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Editorial| Volume 61, ISSUE 3, 103463, June 2022

Platelet therapy and regenerative medicine: a need for clarification and controlled trials, and a desirable intervention for blood establishments

      Platelets have been studied and used for more than forty years in the treatment of ulcerative, chronic wounds [
      • Knighton D.R.
      • Hunt T.K.
      • Thakral K.K.
      • Goodson 3rd., W.H.
      Role of platelets and fibrin in the healing sequence: an in vivo study of angiogenesis and collagen synthesis.
      ], alongside alternatives among which dressings of various types and physicochemical designs, skin substitutes, negative pressure or hyperbaric oxygen techniques, and growth factors [
      • Han G.
      • Ceilley R.
      Chronic wound healing: a review of current management and treatments.
      ]. Measures promoting anti-infection, anti-oxidation, immunoregulation, angiogenesis, and tissue remodeling have been sought of, among the many prospective venues [
      • Zhang X.
      • Shu W.
      • Yu Q.
      • Qu W.
      • Wang Y.
      • Li R.
      Functional biomaterials for treatment of chronic wound.
      ]. All these properties are exerted by several agents such as bee venom and therapeutic honey, and – of particular notice – by platelets [
      • Garraud O.
      • Hozzein W.N.
      • Badr G.
      Wound healing: time to look for intelligent, 'natural' immunological approaches?.
      ]. The potential use blood platelets thus, makes sense in the arsenal of measures to treat ulcerative wounds. Indeed, blood platelets have multiple roles apart from their seminal initiation of clotting and coagulation; their sense dangers, of which vascular endothelium attrition, they make the needed repairs to prevent blood leaking into tissues, they initiate inflammation and innate immunity that take place to the defense against infectious invaders, and they repair damaged tissues as they switch from a proinflammatory profile of secretion to an anti-inflammatory one [
      • Kapur R.
      • Zufferey A.
      • Boilard E.
      • Semple J.W.
      Nouvelle cuisine: platelets served with inflammation.
      ,
      • Garraud O.
      • Chabert A.
      • Hamzeh-Cognasse H.
      • Laradi S.
      • Cognasse F.
      Platelets and immunity: from physiology to pathology.
      ,
      • Cognasse F.
      • Laradi S.
      • Berthelot P.
      • Bourlet T.
      • Marotte H.
      • Mismetti P.
      • et al.
      Platelet inflammatory response to stress.
      ]. The healing process is a long way, that in general terminates the inflammatory-anti-inflammatory process [
      • Gonzalez A.C.
      • Costa T.F.
      • Andrade Z.A.
      • Medrado A.R.
      Wound healing – a literature review.
      ]. Platelets take an important role in this instrumental part of the innate immunity response to tissue damage, thanks to the numerous factors that are secreted by platelets through their activation steps [
      • Golebiewska E.M.
      • Poole A.W.
      Platelet secretion: from haemostasis to wound healing and beyond.
      ,
      • Locatelli L.
      • Colciago A.
      • Castiglioni S.
      • Maier J.A.
      Platelets in wound healing: what happens in space?.
      ,
      • Ebermeyer T.
      • Cognasse F.
      • Berthelot P.
      • Mismetti P.
      • Garraud O.
      • Hamzeh-Cognasse H.
      Platelet innate immune receptors and TLRs: a double-edged sword.
      ]; platelets further exert anti-apoptotic roles and interact with regenerative cells [
      • Gawaz M.
      • Vogel S.
      Platelets in tissue repair: control of apoptosis and interactions with regenerative cells.
      ].

      Keywords

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