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Yonsei Med J. 2017 Nov;58(6):1195-1203. doi: 10.3349/ymj.2017.58.6.1195.

Effects of Autologous Platelet-Rich Plasma on Regeneration of Damaged Endometrium in Female Rats.

Author information

1
Department of Obstetrics and Gynecology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
2
Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Korea.
3
Division of Developmental Biology and Physiology, School of Biosciences and Chemistry, Institute for Basic Sciences, Sungshin University, Seoul, Korea.
4
Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea. callen1013@gmail.com.
5
Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Korea. cyberpelvis@gmail.com.

Abstract

PURPOSE:

To investigate whether autologous platelet-rich plasma (PRP) treatment can improve regeneration of the endometrium in an experimental model of ethanol-induced damage.

MATERIALS AND METHODS:

Sixty female Sprague-Dawley rats were randomly assigned into three groups: control group, ethanol group, and PRP-treated group (administration of 0.25 mL of PRP into both uterine cavities 72 hours after ethanol injection). After 15 days of endometrial damage, all the animals were sacrificed during the estrous cycle, and samples were taken from the mid-uterine horn. Functional and structural recovery of the endometrium was analyzed by hematoxylin-eosin (H&E) and Masson trichrome (MT) staining, real-time polymerase chain reaction (PCR) assay, and immuno-histochemical (IHC) analyses.

RESULTS:

H&E and MT staining confirmed significantly decreased fibrosis and increased cellular proliferation in the PRP-treated group, compared to the ethanol group. The endometrial areas in the ethanol and PRP-treated groups were 212.83±15.84 μm² and 262.34±12.33 μm² (p=0.065). Significantly stronger IHC expression of cytokeratin, homeobox A10 (HOXA10), vascular endothelial growth factor (VEGF), and Ki-67 was found in the PRP-treated group, compared to the ethanol group. In real-time PCR analyses, interleukin-1β mRNA was down-regulated, while c-Kit mRNA was up-regulated, in the PRP-treated group, compared to the ethanol group.

CONCLUSION:

Intrauterine administration of autologous PRP stimulated and accelerated regeneration of the endometrium and also decreased fibrosis in a murine model of damaged endometrium.

KEYWORDS:

Platelet-rich plasma (PRP); fibrosis; regeneration; thin endometrium

PMID:
29047244
PMCID:
PMC5653485
DOI:
10.3349/ymj.2017.58.6.1195
[Indexed for MEDLINE]
Free PMC Article

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