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Table 2 The in vitro and in vivo influence of growth factors present in platelet-rich plasma

From: Enhancing intervertebral disc repair and regeneration through biology: platelet-rich plasma as an alternative strategy

Growth factor

Dose

Species

Target cell type/tissue/animal model

Cellular scaffold

Outcome

Study

Year

In vitro

       

PDGF

100 ng/ml

Human

Annulus fibrosus cells

None

Significant reduction in the percentage of apoptotic cells

Gruber et al.[30]

1997

 

1-20 ng/ml

Bovine

Coccygeal nucleus pulposus and annulus fibrosus cells

None

Improved proliferation

Pratsinis and Kletsas [35]

2007

IGF1

20 ng/ml

Mature canine

Intervertebral disc tissues

None

Increased matrix synthesis and cell proliferation

Thompson et al.[32]

1991

 

1-1,000 ng/ml

Bovine

Nucleus pulposus cells

None

Increased proteoglycan synthesis

Osada et al.[29]

1996

 

20-500 ng/ml

Human

Annulus fibrosus cells

None

Significant reduction in the percentage of apoptotic cells

Gruber et al.[34]

2000

 

5-200 ng/ml

Bovine

Coccygeal nucleus pulposus and annulus fibrosus cells

None

Improved proliferation

Pratsinis and Kletsas [35]

2007

 

5 ng/ml

E19 rat

Annulus fibrosus cells

None

Upregulation of extracellular matrix

Hayes et al.[33]

2011

TGF-β1

1 ng/ml

Mature canine

Intervertebral disc tissues

None

Increased matrix synthesis and cell proliferation

Thompson et al.[32]

1991

 

5 ng/ml

E19 rat

Annulus fibrosus cells

None

Pushed cells towards a fibrocartilaginous phenotype

Hayes and Ralphs [33]

2011

 

10 ng/ml

Rabbit

Nucleus pulposus cells

Atelocollagen

Robust refurbishment of matrix

Lee et al.[31]

2012

VEGF

Not mentioned

Vegfr-1lacZ/+ and Vegfr-2lacZ/+ mouse

Nucleus pulposus cells

None

Promotion of nucleus pulposus survival

Fujita et al.[36]

2008

bFGF

300 ng/ml

Mature canine

Intervertebral disc tissues

None

Increased matrix synthesis and cell proliferation

Thompson et al.[32]

1991

 

0.1-20 ng/ml

Bovine

Coccygeal nucleus pulposus and annulus fibrosus cells

None

Enhanced proliferation

Pratsinis and Kletsas [35]

2007

EGF

1 ng/ml

Mature canine

Intervertebral disc tissues

None

Enhanced proliferation

Thompson et al.[32]

1991

CTGF

Not mentioned

Rhesus monkey

Lumbar intervertebral disc nucleus pulposus cells

None

Enhanced synthesis of proteoglycan and collagen II

Liu et al.[37]

2010

In vivo

       

IGF1

8 ng/8 ul/disc

Male Swiss Webster mouse

Caudal disc compression model

None

An upward trend of cell density, but not statistically significant (single injection); a trend of increased disc height, but also not statistically significant (multiple injections)

Walsh et al.[38]

2004

TGF-β1

1.6 ng/8 μl/disc

Male Swiss Webster mouse

Caudal disc compression model

None

A greater percentage of proliferating cells, but not statistically significant (single injection); increased population of anular fibrochondrocytes (multiple injections)

Walsh et al.[38]

2004

bFGF

8 ng/8 μl/disc

Male Swiss Webster mouse

Caudal disc compression model

None

An upward trend of cell density, but not statistically significant (single injection)

Walsh et al.[38]

2004

  1. The growth factors listed are stored in platelets and have exhibited promising potential in the regeneration of degenerated discs, indicating the potential of platelet-rich plasma therapy. bFGF, basic fibroblastic growth factor; CTGF, connective tissue growth factor; EGF, epidermal growth factor; GDF, growth and differentiation factor; IGF, insulin-like growth factor; PDGF, platelet-derived growth factor; TGF, transforming growth factor; VEGF, vascular endothelial growth factor.