The value of platelet-rich plasma-derived extracellular vesicles in modern medicine

Ann Med. 2023 Dec;55(2):2287705. doi: 10.1080/07853890.2023.2287705. Epub 2023 Dec 8.

Abstract

Platelet-rich plasma (PRP) has been widely used in clinical practice. The mechanism by which PRP promotes tissue repair lies in the release of multiple growth factors upon platelet activation, which accelerates the proliferation and differentiation of repair cells and the synthesis of extracellular matrix. In recent years, as extracellular vesicles (EVs) research has increased and intensified, it has been found that EVs also play an important role in tissue repair. This article provides a comprehensive review of the role of PRP and PRP-derived extracellular vesicles (PRP-EVs) in tissue repair. It discusses the biological characteristics, extraction, identification, activation, and preservation of PRP-EVs. It also reviews their applications in orthopedics and wound repair. The article highlights the importance of PRP-EVs in modern medicine and suggests that they could be a promising natural nanocarrier.

Keywords: Extracellular vesicles; orthopedics; platelet-rich plasma; platelet-rich plasma-derived extracellular vesicles; wound repair.

Plain language summary

The review discusses extracellular vesicles derived from platelet-rich plasma(PRP-EVs). PRP promotes repair of the body’s tissues and has been used in clinical practice for many years. Extracellular vesicles are granules released by cells that facilitate intercellular communication. Studies in recent years have revealed that PRP can also release extracellular vesicles that participate in the repair process of tissues. Here, we elaborate on PRP-EVs. Regarding PRP-EVs, current studies are limited to the animal level and have not yet been used in the clinical setting.

Publication types

  • Review

MeSH terms

  • Blood Platelets / metabolism
  • Extracellular Vesicles*
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Platelet-Rich Plasma*

Substances

  • Intercellular Signaling Peptides and Proteins

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.