PMID- 33435244 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210604 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 9 IP - 1 DP - 2021 Jan 10 TI - Does Platelet-Rich Fibrin Enhance the Early Angiogenetic Potential of Different Bone Substitute Materials? An In Vitro and In Vivo Analysis. LID - 10.3390/biomedicines9010061 [doi] LID - 61 AB - The impaired angiogenic potential of bone substitute materials (BSMs) may limit regenerative processes. Therefore, changes in the angiogenetic properties of different BSMs in combination with platelet-rich fibrin (PRF) in comparison to PRF alone, as well as to native BSMs, were analyzed in vitro and in vivo to evaluate possible clinical application. In vitro, four BSMs of different origins (allogeneic, alloplastic, and xenogeneic) were biofunctionalized with PRF and compared to PRF in terms of platelet interaction and growth factor release (vascular endothelial growth factor (VEGF), tissue growth factor ss (TGFss) and platelet-derived growth factor (PDGF)) after 15 min. To visualize initial cell-cell interactions, SEM was performed. In vivo, all BSMs (+/-PRF) were analyzed after 24 h for new-formed vessels using a chorioallantoic membrane (CAM) assay. Especially for alloplastic BSMs, the addition of PRF led to a significant consumption of platelets (p = 0.05). PDGF expression significantly decreased in comparison to PRF alone (all BSMs: p < 0.013). SEM showed the close spatial relation of each BSM and PRF. In vivo, PRF had a significant positive pro-angiogenic influence in combination with alloplastic (p = 0.007) and xenogeneic materials (p = 0.015) in comparison to the native BSMs. For bio-activated xenogeneic BSMs, the branching points were also significantly increased (p = 0.005). Finally, vessel formation was increased for BSMs and PRF in comparison to the native control (allogeneic: p = 0.046; alloplastic: p = 0.046; and xenogeneic: p = 0.050). An early enhancement of angiogenetic properties was demonstrated when combining BSMs with PRF in vitro and led to upregulated vessel formation in vivo. Thus, the use of BSMs in combination with PRF may trigger bony regeneration in clinical approaches. FAU - Blatt, Sebastian AU - Blatt S AD - Department of Oral and Maxillofacial Surgery, University Medical Center, Augustusplatz 2, 55131 Mainz, Germany. AD - Platform for Biomaterial Research, BiomaTiCS Group, University Medical Center, Langenbeckstrasse 1, 55131 Mainz, Germany. FAU - Thiem, Daniel G E AU - Thiem DGE AD - Department of Oral and Maxillofacial Surgery, University Medical Center, Augustusplatz 2, 55131 Mainz, Germany. AD - Platform for Biomaterial Research, BiomaTiCS Group, University Medical Center, Langenbeckstrasse 1, 55131 Mainz, Germany. FAU - Pabst, Andreas AU - Pabst A AD - Department of Oral and Maxillofacial Surgery, Federal Armed Forces Hospital, Rubenacherstr. 170, 56072 Koblenz, Germany. FAU - Al-Nawas, Bilal AU - Al-Nawas B AD - Department of Oral and Maxillofacial Surgery, University Medical Center, Augustusplatz 2, 55131 Mainz, Germany. AD - Platform for Biomaterial Research, BiomaTiCS Group, University Medical Center, Langenbeckstrasse 1, 55131 Mainz, Germany. FAU - Kammerer, Peer W AU - Kammerer PW AUID- ORCID: 0000-0002-1671-3764 AD - Department of Oral and Maxillofacial Surgery, University Medical Center, Augustusplatz 2, 55131 Mainz, Germany. AD - Platform for Biomaterial Research, BiomaTiCS Group, University Medical Center, Langenbeckstrasse 1, 55131 Mainz, Germany. LA - eng GR - 06/2018/Intramural grant, BiomaTiCS group, University Medical Center Mainz, Germany/ PT - Journal Article DEP - 20210110 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC7827266 OTO - NOTNLM OT - angiogenesis OT - osteogenesis OT - platelet-rich fibrin OT - tissue engineering COIS- The authors declare no conflict of interest. EDAT- 2021/01/14 06:00 MHDA- 2021/01/14 06:01 PMCR- 2021/01/10 CRDT- 2021/01/13 01:01 PHST- 2020/12/23 00:00 [received] PHST- 2021/01/02 00:00 [revised] PHST- 2021/01/06 00:00 [accepted] PHST- 2021/01/13 01:01 [entrez] PHST- 2021/01/14 06:00 [pubmed] PHST- 2021/01/14 06:01 [medline] PHST- 2021/01/10 00:00 [pmc-release] AID - biomedicines9010061 [pii] AID - biomedicines-09-00061 [pii] AID - 10.3390/biomedicines9010061 [doi] PST - epublish SO - Biomedicines. 2021 Jan 10;9(1):61. doi: 10.3390/biomedicines9010061.