Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (38): 6133-6139.doi: 10.3969/j.issn.2095-4344.2015.38.012

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Platelet-rich plasma with sodium hyaluronate in repair of rabbit knee osteoarthritis

Ji Heng-dong1, Huo Xiao-yan2, Zhang Hou-qing3, Wang Yu-shan3, Shi Xuan3, Huo Lei3   

  1. 1 Department of Rheumatism, Taizhou People’s Hospital, Taizhou 225300, Jiangsu Province, China
    2 Community Healthy Service of Jiangsu Province, Zhenjiang 212000, Jiangsu Province, China
    3 Department of Orthopedics, BenQ Medical Centre Affiliated to Nanjing Medical University, Suzhou 215000, Jiangsu Province, China
  • Contact: Huo Lei, Attending physician, Department of Orthopedics, BenQ Medical Centre Affiliated to Nanjing Medical University, Suzhou 215000, Jiangsu Province, China
  • About author:Ji Heng-dong, Chief physician, Department of Rheumatism, Taizhou People’s Hospital, Taizhou 225300, Jiangsu Province, China

Abstract:

BACKGROUND: Studies have shown that sodium hyaluronate inhibits cartilage damage in osteoarthritis and accelerates regeneration of cartilage cells, to stabilize and repair the articular cartilage.

OBJECTIVE: To investigate the therapeutic effect of sodium-rich plasma combined with platelet-rich plasma (PRP) on rabbit knee osteoarthritis.
METHODS: Forty New Zealand white rabbits were randomly divided into five groups, control group, combined group, sodium hyaluronate group, PRP group and model group, and then an osteoarthritis model of the right knee was made in each rabbit. After modeling, sodium hyaluronate+PRP, sodium hyaluronate, autologous PRP and normal saline were given via the knee joint cavity in the latter four groups, respectively, once a week for 5 weeks. The control group received no treatment, as normal controls. At 1 week after treatment, ELISA assay was used to detect serum interleukin-1, interleukin-6, tumor necrosis factor-α levels, and changes of the articular cartilage were observed under a light microscope.
RESULTS AND CONCLUSION: Compared with the control group, the levels of interleukin-1, interleukin-6 and tumor necrosis factor-α were all increased in the other four groups (P < 0.01). Compared with the model group, the levels of interleukin-1, interleukin-6 and tumor necrosis factor-α were lowered significantly in the combined, sodium hyaluronate and PRP groups (P < 0.01 or P < 0.05), and the most significant decline was in the combined group. Articular cartilage damage was severest in the model group and mildest in the combined group. Experimental findings indicate that intra-articular injection of sodium hyaluronate+PRP can reduce inflammation and protect the articular cartilage in knee osteoarthritis, which is better than a single drug injection.

中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程

Key words: Osteoarthritis, Knee, Platelet-Rich Plasma, Cartilage, Articular

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