Effectiveness of Platelet-Rich Plasma Based on Gene Expression in Knee Osteoarthritis

Document Type : RESEARCH PAPER

Authors

1 Department of Biology, Ashrafi Esfahani University, Esfahan, Iran Department of Orthopedic Surgery, AJA University of Medical Sciences, Tehran, Iran

2 Shahid Sadooghi Hospital, Isfahan, Iran

3 Department of Orthopedic Surgery, AJA University of Medical Sciences, Tehran, Iran

Abstract

Background: Intra-articular injection of Platelet-rich plasma (PRP) is an effective method for the treatment of patients
with knee osteoarthritis (OA). This study aimed to assess the effects of PRP injection on OA, based on gene expression
analysis.
Methods: A sample of 30 subjects with knee OA was asked to complete the Persian versions of the Intermittent and
Constant Osteoarthritis Pain (ICOAP) and Knee and Osteoarthritis Outcome Score (KOOS). Thereafter, the expression
of IGF-1, HIF-1, cartilage oligometric matrix protein (COMP), and bone morphogenetic proteins (BMP2) were compared
in the patient before and 1 month after PRP injection using real-time polymerase chain reaction (PCR).
Results: According to the results of the study, the expression of IGF-1, HIF-1, COMP and BMP2 were reported to be
higher in subjects with PRP injection; however, only the up-regulation of IGF-1 was statistically significant (P<007).
Moreover, the significant change in the KOOS and ICOAP scores was attributed to PRP injection (P<0.01).
Conclusion: Intra-articular injections of PRP were reported to ease the pain, decrease the stiffness, and improve
quality of life in patients with knee OA through the promotion of IGF-1 expression.
Level of evidence: V

Keywords

Main Subjects

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The Archives of Bone and Joint Surgery
Volume 7, Issue 5
September 2019
Pages 435-440

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History

  • Receive Date: 13 August 2017
  • Revise Date: 09 May 2018
  • Accept Date: 29 April 2019

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