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A comparison of intra-articular blood cell secretome and blood cell secretome with triamcinolone acetonide in dogs with osteoarthritis: a crossover study

dc.contributor.authorAlves, JC
dc.contributor.authorSantos, Ana
dc.contributor.authorJorge, Patricia
dc.contributor.authorCarreira, L.Miguel
dc.date.accessioned2023-01-22T22:34:36Z
dc.date.available2023-01-22T22:34:36Z
dc.date.issued2022-11-30
dc.descriptionResearch Areas: Agriculture; Veterinary Sciences; Zoologypt_PT
dc.description.abstractSimple Summary Osteoarthritis is a very common joint disease in dogs. There are multiple treatments described for the disease, but there is still a need for treatments that change disease progression while managing symptoms. For that reason, a growing interest has arisen around biological treatments such as Blood Cell Secretome. The goal of this study was to compare the intra-articular administration of Blood Cell Secretome to its combined administration with triamcinolone in dogs with hip osteoarthritis. Our results show that Blood Cell Secretome improves the overall condition of OA patients and that the combination with triamcinolone lead to faster and longer-lasting improvements. Osteoarthritis (OA) is a growing welfare problem for dogs and a challenge to manage for the clinician, and most therapeutic options aim to control pain. In a randomized, double-blinded, placebo-controlled, 2-way, 2-period crossover study, we aimed to evaluate the use of Blood Cell Secretome (BCS) administrated intra-articularly, with or without the combination with triamcinolone, in dogs with bilateral hip OA. BCS is an acellular orthobiologic containing anti-inflammatory and anabolic proteins produced from the patient's own blood through extended coagulation in a defined environment. Fifteen dogs were initially assigned to a BCS group (BCSG, n = 5), a triamcinolone group (TG, n = 5), or a combination group (BCS+TG, n = 5). All had bilateral hip OA. After a 180-day follow-up, the crossover was performed with BCSG (n = 7) and BCS+TG (n = 7). BCSG received a single intra-articular administration of 3 mL of Blood Cell Secretome, and BCS+TG received BCS plus 0.5 mL of triamcinolone acetonide (40 mg/mL). The volume in BCSG was corrected to 3.5 mL with saline. In all patients, both hips were treated. For treatment follow-up, a copy of the Canine Brief Pain Inventory (divided into pain interference score-PIS and Pain Severity Score-PSS), Liverpool Osteoarthritis in Dogs (LOAD), and Canine Orthopedic Index (COI, divided into function, gait, stiffness, and quality of life) was completed on days 0, 8, 15, 30, 60, 90, 120, 150, and 180. Results were analyzed with the Mann-Whitney U test, effect size, and Kaplan-Meier estimators, followed by the log-rank test. p was set at <0.05. Patients of the sample had a mean age of 9.6 +/- 2.9 years and a body weight of 29.2 +/- 3.9 kg. Seven hips were classified as severe osteoarthritis, and eight were classified as moderate. No differences were found between groups at T0. Significant differences were observed in PSS scores at +8d, with BCS+TG exhibiting better results. PIS, PSS, LOAD, stiffness, and function scores were also lower in BCS+TG from +15 to +60d. The two groups showed similar improvements from +90 to +120d. Kaplan-Meier estimators showed that dogs in BCS+TG showed clinically-important differences for longer, despite a positive result in BCSG. The intra-articular administration of BCS alone was able to improve the overall condition of OA patients. Its combined use with triamcinolone acetonide lead to a faster and longer-lasting improvement in pain scorespt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlves JC, Santos A, Jorge P, Carreira LM. 2022. A comparison of intra-articular blood cell secretome and blood cell secretome with triamcinolone acetonide in dogs with osteoarthritis: a crossover study. Animals, 12(23):3358. DOI: https://doi.org/10.3390/ani12233358pt_PT
dc.identifier.doi10.3390/ani12233358pt_PT
dc.identifier.issn2076-2615
dc.identifier.urihttp://hdl.handle.net/10400.5/26983
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2076-2615/12/23/3358pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBlood Cell Secretomept_PT
dc.subjectOrthobiologicpt_PT
dc.subjectTtriamcinolonept_PT
dc.subjectDdogpt_PT
dc.subjectOsteoarthritispt_PT
dc.subjectPainpt_PT
dc.subjectHippt_PT
dc.titleA comparison of intra-articular blood cell secretome and blood cell secretome with triamcinolone acetonide in dogs with osteoarthritis: a crossover studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBasel, Switzerlandpt_PT
oaire.citation.issue3358pt_PT
oaire.citation.titleAnimalspt_PT
oaire.citation.volume12(23)pt_PT
person.familyNameCarreira
person.givenNameLuis Miguel
person.identifier.ciencia-idFD14-B321-EACD
person.identifier.orcid0000-0002-6784-2806
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3757a9f0-ab19-4225-bd5d-d68d19ec743a
relation.isAuthorOfPublication.latestForDiscovery3757a9f0-ab19-4225-bd5d-d68d19ec743a

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