Platelet-rich plasma supplementation in semen extenders improves post-thaw sperm quality and fertility in buffalo (Bubalus bubalis): A systematic review and meta-analysis
Role of PRP in buffalo semen cryopreservation
DOI:
https://doi.org/10.62310/liab.v6i1.303Keywords:
Buffalo, Platelet-rich plasma, Semen extender, Meta-analysis, Semen quality, FertilityAbstract
Cryopreservation of semen is an essential component of buffalo reproductive management, although the freeze–thaw process frequently induces sperm cryodamage and oxidative stress– related decline in fertility. Platelet-rich plasma (PRP) is a blood-derived concentrate rich in biologically active growth factors and endogenous antioxidants, which is a known enhancer of sperm cryosurvival. Therefore, it is supplemented in buffalo semen extenders. This systematic review and meta-analysis targeted to quantify the influence of PRP substitution in buffalo semen extenders on post-thaw sperm quality and fertility outcomes. A comprehensive literature search was conducted across five electronic databases to identify eligible controlled studies. PRP supplementation improves post-thaw sperm quality, including progressive motility, viability, plasma membrane integrity, and acrosomal integrity, while reducing malondialdehyde levels and increasing total antioxidant capacity and superoxide dismutase activity, indicating reduced oxidative damage during cryopreservation. Pooled fertility data revealed that the conception rates following insemination with PRP-enriched frozen semen were higher than those in the control group. There was moderate heterogeneity in the measured variables, which were largely attributable to the differences in PRP concentrations, preparation methods, and the types of extenders used rather than disagreement in the effect direction. The study results are consistent with earlier investigations, indicating that PRP may have different mechanisms of action of protecting sperm from freezing, which potentially translates into better reproductive performance after laboratory improvements. Although the current studies support the potential incorporation of PRP into buffalo semen cryopreservation protocols, further well-designed studies are required to define a standard method of PRP preparation, determine the optimum dose, and validate the effectiveness of PRP under field conditions.
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References
Abdulla AK, Rebai T, Al-Delemi DHJ. (2022). Protective effects of autologous Platelet-Rich Plasma (PRP) on the outcome of cryopreservation in rabbit sperm. Cellular and Molecular Biology 68(4): 113–121. https://doi.org/10.14715/cmb/2022.68.4.14
Alcay S, Aktar A, Koca D, Kilic MA, Akkasoglu M, Yilmaz MM, Sagirkaya H. (2022). Autologous platelet rich plasma have positive effect on ram spermatozoa during cryopreservation in non-breeding season. Kafkas Universitesi Veteriner Fakultesi Dergisi 28(2): 229-234. https://doi.org/10.9775/kvfd.2021.26763
Almadaly E, Mansour I, Sahwan F, Shehabeldin MA, El-Kon I, Sakr A, Eldomany W, Ramoun AA. (2024). Effect of adding autologous platelet-rich plasma to the freezing extender on the post-thaw quality and in vitro fertility of buffalo (Bubalus bubalis) spermatozoa. Egyptian Journal of Veterinary Sciences 56(3): 617–626. https://doi.org/10.21608/ejvs.2024.254249.1712
Almadaly EA, Ibrahim IM, Salama MS, Ashour MA, Sahwan FM, El-Kon II, Abouzed TK, El-Domany WB. (2023). Effect of platelet-rich plasma (PRP) on post-thaw quality, kinematics and in vivo fertility of fertile and subfertile buffalo (Bubalus bubalis) spermatozoa. Veterinary Research Communications 47(1): 61–72. https://doi.org/10.1007/s11259-022-09928-1
Amable PR, Carias RBV, Teixeira MVT, Da Cruz Pacheco Í, Corrêa Do Amaral RJF, Granjeiro JM, Borojevic R. (2013). Platelet-rich plasma preparation for regenerative medicine: optimization and quantification of cytokines and growth factors. Stem Cell Research & Therapy 4(3): 67. https://doi.org/10.1186/scrt218
