Institute for Clinical and Experimental Surgery, Saarland University, 66421, Homburg, Germany.
Department of Trauma, Hand and Reconstructive Surgery, Saarland University, 66421, Homburg, Germany.
Tissue Eng Regen Med. 2023 Dec;20(7):1079-1090. doi: 10.1007/s13770-023-00571-8. Epub 2023 Oct 2.
Microvascular fragment (MVF) isolates are generated by short-term enzymatic digestion of adipose tissue and contain numerous vessel segments for the vascularization of tissue defects. Recent findings indicate that the functionality of these isolates is determined by the quality of the fat source. Therefore, we compared MVF isolates from subcutaneous adipose tissue of obese and lean mice.
MVF isolates were generated from subcutaneous adipose tissue of donor mice, which received a high fat or control diet for 12 weeks. The isolates were analyzed in vitro and in vivo.
Feeding of mice with a high fat diet induced obesity with adipocyte hypertrophy, resulting in a significantly lower collagen fraction and microvessel density within the subcutaneous fat depots when compared to lean controls. Accordingly, MVF isolates from obese mice also contained a reduced number of MVF per mL adipose tissue. However, these MVF tended to be longer and, in contrast to MVF from lean mice, were not contaminated with collagen fibers. Hence, they could be freely seeded onto collagen-glycosaminoglycan scaffolds, whereas MVF from lean controls were trapped in between large amounts of collagen fibers that clogged the pores of the scaffolds. In line with these results, scaffolds seeded with MVF isolates from obese mice exhibited a significantly improved in vivo vascularization after implantation into full-thickness skin defects.
Subcutaneous adipose tissue from obese mice facilitates the generation of connective tissue-free MVF isolates. Translated to clinical conditions, these findings suggest that particularly obese patients may benefit from MVF-based vascularization strategies.
微血管片段 (MVF) 分离物是通过短时间的酶消化脂肪组织产生的,其中包含许多血管段,用于组织缺陷的血管化。最近的研究结果表明,这些分离物的功能取决于脂肪来源的质量。因此,我们比较了肥胖和瘦小鼠皮下脂肪组织中的 MVF 分离物。
MVF 分离物是从接受高脂肪或对照饮食 12 周的供体小鼠的皮下脂肪组织中产生的。对分离物进行了体外和体内分析。
高脂肪饮食喂养小鼠会导致肥胖和脂肪细胞肥大,与瘦对照相比,皮下脂肪组织中的胶原分数和微血管密度明显降低。相应地,肥胖小鼠的 MVF 分离物也含有较少数量的 MVF/mL 脂肪组织。然而,这些 MVF 往往更长,与瘦小鼠的 MVF 不同,它们不受胶原纤维的污染。因此,它们可以自由地接种到胶原糖胺聚糖支架上,而瘦对照组的 MVF 则被大量堵塞支架孔的胶原纤维困住。与这些结果一致,植入全层皮肤缺损后,用肥胖小鼠的 MVF 分离物接种的支架表现出明显改善的体内血管化。
肥胖小鼠的皮下脂肪有助于产生无结缔组织的 MVF 分离物。从临床角度来看,这些发现表明,特别是肥胖患者可能受益于基于 MVF 的血管化策略。