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Table 1.

Rat-specific primer pair sequence for real-time PCR.

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Figure 1.

Changes in the fold increase expression levels of (A) cytokines (TNFα, IL-6, IL-10, IL-1β, and TGF-1β) (B) myogenic response factors (MyoD1, Myf5, Pax7, Myogenin and Mrf4) and (C) growth factors (VEGF-A and IGF-1Eb) mRNA in skeletal muscle treated or not with PRP during the experimental period (at day 2 and 5).

The y-axis for all graphs represents the fold-difference relative to the Ctrl group. * represents significant difference between injured compared with the Ctrl group (p<0.05). § represents a significant difference between the PRP-injury treated group and the NO PRP-injury treated group (p<0.05). Values are means ± SEM (n = 5 rats/group at each time point). Dashed line represents the base line control group.

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Figure 2.

Effects of PRP on total MyoD1 (A) and Myogenin (B) protein expression in uninjured skeletal muscle of rat (Ctrl), injured-PRP treated (PRP group) or not PRP treated (NO-PRP group) at different times post-injury (at day 2 and 5).

The relative protein expression was determined by the ratio of the sample value to an internal standard control (GAPDH). Values are means ± SEM (n = 5 rats/group at each time point). * represents a significant difference between injured groups and the Ctrl group (p<0.05). § represents a significant difference between PRP-injury treated groups and NO PRP-injury treated groups (p<0.05).

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Figure 3.

Immunohistochemical analysis of (A) MyoD1-positive or (C) Pax7-positive nuclei in skeletal muscle injury treated or not with PRP.

Representative double-immunoflorescence staining of skeletal muscle for (B) MyoD1 (green) and laminin (red) or (D) Pax7 (green) and laminin (red), at day 2- and 5, respectively. Myonuclei were counterstained by blue fluorescent dyes (Hoechst). The percentage of MyoD1-positive or Pax7-positive cells was calculated as the ratio of the number of nuclei in MyoD1- or Pax7 positive cells over that of Hoechst-positive nuclei. Results were presented as means ± SEM from n = 5 rats/group per time point and on five sections from each animal. Scale bars = 50 µm. * p<0.05 vs. Ctrl group. §p<0.05 vs. NO-PRP group.

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Figure 4.

Real time-PCR analysis of miR-1, miR-133a and miR-206 expression using total RNA isolated from Ctrl-, PRP- and NO-PRP- group at 2 (A) and 5 (B) day post-injury.

C) Western blot analysis of SRF protein expression in skeletal muscle at 2- and 5-day post-injury. The histograms represent fold change expression calculated as means ± SEM (n = 5 rats/group at each time point) respect to the Ctrl group. *p<0.05 vs. Ctrl group. §p<0.05 vs. 5d NO-PRP group. Dashed line represents the base line Ctrl group.

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Figure 5.

Effects of PRP on (A) p38MAPK, (B) ERK activity and (C) AKT tot at 2- and 5-day post-injury in regenerating skeletal muscle.

Bar diagrams representing the densitometric intensities of p-p38MAPK, pERK1/2 and AKT tot normalized with those for p38MAPK, ERK and GAPDH content, respectively. Results were presented as means ± SEM from n = 5 rats/group per time point. *p<0.05 vs. Ctrl group. §p<0.05 vs. NO-PRP group.

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Figure 6.

Effect of PRP treatment on several HSPs during regeneration process (2- and 5-day post-injury).

(A) Representative immunoblot of each protein marker reported. (B) αB-crystallin; (C) S59 phospho-αB-crystallin; (D) Hsp27; (E) S82 phpspho-Hsp27; (F) Hsp70. Each bar represents mean value ± SEM (n = 5/group at each point). * p<0.05 vs. Ctrl group.§ p<0.05 vs. 5d NO-PRP group.

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Figure 7.

Effect of PRP treatment on several apoptotic markers during regeneration process (2- and 5-day postinjury).

(A) Representative immunoblot of each protein marker reported; (B) NF-κB-p65, and (C) Bax/Bcl-2 ratio. Values are means ± SEM (n = 5/group at each point). * p< 0.05 vs. Ctrl group.§ p< 0.05 vs. 5d NO-PRP group.

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Figure 8.

Model of PRP-mediated regulation of skeletal muscle healing.

The presence of PRP modulated the expression of miR-133a and SRF protein as well as several myogenic response factors such as MyoD1, Pax7, and Myf5, the growth factor IGF-1Eb and both the cytokine IL-1β and TGF-1β. The modulation of these factors may affect important physiological processes such as the inflammatory response, myoblast proliferation and differentiation, production of extracellular matrix, and myoblast apoptosis.

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Figure 9.

Schematic representation of the role of αB-crystallin and Hsp27 in the myofiber stabilization and in cytoprotection following skeletal muscle injury.

The presence of PRP enhances phosphorylation of Ser-59 of αB-crystallin, which binds myofilaments and the inactive precursor of caspase 3, causing their stabilization and inhibition of apoptosis. Further, phospho Ser-59 αB-crystallin enhances NF-κB-p65 activation which may contribute to increased cell survival during regeneration process.

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