Bustani GS, Baiee FH. (2021). Semen extenders: An evaluative overview of preservative mechanisms of semen and semen extenders. Veterinary World 14(5): 1220–1233. https://doi.org/10.14202/vetworld.2021.1220-1233
Cecerska-Heryć E, Goszka M, Serwin N, Roszak M, Grygorcewicz B, Heryć R, Dołęgowska B. (2022). Applications of the regenerative capacity of platelets in modern medicine. Cytokine & Growth Factor Reviews 64(2022): 84–94. https://doi.org/10.1016/j.cytogfr.2021.11.003
Chang Y, Li J, Chen Y, Wei L, Yang X, Shi Y, Liang X. (2015). Autologous platelet-rich plasma promotes endometrial growth and improves pregnancy outcome during in vitro fertilization. International journal of clinical and experimental medicine 8(1): 1286–1290. https://pmc.ncbi.nlm.nih.gov/articles/PMC4358582/
El-Sherbiny HR, Abdelnaby EA, Samir H, Fathi M. (2022). Addition of autologous platelet rich plasma to semen extender enhances cryotolerance and fertilizing capacity of buffalo bull spermatozoa. Theriogenology 194: 104–109. https://doi.org/10.1016/j.theriogenology.2022.09.029
Ezzati M, Shanehbandi D, Hamdi K, Rahbar S, Pashaiasl M. (2020). Influence of cryopreservation on structure and function of mammalian spermatozoa: an overview. Cell Tissue Bank 21(1): 1–15. https://doi.org/10.1007/s10561-019-09797-0
Gualtieri R, Kalthur G, Barbato V, Di Nardo M, Adiga SK, Talevi R. (2021). Mitochondrial dysfunction and oxidative stress caused by cryopreservation in reproductive cells. Antioxidants 10(3): 337. https://doi.org/10.3390/antiox10030337
Güngör İH, Türk G, Çakır Cihangiroğlu A, Arkalı G, Tektemur A, Kırmızıkaya Özmen G, Badıllı N, Acısu TC, Bulan MS, Özer Kaya Ş, Sönmez M, Gür S, Yüce A, Yilmaz Ö, Memili E, Çambay Z. (2025). Platelet-rich plasma strategy against freezing damage in ram spermatozoa: its effect on miRNA, ion channels, growth factors, lipids and oxidative stress. Reproduction, Fertility and Development 37(15): RD25064. https://doi.org/10.1071/RD25064
Hosseini S, Kazemi M, Salehpour S, Saharkhiz N, Majdi L. (2025). Evaluation of the effect of platelet-rich plasma (PRP) on the sperm parameters. Taiwanese Journal of Obstetrics and Gynecology 64(2): 313–318. https://doi.org/10.1016/j.tjog.2024.12.010
Hufana-Duran D, Chaikhun-Marcou T, Duran PG, Atabay EP, Nguyen HT, Atabay EC, Nguyen UT, Nguyen HT, Hiew MWH, Punyawai K, Ginting N, Parnpai R. (2025). Future of reproductive biotechnologies in water buffalo in southeast Asian countries. Theriogenology 233: 123–130. https://doi.org/10.1016/j.theriogenology.2024.11.016
Khan IM, Cao Z, Liu H, Khan A, Rahman SU, Khan MZ, Sathanawongs A, Zhang Y. (2021). Impact of cryopreservation on spermatozoa freeze-thawed traits and relevance OMICS to assess sperm cryo-tolerance in farm animals. Frontiers in Veterinary Science 8: 609180. https://doi.org/10.3389/fvets.2021.609180
Li WH, Weng XX, Yuan LF, Li F, Yue XP, Li FD. (2021). Effect of feeding linseed diet on testis development, antioxidant capacity, and epididymal cauda sperm concentration in Chinese Hu lamb. Theriogenology 159: 69–76. https://doi.org/10.1016/j.theriogenology.2020.10.014
Liu K, Cheng H, Guo Y, Liu Y, Li L, Zhang X. (2022). Autologous platelet‐rich plasma intrauterine perfusion to improve pregnancy outcomes after implantation failure: A systematic review and meta‐analysis. Journal of Obstetrics and Gynaecology Research 48(12): 3137–3151. https://doi.org/10.1111/jog.15431
Masuki H, Okudera T, Watanebe T, Suzuki M, Nishiyama K, Okudera H, Nakata K, Uematsu K, Su C-Y, Kawase T. (2016). Growth factor and pro-inflammatory cytokine contents in platelet-rich plasma (PRP), plasma rich in growth factors (PRGF), advanced platelet-rich fibrin (A-PRF), and concentrated growth factors (CGF). International Journal of Implant Dentistry 2(1): 19. https://doi.org/10.1186/s40729-016-0052-4
