Journals / Turkish Journal of Medical Sciences / 2022 / Cilt: 52 - Sayı: 1

The effects of a combination treatment with mesenchymal stem cell and platelet-rich plasma on tendon healing: an experimental study

Pages
237–247
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This combination therapy can make a positive contribution to the healing of tendons after surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/Aim: The objective of this study was to investigate the effects that the application of mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP) following tendon repair have on the strength and healing of the tendon and also to examine the possible mechanisms of action that take place.
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Key Findings & Data:Materials and methods: The Achilles tendons of 80 rats were repaired and divided into eight groups.
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Conclusion & Impact:This combination therapy can make a positive contribution to the healing of tendons after surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/Aim: The objective of this study was to investigate the effects that the application of mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP) following tendon repair have on the strength and healing of the tendon and also to examine the possible mechanisms of action that take place. Materials and methods: The Achilles tendons of 80 rats were repaired and divided into eight groups. Following the repairs, MSCs obtained from humans were injected into the rat tendons in groups 1 and 2, a combination of MSCs from humans and PRP from rats was injected into the tendons in groups 3 and 4, and PRP from rats was injected into the tendons in groups 5 and 6. These procedures all took place simultaneously. Groups 7 and 8 did not receive any injections following the repairs. The rats were sacrificed at the end of the first and second months following the procedures, and biomechanical and histopathological analyses were performed. Results: Inflammatory cell density increased most significantly in the combined group when compared to the first and second months. The fibroblast density on the tendon repair region was significantly lower in the second-months groups of each intervention compared to their first-month groups (p = 0.001). For the analysis of the maximum tensile breaking force, the behaviors of the groups over time were significant when compared to the control groups (p = 0.0015). Also, the mean maximum breaking force in the combined group was statistically significantly higher at the end of the second month than at the end of the first month (p = 0.0008). Conclusion: The combination therapy increased tendon strength force. This combination therapy can make a positive contribution to the healing of tendons after surgery.

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Cite This Article

FINDIK, S., UYAR, İ., ALTUNTAŞ, Z., YILDIRIM, M. E. C., YARAR, S., AKTAN, M., AVCI, A. (2022). The effects of a combination treatment with mesenchymal stem cell and platelet-rich plasma on tendon healing: an experimental study. Turkish Journal of Medical Sciences, Cilt: 52 - Sayı: 1, 237–247. https://ajindex.com/articles/609240

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References (12)

  1. Andarawis-Puri N, Flatow EL, Soslowsky LJ. Tendon basic science: development, repair, regeneration, and healing. Journal of Orthopaedic Research 2015
  2. 33 (6): 780-784. doi: 10.1002/ jor.22869 2. Wang J, Liao L, Tan J. Mesenchymal-stem-cell-based experimental and clinical trials: current status and open questions. Expert Opinion on Biological Therapy 2011
  3. 11 (7): 893-909. doi: 10.1517/14712598.2011.574119 3. Uccelli A, Moretta L, Pistoia V. Mesenchymal stem cells in health and disease. Nature Reviews Immunology 2008
  4. 8 (9): 726-736. doi: 10.1038/nri2395 4. Kinnaird T, Stabile E, Burnett MS, Lee CW, Barr S et al. Marrowderived stromal cells express genes encoding a broad spectrum of arteriogenic cytokines and promote in vitro and in vivo arteriogenesis through paracrine mechanisms. Circulation Research 2004
  5. 94 (5): 678-685. doi: 10.1161/01. RES.0000118601.37875.AC 5. Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R et al. Multilineage potential of adult human mesenchymal stem cells. Science 1999
  6. 284 (5411): 143-147. doi: 10.1126/ science.284.5411.143 6. Paoloni J, De Vos RJ, Hamilton B, Murrell GA, Orchard J. Plateletrich plasma treatment for ligament and tendon injuries. Clinical Journal of Sport Medicine 2011
  7. doi: 10.1097/JSM.0b013e31820758c7 7. Ince B, Yildirim MEC, Dadaci M, Avunduk MC, Savaci N. Comparison of the efficacy of homologous and autologous platelet-rich plasma (PRP) for treating androgenic alopecia. Aesthetic Plastic Surgery 2018
  8. 42 (1): 297-303. doi: 10.1007/ s00266-017-1004-y 8. Rees JD, Maffulli N, Cook J. Management of tendinopathy. The American Journal of Sports Medicine 2009
  9. doi: 10.1177/0363546508324283 9. Yildirim MEC, Ince B, Uyanik O, Okur MI, Dadaci M. Development of hyperalgesia in patients treated with autologous platelet rich plasma due to androgenetic alopecia. Selçuk Tıp Dergisi 2018
  10. 34 (3): 90-93. doi: 10.30733/std.2018.01051 10. Hoffmann A, Gross G. Tendon and ligament engineering in the adult organism: mesenchymal stem cells and gene therapeutic approaches. International Orthopaedics 2007
  11. doi: 10.1007/s00264-007-0395-9 11. Bhatia D, Tanner KE, Bonfield W, Citron ND. Factors affecting the strength of flexor tendon repair. The Journal of Hand Surgery: British & European Volume 1992
  12. 17 (5): 550-552. doi: 10.1016/s0266-7681(05)80240-2 12. Lee SY, Kwon B, Lee K, Son YH, Chung SG. Therapeutic mechanisms of human adipose-derived mesenchymal stem cells in a rat tendon injury m