Treatment of dog’s osteoarthritis using autologous platelet-rich plasma

Iryna Gorkava, Mariia Kulida, Anatoly Horbachov, Viktoriia Postoi, Ruslana Postoi
Abstract

The relevance of this study arose from the rapid increase in cases of dog osteoarthritis affecting the knee joint. Clinically, this condition manifests as varying degrees of lameness, significantly diminishing the quality of life for affected animals. Therefore, the study aimed to evaluate changes in acute-phase inflammatory markers in the blood of dogs with osteoarthritis of the knee joint following intra-articular administration of autologous platelet-rich plasma. The diagnostic approach measured acute-phase C-reactive protein levels and erythrocyte sedimentation rate in blood samples. Tissue changes in the affected joint were examined through radiographic imaging conducted on the 1st day of plasma application and on the 90th day after the treatment course to assess the progression of reparative processes within the knee joint. Thus, it was established that by the 14th day following the final intra-articular injection of autologous platelet rich plasma, both the C-reactive protein levels and erythrocyte sedimentation rate in the blood exhibited a clear trend towards reduction, aligning with reference values. By the 21st day, recovery of these marker parameters to physiological ranges was observed in two out of five dogs, while the remaining three continued to show declining values. By the 90th day post-treatment, all five dogs displayed physiological values for the analysed markers. Radiographic findings before and after the course of cellular therapy indicated no further degenerative changes and a slight increase in joint space, demonstrating the effectiveness of autologous platelet-rich plasma in managing coxarthrosis in dogs. These findings hold significant practical value for both researchers and practising veterinarians, contributing to the refinement of treatment protocols for animals’ osteoarthritis of the knee joint

Keywords

gonarthrosis; inflammation markers; C-reactive protein; erythrocyte sedimentation rate; radiography; cellular therapy

Suggested citation
Gorkava, I., Kulida, M., Horbachov, A., Postoi, V., & Postoi, R. (2024). Treatment of dog’s osteoarthritis using autologous platelet-rich plasma. Ukrainian Journal of Veterinary Sciences, 15(4), 95-111. https://doi.org/10.31548/veterinary4.2024.95
References

[1] Adams, P., Bolus, R., Middleton, S., Moores, A.P., & Grierson, J. (2011). Influence of signalment on developing cranial cruciate rupture in dogs in the UK. The Journal of Small Animal Practice, 52(7), 347-352. doi: 10.1111/j.1748-5827.2011.01073.x.

[2] Allen, P.I., Conzemius, M.G., Evans, R.B., & Kiefer, K. (2019). Correlation between synovial fluid cytokine concentrations and limb function in normal dogs and in dogs with lameness from spontaneous osteoarthritis. Veterinary Surgery, 48(5), 770-779. doi: 10.1111/vsu.13212.

[3] Anderson, K.L., Zulch, H., O’Neill, D.G., Meeson, R.L., & Collins, L.M. (2020). Risk factors for canine osteoarthritis and its predisposing arthropathies: A systematic review. Frontiers in Veterinary Science, 7, article number 220. doi: 10.3389/fvets.2020.00220.

[4] Berninger, M.T., Wexel, G., Rummeny, E.J., Imhoff, A.B., Anton, M., Henning, T.D., & Vogt, S. (2013). Treatment of osteochondral defects in the rabbit’s knee joint by implantation of allogeneic mesenchymal stem cells in fibrin clots. Journal of Visualized Experiments: JoVE, 21(75), article number e4423. doi: 10.3791/4423.

[5] Bertuglia, A., Pagliara, E., Grego, E., Ricci, A., & Brkljaca-Bottegaro, N. (2016). Proinflammatory cytokines and structural biomarkers are effective to categorize osteoarthritis phenotype and progression in Standardbred racehorses over five years of racing career. BMC Veterinary Research, 12(1), article number 246. doi: 10.1186/s12917-016-0873-7.

[6] Blaga, F.N., Nutiu, A.S., Lupsa, A.O., Ghiurau, N.A., Vlad, S.V., & Ghitea, T.C. (2024). Exploring platelet-rich plasma therapy for knee osteoarthritis: An in-depth analysis. Journal of Functional Biomaterials, 15(8), article number 221. doi: 10.3390/jfb15080221.

[7] Budhiparama, N.C., Putramega, D., & Lumban-Gaol, I. (2024). Orthobiologics in knee osteoarthritis, dream or reality? Archives of Orthopaedic and Trauma Surgery, 144(9), 39373946. doi: 10.1007/s00402-024-05310-9.

