Plasma rich in growth factors (PRGF) and leukocyte-platelet rich fibrin (L-PRF): comparative release of growth factors and biological effect on osteoblasts

Int J Implant Dent. 2022 Oct 3;8(1):39. doi: 10.1186/s40729-022-00440-4.

Abstract

Purpose: To compare the release of platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), insulin-like growth factor (IGF-I) and interleukin 1β (IL-1β) of plasma rich in growth factors (PRGF) and leucocyte platelet-rich fibrin (L-PRF) and to evaluate their biological implication in osteoblasts.

Methods: Blood from 3 healthy volunteers was processed into PRGF, immediate L-PRF (L-PRF 0') and L-PRF 30 min after collection (L-PRF-30') and a control group. Growth factors release were analyzed at 7 times by ELISA. Cell proliferation, collagen-I synthesis and alkaline phosphatase activity were assessed in primary cultures of human osteoblasts.

Results: A slower controlled release of IGF-I, VEGF and PDGF was observed in the PRGF group at day 14. A higher synthesis of type I collagen was also quantified in PRGF. L-PRF released significantly higher amounts of IL-1β, that was almost absent in the PRGF.

Conclusions: The addition of leukocytes dramatically increases the secretion of proinflammatory cytokines, which are likely to negatively influence the synthesis of type I collagen and alkaline phosphatase (ALP) by osteoblasts.

Keywords: Bone regeneration; IGF-I; IL-1 β; PDGF-AB; PRGF; Platelet; Platelet-rich fibrin; Platelet-rich plasma; VEGF; Wound healing.

MeSH terms

  • Alkaline Phosphatase / metabolism
  • Collagen Type I / metabolism
  • Cytokines / metabolism
  • Delayed-Action Preparations / metabolism
  • Fibrin / metabolism
  • Humans
  • Insulin-Like Growth Factor I / metabolism
  • Interleukin-1beta / metabolism
  • Leukocytes
  • Osteoblasts / metabolism
  • Platelet-Derived Growth Factor / metabolism
  • Platelet-Rich Fibrin* / metabolism
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Collagen Type I
  • Cytokines
  • Delayed-Action Preparations
  • Interleukin-1beta
  • Platelet-Derived Growth Factor
  • Vascular Endothelial Growth Factor A
  • Insulin-Like Growth Factor I
  • Fibrin
  • Alkaline Phosphatase