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自体基质血管成分移植用于眶下皮肤年轻化的疗效和安全性:一项临床前瞻性研究。

The efficacy and safety of autologous stromal vascular fraction transplantation for infraorbital skin rejuvenation: A clinical prospective study.

作者信息

Pattayadeekul Teerasak, Pawcsuntorn Tanomkit, Nararatwanchai Thamthiwat

机构信息

School of Anti Aging and Regenerative Medicine, Mae Fah Luang University, Bangkok, Thailand.

出版信息

J Cosmet Dermatol. 2022 Jan;21(1):220-226. doi: 10.1111/jocd.14069. Epub 2021 Mar 21.

DOI:10.1111/jocd.14069
PMID:33720512
Abstract

BACKGROUND

The stromal vascular fraction of fat tissue contributes to its rejuvenation properties. The stromal vascular fraction is a minimal processed cell population. Therefore, it is purportedly a suitable cell therapy for skin rejuvenation.

OBJECTIVES

This clinical trial aimed to evaluate the efficacy and safety of transplantation of autologous stromal vascular fraction to aging skin in the infraorbital region.

PATIENTS/METHODS: Nineteen patients were candidates for stromal vascular fraction isolation and transplantation. They underwent lipoaspiration of the abdomen to obtain samples of fat tissue. The stromal vascular fraction was thereafter harvested and transplanted in each infraorbital area. The patients' outcomes were measured and were based on surface evaluation of wrinkles, surface evaluation of scaliness, and melanin evaluation with a Mexameter. The red blood cell volume and skin elasticity were measured with an erythrometer and cutometer, respectively.

RESULTS

Three months and 6 months after autologous stromal vascular fraction transplantation, the elasticity, wrinkle, and pigmentation of the infraorbital skin improved significantly, but not surface evaluation of scaliness and erythema. The phenotype also improved in the infraorbital skin area, as evaluated by physicians.

CONCLUSION

The stromal vascular fraction of adipose tissue represents an attractive cell source. In our study, preliminary data showed that clinical outcomes were also generally satisfactory with no serious adverse effects. Thus, stromal vascular fraction cells are safe for clinical rejuvenation use. We encourage future evidence-based controlled studies to maintain a strong focus on the efficacy and safety profile of stromal vascular fraction therapy.

摘要

背景

脂肪组织的基质血管成分有助于其年轻化特性。基质血管成分是一种经过最少处理的细胞群体。因此,它据称是一种适合用于皮肤年轻化的细胞疗法。

目的

本临床试验旨在评估自体基质血管成分移植到眶下区域老化皮肤的疗效和安全性。

患者/方法:19名患者为基质血管成分分离和移植的候选对象。他们接受腹部抽脂以获取脂肪组织样本。此后采集基质血管成分并移植到每个眶下区域。根据皱纹的表面评估、鳞屑的表面评估以及使用Mexameter进行的黑色素评估来测量患者的结果。分别使用红细胞仪和皮肤弹性测定仪测量红细胞体积和皮肤弹性。

结果

自体基质血管成分移植后3个月和6个月,眶下皮肤的弹性、皱纹和色素沉着有显著改善,但鳞屑和红斑的表面评估没有改善。经医生评估,眶下皮肤区域的外观也有所改善。

结论

脂肪组织的基质血管成分是一种有吸引力的细胞来源。在我们的研究中,初步数据显示临床结果总体上也令人满意,且无严重不良反应。因此,基质血管成分细胞用于临床年轻化是安全的。我们鼓励未来开展基于证据的对照研究,继续高度关注基质血管成分疗法的疗效和安全性。

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