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Karina K, Ekaputri K, Andrew H, Biben JA. Microneedle Electroporation for Intralesional Administration of Corticosteroid Treatment of Keloid Scar. Acta Derm Venereol 2023; 103:adv13402. [PMID: 38059802 PMCID: PMC10719861 DOI: 10.2340/actadv.v103.13402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 10/03/2023] [Indexed: 12/08/2023] Open
Abstract
Abstract is missing (Short communication)
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Affiliation(s)
- Karina Karina
- Klinik Hayandra, Yayasan Hayandra Peduli, Jl. Kramat VI No. 11, Jakarta Pusat, Indonesia; Hayandra Lab, Yayasan Hayandra Peduli, Jl. Kramat VI No. 11, Jakarta Pusat, Indonesia; Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Jl. Rs. Fatmawati, Jakarta, Indonesia.
| | - Krista Ekaputri
- Klinik Hayandra, Yayasan Hayandra Peduli, Jl. Kramat VI No. 11, Jakarta Pusat, Indonesia
| | - Hubert Andrew
- Hayandra Lab, Yayasan Hayandra Peduli, Jl. Kramat VI No. 11, Jakarta Pusat, Indonesia; Faculty of Medicine, Universitas Indonesia, Jl. Salemba Raya no. 6, Jakarta Pusat, Indonesia
| | - Johannes Albert Biben
- Klinik Hayandra, Yayasan Hayandra Peduli, Jl. Kramat VI No. 11, Jakarta Pusat, Indonesia
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Karina K, Rahmania D, Andrew H, Ekaputri K, Biben JA, Martina NR. Wound healing in stage IV pressure injury with use of adjunct autologous activated platelet-rich plasma therapy: a case report. Wounds 2023; 35:E14-E16. [PMID: 36749992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
INTRODUCTION Pressure injuries remain a major burden worldwide with associated morbidity and financial implications. Patients in the ICU, such as those with severe COVID-19, are especially susceptible to PI as they remain immobile for extended durations while intubated. OBJECTIVE This report examines a case of stage 4 PI in a senior COVID-19 survivor treated with adjunct intravenous and intralesional aaPRP therapy in addition to topical hyaluronic acid/silver sulfadiazine cream and framycetin sulphate dressing. CASE REPORT aaPRP therapy was administered via intralesional injection and intravenous infusion 4 times with 2 weeks between therapies, while the aforementioned topical cream and dressing were applied every 2 days between visits. The patient also had controlled diabetes which may affect the wound healing process. CONCLUSIONS This report concludes with a discussion of how COVID-19 carries important dynamics in the pathogenesis of PI and how adjunct administration of intravenous and intralesional aaPRP, which is abundant in regenerative proteins, may be beneficial in the management of PI.
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Affiliation(s)
- Karina Karina
- Klinik Hayandra, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia; HayandraLab, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia; Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
| | - Dinar Rahmania
- Department of Plastic and Reconstructive Surgery, Dr. Ramelan Navy Hospital, Surabaya
| | - Hubert Andrew
- Faculty of Medicine, Universitas Indonesia, Jakarta Pusat, Indonesia
| | - Krista Ekaputri
- Klinik Hayandra, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia
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Karina K, Ekaputri K, Biben JA, Hadi P, Andrew H, Sadikin PM. Therapeutic Effect of Autologous Activated Platelet-rich Plasma Therapy on Mid-dermal to Full-thickness Burns: A Case Series. Arch Plast Surg 2022; 49:405-412. [PMID: 35832167 PMCID: PMC9142229 DOI: 10.1055/s-0042-1744423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Although modern medicine has made great strides in the management of burn injuries, associated complications such as pain, infection, dyspigmentation, and scarring have yet to be fully dealt with. Although skin grafting and meshing are routinely performed on burn patients, this method poses a risk for adverse effects. Activated autologous platelet-rich plasma (aaPRP), which is increasingly used in the field of plastic surgery, contains growth factors beneficial for wound regeneration. Seven cases of burns with varying severity and conditions that were treated with intralesional subcutaneous injection and intravenous aaPRP are presented and discussed herein. This case series indicates that subcutaneous and intravenous aaPRP is a safe procedure with the potential to be an alternative when skin grafting cannot be done or as an adjunct treatment to skin grafting.
