Department of Neurological Sciences, Marmara University, İstanbul, Turkey
Department of Neurosurgery, İstanbul Education Research Hospital, Ministry of Health, İstanbul, Turkey
Turk J Med Sci. 2020 Dec 17;50(8):1825-1837. doi: 10.3906/sag-2001-76.
BACKGROUND/AIM: The management of dura-related complications, such as the repairment of dural tears and reconstruction of large dural defects, remain the most challenging subjects of neurosurgery. Numerous surgical techniques and synthetic or autologous adjuvant materials have emerged as an adjunct to primary dural closure, which may result in further complications or side effects. Therefore, the subcutaneous autologous free adipose tissue graft has been recommended for the protection of the central nervous system and repairment of the meninges. In addition, human adipose tissue is also a source of multipotent stem cells. However, epidural adipose tissue seems more promising than subcutaneous because of the close location and intercellular communication with the spinal cord. Herein, it was aimed to define differentiation capability of both subcutaneous and epidural adipose tissue-derived stem cells (ASCs).
Human subcutaneous and epidural adipose tissue specimens were harvested from the primary incisional site and the lumbar epidural space during lumbar spinal surgery, and ASCs were isolated.
The results indicated that both types of ASCs expressed the cell surface markers, which are commonly expressed stem cells; however, epidural ASCs showed lower expression of CD90 than the subcutaneous ASCs. Moreover, it was demonstrated that the osteogenic and neurogenic differentiation capability of epidural adipose tissue-derived ASCs was more pronounced than that of the subcutaneous ASCs.
Consequently, the impact of characterization of epidural ASCs will allow for a new understanding for dural as well as central nervous system healing and recovery after an injury.
背景/目的:硬脑膜相关并发症的处理,如硬脑膜撕裂的修复和大硬脑膜缺损的重建,仍然是神经外科最具挑战性的课题。许多外科技术和合成或自体辅助材料已作为硬脑膜直接缝合的辅助手段出现,这可能导致进一步的并发症或副作用。因此,建议使用皮下自体游离脂肪组织移植物来保护中枢神经系统和修复脑膜。此外,人体脂肪组织也是多能干细胞的来源。然而,由于与脊髓的位置接近和细胞间通讯,硬膜外脂肪组织似乎比皮下脂肪组织更有前途。在此,旨在定义皮下和硬膜外脂肪组织来源的干细胞(ASCs)的分化能力。
从腰椎手术的原发性切口部位和腰椎硬膜外间隙采集人皮下和硬膜外脂肪组织标本,并分离 ASC。
结果表明,两种类型的 ASC 均表达了常见的干细胞表面标志物;然而,硬膜外 ASC 表达的 CD90 低于皮下 ASC。此外,证明硬膜外脂肪组织衍生的 ASC 的成骨和神经发生分化能力强于皮下 ASC。
因此,对硬膜外 ASC 的特征的研究将为硬脑膜以及中枢神经系统损伤后的愈合和恢复提供新的认识。