Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis

Abstract Background Autologous fat grafting is hampered by unpredictable graft survival, which is potentially regulated by ferroptosis. Glutathione (GSH), a powerful antioxidant used in tissue preservation, has ferroptosis-regulating activity; however, its effects on fat grafts are unclear. This stu...

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Main Authors: Zehua Li, Jinqiang Lu, Zhiqin Dong, Jiaji Liang, Shenghong Li, Wenwen Han, Taixing Cui, Hongwei Liu
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-024-03644-0
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author Zehua Li
Jinqiang Lu
Zhiqin Dong
Jiaji Liang
Shenghong Li
Wenwen Han
Taixing Cui
Hongwei Liu
author_facet Zehua Li
Jinqiang Lu
Zhiqin Dong
Jiaji Liang
Shenghong Li
Wenwen Han
Taixing Cui
Hongwei Liu
author_sort Zehua Li
collection DOAJ
description Abstract Background Autologous fat grafting is hampered by unpredictable graft survival, which is potentially regulated by ferroptosis. Glutathione (GSH), a powerful antioxidant used in tissue preservation, has ferroptosis-regulating activity; however, its effects on fat grafts are unclear. This study investigated the effects and mechanisms of GSH in fat graft survival. Methods Human lipoaspirates were transplanted subcutaneously into the backs of normal saline-treated (control) or GSH-treated nude mice. Graft survival was evaluated by magnetic resonance imaging and histology. RNA sequencing was performed to identify differentially expressed genes and enriched pathways. GSH activity was evaluated in vitro using an oxygen and glucose deprivation (OGD) model of adipose-derived stem cells. Results Compared with control group, GSH induced better outcomes, including superior graft retention, appearance, and histological structures. RNA sequencing suggested enhanced negative regulation of ferroptosis in the GSH-treated grafts, which showed reduced lipid peroxides, better mitochondrial ultrastructure, and SLC7A11/GPX4 axis activation. In vitro, OGD-induced ferroptosis was ameliorated by GSH, which restored cell proliferation, reduced oxidative stress, and upregulated ferroptosis defense factors. Conclusions Our study confirms that ferroptosis participates in regulating fat graft survival and that GSH exerts a protective effect by inhibiting ferroptosis. GSH-assisted lipotransfer is a promising therapeutic strategy for future clinical application.
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spelling doaj.art-092bd1faf5a84c22a4f7fa31a5eca50b2024-03-05T17:52:23ZengBMCStem Cell Research & Therapy1757-65122024-01-0115111410.1186/s13287-024-03644-0Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axisZehua Li0Jinqiang Lu1Zhiqin Dong2Jiaji Liang3Shenghong Li4Wenwen Han5Taixing Cui6Hongwei Liu7Department of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityDepartment of Medical Pharmacology and Physiology, Dalton Cardiovascular Research Center, School of Medicine, University of MissouriDepartment of Plastic Surgery, The First Affiliated Hospital of Jinan UniversityAbstract Background Autologous fat grafting is hampered by unpredictable graft survival, which is potentially regulated by ferroptosis. Glutathione (GSH), a powerful antioxidant used in tissue preservation, has ferroptosis-regulating activity; however, its effects on fat grafts are unclear. This study investigated the effects and mechanisms of GSH in fat graft survival. Methods Human lipoaspirates were transplanted subcutaneously into the backs of normal saline-treated (control) or GSH-treated nude mice. Graft survival was evaluated by magnetic resonance imaging and histology. RNA sequencing was performed to identify differentially expressed genes and enriched pathways. GSH activity was evaluated in vitro using an oxygen and glucose deprivation (OGD) model of adipose-derived stem cells. Results Compared with control group, GSH induced better outcomes, including superior graft retention, appearance, and histological structures. RNA sequencing suggested enhanced negative regulation of ferroptosis in the GSH-treated grafts, which showed reduced lipid peroxides, better mitochondrial ultrastructure, and SLC7A11/GPX4 axis activation. In vitro, OGD-induced ferroptosis was ameliorated by GSH, which restored cell proliferation, reduced oxidative stress, and upregulated ferroptosis defense factors. Conclusions Our study confirms that ferroptosis participates in regulating fat graft survival and that GSH exerts a protective effect by inhibiting ferroptosis. GSH-assisted lipotransfer is a promising therapeutic strategy for future clinical application.https://doi.org/10.1186/s13287-024-03644-0Adipose-derived stem cellFat graftFerroptosisGlutathioneLipotransfer
spellingShingle Zehua Li
Jinqiang Lu
Zhiqin Dong
Jiaji Liang
Shenghong Li
Wenwen Han
Taixing Cui
Hongwei Liu
Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
Stem Cell Research & Therapy
Adipose-derived stem cell
Fat graft
Ferroptosis
Glutathione
Lipotransfer
title Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
title_full Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
title_fullStr Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
title_full_unstemmed Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
title_short Glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the SLC7A11/GPX4 axis
title_sort glutathione supplementation improves fat graft survival by inhibiting ferroptosis via the slc7a11 gpx4 axis
topic Adipose-derived stem cell
Fat graft
Ferroptosis
Glutathione
Lipotransfer
url https://doi.org/10.1186/s13287-024-03644-0
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