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脂肪基质血管成分细胞对脂肪移植成活率影响的实验研究

[Experimental study of the effect of adipose stromal vascular fraction cells on the survival rate of fat transplantation].

作者信息

Fu Bing-Chuan, Gao Jian-Hua, Lu Feng, Li Jie

机构信息

Department of Plastic Surgery, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Jul;26(4):289-94.

PMID:21046778
Abstract

OBJECTIVE

To investigate the effect of adipose stromal vascular fraction cells (SVFs) on the survival rate of fat transplantation.

METHODS

  1. 5 ml autologous fat tissue was mixed with: 1) Di-labeled autologous SVFs ( Group A); 2) Di-labeled autologous adipose-derived stem cells (ASCs) (Group B); 3)Complete DMEM (Group C). And then the mixture was injected randomly under the back skin of 14 rabbits. The transplanted fat tissue in three groups was harvested at 6 months after implantation. Wet weight of fat grafts was measured for macroscopic aspects. After HE staining, blood vessel density, viable adipocytes and fibrous proliferation were counted respectively for histological evaluation. Trace of DiI-labeled ASCs in vivo was detected by fluorescent microscope.

RESULTS

The wet weight of fat grafts in group A (291.0 +/- 72.1) mg and group B (269.3 +/- 67.3) mg was significantly higher than that in group C (177.8 +/- 60.0) mg, but the difference between Group A and Group B was not significant. Histological analysis revealed that the fat grafts in group A and B was consisted predominantly of adipose tissue with less fat necrosis and fibrosis, compared with the fat grafts in group C. The grafts in both group A and B had significantly higher capillary density than those in the control group. Part of vascular endothelial cells were observed to origin from ectogenic DiI-labeled SVFs and ASCs.

CONCLUSIONS

The autologous isolated SVFs has a similar effect as autologous cultured ASCs to improve the survival rate of fat transplantation. And the former is more practical and safe, indicating a wide clinical application in the future.

摘要

目的

探讨脂肪基质血管成分细胞(SVFs)对脂肪移植存活率的影响。

方法

将0.5 ml自体脂肪组织与以下物质混合:1)双标记自体SVFs(A组);2)双标记自体脂肪来源干细胞(ASCs)(B组);3)完全DMEM(C组)。然后将混合物随机注射到14只兔子的背部皮肤下。植入后6个月采集三组的移植脂肪组织。测量脂肪移植物的湿重以进行宏观观察。HE染色后,分别计数血管密度、存活脂肪细胞和纤维增生情况以进行组织学评估。通过荧光显微镜检测体内DiI标记的ASCs的踪迹。

结果

A组(291.0±72.1)mg和B组(269.3±67.3)mg脂肪移植物的湿重显著高于C组(177.8±60.0)mg,但A组和B组之间的差异不显著。组织学分析显示,与C组的脂肪移植物相比,A组和B组的脂肪移植物主要由脂肪组织组成,脂肪坏死和纤维化较少。A组和B组的移植物毛细血管密度均显著高于对照组。观察到部分血管内皮细胞起源于外源性DiI标记的SVFs和ASCs。

结论

自体分离的SVFs与自体培养的ASCs在提高脂肪移植存活率方面具有相似的作用。并且前者更具实用性和安全性,表明其在未来具有广泛的临床应用前景。

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Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Jul;26(4):289-94.
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