[8] Carmona, J.U., Ríos, D.L., López, C., Álvarez, M.E., Pérez, J.E., & Bohórquez, M.E. (2016). In vitro effects of platelet-rich gel supernatants on histology and chondrocyte apoptosis scores, hyaluronan release and gene expression of equine cartilage explants challenged with lipopolysaccharide. BMC Veterinary Research, 12(1), article number 135. doi: 10.1186/s12917-016-0759-8.

[9] Carr, B.J., Miller, A.V., Colbath, A.C., Peralta, S., & Frye, C.W. (2024). Literature review details and supports the application of platelet-rich plasma products in canine medicine, particularly as an orthobiologic agent for osteoarthritis. Journal of the American Veterinary Medical Association, 262(1), 8-15. doi: 10.2460/javma.23.12.0692.

[10] Carreira, L.M., Cota, J., Alves, J., Inácio, F., Alexandre-Pires, G., & Azevedo, P. (2024). A pilot study of the clinical effectiveness of a single intra-articular injection of Stanozolol in canines with knee degenerative joint disease and its correlation with serum Interleukin-1β levels. Animals, 14(9), article number 1351. doi: 10.3390/ani14091351.

[11] Catarino, J., Carvalho, P., Santos, S., Martins, Â., & Requicha, J. (2020). Treatment of canine osteoarthritis with allogeneic platelet-rich plasma: Review of five cases. Open Veterinary Journal, 10(2), 226-231. doi: 10.4314/ovj.v10i2.12.

[12] Clark, N.L., Bates, K.T., Harris, L.K., Tomlinson, A.W., Murray, J.K., & Comerford, E.J. (2023). GenPup-M: A novel validated owner-reported clinical metrology instrument for detecting early mobility changes in dogs. PloS One, 18(12), article number e0291035. doi: 10.1371/journal.pone.0291035.

[13] Cohen, A. (2024). Osteoarthritis. Retrieved from http://surl.li/oyndhn.

[14] Coppola, C., Greco, M., Munir, A., Musarò, D., Quarta, S., Massaro, M., Lionetto, M.G., & Maffia, M. (2024). Osteoarthritis: Insights into diagnosis, pathophysiology, therapeutic avenues, and the potential of natural extracts. Current Issues in Molecular Biology, 46(5), 40634105. doi: 10.3390/cimb46050251.

[15] Directive 2010/63/EU of the European Parliament and of the Council on the protection of animals used for scientific purposes (2010, September). Retrieved from https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2010:276:0033:0079:en:PDF.

[16] Dobenecker, B., Böswald, L.F., Reese, S., Steigmeier-Raith, S., Trillig, L., Oesser, S., Schunck, M., Meyer-Lindenberg, A., & Hugenberg, J. (2024). The oral intake of specific Bioactive Collagen Peptides (BCP) improves gait and quality of life in canine osteoarthritis patients-A translational large animal model for a nutritional therapy option. PloS One, 19(9), article number e0308378. doi: 10.1371/journal.pone.0308378.

[17] Enomoto, M., de Castro, N., Hash, J., Thomson, A., Nakanishi-Hester, A., Perry, E., Aker, S., Haupt, E., Opperman, L., Roe, S., Cole, T., Thompson, N.A., Innes, J.F., & Lascelles, B.D.X. (2024). Prevalence of radiographic appendicular osteoarthritis and associated clinical signs in young dogs. Scientific Reports, 14(1), article number 2827. doi: 10.1038/s41598-024-52324-9.

[18] European Convention for the Protection of Vertebrate Animals used for Experimental and Other Scientific Purposes (1986, March). Retrieved from https://rm.coe.int/168007a67b.

[19] Gildea, E., North, C., Walker, K., Adriaens, F., & Lascelles, B.D.X. (2024). Use of Bedinvetmab (Librela®) for canine osteoarthritis in France, Germany, Italy, Spain, and the UK: Quantitative analysis of veterinarian satisfaction and real-world treatment patterns. Animals, 14(15), article number 2231. doi: 10.3390/ani14152231.

[20] Gori, E., Pierini, A., Pasquini, A., Diamanti, D., Carletti, C., Lubas, G., & Marchetti, V. (2023). The erythrocyte sedimentation rate (ESR) in canine inflammation. The Veterinary Journal, 294, article number 105949. doi: 10.1016/j.tvjl.2022.105949.

[21] Graves, J.L., McKenzie, B.A., Koch, Z., Naka, A., Spofford, N., & Morrison, J. (2023). Body weight, gonadectomy, and other risk factors for diagnosis of osteoarthritis in companion dogs. Frontiers in Veterinary Science, 10, article number 1275964. doi: 10.3389/fvets.2023.1275964.

