ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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УЖМБС 2021, 6(2): 44–50
https://doi.org/10.26693/jmbs06.02.044
Experimental Medicine and Morphology

Healing of Skin Wounds of Old Rats in Conditions of Chronic Hyperglycemia Using Platelet-Rich Plasma

Maksymova O. S.
Abstract

Wound regeneration is a complex problem for modern healthcare, since the existing methods of treatment are not always effective, which necessitates the development of new promising methods. In this regard, today researchers are greatly interested in the possibility of using platelet-rich plasma in the treatment of patients with soft tissue injuries. The purpose of our research was to study the micro-, ultrastructural, planimetric and morphometric features of the skin reparative regeneration of old rats under the chronic hyperglycemia using platelet-rich plasma. Material and methods. The study was conducted on 30 white laboratory old rats: І group was a control group, ІІ group consisted of animals with chronic hyperglycemia of the body; ІІІ group included animals with chronic hyperglycemia of the body that were administered with platelet-rich plasma into the skin defect. The chronic hyperglycemia was simulated by the single intraperitoneal administration of streptozotocin (40 mg/kg) and nicotinic acid (1 mg/kg). The wound was formed by cutting out a piece of skin in the interscapular region. The animals with chronic hyperglycemia of the body ІІІ group were administered with autologous platelet-rich plasma into the skin defect. The studies were performed on the 14 days after trauma. The light microscopy was performed using an Olympus BH-2 microscope (Japan), ultramicroscopic study was performed using a JEM-1230 transmission electron microscope (JEOL, Japan), the planimetric analysis was performed using the morphometric program "Digimizer". The statistical analysis was performed using the SPSS-17 software package. Results and discussion. The obtained results showed that the process of skin regeneration in elderly rats with chronic hyperglycemia, which were injected with platelet-rich plasma, had a more favorable course than in animals that did not use the corrector. The wound area was reduced by 23.57 % (p = 0.654) than in rats with chronic hyperglycemia without correction and by 65.29 % (p = 0.857) larger than in the control group. It was shown that in animals with impaired carbohydrate metabolism, which received platelet-rich plasma, the beginning of the formation of the reticular and papillary layers dermis was observed. Conclusion. The vascular density of the microvasculature in animals with chronic hyperglycemia, which was injected with the corrector, was 22.89 % more (p = 0.246) than in animals simulated with chronic hyperglycemia without a corrector, but 15.69 % (p = 0.066) less than the control value

Keywords: rats, streptozotocin, platelet-rich plasma, skin regeneration

Full text: PDF (Ukr) 471K

References
  1. Global report on diabetes. World Health Organization, in 2006. 2019. Available from: https://www.who.int/news-room/factsheets/detail/diabetes/
  2. IDF Diabetes Atlas. 2013. Available from: https://www.idf.org/aboutdiabetes/type-2-diabetes.html
  3. Verbovoy AF, Sharonova LA, Burakshaev SA, Kotelnikova EV. Izmeneniya kozhi i slizistoy polosti rta pri sakharnom diabete i ikh profilaktika [Changes in the skin and oral mucosa in diabetes mellitus and their prevention]. Meditsinskiy sovet. 2017; 3: 54-57. [Russian] https://doi.org/10.21518/2079-701X-2017-3-54-57
  4. Achkasov EE, Bezuglov EN, Ul’yanov EN, Ul’yanov AA, Kurshev VV, Repetyuk AD, et al. Application platelet-rich plasma in clinical practice. Biomedicine. 2013; 4: 46-59.
  5. Troyanov AA, Kondratenko GG, Potapnev MP, Ibragimova ZhA, Kolesnikova TS, Hodosovskaya EV, et al. Experimental and clinical justification for the use of platelet-rich plasma to treat long-term healing wounds in diabetes. Medical Journal. 2018; 2: 112-117.
  6. Geremicca W, Fonte C, Vecchio S. Blood components for topical use in tissue regeneration: evaluation of corneal lesions treated with platelet lysate and considerations on repair mechanisms. Blood Transfus. 2010; 8(2): 107-112. https://doi.org/10.2450/2009.0091-09
  7. Medvedev VL, Kogan MI, Mihailov IV, Lepetunov SN. Platelet-rich autologous plasma: what is it and for what? Urology Herald. 2020; 8(2): 67-77. https://doi.org/10.21886/2308-6424-2020-8-2-67-77
  8. Anitua E, Alkhraisat MH, Orive G. Perspectives and challenges in regenerative medicine using plasma rich in growth factors. J Control Release. 2012; 157: 29-38. https://doi.org/10.1016/j.jconrel.2011.07.004
  9. Pietrzak W, Eppley B. Scientific foundations platelet rich plasma: biology and new technology. J Craniofac Surg. 2005; 16(6): 1043-54. https://doi.org/10.1097/01.scs.0000186454.07097.bf
  10. Marx R. Platelet-rich plasma (PRP): what is PRP and what is not PRP? Implant Dent. 2001; 10(4): 225-8. https://doi.org/10.1097/00008505-200110000-00002
  11. El-Sharkawy H, Kantarci A, Deady J, Hasturk H, Liu H, Alshahat M, et al. Platelet-rich plasma: growth factors and pro- and anti-inflammatory properties. J Periodontol. 2007; 78(4): 661-9. https://doi.org/10.1902/jop.2007.060302
  12. Antonaides HN, Williams LT. Human platelet-derived growth factor: structure and functions. Federation Proceedings. 1983; 42(9): 2630-34.
  13. Glukhov AA, Ostroushko AP, Semenov SN, Alexeeva NT, Bugrimov DYU. Structural and functional features of healing of aseptic wounds of soft tissues using by platelet-rich blood plasma. J Exp&Clinic Surg. 2010; 3(3): 210-213.
  14. Suthar M, Gupta S, Bukhari S, Ponemone V. Treatment of chronic non-healing ulcers using autologous platelet rich plasma: a case series. J Biomed Sci. 2017; 24(1): 16. https://doi.org/10.1186/s12929-017-0324-1
  15. Hersant B, SidAhmed-Mezi M, Bosc R, Meningaud JP. Autologous platelet-rich plasma/thrombin gel combined with split-thickness skin graft to manage postinfectious skin defects: a randomized controlled study. Adv Skin Wound Care. 2017; 30(11): 502-508. https://doi.org/10.1097/01.ASW.0000524399.74460.87
  16. Abegao KG, Bracale BN, Delfim IG, Santos ES, Laposy CB, Nai GA, et al. Effects of heterologous platelet-rich plasma gel on standardized dermal wound healing in rabbits. Acta Cir Bras. 2015; 30(3): 209-215. https://doi.org/10.1590/S0102-865020150030000008
  17. Park YG, Lee IH, Park ES, Kim JY. Hydrogel and platelet-rich plasma combined treatment to accelerate wound healing in a nude mouse model. Arch Plast Surg. 2017; 44: 194-201. https://doi.org/10.5999/aps.2017.44.3.194
  18. Bogdan VG, Tolstov DA, Zafranskaya MM. Evaluation stimulating influence platelet rich plasma in experimental models fibroblast cultures of patients with trophic ulcers of venous etiology. Meditsinskie novosti. 2014; 8: 87-89.
  19. Gorbach EN, Petrovskaya NV, Grebneva OL. The effect of blood plasma components on the process of skin wound healing (an experimental study). Genij Ortopedii. 2007; 2: 52-56.