SIMULASI PLATELET-RICH PLASMA (PRP): PENGARUH KONSENTRASI DAN AKTIVASI TERHADAP MODEL PENYEMBUHAN LUKA

Authors

  • Pravil Mistryanto Tambunan Universitas Tjut Nyak Dhien

DOI:

https://doi.org/10.51771/fj.v5i2.1544

Keywords:

Platelet-Rich Plasma, aktivasi PRP, penyembuhan luka, gel fibrin, simulasi laboratorium

Abstract

Platelet-Rich Plasma (PRP) merupakan salah satu inovasi dalam terapi regeneratif yang memanfaatkan konsentrasi trombosit tinggi untuk mempercepat proses penyembuhan luka. Penelitian ini mensimulasikan pemisahan PRP di laboratorium dan menganalisis efek aktivasi PRP terhadap pembentukan gel fibrin sebagai model penyembuhan luka. Proses sentrifugasi menghasilkan fraksi PRP simulasi dengan konsentrasi protein sebesar 5,2 mg/mL, sedangkan fraksi PPP hanya 2,1 mg/mL, berdasarkan hasil spektrofotometri pada panjang gelombang 280 nm. Aktivasi PRP menggunakan CaCl₂ 10% mempercepat pembentukan gel fibrin, dengan waktu rata-rata koagulasi 3,5 menit, dibandingkan PRP non-aktif (8,7 menit) dan PPP (tidak membentuk gel hingga 15 menit). Hasil ini menegaskan bahwa aktivasi PRP secara signifikan meningkatkan kecepatan dan kualitas pembentukan gel fibrin, yang berperan penting dalam proses regenerasi jaringan. Simulasi ini memberikan pemahaman mendasar mengenai mekanisme kerja PRP, sekaligus menyoroti pentingnya teknik aktivasi dalam optimalisasi manfaat klinis PRP. Secara keseluruhan, penelitian ini membuktikan bahwa konsentrasi protein dan aktivasi PRP merupakan faktor kunci dalam efektivitas terapi regeneratif, dengan simulasi laboratorium ini memberikan model pembelajaran yang aman dan praktis untuk memahami mekanisme dasar PRP. Temuan ini diharapkan dapat menjadi dasar pengembangan praktikum biomedis dan terapi regeneratif berbasis PRP di masa depan.

References

Alves, R., & Grimalt, R. (2018). A review of platelet-rich plasma: History, biology, mechanism of action, and classification. Skin Appendage Disorders, 4(1), 18-24. https://doi.org/10.1159/000477353

Anitua, E., Andia, I., Ardanza, B., Nurden, P., & Nurden, A. T. (2004). Autologous platelets as a source of proteins for healing and tissue regeneration. Thrombosis and Haemostasis, 91(1), 4-15.

Beitzel, K., Allen, D., Apostolakos, J., Russell, R. P., McCarthy, M. B., Gallo, G. J., ... & Mazzocca, A. D. (2015). US definitions, current use, and FDA stance on use of platelet-rich plasma in sports medicine. Journal of Knee Surgery, 28(1), 29-34. https://doi.org/10.1055/s-0034-1390030

Castillo, T. N., Pouliot, M. A., Kim, H. J., & Dragoo, J. L. (2011). Comparison of growth factor and platelet concentration from commercial platelet-rich plasma separation systems. The American Journal of Sports Medicine, 39(2), 266-271. https://doi.org/10.1177/0363546510387517

Chahla, J., Cinque, M. E., Piuzzi, N. S., Mannava, S., Geeslin, A. G., Murray, I. R., ... & LaPrade, R. F. (2017). A call for standardization in platelet-rich plasma preparation protocols and composition reporting. The American Journal of Sports Medicine, 45(12), 2731-2739. https://doi.org/10.1177/0363546517697017

Dhurat, R., & Sukesh, M. S. (2014). Principles and methods of preparation of platelet-rich plasma: A review and author's perspective. Journal of Cutaneous and Aesthetic Surgery, 7(4), 189-197. https://doi.org/10.4103/0974-2077.150734

Dohan Ehrenfest, D. M., Rasmusson, L., & Albrektsson, T. (2009). Classification of platelet concentrates: From pure platelet-rich plasma (P-PRP) to leucocyte- and platelet-rich fibrin (L-PRF). Trends in Biotechnology, 27(3), 158-167. https://doi.org/10.1016/j.tibtech.2008.11.009

Everts, P. A., Knape, J. T., Weibrich, G., Schönberger, J. P., Hoffmann, J., Overdevest, E. P., ... & van Zundert, A. (2006). Platelet-rich plasma and platelet gel: A review. The Journal of Extra-Corporeal Technology, 38(2), 174-187.

