Adipose derived stem cells in radiotherapy injury: a new frontier

Radiotherapy is increasingly used to treat numerous human malignancies. In addition to the beneficial anti-cancer effects, there are a series of undesirable effects on normal host tissues surrounding the target tumour. Whilst the early effects of radiotherapy (desquamation, erythema and hair loss) t...

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Main Authors: Lipi eShukla, Wayne eMorrison, Ramin eShayan
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-01-01
Series:Frontiers in Surgery
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00001/full
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author Lipi eShukla
Lipi eShukla
Lipi eShukla
Wayne eMorrison
Wayne eMorrison
Wayne eMorrison
Ramin eShayan
Ramin eShayan
Ramin eShayan
author_facet Lipi eShukla
Lipi eShukla
Lipi eShukla
Wayne eMorrison
Wayne eMorrison
Wayne eMorrison
Ramin eShayan
Ramin eShayan
Ramin eShayan
author_sort Lipi eShukla
collection DOAJ
description Radiotherapy is increasingly used to treat numerous human malignancies. In addition to the beneficial anti-cancer effects, there are a series of undesirable effects on normal host tissues surrounding the target tumour. Whilst the early effects of radiotherapy (desquamation, erythema and hair loss) typically resolve, the chronic effects persist as unpredictable and often troublesome sequelae of cancer treatment, long after oncological treatment has been completed. Plastic surgeons are often called upon to treat the problems subsequently arising in irradiated tissues, such as recurrent infection, impaired healing, fibrosis, contracture and/or lymphoedema. Recently, it was anecdotally noted - then validated in more robust animal and human studies - that fat grafting can ameliorate some of these chronic tissue effects. Despite the widespread usage of fat grafting, the mechanism of its action remains poorly understood. This review provides an overview of the current understanding of (i) mechanisms of chronic radiation injury and its clinical manifestations; (ii) biological properties of fat grafts and their key constituent, Adipose-Derived Stem Cells (ADSCs); (iii) the role of ADSCs in radiotherapy-induced soft-tissue injury.
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spelling doaj.art-b8406fd73dae445e9c38e0aa323173742022-12-21T23:57:18ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2015-01-01210.3389/fsurg.2015.00001123490Adipose derived stem cells in radiotherapy injury: a new frontierLipi eShukla0Lipi eShukla1Lipi eShukla2Wayne eMorrison3Wayne eMorrison4Wayne eMorrison5Ramin eShayan6Ramin eShayan7Ramin eShayan8O'Brien InstituteSt Vincent's HospitalAustralian Catholic UniversityO'Brien InstituteSt Vincent's HospitalAustralian Catholic UniversityO'Brien InstituteSt Vincent's HospitalAustralian Catholic UniversityRadiotherapy is increasingly used to treat numerous human malignancies. In addition to the beneficial anti-cancer effects, there are a series of undesirable effects on normal host tissues surrounding the target tumour. Whilst the early effects of radiotherapy (desquamation, erythema and hair loss) typically resolve, the chronic effects persist as unpredictable and often troublesome sequelae of cancer treatment, long after oncological treatment has been completed. Plastic surgeons are often called upon to treat the problems subsequently arising in irradiated tissues, such as recurrent infection, impaired healing, fibrosis, contracture and/or lymphoedema. Recently, it was anecdotally noted - then validated in more robust animal and human studies - that fat grafting can ameliorate some of these chronic tissue effects. Despite the widespread usage of fat grafting, the mechanism of its action remains poorly understood. This review provides an overview of the current understanding of (i) mechanisms of chronic radiation injury and its clinical manifestations; (ii) biological properties of fat grafts and their key constituent, Adipose-Derived Stem Cells (ADSCs); (iii) the role of ADSCs in radiotherapy-induced soft-tissue injury.http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00001/fullRadiationRadiotherapyCancerAdipose derived Stem Cellsfat injectionAutologous fat grafting
spellingShingle Lipi eShukla
Lipi eShukla
Lipi eShukla
Wayne eMorrison
Wayne eMorrison
Wayne eMorrison
Ramin eShayan
Ramin eShayan
Ramin eShayan
Adipose derived stem cells in radiotherapy injury: a new frontier
Frontiers in Surgery
Radiation
Radiotherapy
Cancer
Adipose derived Stem Cells
fat injection
Autologous fat grafting
title Adipose derived stem cells in radiotherapy injury: a new frontier
title_full Adipose derived stem cells in radiotherapy injury: a new frontier
title_fullStr Adipose derived stem cells in radiotherapy injury: a new frontier
title_full_unstemmed Adipose derived stem cells in radiotherapy injury: a new frontier
title_short Adipose derived stem cells in radiotherapy injury: a new frontier
title_sort adipose derived stem cells in radiotherapy injury a new frontier
topic Radiation
Radiotherapy
Cancer
Adipose derived Stem Cells
fat injection
Autologous fat grafting
url http://journal.frontiersin.org/Journal/10.3389/fsurg.2015.00001/full
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