Platelet-Rich Plasma Centrifugation Changes Leukocyte Ratios

Cureus. 2021 Apr 13;13(4):e14470. doi: 10.7759/cureus.14470.

Abstract

Platelet-rich plasma (PRP) is usually described with respect to its platelet concentration and sometimes the concentration of erythrocytes and leukocytes. In this study, we examined the numbers of leukocyte subtypes in PRPs prepared by five different methods. Single spin PRP methods evaluated resulted in a significant increase in the percentage of lymphocytes and proportional/inverse reduction of the percentage of granulocytes in comparison to those percentages found in whole blood. We propose that the centrifugation process traps the denser granulocytes in the RBC layer more readily than lymphocytes and that this will vary by g force and time. The PRP preparation method may be clinically relevant, because the distribution of leukocytes may affect clinical outcomes.

Keywords: centrifugation; leukocyte ratios; leukocytes; platelet-rich plasma; platelets.