“…Previous studies with single GF found in PRP preparation, such as BMP-2, BMP-4, BMP-7, CTGF, FGF-2, growth differentiation factor-5 (GDF-5), IGF-I, TGF-β2 and TGF-β3, are involved in chondrogenic development of chondrocytes and/or mesenchymal stem and progenitor cells. In order to assess their effects on cartilage repair in vitro or in vivo, all of these GF have been used as single inducers rather than in combination [15,23,24,25,37,38,39,40,41,42,43,44,45,46,47,48,49]. Only few GF have been tested in combination, suggesting additive effects; an enhanced chondrogenic development was observed when mesenchymal stem cells were induced with IGF-I and either TGF-β or BMP-2 or BMP-7, leading to a significant increase of cartilage matrix synthesis [50].…”