Arch Plast Surg.  2012 Mar;39(2):106-112. 10.5999/aps.2012.39.2.106.

The Effect of Platelet-rich Plasma on Wounds of OLETF Rats Using Expression of Matrix Metalloproteinase-2 and -9 mRNA

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. shinerim@hanmail.net

Abstract

BACKGROUND
Complicated diabetic patients show impaired, delayed wound healing caused by multiple factors. A study on wound healing showed that platelet-rich plasma (PRP) was effective in normal tissue regeneration. Nonetheless, there is no evidence that when plateletrich plasma is applied to diabetic wounds, it normalizes the diabetic wound healing process. In this study, we have analyzed matrix metalloproteinase (MMP)-2, MMP-9 expression to investigate the effect of PRP on diabetic wounds.
METHODS
Twenty-four-week-old male Otsuka Long-Evans Tokushima Fatty rats were provided by the Tokushima Research Institute. At 50 weeks, wounds were arranged in two sites on the lateral paraspinal areas. Each wound was treated with PRP gel and physiologic saline gauze. To determine the expression of MMP-2, MMP-9, which was chosen as a marker of wound healing, reverse transcription polymerase chain reaction (RT-PCR) was performed and local distribution and expression of MMP-2, MMP-9 was also observed throughout the immunohistochemical staining.
RESULTS
RT-PCR and the immunohistochemical study showed that the levels of MMP-2, MMP-9 mRNA expression in PRP applied tissues were higher than MMP-2, MMP-9 mRNA expression in saline-applied tissues. MMP-9 mRNA expression in wounds of diabetic rats decreased after healing began to occur. But no statistical differences were detected on the basis of body weight or fasting blood glucose levels.
CONCLUSIONS
This study could indicate the extracellular matrix-regulating effect observed with PRP. Our results of the acceleration of wound healing events by PRP under hyperglycemic conditions might be a useful clue for future clinical treatment for diabetic wounds.

Keyword

Platelet-rich plasma; Rats, OLETF; Matrix mtalloproteinase-2; Matrix metalloproteinase-9

MeSH Terms

Academies and Institutes
Acceleration
Animals
Blood Glucose
Body Weight
Fasting
Humans
Male
Matrix Metalloproteinase 2
Matrix Metalloproteinase 9
Plasma
Platelet-Rich Plasma
Polymerase Chain Reaction
Rats
Rats, Inbred OLETF
Regeneration
Reverse Transcription
RNA, Messenger
Wound Healing
Blood Glucose
Matrix Metalloproteinase 2
Matrix Metalloproteinase 9
RNA, Messenger
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