A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency

It is generally accepted that citrate or the A-form of acid-citrate-dextrose (ACD-A) are suitable for preparing platelet-rich plasma (PRP) for regenerative therapy. However, this is based on evidence from blood transfusions and not from regenerative medicine. Thus, we examined the effects of anticoa...

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Main Authors: Hachidai Aizawa, Hideo Kawabata, Atsushi Sato, Hideo Masuki, Taisuke Watanabe, Tetsuhiro Tsujino, Kazushige Isobe, Masayuki Nakamura, Koh Nakata, Tomoyuki Kawase
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/8/3/42
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author Hachidai Aizawa
Hideo Kawabata
Atsushi Sato
Hideo Masuki
Taisuke Watanabe
Tetsuhiro Tsujino
Kazushige Isobe
Masayuki Nakamura
Koh Nakata
Tomoyuki Kawase
author_facet Hachidai Aizawa
Hideo Kawabata
Atsushi Sato
Hideo Masuki
Taisuke Watanabe
Tetsuhiro Tsujino
Kazushige Isobe
Masayuki Nakamura
Koh Nakata
Tomoyuki Kawase
author_sort Hachidai Aizawa
collection DOAJ
description It is generally accepted that citrate or the A-form of acid-citrate-dextrose (ACD-A) are suitable for preparing platelet-rich plasma (PRP) for regenerative therapy. However, this is based on evidence from blood transfusions and not from regenerative medicine. Thus, we examined the effects of anticoagulants, such as ACD-A, ethylenediaminetetraacetic acid (EDTA), and heparin, on the regenerative quality of PRP to address this gap. The blood samples were collected in the presence of anticoagulants and were processed to prepare pure-PRP. Platelet size, activation status, and intra-platelet free Ca<sup>2+</sup> concentration were determined while using a hematology analyzer and flow cytometer. Platelet-derived growth factor-BB (PDGF-BB) was quantified while using an ELISA. In pure-PRP samples, EDTA caused platelet swelling and activation, but yielded the highest number of platelets. Heparin aggregated platelets and disturbed the overall counting of blood cells. However, no significant differences in PDGF-BB levels were observed among the anticoagulants tested. Moreover, when considering the easy preparation of platelet suspensions, without the need for high-level pipetting skills, these findings suggest the comparable potency of EDTA-derived pure-PRP in tissue regeneration and support the use of EDTA in the preparation of pure-PRP. Further in vivo studies are required in animal models to exclude the possible negative effects of including EDTA in pure-PRP preparations.
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spelling doaj.art-ac7f6c4160dd48ac923a76da4ce700432022-12-21T19:06:45ZengMDPI AGBiomedicines2227-90592020-02-01834210.3390/biomedicines8030042biomedicines8030042A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and PotencyHachidai Aizawa0Hideo Kawabata1Atsushi Sato2Hideo Masuki3Taisuke Watanabe4Tetsuhiro Tsujino5Kazushige Isobe6Masayuki Nakamura7Koh Nakata8Tomoyuki Kawase9Tokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanTokyo Plastic Dental Society, Kita-ku, Tokyo 114-0002, JapanBioscience Medical Research Center, Niigata University Medical and Dental Hospital, Niigata 951-8520, JapanDivision of Oral Bioengineering, Institute of Medicine and Dentistry, Niigata University, Niigata 951-8514, JapanIt is generally accepted that citrate or the A-form of acid-citrate-dextrose (ACD-A) are suitable for preparing platelet-rich plasma (PRP) for regenerative therapy. However, this is based on evidence from blood transfusions and not from regenerative medicine. Thus, we examined the effects of anticoagulants, such as ACD-A, ethylenediaminetetraacetic acid (EDTA), and heparin, on the regenerative quality of PRP to address this gap. The blood samples were collected in the presence of anticoagulants and were processed to prepare pure-PRP. Platelet size, activation status, and intra-platelet free Ca<sup>2+</sup> concentration were determined while using a hematology analyzer and flow cytometer. Platelet-derived growth factor-BB (PDGF-BB) was quantified while using an ELISA. In pure-PRP samples, EDTA caused platelet swelling and activation, but yielded the highest number of platelets. Heparin aggregated platelets and disturbed the overall counting of blood cells. However, no significant differences in PDGF-BB levels were observed among the anticoagulants tested. Moreover, when considering the easy preparation of platelet suspensions, without the need for high-level pipetting skills, these findings suggest the comparable potency of EDTA-derived pure-PRP in tissue regeneration and support the use of EDTA in the preparation of pure-PRP. Further in vivo studies are required in animal models to exclude the possible negative effects of including EDTA in pure-PRP preparations.https://www.mdpi.com/2227-9059/8/3/42anticoagulantsedtaacd-aheparinplateletsplatelet-rich plasmapdgf
spellingShingle Hachidai Aizawa
Hideo Kawabata
Atsushi Sato
Hideo Masuki
Taisuke Watanabe
Tetsuhiro Tsujino
Kazushige Isobe
Masayuki Nakamura
Koh Nakata
Tomoyuki Kawase
A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
Biomedicines
anticoagulants
edta
acd-a
heparin
platelets
platelet-rich plasma
pdgf
title A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
title_full A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
title_fullStr A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
title_full_unstemmed A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
title_short A Comparative Study of the Effects of Anticoagulants on Pure Platelet-Rich Plasma Quality and Potency
title_sort comparative study of the effects of anticoagulants on pure platelet rich plasma quality and potency
topic anticoagulants
edta
acd-a
heparin
platelets
platelet-rich plasma
pdgf
url https://www.mdpi.com/2227-9059/8/3/42
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