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源自成人干细胞的脂肪组织工程:在整形与重建外科中的临床意义

Adipose tissue engineering from human adult stem cells: clinical implications in plastic and reconstructive surgery.

作者信息

Stosich Michael S, Mao Jeremy J

机构信息

New York, N.Y. From the College of Dental Medicine and Department of Biomedical Engineering, Columbia University.

出版信息

Plast Reconstr Surg. 2007 Jan;119(1):71-83. doi: 10.1097/01.prs.0000244840.80661.e7.

Abstract

BACKGROUND

Despite certain levels of clinical efficacy, current autografts and synthetic materials for soft-tissue reconstruction and/or augmentation suffer from donor-site morbidity, rupture, dislocation, and volume reduction. Human adult stem cells can self-replicate and differentiate into adipogenic cells in response to appropriate signaling cues. This study investigated the shape and dimension maintenance of engineered adipose tissue from adult human mesenchymal stem cells.

METHODS

Human mesenchymal stem cells were isolated from bone marrow of a healthy donor and differentiated into adipogenic cells. Adipocytes derived from these cells were encapsulated in a poly(ethylene glycol)-based hydrogel shaped into a generic cylinder (n = 6 implants), with hydrogel encapsulating human mesenchymal stem cells (n = 6) and cell-free hydrogel (n = 6) as controls. Porous collagen sponges were also used to seed human mesenchymal stem cell-derived adipocytes (n = 6), human mesenchymal stem cells (n = 4), or without cells (n = 4). All poly(ethylene glycol) and collagen constructs were implanted subcutaneously in athymic mice for 4 weeks.

RESULTS

In vivo grafts demonstrated the formation of substantial adipose tissue encapsulating human mesenchymal stem cell-derived adipogenic cells in either poly(ethylene glycol)-based hydrogel or collagen sponge and a lack of adipose tissue formation in cell-free or human mesenchymal stem cell-derived grafts. Engineered adipose tissue in poly(ethylene glycol)-based hydrogel maintained approximately 100 percent of the original dimensions after 4-week in vivo implantation, significantly higher than the approximately 35 to 65 percent volume retention by collagen sponge.

CONCLUSIONS

These findings demonstrate that the predefined shape and dimensions of adipose tissue engineered from human mesenchymal stem cells can be maintained after in vivo implantation. These data further indicate the potential for autologous applications in reconstructive and plastic surgery procedures.

摘要

背景

尽管目前用于软组织重建和/或增大的自体移植物和合成材料具有一定程度的临床疗效,但仍存在供区发病、破裂、脱位和体积减小等问题。人类成体干细胞能够自我复制,并在适当的信号提示下分化为脂肪生成细胞。本研究调查了源自成人人间充质干细胞的工程化脂肪组织的形状和尺寸维持情况。

方法

从一名健康供体的骨髓中分离出人间充质干细胞,并将其分化为脂肪生成细胞。将源自这些细胞的脂肪细胞封装在聚乙二醇基水凝胶中,制成通用圆柱体(n = 6个植入物),以水凝胶封装人间充质干细胞(n = 6)和无细胞水凝胶(n = 6)作为对照。还使用多孔胶原海绵接种人间充质干细胞衍生的脂肪细胞(n = 6)、人间充质干细胞(n = 4)或无细胞(n = 4)。所有聚乙二醇和胶原构建体均皮下植入无胸腺小鼠体内4周。

结果

体内移植物显示,在聚乙二醇基水凝胶或胶原海绵中,大量脂肪组织包裹着人间充质干细胞衍生的脂肪生成细胞,而在无细胞或人间充质干细胞衍生的移植物中则未形成脂肪组织。聚乙二醇基水凝胶中的工程化脂肪组织在体内植入4周后维持了约100%的原始尺寸,显著高于胶原海绵约35%至65%的体积保留率。

结论

这些发现表明,源自人间充质干细胞的工程化脂肪组织在体内植入后可维持预定义的形状和尺寸。这些数据进一步表明了其在重建和整形手术中的自体应用潜力。

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