RT Journal Article SR Electronic T1 Platelet-rich plasma can release nutrient factors to promote facial nerve crush injury recovery in rats JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1209 OP 1217 DO 10.15537/smj.2019.12.24747 VO 40 IS 12 A1 Li, Liheng A1 Cai, Jing A1 Yuan, Yang A1 Mao, Yanyan A1 Xu, Lei A1 Han, Yuechen A1 Li, Jianfeng A1 Wang, Haibo YR 2019 UL http://smj.org.sa/content/40/12/1209.abstract AB Objectives: To evaluate the effects of platelet-rich plasma (PRP) on promoting neural repair after facial nerve compression in rats and the mechanism by which this occurs.Methods: Adult Wistar rats (n=100) were divided into 3 groups: healthy controls, surgery-only, and surgery+PRP groups. The rats underwent nerve crush injury to establish a facial palsy model. The blood from the rats was used to prepare the PRP for application to the injury site. The evaluation methods included vibrissae movement, eyelid closure, and electrophysiology. Electron microscopy, immunohistochemistry, and real-time polymerase chain reaction (PCR) were used to detect nutrient factor expression in the brain and nerve sections. This study was conducted in Shandong Provincial ENT Hospital Affiliated to Shandong University, Shandong, China between January and November 2018.Results: Platelet-rich plasma promotes the recovery of vibrissae movement, eyelid closure, and electrophysiological function in a rat model of nerve crush injury. Hematoxylin and eosin staining, toluidine blue staining, and electron microscopy showed significant recovery of Schwann cells and axons in the PRP group. Polymerase chain reaction results showed that PRP releases growth factors, which include nerve growth factor and brain-derived neurotrophic factor. Immunohistochemistry also demonstrated higher levels of S-100 protein expression in the PRP group compared to the other groups.Conclusions: Platelet-rich plasma releases nutrient factors in the brainstem, and the use of PRP can promote injury recovery.