[22] Hillström, A., Bylin, J., Hagman, R., Björhall, K., Tvedten, H., Königsson, K., Fall, T., & Kjelgaard-Hansen, M. (2016). Measurement of serum C-reactive protein concentration for discriminating between suppurative arthritis and osteoarthritis in dogs. BMC Veterinary Research, 12(1), article number 240. doi: 10.1186/s12917-016-0868-4.

[23] Hurter, K., Spreng, D., Rytz, U., Schawalder, P., Ott-Knüsel, F., & Schmökel, H. (2005). Measurements of C-reactive protein in serum and lactate dehydrogenase in serum and synovial fluid of patients with osteoarthritis. The Veterinary Journal, 169(2), 281-285. doi: 10.1016/j.tvjl.2004.01.027.

[24] Klymchuk, V.V. (2019). Scoring system for evaluating the clinical condition of dogs according to osteoarthritis. Scientific Horizons, 10(83), 81-85. doi: 10.33249/2663-21442019-83-10-81-85.

[25] Klymchuk, V.V. (2021). Risk factors, clinical and pathogenetic criteria and conservative treatment for osteoarthritis in dogs. (PhD dissertation, Bila Tserkva National Agrarian University, Bila Tserkva, Ukraine).

[26] Kurtulus, B., Atilgan, N., Yilmaz, M., & Dokuyucu, R. (2024). Two members of vitamin-Kdependent proteins, Gla-Rich Protein (GRP) and Matrix Gla Protein (MGP), as possible new players in the molecular mechanism of osteoarthritis. Journal of Clinical Medicine, 13(17), article number 5159. doi: 10.3390/jcm13175159.

[27] Langworthy, M., Lascarides, P., Ngai, W., Steele, K., & Huang, Y. (2024). Three once-weekly intra-articular injections of Hylan G-F 20 significantly improve pain relief compared with placebo in patients with chronic idiopathic knee osteoarthritis: A single-centre, evaluatorblinded and patient-blinded, randomized controlled trial. Drugs in Context, 13, article number 2023-11-3. doi: 10.7573/dic.2023-11-3.

[28] Law of Ukraine No. 249 “On the Procedure for Carrying Out Experiments and Experiments on Animals by Scientific Institutions”. (2012, March). Retrieved from https://zakon.rada.gov.ua/laws/card/z0416-12.

[29] Malin, K., & Witkowska-Piłaszewicz, O. (2022). C-reactive protein as a diagnostic marker in dogs: A review. Animals, 12(20), article number 2888. doi: 10.3390/ani12202888.

[30] Oh, S., Kang, J., Kim, N., & Heo, S. (2023). Comparison of dorsal and medial arthroscopic approach to canine coxofemoral joint: A cadaveric study. Journal of Veterinary Science, 24(1), article number e12. doi: 10.4142/jvs.22226.

[31] Pal, D., Das, P., Roy, S., Mukherjee, P., Halder, S., Ghosh, D., & Nandi, S.K. (2024). Recent trends of stem cell therapies in the management of orthopedic surgical challenges. International Journal of Surgery, 110(10), 6330-6344. doi: 10.1097/JS9.0000000000001524.

[32] Primorac, D., Molnar, V., Rod, E., Jeleč, Ž., Čukelj, F., Matišić, V., Vrdoljak, T., Hudetz, D., Hajsok, H., & Borić, I. (2020). Knee osteoarthritis: A review of pathogenesis and state-of-theart non-operative therapeutic considerations. Genes, 11(8), article number 854. doi: 10.3390/genes11080854.

[33] Pye, C., Bruniges, N., Peffers, M., & Comerford, E. (2022). Advances in the pharmaceutical treatment options for canine osteoarthritis. The Journal of Small Animal Practice, 63(10), 721738. doi: 10.1111/jsap.13495.

[34] Todosiuk, T., Rublenko, M., & Vlasenko, V. (2022). Radiological and pathochemical characteristics of osteoporosis process in rabbitsScientific Journal of Veterinary Medicine, 1, 170-178.

[35] Weiwei, M., Mei, D., Juan, L., Longfei, X., Xilin, C., Tingyao, H., Wenting, Z., & Changqing, G. (2024). Electroacupuncture improves articular microcirculation and attenuates cartilage hypoxia in a male rabbit model of knee osteoarthritis. Journal of Traditional and Complementary Medicine, 14(4), 414-423. doi: 10.1016/j.jtcme.2024.01.002.