Yuan Yi, Zhang Shu, Gao Jianhua, Lu Feng
Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Arch Dermatol Res. 2015 Oct;307(8):693-704. doi: 10.1007/s00403-015-1574-y. Epub 2015 May 30.
Advances in structural fat transplantation technology have significantly improved the survival rate and stability of grafts. This study investigated the importance of the spatial structural integrity of adipose tissue for adipose regeneration after fat transplantation. We sought to enhance understanding of structural fat transplantation and optimize procedures used for the clinical acquisition, purification, and transplantation of adipose tissue. In an inactivated structuration adipose tissue model established by freezing at -20 °C for 3 days, nearly all cells were dead but the structure was intact. We transplanted this adipose tissue model (group A) or non-treated adipose tissue (group B) into GFP-expressing mice. Group B showed a higher graft survival percentage and less fibrosis than group A. The macrophage infiltration (F4/80) peak period was longer in group A than in group B. The change in vessel density (CD31) was similar in the two groups: it peaked at 4 weeks after transplantation and decreased thereafter. In both groups, the number of Ki67+ cells showed a similar trend. In comparison to group B, group A had more Ki67+ cells at 4-8 weeks after transplantation, but fewer of these cells at 12 weeks after transplantation. The intact spatial structure of adipose tissue, which is supported by adipocytes and extracellular matrix, provides a niche for adipogenesis and angiogenesis after fat transplantation.
结构性脂肪移植技术的进步显著提高了移植物的存活率和稳定性。本研究调查了脂肪组织空间结构完整性对脂肪移植后脂肪再生的重要性。我们试图加深对结构性脂肪移植的理解,并优化用于临床获取、纯化和移植脂肪组织的程序。在通过在-20°C冷冻3天建立的失活结构化脂肪组织模型中,几乎所有细胞均死亡,但结构完整。我们将该脂肪组织模型(A组)或未处理的脂肪组织(B组)移植到表达绿色荧光蛋白的小鼠体内。B组的移植物存活率更高,纤维化程度低于A组。A组的巨噬细胞浸润(F4/80)高峰期比B组长。两组的血管密度(CD31)变化相似:在移植后4周达到峰值,此后下降。在两组中,Ki67+细胞数量呈现相似趋势。与B组相比,A组在移植后4-8周时Ki67+细胞较多,但在移植后12周时这些细胞较少。由脂肪细胞和细胞外基质支持的脂肪组织完整空间结构为脂肪移植后的脂肪生成和血管生成提供了一个微环境。
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