International Journal of Molecular Sciences (Feb 2023)

Autologous Platelet and Extracellular Vesicle-Rich Plasma as Therapeutic Fluid: A Review

  • Kaja Troha,
  • Domen Vozel,
  • Matevž Arko,
  • Apolonija Bedina Zavec,
  • Drago Dolinar,
  • Matej Hočevar,
  • Zala Jan,
  • Matic Kisovec,
  • Boštjan Kocjančič,
  • Ljubiša Pađen,
  • Manca Pajnič,
  • Samo Penič,
  • Anna Romolo,
  • Neža Repar,
  • Vesna Spasovski,
  • Nejc Steiner,
  • Vid Šuštar,
  • Aleš Iglič,
  • Damjana Drobne,
  • Ksenija Kogej,
  • Saba Battelino,
  • Veronika Kralj-Iglič

DOI
https://doi.org/10.3390/ijms24043420
Journal volume & issue
Vol. 24, no. 4
p. 3420

Abstract

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The preparation of autologous platelet and extracellular vesicle-rich plasma (PVRP) has been explored in many medical fields with the aim to benefit from its healing potential. In parallel, efforts are being invested to understand the function and dynamics of PVRP that is complex in its composition and interactions. Some clinical evidence reveals beneficial effects of PVRP, while some report that there were no effects. To optimize the preparation methods, functions and mechanisms of PVRP, its constituents should be better understood. With the intention to promote further studies of autologous therapeutic PVRP, we performed a review on some topics regarding PVRP composition, harvesting, assessment and preservation, and also on clinical experience following PVRP application in humans and animals. Besides the acknowledged actions of platelets, leukocytes and different molecules, we focus on extracellular vesicles that were found abundant in PVRP.

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