From Blood to Regenerative Tissue: How Autologous Platelet-Rich Fibrin Can Be Combined with Other Materials to Ensure Controlled Drug and Growth Factor Release

Int J Mol Sci. 2021 Oct 26;22(21):11553. doi: 10.3390/ijms222111553.

Abstract

The purpose of this review is to examine the latest literature on the use of autologous platelet-rich fibrin as a drug and growth factor carrier system in maxillofacial surgery. Autologous platelet-rich fibrin (PRF) is a unique system that combines properties such as biocompatibility and biodegradability, in addition to containing growth factors and peptides that provide tissue regeneration. This opens up new horizons for the use of all beneficial ingredients in the blood sample for biomedical purposes. By itself, PRF has an unstable effect on osteogenesis: therefore, advanced approaches, including the combination of PRF with materials or drugs, are of great interest in clinics. The main advantage of drug delivery systems is that by controlling drug release, high drug concentrations locally and fewer side effects within other tissue can be achieved. This is especially important in tissues with limited blood supply, such as bone tissue compared to soft tissue. The ability of PRF to degrade naturally is considered an advantage for its use as a "warehouse" of controlled drug release systems. We are focusing on this concentrate, as it is easy to use in manipulations and can be delivered directly to the surgical site. The target audience for this review are researchers and medical doctors who are involved in the development and research of PRFs further studies. Likewise, surgeons who use PRF in their work to treat patients and who advice patients to take the medicine orally.

Keywords: autologous growth factors; carrier systems; drug delivery; endogenous growth factors; platelet concentrates; platelet-rich fibrin; tissue engineering.

Publication types

  • Review

MeSH terms

  • Blood Platelets / metabolism*
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Platelet-Rich Fibrin / metabolism*
  • Platelet-Rich Plasma / metabolism
  • Regenerative Medicine / methods

Substances

  • Intercellular Signaling Peptides and Proteins