
JGNAHS
EDITORIAL
1
J Gandhara Nurs Alli Health Sci
January - June 2025
A PERSPECTIVE ON PLATELET-DERIVED PRODUCTS FOR REGENERATIVE MEDICINE
Muhammad Rizwan Alam
Cell Biology Laboratory,
Department of Biochemistry,
Quaid-i-Azam University, Islamabad
+92-331-5163839
mralam@qau.edu.pk
In modern health sciences, cell-based therapies have emerged as one of the most transformative approaches for
treating a variety of diseases. In this regard, autologous platelets and their products have garnered signicant
attention in regenerative medicine. With a pivotal contribution in hemostasis, platelets are rich in cytokines,
growth factors and numerous bioactive molecules with tremendous potential in tissue repair and regeneration.
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The generation of extracellular vesicles including microvesicles and exosomes from activated platelets have also
been demonstrated to participate in intercellular transport of dierent types of biomolecules including protein,
nucleic acids and small molecules, that has strong therapeutic potential.
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The clinical use of platelet-rich plasma
and its derivatives including platelet-rich brin, platelet releasate/secretome and extracellular vesicles have
evolved into promising avenues for treating a wide range of medical conditions.
1,3
Platelet-rich plasma (PRP) is
one of the most widely used platelet-derived products in regenerative medicine with its applications in, but not
limited to, sports medicine, dermatology, cosmetology, ophthalmology and orthopedics. Its low cost and ease of
preparation from a relatively small volume of blood makes it a promising therapeutic strategy for treating several
acute and chronic injuries. The concentrated platelets in PRP release growth factors such as platelet-derived
growth factor (PDGF), vascular endothelial growth factor (VEGF), transforming growth factor-beta (TGF-β),
and epidermal growth factor (EGF), all of which contribute to several cellular processes including tissue repair,
angiogenesis, collagen synthesis, and inammation modulation. PRP has shown potential in the treatment of
musculoskeletal injuries, bone fractures, wound repair, and hair regeneration by promoting healing and reducing
recovery time, though outcomes can vary depending on preparation protocols, injury type, and patient factors.
3,4
Platelet-rich brin (PRF) is a second-generation platelet-rich product that also contains leukocytes, circulating
stems cells and cytokines in a brin matrix. As compared to PRP, which has short term eects, PRF therapy at
the injury site is associated with a prolonged bioavailability due to slow release of cells and biomolecules from
the brin network. By providing sustained release of growth factors, PRF accelerates tissue repair, enhances
healing, reduces inammation, and promotes regeneration It has broad spectrum clinical applications with a
more common use in oral and maxillofacial surgery, orthopedics, wound healing and hair restoration.
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Beyond
PRP and PRF, platelet-derived growth factors (PDGFs) and extracellular vesicles (EVs) are emerging as novel
therapeutic modalities. PDGFs, which are present in high concentrations in platelets, regulate cellular processes
such as migration, proliferation, and angiogenesis. These growth factors are essential for wound healing and
tissue regeneration. EVs, including exosomes, are released by platelets that carry bioactive molecules, including
proteins, lipids, and RNA, which impacts cellular behavior. EVs have been shown to promote tissue repair,
enhance angiogenesis, and modulate immune responses, making them an attractive tool for regenerative
applications. The application of platelet-derived EVs is in the research phase, but their potential to deliver
targeted therapeutic eects makes them a promising approach for future regenerative therapies.
2,3
The use of platelet-derived products particularly PRP has signicantly increased in regenerative medicine
worldwide including Pakistan.
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However, the regulatory framework for the use of these products in Pakistan is
still developing. Although, the PRP is an autologous biological product that often falls outside the scope of
traditional pharmaceutical regulation, there is still a need to develop specific guidelines and regulations by
ensuring standardized protocols and devices for safe and eective patient care.