Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies

Autores
Caviglia, Horacio Alberto; Landro, María Eulalia; Oneto, Paula; Cambiaggi, Guillermo; Galatro, Gustavo; Berni, Micaela; Caliogna, Laura; Carrera Silva, Eugenio Antonio; Pasta, Gianluigi
Año de publicación
2024
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Intra-articular blood, iron and hemosiderin, hydroxyl radical cytokines, and neo-angiogenesiscause synovial inflammation, which leads to cartilage and joint damage. Platelet-rich plasma (PRP)inhibits most of the mediators that produce and maintain synovitis. We compile here our workshowing the clinical effectiveness of intra-articular PRP injections and their potential role in stoppingarticular cartilage damage due to bleeding and its possible repair. A total of 116 joints, includingknees (63%), elbows (19.8%), and ankles (17.2%), were treated with intra-articular injections of PRP.Moreover, we also show here the number of extracellular DNA traps (ETs) and the PRP effect in thesynovial fluid of patients at the time of treatment and six months after. Clinically, it is demonstratedthat PRP is effective in reducing bleeding episodes (p < 0.001) and pain (p < 0.0001) and improvingthe hemophilia joint health score (HJHS) (p < 0.001) at one year of follow-up. Furthermore, our resultsdemonstrate that PRP inhibits ET formation in vitro and reconstitutes the immune system’s cellularcomponents in the synovial fluid of patients after treatment. We conclude that PRP can be consideredan effective, safe, and easy treatment for hemophilic synovitis.
Fil: Caviglia, Horacio Alberto. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; Argentina
Fil: Landro, María Eulalia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; Argentina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Oneto, Paula. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; Argentina
Fil: Cambiaggi, Guillermo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Galatro, Gustavo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Berni, Micaela. Universita Degli Studi Di Pavia; Italia
Fil: Caliogna, Laura. Universita Degli Studi Di Pavia; Italia
Fil: Carrera Silva, Eugenio Antonio. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; Argentina
Fil: Pasta, Gianluigi. Universita Degli Studi Di Pavia; Italia
Materia
Hemophilia
Platelet
Joint
Synovitis
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/266835
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/266835
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro StudiesCaviglia, Horacio AlbertoLandro, María EulaliaOneto, PaulaCambiaggi, GuillermoGalatro, GustavoBerni, MicaelaCaliogna, LauraCarrera Silva, Eugenio AntonioPasta, GianluigiHemophiliaPlateletJointSynovitishttps://purl.org/becyt/ford/3.5https://purl.org/becyt/ford/3Intra-articular blood, iron and hemosiderin, hydroxyl radical cytokines, and neo-angiogenesiscause synovial inflammation, which leads to cartilage and joint damage. Platelet-rich plasma (PRP)inhibits most of the mediators that produce and maintain synovitis. We compile here our workshowing the clinical effectiveness of intra-articular PRP injections and their potential role in stoppingarticular cartilage damage due to bleeding and its possible repair. A total of 116 joints, includingknees (63%), elbows (19.8%), and ankles (17.2%), were treated with intra-articular injections of PRP.Moreover, we also show here the number of extracellular DNA traps (ETs) and the PRP effect in thesynovial fluid of patients at the time of treatment and six months after. Clinically, it is demonstratedthat PRP is effective in reducing bleeding episodes (p < 0.001) and pain (p < 0.0001) and improvingthe hemophilia joint health score (HJHS) (p < 0.001) at one year of follow-up. Furthermore, our resultsdemonstrate that PRP inhibits ET formation in vitro and reconstitutes the immune system’s cellularcomponents in the synovial fluid of patients after treatment. We conclude that PRP can be consideredan effective, safe, and easy treatment for hemophilic synovitis.Fil: Caviglia, Horacio Alberto. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; ArgentinaFil: Landro, María Eulalia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; Argentina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; ArgentinaFil: Oneto, Paula. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; ArgentinaFil: Cambiaggi, Guillermo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; ArgentinaFil: Galatro, Gustavo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; ArgentinaFil: Berni, Micaela. Universita Degli Studi Di Pavia; ItaliaFil: Caliogna, Laura. Universita Degli Studi Di Pavia; ItaliaFil: Carrera Silva, Eugenio Antonio. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; ArgentinaFil: Pasta, Gianluigi. Universita Degli Studi Di Pavia; ItaliaMolecular Diversity Preservation International2024-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/266835Caviglia, Horacio Alberto; Landro, María Eulalia; Oneto, Paula; Cambiaggi, Guillermo; Galatro, Gustavo; et al.; Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies; Molecular Diversity Preservation International; International Journal of Molecular Sciences; 25; 17; 8-2024; 1-121422-0067CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.mdpi.com/1422-0067/25/17/9140info:eu-repo/semantics/altIdentifier/doi/10.3390/ijms25179140info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:58:42Zoai:ri.conicet.gov.ar:11336/266835instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:58:42.581CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
title Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
spellingShingle Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
Caviglia, Horacio Alberto
Hemophilia
Platelet
Joint
Synovitis
