Platelet gel for treatment of mucocutaneous lesions related to graft-versus-host disease after allogeneic hematopoietic stem cell transplant

Transfusion. 2010 Feb;50(2):501-6. doi: 10.1111/j.1537-2995.2009.02439.x. Epub 2009 Oct 9.

Abstract

Background: Platelet (PLT) gel has been successfully used in tissue regeneration of diabetic/surgical wounds through the releasing of growth factors such as basic fibroblast growth factor and PLT-derived growth factor. Therefore, the PLT gel could represent a therapeutic tool in treating the deep and painful wounds sometimes occurring during graft-versus-host disease (GVHD).

Study design and methods: The aim of this study was to verify the efficacy and safety of PLT gel for treating GVHD ulcers. Allogeneic hemocomponents were used to obtain PLT gel with an automated system for the on-site preparation and application of patient (autologous) or healthy blood donor (allogeneic)-derived fibrin sealant or PLT-rich fibrin (Vivostat system, Vivostat A/S). Six patients with multiple lesions involving dermis (Grade I, n = 2), subcutaneous (Grade II, n = 4), or oral mucosa and related to GVHD underwent PLT gel as local therapy.

Results: After the second PLT gel application, the pain disappeared in all cases and the granulation tissue was observed in the four patients with Grade II lesions. After a median of eight PLT gel applications (range, 4-10), five of six patients showed a complete response, while one patient with a partial response died early from multiorgan failure. No side effects were documented.

Conclusion: These preliminary data show that the PLT gel may be used as a safe and effective tool in the management of mucosal skin lesions related to the GVHD.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Automation
  • Biological Products / administration & dosage
  • Biological Products / isolation & purification
  • Biological Products / therapeutic use*
  • Blood Platelets*
  • Bone Marrow Transplantation / adverse effects*
  • Female
  • Fibrin Tissue Adhesive / administration & dosage
  • Fibrin Tissue Adhesive / therapeutic use
  • Gels
  • Graft vs Host Disease / etiology
  • Graft vs Host Disease / therapy*
  • Hematologic Neoplasms / complications
  • Hematologic Neoplasms / surgery
  • Humans
  • Intercellular Signaling Peptides and Proteins / administration & dosage
  • Intercellular Signaling Peptides and Proteins / therapeutic use
  • Male
  • Middle Aged
  • Oral Ulcer / etiology
  • Oral Ulcer / therapy*
  • Peripheral Blood Stem Cell Transplantation / adverse effects*
  • Pilot Projects
  • Regeneration
  • Skin Ulcer / etiology
  • Skin Ulcer / therapy*
  • Tissue Adhesives / administration & dosage
  • Tissue Adhesives / therapeutic use
  • Transplantation, Homologous / adverse effects*
  • Treatment Outcome

Substances

  • Biological Products
  • Fibrin Tissue Adhesive
  • Gels
  • Intercellular Signaling Peptides and Proteins
  • Tissue Adhesives