Aesthet Surg J. 2024 Nov 15;44(12):NP906-NP921. doi: 10.1093/asj/sjae185.
Oxidative stress induced by ischemia and hypoxia in fat transplantation is a major obstacle to graft retention. Previous studies have shown that lutein has excellent adipose tissue affinity and antioxidative stress ability, however, the effects of oral lutein on fat transplantation have not yet been studied.
We aimed to investigate whether oral lutein could improve fat transplantation retention by regulating oxidative stress, apoptosis, and inflammatory cytokine levels in graft tissues.
Nude mice were assigned to the control group (normal saline), low-dose lutein group (10 mg/kg/day), and high-dose lutein group (20 mg/kg/day) randomly. All mice received treatment by gavage 1 week before fat grafting and continued for 2 weeks. The grafts were collected 1, 2, and 12 weeks after treatment. By conducting histological analyses, Western blotting, quantitative polymerase chain reaction and cell metabolic function detection, the regulatory effects of lutein on apoptosis and oxidative stress in grafts were demonstrated. Additionally, RNA sequencing was conducted to further clarify the efficacy of lutein on fat grafting.
Lutein induced superior graft retention, histological structures, and more viable adipocytes than the control group. It relieved tissue oxidative stress and lipid oxidative damage by decreasing reactive oxygen species and significantly reduced inflammation and apoptosis of grafts. RNA sequencing analysis confirmed that lutein could downregulate the gene expression of oxidative stress and related inflammation and apoptosis.
Our study suggests that oral administration of lutein can improve fat graft survival by reducing the levels of oxidative stress, inflammation, and apoptosis in grafted fat.
脂肪移植中缺血缺氧引起的氧化应激是影响移植物保留的主要障碍。先前的研究表明,叶黄素具有极好的脂肪组织亲和力和抗氧化应激能力,然而,叶黄素对脂肪移植的影响尚未得到研究。
本研究旨在探讨口服叶黄素是否可以通过调节移植物组织中的氧化应激、细胞凋亡和炎性细胞因子水平来改善脂肪移植的保留。
将裸鼠随机分为对照组(生理盐水)、低剂量叶黄素组(10mg/kg/天)和高剂量叶黄素组(20mg/kg/天)。所有小鼠在脂肪移植前 1 周开始通过灌胃给药,持续 2 周。在治疗后 1、2 和 12 周收集移植物。通过组织学分析、Western blot、定量聚合酶链反应和细胞代谢功能检测,证明了叶黄素对移植物中细胞凋亡和氧化应激的调节作用。此外,还进行了 RNA 测序,以进一步阐明叶黄素对脂肪移植的疗效。
叶黄素诱导的移植物保留、组织学结构和更多存活的脂肪细胞均优于对照组。它通过减少活性氧来缓解组织氧化应激和脂质氧化损伤,显著减轻移植物的炎症和细胞凋亡。RNA 测序分析证实,叶黄素可以下调氧化应激和相关炎症及凋亡的基因表达。
本研究表明,口服叶黄素可以通过降低移植脂肪中氧化应激、炎症和细胞凋亡的水平来提高脂肪移植物的存活率。