Review Article

The Potential Therapeutic Effects of Platelet-Derived Biomaterials on Osteoporosis: A Comprehensive Review of Current Evidence

Table 2

Summary of the studies on systemic administration of PDBs.

Authors (Year)Animal modelStudy Group(s)Control groupPreparation protocol of PDBsThe application method of PDBsMethod of evaluationMain outcomesFollow-upReferences

Sheu et al. (2020)OVX miceI: ADSCs
II: PRFr
III: ADSCs + PRFr
I: Unoperated mice
II: Operated non-OVX mice
III: Operated OVX mice
6 ml blood centrifuged at: 3000 g in 10 min in order to obtain PRF
PRF was centrifuged at: 5000 g in 10 min to obtain PRFr
0.6 mL IV injection/week for 4 weeksI: micro-CT
II: Histology
III: Serum Ca and phosphate evaluation
OVX—ADSCs + PRFr exerted the best results in bone consolidation and bone tissue production8 weeks after the 1st injection[23]

Wong et al. (2020)OVX miceI: PRFr (1×)
II: BMSCs (1×)
III: PRFr + BMSCs (1×)
IV: PRFr (4×)
V: BMSCs (4×)
VI: PRFr + BMSCs (4×)
Unoperated OVX mice8 ml blood centrifuged at: 400 g in 10 min in order to obtain PRF
PRF was centrifuged at: 3000 g in 10 min to obtain PRFr
0.6 mL IV injection for the whole study period/1 IV injection/week for 4 weeksI: Flow cytometry analysis
II: Osteogenic differentiation assay
III: micro-CT
IV: Histology
Groups with single injection didn’t exhibit any significant results. However, in the groups with 4 injections, PRFr + BMSCs showed the highest outcomes8 weeks after the 1st injection[22]

Liu et al. (2011)OVX miceI: Young OVX mice + PRP + PBS (1 month-old)
II: Old OVX mice + PRP + PBS (10 months-old)
I: Young OVX mice with PBS injection (1 month-old)
II: Old OVX mice with PBS injection (10 months-old)
NRInside bone marrow cavity injectionI: Immunohistochemistry
II: BMD and micro-CT
III: Gene expression
IV: Western blot
PRP + PBS inhibited adipocyte differentiation and induced osteogenic differentiation in adipocytes. Moreover, PRP + PBS induced bone regeneration and avoided a further bone loss in osteoporotic mice4 months postoperatively[37]

Lo et al., (2009)OVX miceI: NIH3T3 cells
II: PRP
III: PRP/NIH3T3 cells
Sham groupBlood centrifuged at 3000 g in 6 min1% PRP was applied to the calf serum containing DMEMI: Osteogenic differentiation
II: RT-PCR
III: In vivo fluorescence imaging
IV: BMD assessment
V: Ultrastructural analysis
VI: IHC
VII: Western blot technique
The bone marrow transplantation of PRP-conditioned NIH3T3 cells prolonged the life span of the OVX rats and enhanced the bone quality0, 1, 2, and the 3 months postoperatively[56]

ADSCs, adipose-derived stem cells; BMD, bone mineral density; BMSCs, bone marrow stem cells, IV: intravenous, microCT, microcomputed tomography; OVX, ovariectomized; PBS, phosphate‐buffered saline, PRFr, PRF releasate; PRP, platelet-rich plasma; NR, not reported.