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Effect of relative centrifugal force on the biological properties of liquid platelet-rich fibrin produced via horizontal centrifugation

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Abstract

Objectives

Platelet-rich fibrin (PRF) in liquid form has shown advantages in tissue engineering including acting as injectable fillers and drug carriers. However, few studies have investigated the best relative centrifugal force (RCF) for preparing liquid PRF. The aim of the present study was to find out optimal centrifugation force for preparing liquid PRF.

Materials and methods

Liquid PRF was prepared using horizontal centrifugation (liquid H-PRF) with RCF ranging from 100 g, 300 g, 500 g, to 700 g for 8 min. The volume, weight, solidification time, and tensile properties were subsequently investigated. Scanning electron microscopy (SEM) and rheologic tests were carried out to investigate the microstructure and rheologic properties of liquid H-PRF after natural polymerization. The total number, concentration, and distribution of cells within each liquid H-PRF was evaluated by complete blood count (CBC) analysis and hematoxylin–eosin staining.

Results

As RCF values increased, the volume and weight of liquid H-PRF both increased accordingly. SEM images revealed that as the centrifugal force increased, the fibrin bundles became thinner with a denser fibrin network, and rheologic tests revealed improved mechanical properties. CBC analysis demonstrated that 500 g group had the highest number of leukocytes and neutrophils, whereas 100 g group yielded the highest concentration of leukocytes and platelets. Furthermore, histological analysis suggests that cells obtained by 500 g for 8 min were most evenly distributed in liquid H-PRF.

Conclusions

In summary, the present study provided insights into the contents of liquid H-PRF prepared at different centrifugation forces, enabling clinicians to choose proper centrifugation forces based on their needs.

Clinical relevance

The present findings provide theoretical basis for clinical choice of liquid H-PRF protocol from mechanical, cell contents, and histological aspects.

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References

  1. Raghavendra S, Wood MC, Taylor TD (2005) Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 20:425–431

    Google Scholar 

  2. Ozsagir ZB, Saglam E, Sen Yilmaz B, Choukroun J, Tunali M (2020) Injectable platelet-rich fibrin and microneedling for gingival augmentation in thin periodontal phenotype: a randomized controlled clinical trial. J Clin Periodontol 47:489–499. https://doi.org/10.1111/jcpe.13247

    Article  Google Scholar 

  3. Zeitounlouian TS, Zeno KG, Brad BA, Haddad RA (2021) Effect of injectable platelet-rich fibrin (i-PRF) in accelerating orthodontic tooth movement: a randomized split-mouth-controlled trial. J Orofac Orthop 82:268–277. https://doi.org/10.1007/s00056-020-00275-x

    Article  Google Scholar 

  4. Fabi S, Sundaram H (2014) The potential of topical and injectable growth factors and cytokines for skin rejuvenation. Facial Plast Surg 30:157–171. https://doi.org/10.1055/s-0034-1372423

    Article  Google Scholar 

  5. Schär MO, Diaz-Romero J, Kohl S, Zumstein MA (2015) Nesic DJCO and Research® R Platelet-rich concentrates differentially release growth factors and induce cell migration in vitro. Clin Orthop Relat Res 473:1635–1643

    Article  Google Scholar 

  6. Whitman DH, Berry RL, Green DM (1997) Platelet gel: an autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. J Oral Maxillofac Surg 55:1294–1299. https://doi.org/10.1016/s0278-2391(97)90187-7

    Article  Google Scholar 

  7. Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR (1998) Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:638–646. https://doi.org/10.1016/s1079-2104(98)90029-4

    Article  Google Scholar 

  8. Jia J, Wang SZ, Ma LY, Yu JB, Guo YD, Wang C (2018) The differential effects of leukocyte-containing and pure platelet-rich plasma on nucleus pulposus-derived mesenchymal stem cells: implications for the clinical treatment of intervertebral disc degeneration. Stem Cells Int 2018:7162084. https://doi.org/10.1155/2018/7162084

    Article  Google Scholar 

  9. Yin W, Xu H, Sheng J, Zhu Z, Jin D, Hsu P, Xie X, Zhang CJE, Medicine T (2017) Optimization of pure platelet-rich plasma preparation: a comparative study of pure platelet-rich plasma obtained using different centrifugal conditions in a single-donor model. Exp Ther Med 14:2060–2070

    Article  Google Scholar 

  10. Kobayashi E, Fluckiger L, Fujioka-Kobayashi M, Sawada K, Sculean A, Schaller B, Miron RJ (2016) Comparative release of growth factors from PRP, PRF, and advanced-PRF. Clin Oral Investig 20:2353–2360. https://doi.org/10.1007/s00784-016-1719-1

    Article  Google Scholar 

  11. Mourão CFdAB, Valiense H, Melo ER, Mourão NBMF, Maia MD-CJRdCBdC (2015) Obtention of injectable platelets rich-fibrin (i-PRF) and its polymerization with bone graft. Rev Col Bras Cir 42:421–423