title_short Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
title_full Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
title_fullStr Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
title_full_unstemmed Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
title_sort Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies
dc.creator.none.fl_str_mv Caviglia, Horacio Alberto
Landro, María Eulalia
Oneto, Paula
Cambiaggi, Guillermo
Galatro, Gustavo
Berni, Micaela
Caliogna, Laura
Carrera Silva, Eugenio Antonio
Pasta, Gianluigi
author Caviglia, Horacio Alberto
author_facet Caviglia, Horacio Alberto
Landro, María Eulalia
Oneto, Paula
Cambiaggi, Guillermo
Galatro, Gustavo
Berni, Micaela
Caliogna, Laura
Carrera Silva, Eugenio Antonio
Pasta, Gianluigi
author_role author
author2 Landro, María Eulalia
Oneto, Paula
Cambiaggi, Guillermo
Galatro, Gustavo
Berni, Micaela
Caliogna, Laura
Carrera Silva, Eugenio Antonio
Pasta, Gianluigi
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hemophilia
Platelet
Joint
Synovitis
topic Hemophilia
Platelet
Joint
Synovitis
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.5
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Intra-articular blood, iron and hemosiderin, hydroxyl radical cytokines, and neo-angiogenesiscause synovial inflammation, which leads to cartilage and joint damage. Platelet-rich plasma (PRP)inhibits most of the mediators that produce and maintain synovitis. We compile here our workshowing the clinical effectiveness of intra-articular PRP injections and their potential role in stoppingarticular cartilage damage due to bleeding and its possible repair. A total of 116 joints, includingknees (63%), elbows (19.8%), and ankles (17.2%), were treated with intra-articular injections of PRP.Moreover, we also show here the number of extracellular DNA traps (ETs) and the PRP effect in thesynovial fluid of patients at the time of treatment and six months after. Clinically, it is demonstratedthat PRP is effective in reducing bleeding episodes (p < 0.001) and pain (p < 0.0001) and improvingthe hemophilia joint health score (HJHS) (p < 0.001) at one year of follow-up. Furthermore, our resultsdemonstrate that PRP inhibits ET formation in vitro and reconstitutes the immune system’s cellularcomponents in the synovial fluid of patients after treatment. We conclude that PRP can be consideredan effective, safe, and easy treatment for hemophilic synovitis.
Fil: Caviglia, Horacio Alberto. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; Argentina
Fil: Landro, María Eulalia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires"; Argentina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Oneto, Paula. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; Argentina
Fil: Cambiaggi, Guillermo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Galatro, Gustavo. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Juan A. Fernández"; Argentina
Fil: Berni, Micaela. Universita Degli Studi Di Pavia; Italia
Fil: Caliogna, Laura. Universita Degli Studi Di Pavia; Italia
Fil: Carrera Silva, Eugenio Antonio. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Medicina Experimental. Academia Nacional de Medicina de Buenos Aires. Instituto de Medicina Experimental; Argentina
Fil: Pasta, Gianluigi. Universita Degli Studi Di Pavia; Italia
description Intra-articular blood, iron and hemosiderin, hydroxyl radical cytokines, and neo-angiogenesiscause synovial inflammation, which leads to cartilage and joint damage. Platelet-rich plasma (PRP)inhibits most of the mediators that produce and maintain synovitis. We compile here our workshowing the clinical effectiveness of intra-articular PRP injections and their potential role in stoppingarticular cartilage damage due to bleeding and its possible repair. A total of 116 joints, includingknees (63%), elbows (19.8%), and ankles (17.2%), were treated with intra-articular injections of PRP.Moreover, we also show here the number of extracellular DNA traps (ETs) and the PRP effect in thesynovial fluid of patients at the time of treatment and six months after. Clinically, it is demonstratedthat PRP is effective in reducing bleeding episodes (p < 0.001) and pain (p < 0.0001) and improvingthe hemophilia joint health score (HJHS) (p < 0.001) at one year of follow-up. Furthermore, our resultsdemonstrate that PRP inhibits ET formation in vitro and reconstitutes the immune system’s cellularcomponents in the synovial fluid of patients after treatment. We conclude that PRP can be consideredan effective, safe, and easy treatment for hemophilic synovitis.
publishDate 2024
dc.date.none.fl_str_mv 2024-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/266835
Caviglia, Horacio Alberto; Landro, María Eulalia; Oneto, Paula; Cambiaggi, Guillermo; Galatro, Gustavo; et al.; Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies; Molecular Diversity Preservation International; International Journal of Molecular Sciences; 25; 17; 8-2024; 1-12
1422-0067
CONICET Digital
CONICET
url http://hdl.handle.net/11336/266835
identifier_str_mv Caviglia, Horacio Alberto; Landro, María Eulalia; Oneto, Paula; Cambiaggi, Guillermo; Galatro, Gustavo; et al.; Treatment of Chronic Haemophilic Synovitis with PRP: Clinical and In Vitro Studies; Molecular Diversity Preservation International; International Journal of Molecular Sciences; 25; 17; 8-2024; 1-12
1422-0067
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.mdpi.com/1422-0067/25/17/9140
info:eu-repo/semantics/altIdentifier/doi/10.3390/ijms25179140
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Molecular Diversity Preservation International
publisher.none.fl_str_mv Molecular Diversity Preservation International
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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