Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer

Background: Cell-assisted lipotransfer (CAL), a modified adipose-derived stromal/stem cells (ADSCs)-based approach for autologous fat grafting that is an ideal option for soft tissue augmentation, has many shortcomings in terms of retention and adverse effects. The objective of our study was to impr...

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Main Authors: Hongtao Fu, Shanshan Dong, Kun Li
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Regenerative Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352320422001146
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author Hongtao Fu
Shanshan Dong
Kun Li
author_facet Hongtao Fu
Shanshan Dong
Kun Li
author_sort Hongtao Fu
collection DOAJ
description Background: Cell-assisted lipotransfer (CAL), a modified adipose-derived stromal/stem cells (ADSCs)-based approach for autologous fat grafting that is an ideal option for soft tissue augmentation, has many shortcomings in terms of retention and adverse effects. The objective of our study was to improve the treatment efficacy of CAL by adding fibroblasts. Methods: ADSCs and fibroblasts were isolated from human adipose and dermal tissues, with fibroblasts identified by immunofluorescence and ADSCs identified by the multilineage differentiation method. We performed cell proliferation, apoptosis, migration, adipogenic, and hemangioendothelial differentiation experiments, qPCR and Western blotting analysis in co-cultures of fibroblasts and ADSCs. Subsequently, we conducted animal experiments with BALB/c nude mice. Masson's staining, immunofluorescence staining and ultrasound were used to analyze the occurrence of adverse reactions of the grafted fat, and CT and three-dimensional reconstruction were used to accurately evaluate the volume of the grafted fat. Results: We found that the co-culture of fibroblasts and ADSCs promoted their mutual proliferation, adipogenic differentiation, hemangioendothelial differentiation and proliferation and migration of HUVECs. Fibroblasts inhibit the apoptosis of ADSCs. Moreover, in animal experiments, the autografted adipose group combined with ADSCs and fibroblasts had the least occurrence of oily cysts, and fat had the best form of survival. Conclusions: We enhanced adipocyte regeneration and angiogenesis in ADSCs and fibroblast cells after adding fibroblasts to conventional CAL autologous fat grafts. In turn, the volume retention rate of the grafted fat is improved, and the adverse reactions are reduced.
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spelling doaj.art-5fc28fd948cb4a929bd5a5db9ef8dbc92023-03-11T04:19:56ZengElsevierRegenerative Therapy2352-32042023-03-0122718Study on promoting the regeneration of grafted fat by cell-assisted lipotransferHongtao Fu0Shanshan Dong1Kun Li2Department of Breast Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, ChinaDepartment of Medicine, Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, ChinaDepartment of Emergency Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, NO. 161 Shaoshan South Road, Changsha 410004, Hunan, China; Corresponding author. The Affiliated Changsha Central Hospital, 161 Shaoshan South Road, Changsha 410004, China.Background: Cell-assisted lipotransfer (CAL), a modified adipose-derived stromal/stem cells (ADSCs)-based approach for autologous fat grafting that is an ideal option for soft tissue augmentation, has many shortcomings in terms of retention and adverse effects. The objective of our study was to improve the treatment efficacy of CAL by adding fibroblasts. Methods: ADSCs and fibroblasts were isolated from human adipose and dermal tissues, with fibroblasts identified by immunofluorescence and ADSCs identified by the multilineage differentiation method. We performed cell proliferation, apoptosis, migration, adipogenic, and hemangioendothelial differentiation experiments, qPCR and Western blotting analysis in co-cultures of fibroblasts and ADSCs. Subsequently, we conducted animal experiments with BALB/c nude mice. Masson's staining, immunofluorescence staining and ultrasound were used to analyze the occurrence of adverse reactions of the grafted fat, and CT and three-dimensional reconstruction were used to accurately evaluate the volume of the grafted fat. Results: We found that the co-culture of fibroblasts and ADSCs promoted their mutual proliferation, adipogenic differentiation, hemangioendothelial differentiation and proliferation and migration of HUVECs. Fibroblasts inhibit the apoptosis of ADSCs. Moreover, in animal experiments, the autografted adipose group combined with ADSCs and fibroblasts had the least occurrence of oily cysts, and fat had the best form of survival. Conclusions: We enhanced adipocyte regeneration and angiogenesis in ADSCs and fibroblast cells after adding fibroblasts to conventional CAL autologous fat grafts. In turn, the volume retention rate of the grafted fat is improved, and the adverse reactions are reduced.http://www.sciencedirect.com/science/article/pii/S2352320422001146Autologous fat graftingAdipose-derived stromal/stem cellsFibroblastsCell-assisted lipotransfer
spellingShingle Hongtao Fu
Shanshan Dong
Kun Li
Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
Regenerative Therapy
Autologous fat grafting
Adipose-derived stromal/stem cells
Fibroblasts
Cell-assisted lipotransfer
title Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
title_full Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
title_fullStr Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
title_full_unstemmed Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
title_short Study on promoting the regeneration of grafted fat by cell-assisted lipotransfer
title_sort study on promoting the regeneration of grafted fat by cell assisted lipotransfer
topic Autologous fat grafting
Adipose-derived stromal/stem cells
Fibroblasts
Cell-assisted lipotransfer
url http://www.sciencedirect.com/science/article/pii/S2352320422001146
work_keys_str_mv AT hongtaofu studyonpromotingtheregenerationofgraftedfatbycellassistedlipotransfer
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AT kunli studyonpromotingtheregenerationofgraftedfatbycellassistedlipotransfer