Kawaguchi N, Toriyama K, Nicodemou-Lena E, Inou K, Torii S, Kitagawa Y
Laboratory of Organogenesis, Nagoya University BioScience Center, Chikusa, Nagoya 464-01, Japan.
Proc Natl Acad Sci U S A. 1998 Feb 3;95(3):1062-6. doi: 10.1073/pnas.95.3.1062.
Autografting of fat pads has a long history in plastic and reconstructive surgery for augmentation of lost soft tissue. However, the results are disappointing because of absorption of the grafts with time. The fate of transplanted fat is linked to adipose precursor cells distributed widely in connective tissues. Adipocyte precursor cells can proliferate and mature into adipocytes even in the adult body depending on microenvironment. When reconstituted basement membrane, Matrigel, supplemented with more than 1 ng/ml bFGF was injected s.c. into 6-week-old mice, the neovascularization induced within 1 week was followed by migration of endogenous adipose precursor cells, and a clearly visible fat pad was formed. The pad grew until 3 weeks after the injection and persisted for at least 10 weeks. Such de novo adipogenesis was induced reproducibly by s.c. injection of Matrigel and bFGF over the chest, lateral abdomen, or head. Adipogenesis could be induced even in ear cartilage or in muscle. Thus, our results demonstrated that an abundant population of adipose precursor cells is distributed widely in connective tissues of the adult body and that they migrate into the neovascularized plug of Matrigel for proliferation and maturation. These results suggest a technique of augmenting lost soft tissue in plastic and reconstructive surgery.
脂肪垫自体移植在整形和重建外科用于增加缺失的软组织已有很长历史。然而,由于移植组织随时间吸收,结果并不理想。移植脂肪的命运与广泛分布于结缔组织中的脂肪前体细胞有关。脂肪细胞前体细胞即使在成体中也能根据微环境增殖并成熟为脂肪细胞。当将补充有超过1 ng/ml碱性成纤维细胞生长因子(bFGF)的重组基底膜基质胶皮下注射到6周龄小鼠体内时,1周内诱导的新血管形成之后是内源性脂肪前体细胞的迁移,并形成明显可见的脂肪垫。该脂肪垫在注射后持续生长至3周,并至少持续10周。通过在胸部、侧腹部或头部皮下注射基质胶和bFGF可重复性地诱导这种新生脂肪形成。即使在耳软骨或肌肉中也能诱导脂肪形成。因此,我们的结果表明,大量脂肪前体细胞广泛分布于成体的结缔组织中,并且它们迁移到基质胶的新生血管化栓子中进行增殖和成熟。这些结果提示了一种在整形和重建外科中增加缺失软组织的技术。