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Application of platelet-rich plasma with stem cells in bone and periodontal tissue engineering

机译:富含血小板的干细胞血浆在骨和牙周组织工程中的应用

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摘要

Presently, there is a high paucity of bone grafts in the United States and worldwide. Regenerating bone is of prime concern due to the current demand of bone grafts and the increasing number of diseases causing bone loss. Autogenous bone is the present gold standard of bone regeneration. However, disadvantages like donor site morbidity and its decreased availability limit its use. Even allografts and synthetic grafting materials have their own limitations. As certain specific stem cells can be directed to differentiate into an osteoblastic lineage in the presence of growth factors (GFs), it makes stem cells the ideal agents for bone regeneration. Furthermore, platelet-rich plasma (PRP), which can be easily isolated from whole blood, is often used for bone regeneration, wound healing and bone defect repair. When stem cells are combined with PRP in the presence of GFs, they are able to promote osteogenesis. This review provides in-depth knowledge regarding the use of stem cells and PRP in vitro, in vivo and their application in clinical studies in the future.
机译:目前,在美国和世界范围内,骨移植的匮乏。由于目前对骨移植物的需求以及导致骨质流失的疾病数量的增加,使骨骼再生成为首要问题。自体骨是目前骨再生的金标准。但是,诸如供体部位发病率及其可用性降低等缺点限制了其使用。甚至同种异体移植物和合成移植材料也有其自身的局限性。由于某些特定的干细胞可以在存在生长因子(GFs)的情况下定向分化为成骨细胞谱系,因此使干细胞成为骨骼再生的理想药物。此外,易于从全血中分离的富血小板血浆(PRP)通常用于骨骼再生,伤口愈合和骨缺损修复。当干细胞在GF存在下与PRP结合时,它们能够促进成骨作用。这篇综述提供了关于干细胞和PRP在体外,体内的使用及其在未来临床研究中的应用的深入知识。

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