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Age-related Comparison of Protein Composition in Serum and Platelet-Rich Fibrin (PRF)

Parmar, Anand (2024) Age-related Comparison of Protein Composition in Serum and Platelet-Rich Fibrin (PRF). Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

Periodontal disease is one of several inflammatory disease that is found with a higher prevalence in the older adult populations. The pro-inflammatory cytokines IL-6 and TNF- are two proteins that are found in higher concentrations in aging populations and may contribute to the pathogenesis of disease and healing alterations. Additionally, with healing alterations in this population we find a decrease in overall angiogenesis and regenerative potential with reduced delivery of growth factors. Without these growth factors present, conversion to healing phases maybe delayed or altered. Autologous blood products such as platelet-rich fibrin (PRF) are one way to improve wound healing and regeneration by delivering increased concentrations of growth factors. For the current study, growth factors VEGF and PDGF and pro-inflammatory cytokines IL-6 and TNF- were chosen to be analyzed as a function of age in PRF and serum preparations. 43 participants (22 younger and 21 older adults) were enrolled in the study and 20mL of blood was collected for protein quantification. No statistically significant difference in the PRF and whole serum preparations of growth factors were noted in the older adult population. However, cytokine concentrations were statistically significantly higher after initial release 2hrs (day 1). Plasminogen was tested to further understand the degradation of fibrin clots and was significantly higher in both PRF and whole serum preparations in the older adult participant group. Further clinical studies evaluating the age-related differences in growth factors, cytokines and plasminogen and their relationship to wound healing outcomes would be of benefit in this field.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Parmar, Anandasp135@pitt.eduasp135
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairClark, DanielDRC109@pitt.eduDRC109
Committee MemberSfeir, Charlescsfeir@pitt.eduCSFEIR
Committee MemberSiqueira Nogueira, Camillecamillenog@pitt.eduCAMILLENOG
Date: 9 July 2024
Date Type: Publication
Defense Date: 6 June 2024
Approval Date: 9 July 2024
Submission Date: 7 June 2024
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 62
Institution: University of Pittsburgh
Schools and Programs: School of Dental Medicine > Dental Science
Degree: MDS - Master of Dental Science
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: PRF, platelet-rich fibrin, protein composition, serum
Date Deposited: 09 Jul 2024 13:25
Last Modified: 09 Jul 2024 13:25
URI: http://d-scholarship.pitt.edu/id/eprint/46491

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