Use of Lyophilized Growth Factors Foam in Chronic Ulcers | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 7, Volume 48, Issue 3, July 2024, Page 211-216 PDF (400.11 K) | ||||
Document Type: Research article | ||||
DOI: 10.21608/ejprs.2024.365335 | ||||
![]() | ||||
Authors | ||||
Adel Mabrouk ![]() ![]() ![]() ![]() | ||||
1The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||||
2The Department of Laboratory & Transfusion Medicine, Faculty of Medicine, Ain Shams University | ||||
3The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||||
4The Department of Plastic, Burn, and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||||
Abstract | ||||
Background: Treatment of chronic ulcers involves addressing the underlying cause and interventions to improve the process of healing such as autologous platelet-rich plasma. Platelet-rich plasma has been extensively studied for its potential in promoting healing of chronic ulcers as it contains a high concentration of growth factors such as platelet derived growth factor, epithelial growth factor and fibroblast growth factor. Advanced growth factor delivery systems have been developed to prolong the bio-activity of growth factors. LGF have been developed by a patented method to overcome the discrepancies of conventional platelet rich plasma. Objective: In this study, we present LGFoam as a topical agent containing Lyophilized growth factors, for use in chronic lower limb ulcers for the purpose of improving healing. Methodology: Comparison of ulcer size between LGFoam topically applied to non-healing lower limb ulcers of various etiologies, as opposed to conventional dressing with a 30-day follow-up period. Conclusion: Several advanced growth factors delivery systems have been developed for topical use. However, conflicting evidence exists for their efficacy, warranting further research. In our study, there was a statistically significant decrease in ulcer size for the LGFoam group, encouraging future studies into its use in promoting wound healing in general, especially chronic non-healing ulcers as a problematic entity. | ||||
Keywords | ||||
Ulcer; Chronic wound; Growth factors; PRP | ||||
References | ||||
Kahle B., Hermanns H.J. and Gallenkemper G.: Evidence- based treatment of chronic leg ulcers. Dtsch Arztebl Int., Apr. 108 (14): 231-7, 2011. doi: 10.3238/arztebl. 2011.0231. 2- Qu S., Hu Z., Zhang Y., Wang P., Li S., Huang S., Dong Y., Xu H., Rong Y, Zhu W., Tang B. and Zhu J.: Clinical Studies on Platelet-Rich Plasma Therapy for Chronic Cutaneous Ulcers: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Adv Wound Care (New Rochelle), Feb. 11 (2): 56-69, 2022. doi: 10.1089/ wound.2020.1186. 3- HUBER S.C., DE MORAES MARTINELLI B., QUINTERO M., DE PAULA L.Í.S., CATALDO J.L., DE LIMA MONTALVÃO S.A. and ANNICHINO-BIZZACCHI J.M.: A case series of platelet rich plasma in chronic venous ulcers. Regen Ther., Apr. 5; 18: 51-58, 2021. doi: 10.1016/j.reth.2021.03.005. 4- Hesseler M.J. and Shyam N.: Platelet-rich plasma and its utility in medical dermatology: A systematic review. J. Am. Acad. Dermatol., Sep. 81 (3): 834-846, 2019. doi: 10.1016/j.jaad.2019.04.037. 5- QU W., WANG Z., HUNT C., MORROW A.S., URTECHO M., AMIN M., SHAH S., HASAN B., ABD-RABU R., ASHMORE Z., KUBROVA E., PROKOP L.J. and MURAD M.H.: The Effectiveness and Safety of Platelet- Rich Plasma for Chronic Wounds: A Systematic Review and Meta-analysis. Mayo. Clin. Proc., Sep. 96 (9): 2407- 2417, 2021. doi: 10.1016/j.mayocp.2021.01.030. 