    Article  Google Scholar 

  12. Miron RJ, Fujioka-Kobayashi M, Hernandez M, Kandalam U, Zhang Y, Ghanaati S, Choukroun J (2017) Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry? Clin Oral Investig 21:2619–2627. https://doi.org/10.1007/s00784-017-2063-9

    Article  Google Scholar 

  13. Amaral Valladao CA, Jr., Freitas Monteiro M and Joly JC, (2020) Guided bone regeneration in staged vertical and horizontal bone augmentation using platelet-rich fibrin associated with bone grafts: a retrospective clinical study. Int J Implant Dent 6:72. https://doi.org/10.1186/s40729-020-00266-y

    Article  Google Scholar 

  14. Saglam E, Ozsagir ZB, Unver T, Alinca SB, Toprak A, Tunali M (2021) Efficacy of injectable platelet-rich fibrin in the erosive oral lichen planus: a split-mouth, randomized, controlled clinical trial. J Appl Oral Sci 29:e20210180. https://doi.org/10.1590/1678-7757-2021-0180

    Article  Google Scholar 

  15. Shashank B, Bhushan M (2021) Injectable platelet-rich fibrin (PRF): the newest biomaterial and its use in various dermatological conditions in our practice: a case series. J Cosmet Dermatol 20:1421–1426.  https://doi.org/10.1111/jocd.13742

    Article  Google Scholar 

  16. Hamid O, Quinlan DJ, Seemann R and Hassan H (2021) Injectable platelet-rich fibrin for perioral rejuvenation as assessed by 3D lip volume imaging. J Cosmet Dermatol 20:3270–3277. https://doi.org/10.1111/jocd.14394

  17. Miron RJ, Chai J, Zheng S, Feng M, Sculean A and Zhang Y (2019) A novel method for evaluating and quantifying cell types in platelet rich fibrin and an introduction to horizontal centrifugation. J Biomed Mater Res A 107:2257–2271. https://doi.org/10.1002/jbm.a.36734

    Article  Google Scholar 

  18. Feng M, Wang Y, Wei Y, Zhang X, Xiao L, Gong Z, Fujioka-Kobayashi M, Sculean A, Miron RJ and Froum S and Zhang Y (2021) Preparation, characterization and biological properties of a novel bone block composed of platelet rich fibrin and a deproteinized bovine bone mineral. Fundam Res 2:321–328. https://doi.org/10.1016/j.fmre.2021.08.003

  19. Feng M, Wang Y, Zhang P, Zhao Q, Yu S, Shen K, Miron RJ, Zhang Y (2020) Antibacterial effects of platelet-rich fibrin produced by horizontal centrifugation. Int J Oral Sci 12:32. https://doi.org/10.1038/s41368-020-00099-w

    Article  Google Scholar 

  20. Nickerson CS, Park J, Kornfield JA, Karageozian H (2008) Rheological properties of the vitreous and the role of hyaluronic acid. J Biomech 41:1840–1846. https://doi.org/10.1016/j.jbiomech.2008.04.015

    Article  Google Scholar 

  21. Fagien S, Bertucci V, von Grote E, Mashburn JH (2019) Rheologic and physicochemical properties used to differentiate injectable hyaluronic acid filler products. Plast Reconstr Surg 143:707e–720e. https://doi.org/10.1097/Prs.0000000000005429

    Article  Google Scholar 

  22. Salti G, Fundarò SP (2020) Evaluation of the rheologic and physicochemical properties of a novel hyaluronic acid filler range with excellent three-dimensional reticulation (XTR™) Technology. Polymers 12:1644. https://doi.org/10.3390/polym12081644

    Article  Google Scholar 

  23. Sun C, Zeng X, Zheng S, Wang Y, Li Z, Zhang H, Nie L, Zhang Y, Zhao Y, Yang X (2022) Bio-adhesive catechol-modified chitosan wound healing hydrogel dressings through glow discharge plasma technique. Chem Eng J 427:130843. https://doi.org/10.1016/j.cej.2021.130843

    Article  Google Scholar 

  24. Miron RJ, Chai J, Zhang P, Li Y, Wang Y, Mourao C, Sculean A, Fujioka Kobayashi M, Zhang Y (2020) A novel method for harvesting concentrated platelet-rich fibrin (C-PRF) with a 10-fold increase in platelet and leukocyte yields. Clin Oral Investig 24:2819–2828. https://doi.org/10.1007/s00784-019-03147-w

    Article  Google Scholar 

  25. Miron RJ, Chai J, Fujioka-Kobayashi M, Sculean A, Zhang Y (2020) Evaluation of 24 protocols for the production of platelet-rich fibrin. BMC Oral Health 20:310. https://doi.org/10.1186/s12903-020-01299-w