Moradian SA, Amirkhani Z, Movahedin M, Gharib SN, Varghaiyan Y, Niknafs B, Hamdi K, Hajipour H, Fattahi A. (2025). Platelet-rich plasma (PRP) and the future of male fertility: a path forward for personalized and regenerative therapies. Stem Cell Research & Therapy 16(1): 486. https://doi.org/10.1186/s13287-025-04602-0
Nagy B, Kovács K, Sulyok E, Várnagy Á, Bódis J. (2023). Thrombocytes and platelet-rich plasma as modulators of reproduction and fertility. International Journal of Molecular Sciences 24(24): 17336. https://doi.org/10.3390/ijms242417336
Nazari A, Dirandeh E, Ansari-Pirsaraei Z, Deldar H. (2019). Antioxidant levels, copper and zinc concentrations were associated with postpartum luteal activity, pregnancy loss and pregnancy status in Holstein dairy cows. Theriogenology 133: 97–103. https://doi.org/10.1016/j.theriogenology.2019.04.034
Partyka A, Niżański W. (2021). Supplementation of avian semen extenders with antioxidants to improve semen quality—Is it an effective strategy?. Antioxidants 10(12): 1927. https://doi.org/10.3390/antiox10121927
Pavlovic V, Ciric M, Jovanovic V, Stojanovic P. (2016). Platelet Rich Plasma: a short overview of certain bioactive components. Open Medicine 11(1): 242–247. https://doi.org/10.1515/med-2016-0048
Salama MS, Shehabeldin AM, Ashour MA, Al-Ghadi MQ, Marghani BH, El-kon I, Shukry M. (2024a.) Effect of the addition of platelet-rich plasma to Boer buck semen on sperm quality and antioxidant activity before and after cryopreservation and in vivo fertility. Small Ruminant Research 230: 107167. https://doi.org/10.1016/j.smallrumres.2023.107167
Salama MS, Shehabeldin AM, Ashour MA, Alkeridis LA, Al-Shuraym LA, Sayed SM, Farrag F, Shukry M. (2024b). The impact of autologous platelet-rich plasma supplement on Ossimi ram semen quality and fertility: In vivo fertility of freshly diluted and frozen-thawed spermatozoa. Small Ruminant Research 235: 107283. https://doi.org/10.1016/j.smallrumres.2024.107283
Seckin S, Ramadan H, Mouanness M, Kohansieh M, Merhi Z. (2022). Ovarian response to intraovarian platelet-rich plasma (PRP) administration: hypotheses and potential mechanisms of action. Journal of Assisted Reproduction and Genetics 39(1): 37–61. https://doi.org/10.1007/s10815-021-02385-w
Segabinazzi LG, Friso AM, Correal SB, Crespilho AM, Dell’Aqua JA, Miró J, Papa FO, Alvarenga MA. (2017). Uterine clinical findings, fertility rate, leucocyte migration, and COX-2 protein levels in the endometrial tissue of susceptible mares treated with platelet-rich plasma before and after AI. Theriogenology 104: 120–126. https://doi.org/10.1016/j.theriogenology.2017.08.007
Tognoloni A, Bartolini D, Pepe M, Di Meo A, Porcellato I, Guidoni K, Galli F, Chiaradia E. (2023). Platelets rich plasma increases antioxidant defenses of tenocytes via Nrf2 signal pathway. International Journal of Molecular Sciences 24(17): 13299. https://doi.org/10.3390/ijms241713299
Ullah K, Waheed A. (2025). Review: Genetic improvement in livestock: A journey from conventional breeding to genomic precision. Veterinary Biomedical and Clinical Journal 7(1): 30–44. https://doi.org/10.21776/ub.VetBioClinJ.2025.007.01.3
Wu W-S, Chen L-R, Chen K-H. (2025). Platelet-Rich Plasma (PRP): Molecular mechanisms, actions and clinical applications in human body. International Journal of Molecular Sciences 26(21): 10804. https://doi.org/10.3390/ijms262110804
Yan B, Zhang Y, Tian S, Hu R, Wu B. (2021). Effect of autologous platelet-rich plasma on human sperm quality during cryopreservation. Cryobiology 98: 12–16. https://doi.org/10.1016/j.cryobiol.2021.01.009
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Copyright (c) 2026 Ragil Angga Prastiya, Trilas Sardjito, Sri Pantja Madyawati, Muhammad Thohawi Elziyad Purnama, Amung Logam Saputro, Bodhi Agustono, Nining Haryuni, Samira Musa Sasi, Nagia Musa Alghoul

This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2026-03-13
Published 2026-03-17