Qiu Lihong, Su Yingjun, Zhang Dongliang, Song Yajuan, Liu Bei, Yu Zhou, Guo Shuzhong, Yi Chenggang
Xi'an, Shaanxi, People's Republic of China From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University.
Plast Reconstr Surg. 2016 Jan;137(1):67e-76e. doi: 10.1097/PRS.0000000000001883.
BACKGROUND: The Coleman centrifugation procedure generates fractions with different adipocyte and progenitor cell densities. This study aimed to identify all fractions that are feasible for implantation. METHODS: Human lipoaspirates were processed by Coleman centrifugation. The centrifugates were divided arbitrarily into upper, middle, and lower layers. Adipocyte viability, morphology, numbers of stromal vascular fraction cells, and adipose-derived mesenchymal stem cells of each layer were determined. The 12-week volume retention of subcutaneously implanted 0.3-ml lipoasperate of each layer was investigated in an athymic mice model. RESULTS: Most damaged adipocytes were located in the upper layers, whereas the intact adipocytes were distributed in the middle and lower layers. A gradient of stromal vascular fraction cell density was formed in the centrifugates. The implant volume retentions of samples from the upper, middle, and lower layers were 33.44 ± 5.9, 55.11 ± 4.4, and 71.2 ± 5.8 percent, respectively. Furthermore, the middle and lower layers contained significantly more adipose-derived stem cells than did the upper layer. CONCLUSIONS: The lower layer contains more viable adipocytes and stromal vascular fraction cells leading to the highest implant volume retention, whereas the most impaired cells are distributed in the upper layer, leading to the least volume retention. Although with a lower stromal vascular fraction content, the middle layer has a substantial number of intact adipocytes that are capable of retaining partial adipose tissue volume after implantation, suggesting that the middle layer may be an alternative fat source when large volumes of fat grafts are needed for transplantation.
背景:科尔曼离心法可产生具有不同脂肪细胞和祖细胞密度的组分。本研究旨在确定所有适合植入的组分。 方法:采用科尔曼离心法处理人抽脂物。将离心产物任意分为上层、中层和下层。测定各层脂肪细胞活力、形态、基质血管成分细胞数量及脂肪来源间充质干细胞数量。在无胸腺小鼠模型中研究皮下植入各层0.3 ml抽脂物12周后的体积保留情况。 结果:大部分受损脂肪细胞位于上层,而完整脂肪细胞分布在中层和下层。离心产物中形成了基质血管成分细胞密度梯度。上层、中层和下层样品的植入体积保留率分别为33.44±5.9%、55.11±4.4%和71.2±5.8%。此外,中层和下层含有的脂肪来源干细胞明显多于上层。 结论:下层含有更多有活力的脂肪细胞和基质血管成分细胞,导致最高的植入体积保留率,而受损最严重的细胞分布在上层,导致最低的体积保留率。尽管中层的基质血管成分含量较低,但有大量完整的脂肪细胞,植入后能够保留部分脂肪组织体积,这表明当需要大量脂肪移植时,中层可能是一种替代脂肪来源。
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