Evidence map›Paper›PMID 42193954›Full record

ArticleCells2026

The Impact of Surgical Trauma-Activated Platelet-Rich Fibrin on Mesenchymal Stromal Cells In Vitro.

René D Verboket, Lea Usov, Isabell Bohl, Jonas Neijhoft, Marissa Penna-Martinez, Ingo Marzi, Dirk Henrich

Abstract read
In one paragraph

Article in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

René D VerboketDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.ORCID 0000-0003-1086-4016
Lea UsovDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.
Isabell BohlDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.
Jonas NeijhoftDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.ORCID 0000-0003-2040-0100
Marissa Penna-MartinezDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.
Ingo MarziDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.ORCID 0000-0003-3677-2910
Dirk HenrichDepartment of Trauma Surgery and Orthopaedics, University Hospital, Goethe University Frankfurt, 60590 Frankfurt, Germany.ORCID 0000-0002-9728-4032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionplatelet-rich fibrin (PRF) is a second-generation platelet concentrate which is known for promoting cell migration, tissue repair, angiogenesis and bone formation. In contrast, the specific effects of trauma-activated PRF on mesenchymal stromal cells (MSC) are not yet fully understood. The present study investigates systemic effects of surgical trauma-activated PRF on MSCs in vitro, analyzing their metabolic activity, inflammatory responses, and regenerative capacity to optimize advanced treatment concepts for severe fractures and injuries. MATERIAL &

methodsPRF membranes (T-PRF from trauma patients, C-PRF from healthy controls) were generated. After co-incubation with MSC cells for 24, 72, and 120 h, further investigations of metabolic activity (MTT assay) and gene expression analyses were performed.

resultsfor MTT assay, results especially showed a significantly higher metabolic activity of T-PRF after 120 h. ELISA-results measuring cytokine levels (CXCL10, IL-6, VEGF, and IDO) exposed a frequent peak in T-PRF group at 72 h, declining slightly at 120 h. In the gene expression analyses, T-PRF exerted a comparatively stronger stimulating effect on MAPK14 and VEGFA after 24 h, while a decrease in gene expression for MAPK8, MAPK14, and RUNX2 was observed over time.

conclusionsurgical trauma-activated PRF seems to be a powerful inducer of early inflammatory and stress responses in MSCs with preserved angiogenic but limited osteogenic signaling. Therefore, a targeted balance between inflammatory activation and sustainable regeneration, as well as optimized preparation and possible combination with immunomodulatory approaches, appear to be crucial for the therapeutic success of PRF-based strategies.

Indexed as

Mesenchymal Stem CellsPlatelet-Rich FibrinWounds and InjuriesAdultCytokinesFemaleHumansMaleCytokinesbone regenerationplateletsPRFtissue engineeringtissue regenerationtrauma

Identifiers

PMID42193954
PMCPMC13204544

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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.