Plasma Rich Platelet

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    PLATELET RICH PLASMAPlasma Kaya Trombosit (PKT)

    disusun untuk memenuhi tugas mata kuliah Biokimia Dasar

    Pengampu : Edhana Sahiratmad!a" dr#" Ph#D

    Program Magister Ilmu $edokteran Dasar

    %akultas $edokteran &ni'ersitas Pad!ad!aran

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    (hat is PRP)

    Platelet Rich Plasma (PRP) isblood plasma that has been

    enriched with platelets

    PRP is simply whole blood that iscentrifuged to create an increasedconcentration of platelets with or

    without WBCs

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    Platelet Ri*h Plasma

    frasi plasma darah dengan onsentrasitrombosit !"# ali di atas nilai normal(onsentrasi trombosit pada whole blood)

    adar trombosit normal dalam darahberisar antara $#%&%%%' dan !#%&%%%'

    plasma aya trombosit mengandung$&%%%&%%% trombosit' pada *olume # mlplasma

    Plasma Kaya Trombosit (PKT)

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    (hat+s So Spe*ial A,out Platelets)

    + platelets contain granules that store

    large numbers of ,growth factors

    + alpha granules released (acti*ated)

    when platelets aggregate and adhere

    to a site of in-ury or inflammation+ listing of other growth factors.

    interleuin"$/ tumor necrosis factor/

    transforming growth factor/ insulin

    growth factor and more

    + it is the a*ti'ation o- platelets andrelease o- the 'arious gro.th

    -a*tors that makes them spe*ial

    and is the ke to enhan*ing tissue

    repair and healing/

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    plasma aya trombosit mengandung 0 ma*am gro.th-a*tordan adar growth in i*o tetap ter!aga setelah

    dilauan pembuatan plasma aya trombosit

    konsentrasi trom,osit dalam PKT dapat meningkat12dari adar trombosit di dalam darah sehingga adar

    gro.th -a*tor di dalam plasma aya trombosit -ugameningkat 12 ecuali 012"$

    tingginya onsentrasi trombosit dan berbagai fatorpertumbuhan di dalamnya membuat PKT

    diman-aatkan pada ,anak *a,ang ilmu kedokteran

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    Platelet Ri*h Plasma Biolog

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    (hat Do These 3ro.th %a*tors Do)

    directional mo*ement in response to a chemical

    stimulus

    chemota3is

    significant increase in cellular reproduction acti*ity

    cell proliferation

    performance enhancing

    possibly e*en a systemic effect

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    The Primar 3ro.th %a*tors Role

    in So-t Tissue Healing and Repair

    P412

    5 polypeptide chains

    6B/ BB and 66 types(6B in human platelets)

    stored in alpha

    granules in platelets receptors are found intendon/ cartilage/syno*ium andelsewhere

    T12 beta

    polypeptide/ multiplechains/ T12 beta"$most studied form

    found in platelets/bone/ cartilage 7macrophages

    receptors are uni*ersalin cells throughout thebody

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    immediate

    (within # minutes) second messenger stimulation

    inflammatory response

    early

    (!%min to 8 hours) 9"R:6 stimulation/ protein synthesis chemota3is (draws cells to the area)

    late (8"58 hours) fibroblast mitosis

    E--e*t o- T3%45 on Tissues

    actually inhibits cell growth

    more of a modulator of cell growth/differentiation

    *ery important in wound repair

    E--e*t o- PD3% on Tissues

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    E--e*t o- Platelet 3ro.th %a*tors on Tissues

    it appears that through a comple3series of biochemical and cellular

    e*ents

    these growth factors cause a rapidand sustained increase in the number

    of fibroblasts in an area and thenthrough a poorly understood

    interaction among factors modulatescellular acti*ity

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    PRP IS 67T/

    ;tem Cells9;Cs

    ipocytes

    Bone 9arrow