Ru Jiangjiang, Zhang Qian, Zhu Shaowei, Cai Junrong, He Yunfan, Lu Feng
Department of Plastic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Front Bioeng Biotechnol. 2023 Oct 3;11:1270618. doi: 10.3389/fbioe.2023.1270618. eCollection 2023.
Dermal white adipocytes are closely associated with skin homeostasis and wound healing. However, it has not been fully investigated whether adipose-derived products improve wound healing. Here, we obtained adipose acellular matrix (AAM) and adipose-derived growth factors (ADGFs) from human adipose tissue and fabricated an ADGF-loaded AAM via surface modification with heparin. The product, HEP-ADGF-AAM, contained an adipose-derived scaffold and released ADGFs in a controlled fashion. To test its efficacy in promoting wound healing, mice with full thickness wound received three different treatments: HEP-ADGF-AAM, AAM and ADM. Control mice received no further treatments. Among these treatments, HEP-ADGF-AAM best improved wound healing. It induced adipogenesis after implantation and provided an adipogenic microenvironment for wounds by releasing ADGFs. HEP-ADGF-AAM not only induced adipocyte regeneration, but also enhanced fibroblast migration, promoted vessel formation, accelerated wound closure, and enhanced wound epithelialization. Moreover, there was a close interaction between HEP-ADGF-AAM and the wound bed, and collagen was turned over in HEP-ADGF-AAM. These results show that HEP-ADGF-AAM might substantially improve re-epithelialization, angiogenesis, and skin appendage regeneration, and is thus a promising therapeutic biomaterial for skin wound healing.
真皮白色脂肪细胞与皮肤稳态和伤口愈合密切相关。然而,脂肪衍生产物是否能改善伤口愈合尚未得到充分研究。在此,我们从人脂肪组织中获取了脂肪脱细胞基质(AAM)和脂肪衍生生长因子(ADGFs),并通过肝素表面修饰制备了负载ADGFs的AAM。该产物,即HEP-ADGF-AAM,包含脂肪衍生支架并以可控方式释放ADGFs。为测试其促进伤口愈合的功效,对全层伤口小鼠进行了三种不同处理:HEP-ADGF-AAM、AAM和ADM。对照小鼠未接受进一步处理。在这些处理中,HEP-ADGF-AAM对伤口愈合的改善效果最佳。它在植入后诱导脂肪生成,并通过释放ADGFs为伤口提供脂肪生成微环境。HEP-ADGF-AAM不仅诱导脂肪细胞再生,还增强成纤维细胞迁移、促进血管形成、加速伤口闭合并增强伤口上皮化。此外,HEP-ADGF-AAM与伤口床之间存在密切相互作用,且HEP-ADGF-AAM中胶原蛋白发生了更新。这些结果表明,HEP-ADGF-AAM可能显著改善再上皮化、血管生成和皮肤附属器再生,因此是一种有前景的用于皮肤伤口愈合的治疗性生物材料。