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Affiliation(s)
- Karina Karina
- Klinik Hayandra, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia
- HayandraLab, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia
- Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
- Pusat Kajian Stem Cell, Universitas Pembangunan Nasional Veteran Jakarta, Indonesia
| | - Krista Ekaputri
- Klinik Hayandra, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia
| | | | - Pritha Hadi
- Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi, Indonesia
- Raden Mattaher Regional Hospital, Jambi, Indonesia
| | - Hubert Andrew
- HayandraLab, Yayasan Hayandra Peduli, Jakarta Pusat, Indonesia
- Faculty of Medicine, Universitas Indonesia, Jakarta Pusat, Indonesia
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Karina K, Ekaputri K, Biben JA, Rosadi I, Rosliana I, Sobariah S, AD S, Andrew H, Afini I, Widyastuti T, Jusryanti J, Prestiani SI, Donna IM, Mutiara M, Habibi H. Evaluation of plasma PDGF and VEGF levels after systemic administration of activated autologous platelet-rich plasma. Biomedicine (Taipei) 2021. [DOI: 10.51248/.v41i2.1047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Introduction and Aim: Activated autologous platelet-rich plasma (aaPRP) is becoming a popular therapy to accelerate healing in the field of plastic surgery. Platelets, which are abundant in aaPRP, can release many growth factors including platelet-derived growth factor (PDGF) and vascular endothelial growth factor (VEGF). This study aims to examine the plasma levels of PDGF and VEGF in healthy subjects after intravenous administration of aaPRP.
Materials and Methods: Nine healthy patients with no prior history of metabolic disease were divided into two groups (control and experiment group). The treatment group which consists of six patients received intravenous aaPRP treatment. The preparation of aaPRP starts with the collection of 24 mL of whole blood in sodium citrate tubes followed a two-step centrifugation procedure and subsequent chemical activation. aaPRP was then administered intravenously to patients. Meanwhile, the control group received no intervention. Venous blood samples were taken before and one week after the treatment and the plasma PDGF and VEGF levels were determined by enzyme-linked immunosorbent assay (ELISA).
Results: The treatment group showed statistically significant increase in VEGF after 7 days compared to before aaPRP administration. However, the change in PDGF levels of the treatment group was unnotable.
Conclusion: The present findings indicate that intravenous administrations of activated aaPRP may increase plasma VEGF level up to 1 week after aaPRP administration.
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Karina K, Ekaputri K, Biben JA, Purwoko RH, Sibuea TP, Astuti SL, Loho AM, Limengka Y, . N, S A, Krisandi G, Maryam A, Rosadi I, Rosliana I, Sobariah S, Subroto WR, Afini I, Widyastuti T, Zakiyah A, Ernanda D, Aini N, . J, AD S, Prestiani SI, Donna IM, . H, Mutiara MS. Evaluating the Safety of Intravenous Delivery of Autologous Activated Platelet-rich Plasma. JHSCI 2021. [DOI: 10.17532/jhsci.2021.1276] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction: Autologous platelet-rich plasma (PRP) has been a growing trend in the field of medicine due to its broad range of application and is considered safe from bloodborne diseases. Furthermore, various studies have tried to optimize the use of autologous PRP through various preparation protocols, including PRP activation. However, most of the studies available have not evaluated the safety for intravenous delivery of PRP, especially autologous activated PRP (aaPRP). Therefore, this study aimed to evaluate the safety of intravenous delivery of aaPRP.Methods: Blood was drawn from each patient and aaPRP was isolated through calcium activation and light irradiation. Each aaPRP was administered intravenously to all patients. Adverse events were documented and analyzed.Results: Six hundred eleven patients participated in this study with a total of 4244 aaPRP therapies. Quality control of autologous aaPRP showed no platelets present after both calcium activation and light irradiation. No adverse events such as allergic reaction, infection, and coagulation problems were observed on all patients over the course of the study.Conclusion: Our results showed that intravenous administration of autologous aaPRP is safe even in patients with various pathological conditions.
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Karina K, Biben JA, Ekaputri K, Rosadi I, Rosliana I, Afini I, Widyastuti T, Sobariah S, Subroto WR. In vivo study of wound healing processes in Sprague-Dawley model using human mesenchymal stem cells and platelet-rich plasma. Biomed Res Ther 2021. [DOI: 10.15419/bmrat.v8i4.670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Introduction: Mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP) have a potential role in improving wound healing processes. This experimental study aims to compare PRP and MSCs to promote the wound healing process in the animal burn wound model.
Methods: PRP from venous blood and MSCs from lipoaspirates were isolated from six donors. Saline solution was used as control while PRP and MSCs as treatment groups were injected to second-degree burn wounds in the backs of 10 male Sprague-Dawley rats for each group. On day 7, 5 rats from each group were euthanized for analyses VEGF gene, which has a role in angiogenesis. At the end of the study (week 5), the remaining rats were euthanized for histological analysis.
Results: The VEGF expression in MSCs and PRP groups was higher than the control group (not significant). The wound healing rate was also significantly faster until 21 days post-burn in the MSCs and PRP groups and getting slowly afterward. Histological analysis showed the burned skin at day 35 had displayed the best differentiation outcome in the MSCs group. In conclusion, human-derived MSCs and PRP do not accelerate epithelialization duration of rats burn wound model. However, they improved wound’s vascularization and cell differentiation.
Conclusion: MSCs are superior to PRP in enhancing cell differentiation.
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