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Effect of Activated Platelet-Rich Plasma on In Vitro Spermatogenesis in Testicular Organoids

Merve Bulut, Selin Önen, Merve Gizer, Cansel Özmen, Petek Korkusuz, Nilgün Öksel

Uludağ Üniversitesi Tıp Fakültesi Dergisi, 2025

Abstract

Infertility affects 10–20% of couples, and male-related factors contribute to 30–50% of cases. Although testicular organoids (TOs) support in vitro spermatogenesis, one of the most significant limitations of these approaches is the undefined nature of serum and/or xenogenic growth factors used in the culture media. Platelet-rich plasma (PRP) has a regenerative effect on spermatogenesis after testicular damage and maintains the proliferation and function of spermatogonial stem cells (SSCs) in vitro. In this study, prepubertal C57BL/6 testicular cells were cultured with activated PRP using ultra-low attachment and air–liquid interface culture systems. Spermatogenic progression was evaluated at weeks 1, 3, 4, and 6 through histomorphometric and immunohistochemical analyses. In TOs supported with 10% PRP (PRP group), the SSC pool was preserved for 6 weeks, and the number of ID4(+) SSCs was higher than that in TOs supported with 10% knockout serum replacement (KK group) and 5% knockout serum replacement + 5% fetal bovine serum (KF group) at weeks 3, 4, and 6. In the PRP group, the number of SCP3(+) spermatocytes remained constant from weeks 1 to 6 and was higher than that in the KK and KF groups at weeks 4 and 6. In all TOs, ACR(+) round spermatids were observed at week 3, and PRP group had more ACR(+) spermatids than KK group at week 4. The results suggest that activated PRP may serve as a promising culture supplement to support spermatogenesis, although its safety and clinical…

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