Foster, T. E., Puskas, B. L., Mandelbaum, B. R., Gerhardt, M. B., & Rodeo, S. A. (2009). Platelet-rich plasma: From basic science to clinical applications. The American Journal of Sports Medicine, 37(11), 2259-2272. https://doi.org/10.1177/0363546509349921

Gentile, P., Garcovich, S., Bielli, A., Scioli, M. G., Orlandi, A., & Cervelli, V. (2017). The effect of platelet-rich plasma in hair regrowth: A randomized placebo-controlled trial. Stem Cells Translational Medicine, 6(11), 1923-1931. https://doi.org/10.1002/sctm.17-0107

Huang, Y., Liu, X., Xu, X., & Liu, J. (2019). Intraarticular injections of platelet-rich plasma, hyaluronic acid or corticosteroids for knee osteoarthritis: A prospective randomized controlled study. Orthopaedic Journal of Sports Medicine, 7(7), 2325967119850324. https://doi.org/10.1177/2325967119850324

Kaux, J. F., Forthomme, B., & Crielaard, J. M. (2020). Platelet-rich plasma: Evidence for the treatment of tendinopathy? Journal of Sports Medicine and Physical Fitness, 60(10), 1467-1475. https://doi.org/10.23736/S0022-4707.20.10539-5

Lacci, K. M., & Dardik, A. (2019). Platelet-rich plasma: Support for its use in wound healing. The Yale Journal of Biology and Medicine, 92(1), 101-110. https://doi.org/10.1097/PRS.0000000000005607

Martínez-Martínez, A., Ruiz-Santiago, F., García-Espinosa, J., Restrepo, R., Gómez-Hoyos, J., & Jiménez-Martín, A. (2020). Platelet-rich plasma versus corticosteroid injections for plantar fasciitis: A randomized controlled trial. Orthopedic Reviews, 12(2), 8416. https://doi.org/10.4081/or.2020.8416

Marx, R. E., Carlson, E. R., Eichstaedt, R. M., Schimmele, S. R., Strauss, J. E., & Georgeff, K. R. (1998). Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 85(6), 638-646.

Moraes, V. Y., Lenza, M., Tamaoki, M. J., Faloppa, F., & Belloti, J. C. (2014). Platelet-rich therapies for musculoskeletal soft tissue injuries. Cochrane Database of Systematic Reviews, 4, CD010071. https://doi.org/10.1002/14651858.CD010071.pub3

Pace, C. N., Vajdos, F., Fee, L., Grimsley, G., & Gray, T. (1995). How to measure and predict the molar absorption coefficient of a protein. Protein Science, 4(11), 2411-2423. https://doi.org/10.1002/pro.5560041120

Patel, S., Dhillon, M. S., Aggarwal, S., Marwaha, N., & Jain, A. (2013). Treatment with platelet-rich plasma is more effective than placebo for knee osteoarthritis: A prospective, double-blind, randomized trial. The American Journal of Sports Medicine, 41(2), 356-364. https://doi.org/10.1177/0363546512471299

Piuzzi, N. S., Chahla, J., Schrock, J. B., LaPrade, R. F., Pascual-Garrido, C., Mont, M. A., & Muschler, G. F. (2018). Evidence for the use of platelet-rich plasma in hip pathology: A systematic review and meta-analysis. The American Journal of Sports Medicine, 46(12), 2996-3007. https://doi.org/10.1177/0363546517734868

Whitman, D. H., Berry, R. L., & Green, D. M. (1997). Platelet gel: An autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. Journal of Oral and Maxillofacial Surgery, 55(11), 1294-1299. https://doi.org/10.1016/S0278-2391(97)90187-7

Zhai, L., Ma, F., Nie, J., & Zheng, J. (2017). The shortening of long-bone fracture healing time with platelet-rich plasma: A meta-analysis of randomized controlled trials. International Journal of Surgery, 39, 75-81. https://doi.org/10.1016/j.ijsu.2017.01.045

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Published

31-07-2025

How to Cite

SIMULASI PLATELET-RICH PLASMA (PRP): PENGARUH KONSENTRASI DAN AKTIVASI TERHADAP MODEL PENYEMBUHAN LUKA . (2025). Forte Journal, 5(2), 420-428. https://doi.org/10.51771/fj.v5i2.1544