoral Program of Biomedical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

BACKGROUND Platelet-rich plasma (PRP) contains pro-angiogenic growth factors including vascular endothelial growth factor (VEGF). Angiogenesis is a necessary component of wound healing in instances of diabetic foot ulcers (DFU). PRP composition varies depending on methods and donor health status. Our group has developed an improved PRP protocol for diabetes treatment. The aims of this study were to examine the levels of the pro-angiogenic factor VEGF in these patient populations with and without diabetes. METHODS PRP was prepared using 24 mL of whole blood from 13 diabetic and 10 non-diabetic patients registered at Klinik Hayandra. Whole blood in sodium citrate tubes were centrifuged at 1,000 rpm for 5 minutes followed by plasma separation. Plasma samples were centrifuged at 3,000 rpm for 5 minutes. Upper platelet-poor plasma layers were discarded, leaving 5 mL of concentrated platelet containing plasma (PRP). Concentrated plasma samples were mixed, aliquoted, stored at -86 °C, and pooled for platelet count, VEGF, and total protein analyses. Platelet counting was also performed using fresh whole blood and PRP to measure changes following PRP preparation. RESULTS Diabetic donors had higher whole blood platelet counts than non-diabetic donors, but this difference was not statistically significant. An average increase of more than 250% in platelet number after PRP preparation using our method was noted in both groups. Freezing-thawing samples at -86 °C lysed more than 90% of PRP platelets regardless of diabetes status. Diabetic PRP had lower mean total protein and higher VEGF concentrations. Lysed platelets from diabetic donors released more VEGF than those from non-diabetic donors. CONCLUSIONS PRP from diabetic donors had higher VEGF content making autologous PRP application a promising treatment for DFU. However, this should be investigated another appropriate clinical trial.

UI MeSH Term Description Entries

Related Publications

Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
January 2020, Journal of conservative dentistry : JCD,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
January 2015, Journal of blood transfusion,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
April 2003, Journal of thrombosis and haemostasis : JTH,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
September 1998, The American journal of physiology,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
February 2010, Journal of periodontal research,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
January 2017, Frontiers in veterinary science,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
July 2018, Ophthalmology,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
January 2013, Journal of biomedical materials research. Part B, Applied biomaterials,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
March 2020, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V,
Karina, and Komang Ardi Wahyuningsih, and Siti Sobariah, and Iis Rosliana, and Imam Rosadi, and Tias Widyastuti, and Irsyah Afini, and Septelia Inawati Wanandi, and Pradana Soewondo, and Heri Wibowo, and Jeanne Adiwinata Pawitan
September 2006, Growth factors (Chur, Switzerland),
Copied contents to your clipboard!