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1.
J Stem Cells ; 11(4): 183-189, 2016.
Article in English | MEDLINE | ID: mdl-28296870

ABSTRACT

The objective is to investigate the safety and clinical efficacy of Autologous Platelet Rich Plasma Concentrated Spray (Keratogrow®), for hair loss. Autologous -PRP spray, prepared from a small volume of blood, was applied on the selected patients' scalps at least twice daily. Three months treatments were given for each patient. The effectiveness of the medication was measured by changes in hair regrowth after 3 months determined by physical exam and digital photography. At the end of the 3 cycles of treatment, the patients presented clinical improvement in the mean number of hairs, with a mean increase of hairs in the target area, and a mean increase in total hair density compared with baseline values.


Subject(s)
Alopecia/therapy , Intercellular Signaling Peptides and Proteins/pharmacology , Platelet-Rich Plasma/metabolism , Adult , Blood Platelets/cytology , Cytokines/analysis , Erythrocytes/cytology , Female , Humans , Male , Middle Aged
2.
J Stem Cells ; 11(4): 191-199, 2016.
Article in English | MEDLINE | ID: mdl-28296871

ABSTRACT

BACKGROUND: Platelet-rich plasma (PRP) has shown remarkable beneficial effects without any major adverse reactions in the treatment of androgenic alopecia .The growth factors in activated autologous PRP induces the proliferation of dermal papilla cells. OBJECTIVES: To investigate the clinical efficacy of Platelet Rich Plasma prepared using Merisis One Step Gel Separation Technology in treatment of androgenic alopecia. METHODS: Five patients were given autologous PRP injections on the affected area of alopecia over a period of three months at interval of two - three weeks and results were assessed. RESULTS: Three months after the treatment, the patients presented clinical improvement in the hair counts, hair thickness, hair root strength and overall alopecia. CONCLUSION: PRP appears to be a cheap, effective and promising therapy for androgenic alopecia with no major adverse effects.


Subject(s)
Alopecia/therapy , Platelet-Rich Plasma/metabolism , Adult , Blood Platelets/cytology , Cytokines/analysis , Erythrocytes/cytology , Humans , Intercellular Signaling Peptides and Proteins/analysis , Male , Middle Aged , Treatment Outcome
3.
J Stem Cells ; 11(3): 135-148, 2016.
Article in English | MEDLINE | ID: mdl-28296878

ABSTRACT

BACKGROUND: Avascular Necrosis (AVN) of hip is a devastating condition seen in younger individuals. It is the ischemic death of the constituents of the bone cartilage of the hip. The femoral head (FH) is the most common site for AVN. It results from interruption of the normal blood flow to the FH that fits into the hip socket. Earlier studies using autologous bone marrow stem cell concentrate injections have shown encouraging results with average success rates. The current study was designed to improve significantly the cartilage regeneration and clinical outcome. METHODS: Total of 48 patients underwent autologous bone marrow stem cell and activated platelet-rich plasma derived growth factor concentrate (PRP-GFC) therapy for early and advanced stages AVN of femoral head in a single multi-specialty center. The total treatment was divided into three phases. In the phase I, all the clinical diagnostic measurements such as magnetic resonance imaging (MRI), computed tomography (CT) etc. with respect to the AVN patients and bone marrow aspiration from posterior iliac spine from the patients were carried out. In the phase II, isolation of stem cells and preparation from the patients were performed. Subsequently, in phase III, the stem cells and PRP- GFCs were transplanted in the enrolled patients. RESULTS: Ninety three percent of the enrolled AVN patients showed marked enhancement in the hip bone joint space (more than 3mm) after combined stem cells and PRP-GFC treatment as evidenced by comparison of the pre- and post-treatment MRI data thus indicative of regeneration of cartilage. The treated patients showed significant improvement in their motor function, cartilage regrowth (3 to 10mm), and high satisfaction in the two-year follow-up. CONCLUSION: Combination of stem cell and PRP-GFC therapy has shown promising cartilage regeneration in 45 out of 48 patients of AVN. This study clearly demonstrates the safety and efficacy of this treatment. Larger numbers of patients need to be evaluated to better understand the efficacy of the combined stem cell and PRP-GFC therapy on AVN patients.


Subject(s)
Bone Marrow Cells/cytology , Osteonecrosis/therapy , Platelet-Derived Growth Factor/pharmacology , Stem Cell Transplantation , Stem Cells/cytology , Adolescent , Adult , Cartilage/diagnostic imaging , Cartilage/physiology , Female , Hospitalization , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Osteonecrosis/diagnostic imaging , Osteonecrosis/pathology , Platelet-Rich Plasma/metabolism , Prognosis , Regeneration/drug effects , Stem Cells/drug effects , Transplantation, Autologous , Young Adult
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