Histopathological Assessment of the Regenerative Effect of Autogenous Platelet Rich Plasma Gel on Healing in Large osteochondral Defects in Rabbit Models
DOI:
https://doi.org/10.48165/ijapm.2026.42.02.19Keywords:
Rabbits, osteochondral defect, Transplantation, PRPAbstract
BACKGROUND: The repair of articular cartilage defects is particularly challenging because of cartilage’s hypocellularity and insufficient nutrient supply, and the inability of bone marrow stem cells or resident chondroprogenitor cells to form hyaline cartilage. OBJECTIVES: The purpose of the present study was to evaluate the use of platelet rich plasma gel implants for the regeneration of cartilage defects in a rabbit model. MATERIALS AND METHODS: Under general anesthesia and aseptic conditions were established, twenty-four healthy male rabbits were used. All rabbits will be carrying out to arthrotomy on the right-hand limbs, a full-thickness cartilage defect (4 mm in diameter, 3 mm in depth) was created in the center of the middle of the trochlear groove, immediately after drilling the defect was rinsed with a saline solution. Depending on the way of the treatment, the animals were divided Twenty-four healthy adult rabbits took part in the study. They were randomly assigned to four experimental groups, with six rabbits in each group. The cartilage defect was treated with 1ml phosphate buffer saline (PBS) as control group, in PRP group was treated with pressed fitted with PRP-gel implants. RESULTS: The outcome was assessed macroscopically at 4th and 8th weeks post-surgery in control group showed (ICRS) scores which indicated fibrocartilaginous or fibrous repair in control defects that were improved in the PRP and further confirmed by higher Goebel scores. Although demonstrated at 8th weeks, significant differences (P≤0.05) in PRP compare than those in control groups. CONCLUSIONS: we developed PRP with minimal deteriorative effects on the composition and functional characteristics and potential effective in advancing the formation of cartilage-like tissue for repairing cartilage defect through adhere, proliferate, and secrete extracellular matrix. histopathological examinations demonstrated the gap filled with mature fibrous connective tissue and no obvious cartilaginous extracellular matrix was identified by safranin O staining in control group at 8th weeks after surgery. However, that better filling with hyaline like cartilage of the defect relative to the surface of normal adjacent cartilage, better integration of repair tissue with surrounding articular cartilage and matrix staining with safranin O fast green in the PRP groups than in those with control group.
References
Al-Ameri, S. H., Mahdi, A. S., & Zedan, Z. K. (2020). Evaluation of the effects of biomaterial scaffold for healing cutaneous chronic wounds in dog model. Annals of Tropical Medicine and Public Health, 23, 231411. https://doi.org/10.36295/ASRO.2020.231411
Altan, E., Aydin, K., Erkocak, O., Senaran, H., & Ugras, S. (2014). The effect of platelet-rich plasma on osteochondral defects treated with mosaicplasty. International Orthopaedics, 38(6), 1321–1328. https://doi.org/10.1007/s00264-013-2275-9
Barrionuevo, D. V., Laposy, C. B., Abegão, K. G. B., Nogueira, R. M. B., Nai, G. A., Bracale, B. N., & Delfim, I. G. (2015). Comparison of experimentally-induced wounds in rabbits treated with different sources of platelet-rich plasma. Laboratory Animals, 49(3), 209–214. https://doi.org/10.1177/0023677214567747
Fukaya, M., & Ito, A. (2014). A new economic method for preparing platelet-rich plasma. Plastic and Reconstructive Surgery–Global Open, 2(6), e162. https://doi.org/10.1097/GOX.0000000000000109
Huang, B. J., Hu, J. C., & Athanasiou, K. A. (2016). Cell-based tissue engineering strategies used in the clinical repair of articular cartilage. Biomaterials, 98, 1–22. https://doi.org/10.1016/j.biomaterials.2016.04.018
