Hwang So-Min, Lee Jong-Seo, Kim Hyung-Do, Jung Yong-Hui, Kim Hong-Il
Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea.
Arch Plast Surg. 2015 Mar;42(2):143-9. doi: 10.5999/aps.2015.42.2.143. Epub 2015 Mar 16.
Adipose tissue damage of cryopreserved fat after autologous fat transfer is inevitable in several processes of re-transplantation. This study aims to compare and analyze the survivability of adipocytes after thawing fat cryopreserved at -20℃ by using thawing methods used in clinics.
The survival rates of adipocytes in the following thawing groups were measured: natural thawing at 25℃ for 15 minutes; natural thawing at 25℃ for 5 minutes, followed by rapid thawing at 37℃ in a water bath for 5 minutes; and rapid thawing at 37℃ for 10 minutes in a water bath. The survival rates of adipocytes were assessed by measuring the volume of the fat layer in the top layers separated after centrifugation, counting the number of live adipocytes after staining with trypan blue, and measuring the activity of mitochondria in the adipocytes.
In the group with rapid thawing for 10 minutes in a water bath, it was observed that the cell count of live adipocytes and the activity of the adipocyte mitochondria were significantly higher than in the other two groups (P<0.05). The volume of the fat layer separated by centrifugation was also measured to be higher, which was, however, not statistically significant.
It was shown that the survival rate of adipocytes was higher when the frozen fat tissue was thawed rapidly at 37℃. It can thus be concluded that if fats thawed with this method are re-transplanted, the survival rate of cryopreserved fats in transplantation will be improved, and thus, the effect of autologous fat transfer will increase.
自体脂肪移植后,冻存脂肪在再次移植的多个过程中不可避免地会出现脂肪组织损伤。本研究旨在通过使用临床中采用的解冻方法,比较和分析在-20℃冻存的脂肪解冻后脂肪细胞的存活率。
测量以下解冻组中脂肪细胞的存活率:在25℃自然解冻15分钟;在25℃自然解冻5分钟,随后在37℃水浴中快速解冻5分钟;以及在37℃水浴中快速解冻10分钟。通过测量离心后上层分离的脂肪层体积、用台盼蓝染色后计数活脂肪细胞数量以及测量脂肪细胞中线粒体的活性来评估脂肪细胞的存活率。
在37℃水浴中快速解冻10分钟的组中,观察到活脂肪细胞的细胞计数和脂肪细胞线粒体的活性显著高于其他两组(P<0.05)。通过离心分离的脂肪层体积测量值也较高,然而,差异无统计学意义。
结果表明,当冷冻脂肪组织在37℃快速解冻时,脂肪细胞的存活率更高。因此可以得出结论,如果用这种方法解冻的脂肪进行再次移植,冻存脂肪在移植中的存活率将得到提高,从而自体脂肪移植的效果将增强。