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使用包含所有临床级药物的新方案分离基质血管成分:从基础研究到临床应用

Isolation of the Stromal Vascular Fraction Using a New Protocol with All Clinical-Grade Drugs: From Basic Study to Clinical Application.

作者信息

Qin Jiaqi, Cheng Chen, Huang Ru-Lin, He Jizhou, Zhou Shuangbai, Tan Poh-Ching, Zhang Tianyu, Fang Bin, Li Qingfeng, Xie Yun

机构信息

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.

出版信息

Aesthetic Plast Surg. 2024 Nov;48(22):4702-4711. doi: 10.1007/s00266-024-04221-9. Epub 2024 Jul 10.

Abstract

OBJECTIVE

The purpose of this study was to evaluate the yield, viability, clinical safety, and efficacy of the stromal vascular fraction (SVF) separated with a new protocol with all clinical-grade drugs.

MATERIALS AND METHODS

SVF cells were isolated from lipoaspirate obtained from 13 participants aged from 30 to 56 years by using a new clinical protocol and the laboratory protocol. The cell yield, viability, morphology, mesenchymal stem cell (MSC) surface marker expression, and differentiation abilities of the SVF cells harvested from the two protocols were compared. Furthermore, three related clinical trials were conducted to verify the safety and efficiency of SVF cells isolated by the new clinical protocol.

RESULTS

There were no significant differences in the yield, viability, morphology, and differentiation potential of the SVFs isolated with the clinical protocol and laboratory protocol. Adipose-derived mesenchymal stem cell (ASC) surface marker expression, including that of CD14, CD31, CD44, CD90, CD105, and CD133, was consistent between the two protocols. Clinical trials have demonstrated the effectiveness of the SVF isolated with the new clinical protocol in improving skin grafting, promoting mechanical stretch-induced skin regeneration and improving facial skin texture. No complications occurred.

CONCLUSION

SVF isolated by the new clinical protocol had a noninferior yield and viability to that of the SVF separated by the laboratory protocol. SVFs obtained by the new protocol can be safely and effectively applied to improve skin grafting, promote mechanical stretch-induced skin regeneration, and improve facial skin texture.

TRIAL REGISTRATION

The trials were registered with the ClinicalTrials.gov (NCT03189628), the Chinese Clinical Trial Registry (ChiCTR2000039317), and the ClinicalTrials.gov (NCT02546882). All the three trials were not patient-funded trials.

NO LEVEL ASSIGNED

This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

目的

本研究旨在评估采用含所有临床级药物的新方案分离的基质血管成分(SVF)的产量、活力、临床安全性及疗效。

材料与方法

采用新的临床方案和实验室方案,从13名年龄在30至56岁的参与者的抽脂物中分离SVF细胞。比较从两种方案收获的SVF细胞的产量、活力、形态、间充质干细胞(MSC)表面标志物表达及分化能力。此外,进行了三项相关临床试验,以验证通过新临床方案分离的SVF细胞的安全性和有效性。

结果

临床方案和实验室方案分离的SVF在产量、活力、形态及分化潜能方面无显著差异。两种方案中脂肪来源间充质干细胞(ASC)表面标志物表达一致,包括CD14、CD31、CD44、CD90、CD105和CD133。临床试验已证明,采用新临床方案分离的SVF在改善皮肤移植、促进机械拉伸诱导的皮肤再生及改善面部皮肤质地方面有效。未发生并发症。

结论

新临床方案分离的SVF在产量和活力方面不低于实验室方案分离的SVF。通过新方案获得的SVF可安全有效地应用于改善皮肤移植、促进机械拉伸诱导的皮肤再生及改善面部皮肤质地。

试验注册

这些试验已在ClinicalTrials.gov(NCT03189628)、中国临床试验注册中心(ChiCTR2000039317)和ClinicalTrials.gov(NCT02546882)注册。所有这三项试验均不是患者资助试验。

未指定证据水平

本杂志要求作者为每篇适用循证医学排名的投稿指定证据水平。这排除了综述文章、书评以及涉及基础科学、动物研究、尸体研究和实验研究的稿件。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266

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