6- PINTO J.M., PIZANI N.S., KANG H.C. and SILVA L.A.: Application of platelet-rich plasma in the treatment of chronic skin ulcer - case report. An Bras Dermatol., Jul-Aug. 89 (4): 638-40, 2014. doi: 10.1590/abd1806- 4841.20143004. 7- Greenhalgh D.G.: The role of growth factors in wound healing. J. Trauma., Jul. 41 (1): 159-67, 1996. doi: 10.1097/ 00005373-199607000-00029. 8- UYSAL A.C., MIZUNO H., TOBITA M., et al.: The effect of adipose-derived stem cells on ischemia-reperfusion injury: immunohistochemical and ultrastructural evaluation. Plast Reconstr. Surg., 124: 804-815, 2009. 9- Mardani M., Asadi-Samani M., Rezapour S., et al.: Evaluation of bred fish and seawater fish in terms of nutritional value, and heavy metals. J. Chem. Pharm. Sci., 9: 1277- 1283, 2016. 10- MARDANI M., MAHMOUD B., MORADMAND J.S., et al.: Comparison of the descurainia sophia and levostatin Egypt, J. Plast. Reconstr. Surg., July 2024 215 effect on the ldl cholesterol reduction, a clinical trial study. J. Chem. Pharm. Sci., 9: 1329-1333, 2016. 11- Ghafarzadeh M. and Eatemadi A.: Clinical efficacy of liposome- encapsulated Aloe vera on melasma treatment during pregnancy. J. Cosmet Laser Ther., 19: 181-187, 2017. 12- Nie C., Yang D., Xu J., et al.: Locally administered Adipose- derived stem cells accelerate wound healing through differentiation and vasculogenesis. Cell Transplant, 20: 205-216, 2011. 13- Jaferian S., Soleymaninejad M., Negahdari B., et al.: Stem cell, biomaterials and growth factors therapy for hepatocellular carcinoma. Biomed Pharmacother., 88: 1046- 1053, 2017. 14- Lee S.H., Lee J.H. and Cho K.H.: Effects of human adipose- derived stem cells on cutaneous wound healing in nude mice. Ann. Dermatol., 23: 150-155, 2011. 15- Jaferian S., Soleymaninejad M. and Daraee H.: Verapamil (VER) enhances the cytotoxic effects of docetaxel and vinblastine combined therapy against non-small cell lung cancer cell lines. Drug Res. (Stuttg), 68, 2017. DOI:https:// doi.org/10.1055/s-0043-117895 16- Huang S-P., Hsu C-C. and Chang S-C., et al.: Adiposederived stem cells seeded on acellular dermal matrix grafts enhance wound healing in a murine model of a full-thickness defect. Ann. Plast. Surg., 69: 656-662, 2012. 17- Suthar M., Gupta S., Bukhari S. and Ponemone V.: Treatment of chronic non-healing ulcers using autologous platelet rich plasma: A case series. J. Biomed Sci., Feb. 27; 24 (1): 16, 2017. doi: 10.1186/s12929-017-0324-1. 18- Park J.W., Hwang SR. and Yoon I.S.: Advanced Growth Factor Delivery Systems in Wound Management and Skin Regeneration. Molecules, Jul. 27; 22 (8): 1259, 2017. doi: 10.3390/molecules22081259. 19- Hassan M.H., Abd El-Rahman S.S., Amer M.S., Fahmy H.M. and Shamaa A.A.: Effect of lyophilized growth factors (LGF) derived from equine platelets on experimentally induced skin wound healing in mongrel dogs. International Journal of Veterinary Science, 10 (2): 75-82, 2021. https://doi.org/10.47278/journal.ijvs/2020.012. 20- Dogra S. and Sarangal R.: Summary of recommendations for leg ulcers. Indian Dermatol Online J., Jul. 5 (3): 400-7, 2014. doi: 10.4103/2229-5178.137829. 21- Shi C., Dumville J.C., Cullum N., Connaughton E. and Norman G.: Compression bandages or stockings versus no compression for treating venous leg ulcers. Cochrane Database Syst. Rev., Jul. 26; 7 (7): CD013397, 2021. doi: 10.1002/14651858.CD013397.pub2. 