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In vitro release of growth factors from platelet-rich fibrin (PRF): a proposal to optimize the clinical applications of PRF

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jul;108(1):56-61. doi: 10.1016/j.tripleo.2009.02.004. Epub 2009 May 17.

Abstract

Objective: Determine the release of growth factors (GF) from platelet-rich fibrin (PRF) and supernatant serum to optimize clinical use.

Study design: Platelet-derived growth factors-AB (PDGF-AB), transforming growth factor-beta1 (TGF-beta1), vascular endothelial growth factor (VEGF), epidermal growth factor (EGF), and insulin-like growth factor-1 (IGF-1) were quantified in PRF releasate and in the supernatant serum (N = 8) over 300 minutes after clot formation. Protein profiles were determined by SDS-PAGE.

Results: Mean quantity of PDGF-AB, TGF-ss1, VEGF, and EGF in PRF releasate increased significantly to about 52, 72, 1, and 3 ng, respectively, whereas mean IGF-1 content remained at 250 ng. GF was also found in serum supernatant. Protein profiles of the releasates and the supernatant serum were similar.

Conclusion: The PRF membrane should be used immediately after formation to maximize release of GF to the surgical site. The remaining fluid can be recovered as an additional source of GF for grafting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Coagulation / physiology
  • Blood Platelets / physiology*
  • Electrophoresis, Polyacrylamide Gel
  • Epidermal Growth Factor / analysis
  • Epidermal Growth Factor / metabolism
  • Erythrocyte Count
  • Fibrin / physiology*
  • Humans
  • Insulin-Like Growth Factor I / analysis
  • Insulin-Like Growth Factor I / metabolism
  • Intercellular Signaling Peptides and Proteins / analysis
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Leukocyte Count
  • Platelet Count
  • Platelet-Derived Growth Factor / analysis
  • Platelet-Derived Growth Factor / metabolism
  • Serum / physiology
  • Transforming Growth Factor beta1 / analysis
  • Transforming Growth Factor beta1 / metabolism
  • Vascular Endothelial Growth Factor A / analysis
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Intercellular Signaling Peptides and Proteins
  • Platelet-Derived Growth Factor
  • Transforming Growth Factor beta1
  • Vascular Endothelial Growth Factor A
  • platelet-derived growth factor AB
  • Epidermal Growth Factor
  • Insulin-Like Growth Factor I
  • Fibrin