Evidence map›Paper›PMID 39506797›Full record

ArticleJournal of orthopaedic surgery and research2024

Comparison of the efficacy of autologous Lp-PRP and Lr-PRP for treating intervertebral disc degeneration: in vitro and in vivo study.

Bangke Zhang, BinBin Dong, Liang Wang, Yijin Wang, Zhongya Gao, Yang Li, Haibin Wang, Xuhua Lu

Abstract readComparative Study
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. Research progress on blood therapy for anti-aging.Journal of advanced research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bangke Zhang *Department of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China.
BinBin Dong *Xuzhou Medical University, Jiangsu, China.
Liang Wang *Department of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China.
Yijin WangDepartment of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China.
Zhongya GaoDepartment of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China.
Yang LiDepartment of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China.
Haibin WangDepartment of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China. wanghb0222@163.com.
Xuhua LuDepartment of Orthopaedics, Shanghai Changzheng Hospital, Navy Medical University, No. 415, Feng Yang Street, Huangpu District, Shanghai, 200003, P.R. China. xuhualu@hotmail.com.

Funding

Shanghai Pujiang Program No.2023PJD114
6 · The paper itself

Abstract

backgroundIntervertebral disc degeneration (IDD) was the most common cause of low back pain. Platelet rich plasma (PRP) has the potential to repair IDD, however, there is still no conclusion on whether Leukocyte-poor platelet rich plasma (Lp-PRP) or Leukocyte-rich platelet rich plasma (Lr-PRP) is better for the treatment of IDD.

methodsFirst, we conducted an in vitro study to compare the effects of autologous Lp-PRP and Lr-PRP on human degenerated nucleus pulposus (NP) cells. Then we verified the in vivo effects of autologous Lp-PRP and Lr-PRP in treating disc degeneration through a rabbit IDD model.

resultsThe in vitro study showed both autologous Lp-PRP and Lr-PRP can promote the cell proliferation, the synthesis of COL II and Aggrecan of human degenerated NP cells, while Lp-PRP are better than Lr-PRP (P<0.05). In addition, only Lp-PRP can inhibit the apoptosis of human degenerated NP cells (P<0.05), whereas Lr-PRP activates the catabolism on the contrary (P<0.05). Further, the in vivo study through the rabbit IDD model verified that autologous Lp-PRP has better effects than autologous Lr-PRP in repairing IDD according to X-ray, MRI, histological, and immunohistochemical assessment (P<0.05, respectively). And the caspase-3 IHC results also showed that only autologous Lp-PRP treatment could inhibit apoptosis of NP cells in the rabbit IDD model (P<0.05).

conclusionCombining in vivo and in vitro studies, the present study confirmed that autologous Lp-PRP has a better effect than autologous Lr-PRP in repairing IDD, which may be due to the inflammatory factors (TNFα, IL-1β, etc.) in Lr-PRP antagonizing part of the repair effects and promoting the catabolism additionally. Therefore, our findings suggest that Lp-PRP may provide better results than Lr-PRP for treating IDD. Further randomized clinical trials will provide evidence to guide practice.

Indexed as

Intervertebral Disc DegenerationNucleus PulposusPlatelet-Rich PlasmaAdultAnimalsApoptosisCell ProliferationCells, CulturedDisease Models, AnimalFemaleHumansLeukocytesMaleMiddle AgedRabbitsTransplantation, AutologousComparisonIntervertebral disc degenerationLeukocytePlatelet rich plasmaTreatment

Identifiers

PMID39506797
PMCPMC11542231

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.