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采集系统和供体特征对脂肪组织中有核细胞活力的影响:迈向制造工艺的第一步。

The Impact of Harvesting Systems and Donor Characteristics on Viability of Nucleated Cells in Adipose Tissue: A First Step Towards a Manufacturing Process.

作者信息

Papadopulos Nikolaos A, Wigand Sylvia, Kuntz Nicolas, Piringer Marion, Machens Hans-Günther, Klüter Harald, Bieback Karen, Karagianni Marianna

机构信息

Department of Plastic Surgery & Hand Surgery.

Department of Plastic Surgery and Burns, Alexandroupoli University General Hospital, Democritus University of Thrace, Alexandroupoli, Greece.

出版信息

J Craniofac Surg. 2019 May/Jun;30(3):716-720. doi: 10.1097/SCS.0000000000005310.

Abstract

Adipose tissue contains an abundant population of mesenchymal stromal cells (= adipose stromal cells [ASC]) with multilineage differentiation, immunomodulatory and trophic potential promising for cell-based therapies. Although intensely investigated in pre- and clinical studies, little is known about the impact of donor characteristics on the viability of ASC. To correlate patient data to the quality of processed adipose tissue and to establish a first step towards a manufacturing process for cell therapy, we evaluated the effects of 2 harvesting systems (LipiVage, TTF-System) and donor characteristics on cell viability of nucleated cells in a cohort of 44 samples obtained from 17 donors.The impact of donor-specific factors (localization, age, body-mass-index, chronic diseases, intake of drugs, nicotine consumption or disorders of the thyroid gland) and the harvesting system on nucleated cell (NC) counts and viability of processed lipoaspirates were statistically analyzed.Increasing age has a significant positive influence on NC viability (P = 0.001). Donors with intake of thyroid hormones based on a hypothyroidism and suctioned with the LipiVage-System reached a significantly higher viability of NC (P = 0.038). No statistical difference was shown between the 2 harvesting-systems (P = 0.338) and the donor sites (P = 0.294).We focused on a potential correlation between NC viability and donor characteristics. Based on the donor cohort investigated in this study, cells from elderly patients suctioned with the LipiVage-System and taking thyroid hormones yielded cells of higher viability, suggesting an improved quality for subsequent manufacturing procedures. Further investigations are necessary to understand and correlate this data to ASC in vitro characteristics.

摘要

脂肪组织含有大量具有多向分化、免疫调节和营养潜力的间充质基质细胞(=脂肪基质细胞[ASC]),这使其在基于细胞的治疗中具有广阔前景。尽管在临床前和临床研究中对其进行了深入研究,但关于供体特征对ASC活力的影响却知之甚少。为了将患者数据与处理后的脂肪组织质量相关联,并朝着细胞治疗的制造工艺迈出第一步,我们评估了两种采集系统(LipiVage、TTF系统)和供体特征对从17名供体获得的44个样本中有核细胞活力的影响。对供体特异性因素(部位、年龄、体重指数、慢性病、药物摄入、吸烟或甲状腺疾病)以及采集系统对处理后的抽脂物中有核细胞(NC)计数和活力的影响进行了统计分析。年龄增长对NC活力有显著的正向影响(P = 0.001)。因甲状腺功能减退而摄入甲状腺激素且使用LipiVage系统抽吸的供体,其NC活力显著更高(P = 0.038)。两种采集系统之间(P = 0.338)以及供体部位之间(P = 0.294)均未显示出统计学差异。我们关注NC活力与供体特征之间的潜在关联。基于本研究中所调查的供体队列,使用LipiVage系统抽吸且服用甲状腺激素的老年患者的细胞具有更高的活力,这表明后续制造程序的质量有所提高。有必要进行进一步研究以理解这些数据并将其与ASC的体外特征相关联。

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