Review Article

New and Emerging Strategies in Platelet-Rich Plasma Application in Musculoskeletal Regenerative Procedures: General Overview on Still Open Questions and Outlook

Table 1

Main GFs release by α-granules.

GFsMechanism of action

TGF-β(i) MSC proliferation and differentiation  
(ii) Cell mitogenesis 
(iii) Collagen II, proteoglycan, and ECM synthesis  
(iv) Endothelial chemotaxis and angiogenesis  
(v) Macrophages and lymphocyte proliferation inhibition; chondrocyte differentiation  
(vi) TIMP upregulation

PDGF-a and -b(i) OBs and MSCs mitogenesis  
(ii) Macrophages, neutrophil, and other cell chemotaxis; collagen I synthesis

bFGF(i) Chondrocyte and OB differentiation  
(ii) MSCs, chondrocyte, and OB mitogenesis

EGF(i) Endothelial chemotaxis and angiogenesis  
(ii) Collagen synthesis  
(iii) MSC and epithelial cell mitogenesis

CTGF(i) Angiogenesis  
(ii) Cartilage regeneration  
(iii) Fibrosis  
(iv) Platelet adhesion

VEGF(i) Angiogenesis  
(ii) Endothelial cell mitogenesis

IGF(i) Cell proliferation  
(ii) Collagen synthesis
(iii) Myoblast proliferation and differentiation