Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 137-141, September 2010

Temporal and spatial expression of TGF-β1 in an Achilles tendon section model after application of platelet-rich plasma

  • Dimitrios N. Lyras, Ph.D., D.V.M., M.D.

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece
    • Corresponding Author InformationCorresponding author at: 53 Labrador Quays, Salford Quays, Manchester, M50 3YH, UK. Tel.: +44 1618726044; fax: +30 2551022123.
  • ,
  • Konstantinos Kazakos

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece
  • ,
  • Marios Tryfonidis

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece
  • ,
  • George Agrogiannis

      Affiliations

    • Kapodistrian University of Athens, Department of Pathology, Mikras Asias 75, B.O. 11527, Athens, Greece
  • ,
  • Sotirios Botaitis

      Affiliations

    • Democritus University of Thrace, Laboratory of Experimental Surgery and Surgical Research, Dragana, B.O. 84100, Greece
  • ,
  • Anna Kokka, M.D.

      Affiliations

    • Kapodistrian University of Athens, Department of Pathology, Mikras Asias 75, B.O. 11527, Athens, Greece
  • ,
  • George Drosos

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece
  • ,
  • Konstantinos Tilkeridis

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece
  • ,
  • Dionysios Verettas

      Affiliations

    • Democritus University of Thrace, Department of Orthopaedic and Trauma Surgery, Dragana, B.O. 84100, Greece

Received 7 June 2009; received in revised form 19 September 2009; accepted 29 September 2009. published online 13 November 2009.

Abstract 

Background

To investigate the effect of platelet-rich plasma (PRP) on TGF-β1 expression during tendon healing.

Methods

We used 48 skeletally mature New Zealand White rabbits. 24 rabbits received the PRP, and 24 rabbits served as an untreated control group. Equal numbers of animals were sacrificed at 1st, 2nd, 3rd, and 4th week. The surgical procedure involved a transverse incision to transect the Achilles tendon. A volume of 1ml of PRP was then injected into the tendon mass in the PRP group. Histological and immunohistochemical evaluations with an anti-TGF-β primary antibody were performed.

Results

The pattern of expression of TGF-β1 in the PRP group was characterized by a significant upregulation during the first 2 weeks and subsequently significant downregulation in the 3rd and 4th week in comparison with the controls.

Conclusions

Our results suggest that PRP may affect the tendon healing process by altering the expression of TGF-β1.

Keywords: Platelet-rich plasma, TGF-β1, Tendon healing, Rabbits, Immunohistochemistry

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PII: S1268-7731(09)00118-0

doi:10.1016/j.fas.2009.09.002

Foot and Ankle Surgery
Volume 16, Issue 3 , Pages 137-141, September 2010