Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen

Objective. The purposes of our present study were to evaluate the potential of platelet-rich plasma gel to enhance granulation tissue formation after open abdomen and to examine whether the effect was attributable to stimulating rapid neovascularization. Methods. Twenty-four rats underwent colon asc...

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Main Authors: Bo Zhou, Jianan Ren, Chao Ding, Yin Wu, Dong Hu, Guosheng Gu, Jieshou Li
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/926764
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author Bo Zhou
Jianan Ren
Chao Ding
Yin Wu
Dong Hu
Guosheng Gu
Jieshou Li
author_facet Bo Zhou
Jianan Ren
Chao Ding
Yin Wu
Dong Hu
Guosheng Gu
Jieshou Li
author_sort Bo Zhou
collection DOAJ
description Objective. The purposes of our present study were to evaluate the potential of platelet-rich plasma gel to enhance granulation tissue formation after open abdomen and to examine whether the effect was attributable to stimulating rapid neovascularization. Methods. Twenty-four rats underwent colon ascendens stent peritonitis surgery to induce sepsis, followed by intraperitoneal injection of nitrogen to create intra-abdominal hypertension. Four hours later, laparotomies were performed. The rats were randomized into three groups (n=8 for each group): control, platelet-poor plasma (PPP), and platelet-rich plasma (PRP) groups. One week after the treatment, granulation tissue formation and angiogenesis were evaluated by histological and laser Doppler analysis. Results. The resultant platelet count in platelet-rich plasma was higher than that of PPP. The concentrations of platelet-derived growth factor BB, transforming growth factor β-1, and vascular endothelial growth factor in PRP were significantly higher when compared with that of PPP. Myofibroblast count, granulation tissue thickness, vessel numbers, and blood perfusion were increased in PRP group, followed by PPP group, with control being the least. Conclusion. Rapidly in situ forming platelet-rich plasma gel promoted remarkable neovascularization and early wound healing after open abdomen and may lead to novel and effective treatments for open abdominal wounds.
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publishDate 2013-01-01
publisher Wiley
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series Gastroenterology Research and Practice
spelling doaj-art-696bae6306c44355b7fd4ca11d719bcc2025-02-03T06:12:15ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/926764926764Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open AbdomenBo Zhou0Jianan Ren1Chao Ding2Yin Wu3Dong Hu4Guosheng Gu5Jieshou Li6Department of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing 210002, ChinaObjective. The purposes of our present study were to evaluate the potential of platelet-rich plasma gel to enhance granulation tissue formation after open abdomen and to examine whether the effect was attributable to stimulating rapid neovascularization. Methods. Twenty-four rats underwent colon ascendens stent peritonitis surgery to induce sepsis, followed by intraperitoneal injection of nitrogen to create intra-abdominal hypertension. Four hours later, laparotomies were performed. The rats were randomized into three groups (n=8 for each group): control, platelet-poor plasma (PPP), and platelet-rich plasma (PRP) groups. One week after the treatment, granulation tissue formation and angiogenesis were evaluated by histological and laser Doppler analysis. Results. The resultant platelet count in platelet-rich plasma was higher than that of PPP. The concentrations of platelet-derived growth factor BB, transforming growth factor β-1, and vascular endothelial growth factor in PRP were significantly higher when compared with that of PPP. Myofibroblast count, granulation tissue thickness, vessel numbers, and blood perfusion were increased in PRP group, followed by PPP group, with control being the least. Conclusion. Rapidly in situ forming platelet-rich plasma gel promoted remarkable neovascularization and early wound healing after open abdomen and may lead to novel and effective treatments for open abdominal wounds.http://dx.doi.org/10.1155/2013/926764
spellingShingle Bo Zhou
Jianan Ren
Chao Ding
Yin Wu
Dong Hu
Guosheng Gu
Jieshou Li
Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
Gastroenterology Research and Practice
title Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
title_full Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
title_fullStr Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
title_full_unstemmed Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
title_short Rapidly In Situ Forming Platelet-Rich Plasma Gel Enhances Angiogenic Responses and Augments Early Wound Healing after Open Abdomen
title_sort rapidly in situ forming platelet rich plasma gel enhances angiogenic responses and augments early wound healing after open abdomen
url http://dx.doi.org/10.1155/2013/926764
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