American Society of Hirudotherapy

Effect of Unloading Condition on the Healing Process and Effectiveness of Platelet Rich Plasma as a Countermeasure: Study on In Vivo and In Vitro Wound Healing Models

Preclinical published in Int J Mol Sci (2020)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Preclinical (animal)Drug DevelopmentSalivary PharmacologyCialdai F et al. · International journal of molecular sciences, 2020

Abstract

Wound healing is a very complex process that allows organisms to survive injuries. It is strictly regulated by a number of biochemical and physical factors, mechanical forces included. Studying wound healing in space is interesting for two main reasons: (i) defining tools, procedures, and protocols to manage serious wounds and burns eventually occurring in future long-lasting space exploration missions, without the possibility of timely medical evacuation to Earth; (ii) understanding the role of gravity and mechanical factors in the healing process and scarring, thus contributing to unravelling the mechanisms underlying the switching between perfect regeneration and imperfect repair with scarring. In the study presented here, a new in vivo sutured wound healing model in the leech (Hirudo medicinalis) has been used to evaluate the effect of unloading conditions on the healing process and the effectiveness of platelet rich plasma (PRP) as a countermeasure. The results reveal that microgravity caused a healing delay and structural alterations in the repair tissue, which were prevented by PRP treatment. Moreover, investigating the effects of microgravity and PRP on an in vitro wound healing model, it was found that PRP is able to counteract the microgravity-induced impairment in fibroblast migration to the wound site. This could be one of the mechanisms underlying the effectiveness of PRP in preventing healing impairment in unloading conditions.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAnimalsCell CountCell MovementCollagenElasticityGene Expression RegulationLeechesMiceModels, BiologicalNIH 3T3 CellsPlatelet-Rich PlasmaVascular Endothelial Growth Factor A

Summary

Novel sutured wound-healing model in Hirudo medicinalis demonstrates that microgravity impairs healing; platelet-rich plasma reverses microgravity-induced delays and structural alterations.

Why This Matters for Hirudotherapy

This study used Hirudo medicinalis as an in-vivo sutured wound healing model to evaluate the effects of unloading (microgravity) conditions on tissue repair and the effectiveness of platelet-rich plasma (PRP) as a countermeasure, supplemented by an in-vitro fibroblast migration model. It is relevant to ASH's domain only insofar as the leech serves as the experimental subject for studying wound healing biology—the study found microgravity caused healing delays and structural alterations in leech repair tissue, prevented by PRP. However, the leech here is used as a model organism, not as a therapeutic agent; the study does not investigate hirudotherapy, leech saliva, leech secretome components, or any leech-derived intervention. The focus is on wound healing mechanisms under microgravity and PRP efficacy, with no therapeutic application of leeches or leech products.

Citation

Effect of Unloading Condition on the Healing Process and Effectiveness of Platelet Rich Plasma as a Countermeasure: Study on In Vivo and In Vitro Wound Healing Models.

Cialdai F et al. · International journal of molecular sciences, 2020

Added to ASH library: May 26, 2026 · Site last updated: June 18, 2026

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.