    Article  Google Scholar 

  26. Miron RJ, Chai J, Zheng S, Feng M, Sculean A, Zhang Y (2019) A novel method for evaluating and quantifying cell types in platelet rich fibrin and an introduction to horizontal centrifugation. J Biomed Mater Res A 107:2257–2271. https://doi.org/10.1002/jbm.a.36734

    Article  Google Scholar 

  27. Arasteh S, Khanjani S, Golshahi H, Mobini S, Jahed MT, Heidari-Vala H, Edalatkhah H, Kazemnejad S (2020) Efficient wound healing using a synthetic nanofibrous bilayer skin substitute in murine model. J Surg Res 245:31–44. https://doi.org/10.1016/j.jss.2019.07.017

    Article  Google Scholar 

  28. Fujioka-Kobayashi M, Kono M, Katagiri H, Schaller B, Zhang Y, Sculean A, Miron RJ (2021) Histological comparison of Platelet rich fibrin clots prepared by fixed-angle versus horizontal centrifugation. Platelets 32:413–419. https://doi.org/10.1080/09537104.2020.1754382

    Article  Google Scholar 

  29. Zhang J, Qi X, Luo X, Li D, Wang H, Li T (2017) Clinical and immunohistochemical performance of lyophilized platelet-rich fibrin (Ly-PRF) on tissue regeneration. Clin Implant Dent Relat Res 19:466–477. https://doi.org/10.1111/cid.12473

    Article  Google Scholar 

  30. Liu Z, Jin H, Xie Q, Jiang Z, Guo S, Li Y, Zhang B (2019) Controlled release strategies for the combination of fresh and lyophilized platelet-rich fibrin on bone tissue regeneration. Biomed Res Int 2019:4923767. https://doi.org/10.1155/2019/4923767

    Article  Google Scholar 

  31. Agrawal DR, Jaiswal PG (2020) Injectable platelet rich fibrin (i-PRF): a gem in dentistry. Int J Cur Res Rev 12:25. http://doi.org/10.31782/IJCRR.2020.122116

  32. Nacopoulos C, Vesala AM (2020) Lower facial regeneration with a combination of platelet-rich fibrin liquid matrices based on the low speed centrifugation concept-Cleopatra technique. J Cosmet Dermatol 19:185–189.  https://doi.org/10.1111/jocd.13196

    Article  Google Scholar 

  33. Martínez-Zapata MJ, Martí-Carvajal A, Solà I, Bolibar I, Angel Exposito J, Rodriguez L, García J (2009) Efficacy and safety of the use of autologous plasma rich in platelets for tissue regeneration: a systematic review. Transfusion 49:44–56.  https://doi.org/10.1111/j.1537-2995.2008.01945.x

    Article  Google Scholar 

  34. Li W, Sigley J, Pieters M, Helms CC, Nagaswami C, Weisel JW, Guthold M (2016) Fibrin fiber stiffness is strongly affected by fiber diameter, but not by fibrinogen glycation. Biophys J 110:1400–1410. https://doi.org/10.1016/j.bpj.2016.02.021

    Article  Google Scholar 

  35. Fagien S, Bertucci V, von Grote E, Mashburn JH (2019) Rheologic and physicochemical properties used to differentiate injectable hyaluronic acid filler products. Plast Reconstr Surg 143:707e–720e. https://doi.org/10.1097/PRS.0000000000005429

    Article  Google Scholar 

  36. Hee CK, Shumate GT, Narurkar V, Bernardin A, Messina DJ (2015) Rheological properties and in vivo performance characteristics of soft tissue fillers. Dermatol Surg 41(Suppl 1):S373–S381. https://doi.org/10.1097/DSS.0000000000000536

    Article  Google Scholar 

  37. Lee W, Yoon J-H, Koh I-S, Oh W, Kim K-W, Yang E-J (2018) Clinical application of a new hyaluronic acid filler based on its rheological properties and the anatomical site of injection. Biomed Dermatol 2:1–5. https://doi.org/10.1186/s41702-018-0032-9

    Article  Google Scholar 

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Funding

The study was supported by the National Natural Science Foundation of China (82101019).

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Authors

Contributions

All authors contributed to the study conception and design. The study was conducted under the supervision of Yulan Wang and Yufeng Zhang. Material preparation, data collection, and analysis were performed by Mengge Feng, Yan Wei, Hongjiang Wei, and Yunxiao Wang. The first draft of the manuscript was written by Mengge Feng, revised by Yulan Wang and Richard J Miron. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yulan Wang.

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The research involves collecting blood from human participants. All protocols used were approved by the Ethics Committee of the School and Hospital of Stomatology, Wuhan University (B52/2020) in this study.

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Written informed consents were obtained from volunteers.

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The authors declare no competing interests.

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Feng, M., Wei, Y., Wei, H. et al. Effect of relative centrifugal force on the biological properties of liquid platelet-rich fibrin produced via horizontal centrifugation. Clin Oral Invest 27, 399–409 (2023). https://doi.org/10.1007/s00784-022-04745-x

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  • DOI: https://doi.org/10.1007/s00784-022-04745-x

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