22- Gethin G., Cowman S. and Kolbach D.N.: Debridement for venous leg ulcers. Cochrane Database Syst Rev., Sep. 14; 2015 (9): CD008599, 2015. doi: 10.1002/14651858. CD008599.pub2. 23- Jull A., Waters J. and Arroll B.: Pentoxifylline for treatment of venous leg ulcers: Aa systematic review. Lancet, May 4; 359 (9317): 1550-4, 2002. doi: 10.1016/S0140- 6736(02)08513-6. 24- Layton A.M., Ibbotson S.H., Davies J.A. and Goodfield M.J.: Randomised trial of oral aspirin for chronic venous leg ulcers. Lancet, Jul. 16; 344 (8916): 164-5, 1994. 25- Ubbink D.T., Westerbos S.J., Evans D., Land L. and Vermeulen H.: Topical negative pressure for treating chronic wounds. Cochrane Database Syst. Rev., Jul. 16; (3): CD001898, 2008. doi: 10.1002/14651858.CD001898. pub2. 26- Jones J.E., Nelson E.A. and Al-Hity A.: Skin grafting for venous leg ulcers. Cochrane Database Syst. Rev., Jan. 31; 2013 (1): CD001737, 2013. doi: 10.1002/14651858. CD001737.pub4. 27- Schreml S., Szeimies R.M., Prantl L., Landthaler M. and Babilas P.: Wound healing in the 21st century. J. Am. Acad. Dermatol., Nov. 63 (5): 866-81, 2010. doi: 10.1016/j. jaad.2009.10.048. 28- Robson M.C., Steed D.L. and Franz M.G.: Wound healing: Biologic features and approaches to maximize healing trajectories. Curr. Probl. Surg., Feb. 38 (2): 72-140, 2001. doi: 10.1067/msg.2001.111167. 29- Barrientos S., Brem ., Stojadinovic O. and Tomic-Canic M.: Clinical application of growth factors and cytokines in wound healing. Wound Repair Regen., Sep-Oct. ;22 (5): 569-78, 2014. doi: 10.1111/wrr.12205. 30- Ito K., Ito S., Sekine M. and Abe M.: Reconstruction of the soft tissue of a deep diabetic foot wound with artificial dermis and recombinant basic fibroblast growth factor. Plast. Reconstr. Surg., Feb. 115 (2): 567-72, 2005. doi: 10.1097/01.prs.0000149485.60638.30. 31- Tiaka E.K., Papanas N., Manolakis A.C. and Georgiadis G.S.: Epidermal growth factor in the treatment of diabetic foot ulcers: An update. Perspect Vasc. Surg. Endovasc. Ther., Mar. 24 (1): 37-44, 2012. doi: 10.1177/1531003512442093. 32- Fernández-Montequín J.I., Betancourt B.Y., Leyva-Gonzalez G., Mola E.L., Galán-Naranjo K., Ramírez-Navas M., Bermúdez-Rojas S., Rosales F., García-Iglesias E., Berlanga-Acosta J., Silva-Rodriguez R., Garcia-Siverio M. and Martinez L.H.: Intralesional administration of epidermal growth factor-based formulation (Heberprot-P) in chronic diabetic foot ulcer: Treatment up to complete wound closure. Int. Wound J., Feb. 6 (1): 67-72, 2009. doi: 10.1111/j.1742-481X.2008.00561.x. 33- Da Silva L.Q., Montalvão S.A.L., Justo-Junior A.D.S., Cunha Júnior J.L.R., Huber S.C., Oliveira C.C. and Annichino- Bizzacchi J.M.: Platelet-rich plasma lyophilization enables growth factor preservation and functionality when compared with fresh platelet-rich plasma. Regen Med., Oct. 13 (7): 775-784, 2018. doi: 10.2217/rme-2018- 0035. 34- Hariprasad R., Suganya T.L., John S.S., Raj P.R., Kuriakose F. and Anoop V.N.: Assessment of Growth Factors with Three Different Platelet Preparations, Namely Platelet-Rich Fibrin, Platelet-Rich Plasma, and Lyophilized Platelet: An In vitro Study. J. Pharm Bioallied Sci., Nov. 13 (Suppl 2): S1696-S1699, 2021. doi: 10.4103/jpbs. jpbs_358_21. | ||||
Statistics Article View: 109 PDF Download: 138 |
||||