School of Clinical Medicine, Hebei University of Engineering, Handan, China.
Joint Logistic Support Force 980th Hospital, Shijiazhuang, China.
Aesthetic Plast Surg. 2022 Aug;46(4):1983-1996. doi: 10.1007/s00266-022-02872-0. Epub 2022 Apr 19.
Interventions for extrinsic aging can be implemented, but these must address photoaging, which is the primary cause of extrinsic aging. Pigmentation due to photoaging depends on the duration and intensity of sun exposure. This study investigated the relationship between adipose-derived mesenchymal stem cells (ASCs) and photoaging pigmentation, and the underlying mechanism of action by establishing a photoaging pigmentation model using various treatments and exposure options in a guinea pigs. The energy dose of each UVB irradiation was 120 mJ/cm and the total dose of irradiation was 360 mJ/cm. After successfully establishing the photoaging model, ASCs (1×10) in an balanced salt solution (0.9 ml), balanced salt solution (0.9 ml), and bFGF (9 μg) mixed with an balanced salt solution (0.9 ml) were injected intradermally in ten guinea pigs. ELISA, macroscopic skin and histological observations, and Masson-Fontana staining were done. At 2 and 4 weeks post-injection, noticeable changes were observed. Guinea pigs receiving ASCs injections displayed significantly lower visible skin scores while the melanin content continued to decrease. Somewhat improved histopathological morphology, including epidermal thinning, dermal thickening, and little inflammatory cell infiltration was observed immediately after and up to 4 weeks of ASCs injection. Melanocortin 1 receptor (MC1R) and alpha-melanocyte test hormone (alpha-MSH) levels reduced significantly, and basic fibroblast growth factor (bFGF) levels increased significantly immediately after and up to 4 weeks of ASCs injection. The MC1R and alpha-MSH levels reduced significantly immediately after and up to 4 weeks of bFGF injection. Briefly, intradermal ASCs injection can notably eliminate pigmentation in a guinea pig photoaging pigmentation model. This may be related to the fact that bFGF secreted by ASCs lowers MC1R and alpha-MSH levels, blocks the cAMP signalling pathway, and inhibits melanin synthesis. This finding may present new options for treating photoaging pigmentation.Level of Evidence: N/A.
干预外在老化是可行的,但必须针对光老化,因为光老化是外在老化的主要原因。光老化引起的色素沉着取决于日晒的持续时间和强度。本研究通过建立豚鼠光老化色素沉着模型,利用各种治疗方法和暴露选择,研究脂肪间充质干细胞(ASCs)与光老化色素沉着的关系及其作用机制。每次 UVB 照射的能量剂量为 120mJ/cm,照射总剂量为 360mJ/cm。成功建立光老化模型后,将 ASCs(1×10)混悬于等渗盐溶液(0.9ml)、等渗盐溶液(0.9ml)和 bFGF(9μg)混合等渗盐溶液(0.9ml)中,分别对 10 只豚鼠进行皮内注射。采用 ELISA、肉眼皮肤观察和组织学观察、Masson-Fontana 染色等方法进行检测。注射后 2 周和 4 周时进行观察。注射 ASCs 的豚鼠皮肤外观评分明显较低,而黑色素含量持续下降。注射后立即和 4 周时观察到表皮变薄、真皮增厚、炎症细胞浸润减少等组织病理学形态有所改善。注射后立即和 4 周时黑素皮质素 1 受体(MC1R)和α-促黑素细胞激素(α-MSH)水平显著降低,碱性成纤维细胞生长因子(bFGF)水平显著升高。注射 bFGF 后,MC1R 和α-MSH 水平立即下降,4 周时仍保持较低水平。总之,皮内注射 ASCs 可明显消除豚鼠光老化色素沉着模型中的色素沉着。这可能与 ASCs 分泌的 bFGF 降低 MC1R 和α-MSH 水平、阻断 cAMP 信号通路、抑制黑色素合成有关。这一发现可能为治疗光老化色素沉着提供新的选择。证据水平:无。