JOURNAL OF SPORTS SCIENCE & MEDICINE
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Research article
 

INFLUENCE OF INTRAMUSCULAR APPLICATION OF AUTOLOGOUS CONDITIONED PLASMA ON SYSTEMIC CIRCULATING IGF-1

Gert Schippinger1,2, Karl Oettl3, Florian Fankhauser2, Stefan Spirk1,4, Wolfgang Domej5 and Peter Hofmann1,4

1Human Performance Research Graz, University of Graz and Medical University of Graz, 2Sportchirurgie Plus Graz, 3Institute of Physiological Chemistry, Medical University of Graz, 4Institute of Sports Science, University of Graz, 5Department of Internal Medicine, Medical University of Graz, Austria

Received   28 March 2011
Accepted   23 May 2011
Published   01 September 2011

© Journal of Sports Science and Medicine (2011) 10, 439 - 444

ABSTRACT  
Platelet-rich plasma (PRP) to increase levels of platelets and growth factors has been used for the treatment of sports injuries suggesting to improve healing and regeneration. This method offers some potential especially for elite athletes. However, the insulin like growth factor-1 (IGF-1) is prohibited by the World Anti Doping Agency and, in addition, there may be a possible link between increased levels of IGF-1 and cancer risk. Aim of the study was to evaluate a systemic increase of IGF-1 after local intramuscular administration of PRP in young healthy moderately trained male subjects. Blood samples were drawn and PRP preparation was performed by means of centrifugation. Enriched plasma was injected into the gluteus muscle. Venous blood was collected and serum prepared before as well as after 0.5, 3 and 24 hours after PRP administration. IGF-1 analysis was performed applying an ELISA test kit. No significant systemic increase of mean IGF-1 was found after the PRP injection. Only one subject showed an increase after 24 h, but all IGF-1 values were found within reference limits. We conclude that a single intramuscular application of PRP does not significantly increase systemic IGF-1 levels. Therefore, a single application of PRP is safe with respect to systemic IGF-1 response and cancer risk and this should be allowed for treatment of muscle injuries in elite athletes.

Key words: Platelet rich plasma, intramuscular application, IGF-1, cancer risk, doping.

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