Huh, S. W., Shetty, A. A., Kim, S. J., Kim, Y. J., Choi, N. Y., Jun, Y. J., & Park, I. J. (2014). The effect of platelet rich plasma combined with microfracture for the treatment of chondral defect in a rabbit knee. Tissue Engineering and Regenerative Medicine, 11(2), 178–185. https://doi.org/10.1007/s13770-013-1115-8
Kato, Y., Yanada, S., Morikawa, H., Okada, T., Watanabe, M., & Takeuchi, S. (2022). Effect of platelet-rich plasma on autologous chondrocyte implantation for chondral defects: Results using an in vivo rabbit model. Orthopaedic Journal of Sports Medicine, 10(3), 23259671221079349. https://doi.org/10.1177/23259671221079349
Kon, E., Buda, R., Filardo, G., Di Martino, A., Timoncini, A., Cenacchi, A., & Marcacci, M. (2010). Platelet-rich plasma: Intra-articular knee injections produced favorable results on degenerative cartilage lesions. Knee Surgery, Sports Traumatology, Arthroscopy, 18(4), 472–479. https://doi.org/10.1007/s00167-009-0940-8
Lu, H. T., Lu, J. W., Lee, C. H., Peng, Y. J., Lee, H. S., Chu, Y. H., & Wang, C. C. (2021). Attenuative effects of platelet-rich plasma on 30 kDa fibronectin fragment-induced MMP-13 expression associated with TLR2 signaling in osteoarthritic chondrocytes and synovial fibroblasts. Journal of Clinical Medicine, 10(19), 4496. https://doi.org/10.3390/jcm10194496
Mascarenhas, R., Saltzman, B. M., Fortier, L. A., & Cole, B. J. (2015). Role of platelet-rich plasma in articular cartilage injury and disease. The Journal of Knee Surgery, 28(1), 3–10. https://doi.org/10.1055/s-0034-1384672
Nordberg, R. C., Bielajew, B. J., Takahashi, T., Dai, S., Hu, J. C., & Athanasiou, K. A. (2024). Recent advancements in cartilage tissue engineering innovation and translation. Nature Reviews Rheumatology, 20(6), 323–346. https://doi.org/10.1038/s41584-024-01118-4
Roseti, L., & Grigolo, B. (2022). Current concepts and perspectives for articular cartilage regeneration. Journal of Experimental Orthopaedics, 9(1), 61. https://doi.org/10.1186/s40634-022-00498-4
Slimi, F., Zribi, W., Trigui, M., Amri, R., Gouiaa, N., Abid, C., & Keskes, H. (2021). The effectiveness of platelet-rich plasma gel on full-thickness cartilage defect repair in a rabbit model. Bone & Joint Research, 10(3), 192–202. https://doi.org/10.1302/2046-3758.103.BJR-2020-0087.R2
Smyth, N. A., Haleem, A. M., Ross, K. A., Hannon, C. P., Murawski, C. D., Do, H. T., & Kennedy, J. G. (2016). Platelet-rich plasma may improve osteochondral donor site healing in a rabbit model. Cartilage, 7(1), 104–111. https://doi.org/10.1177/1947603515599190
Sun, X., Mi, L., Du, G., Sun, C., & He, S. (2022). Platelet-rich plasma treatment alleviates osteoarthritis-related pain, inflammation, and apoptosis by upregulating the expression levels of microRNA-375 and microRNA-337. Immunopharmacology and Immunotoxicology, 44(1), 87–98. https://doi.org/10.1080/08923973.2021.2007263
Sun, Y., Feng, Y., Zhang, C. Q., Chen, S. B., & Cheng, X. G. (2010). The regenerative effect of platelet-rich plasma on healing in large osteochondral defects. International Orthopaedics, 34(4), 589–597. https://doi.org/10.1007/s00264-009-0793-2
Sun, Y., Yan, L., Chen, S., & Pei, M. (2018). Functionality of decellularized matrix in cartilage regeneration: A comparison of tissue versus cell sources. Acta Biomaterialia, 74, 56–73. https://doi.org/10.1016/j.actbio.2018.04.048
Xie, X., Wang, Y., Zhao, C., Guo, S., Liu, S., Jia, W., & Zhang, C. (2012). Comparative evaluation of MSCs from bone marrow and adipose tissue seeded in PRP-derived scaffold for cartilage regeneration. Biomaterials, 33(29), 7008–7018. https://doi.org/10.1016/j.biomaterials.2012.06.058
Zhang, Z. Y., Huang, A. W., Fan, J. J., Wei, K., Jin, D., Chen, B., & Pei, G. (2013). The potential use of allogeneic platelet-rich plasma for large bone defect treatment: Immunogenicity and defect healing efficacy. Cell Transplantation, 22(1), 175–187. https://doi.org/10.3727/096368912X653183

