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Effects of Platelet-Rich Plasma on Fat and Nanofat Survival: An Experimental Study on Mice

  • Original Article
  • Basic Science/Experimental
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Abstract

Background

Nanofat and fat graft survival is an important clinical problem. The authors of this study investigated whether PRP has an impact on fat and nanofat graft survival and vascularization in a mouse model.

Materials and Methods

Fat was harvested from a 50-year-old healthy woman by vacuum suction, and nanofat was obtained by emulsification and centrifugation procedures. PRP was collected after two rounds of centrifugation from an autologous blood sample. Twenty male nude mice were divided into four treatment groups: PRP/nanofat, PRP/fat, saline/nanofat and saline/fat. After 1 month and 3 months, the grafts were extracted and weighed. The microstructure of the fat and nanofat was examined with a scanning electron microscope. HE and immunohistochemical staining was applied to observe neovascularization. Western blot analysis was used to analyse the expression of CD31 and VEGF.

Results

In fat tissue, fat cells had normal connections; the fat structure was complete and fibre networks were visible. In nanofat, the extracellular matrix vascular components were visible and their structures were intact. At 1 month and 3 months, the graft weights in the PRP/fat group were significantly higher than those in the other groups. Further, a higher degree of neovascularization was observed in the PRP/nanofat group, and the expression of CD31 and VEGF in the PRP/nanofat group was higher than that in the other groups.

Conclusion

PRP can promote nanofat and fat graft survival and vascularization.

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References

  1. Mojallal A, Veber M, Shipkov C, Ghetu N, Foyatier JL, Braye F (2008) Analysis of a series of autologous fat tissue transfer for lower limb atrophies. Ann Plast Surg 61:537–543

    Article  CAS  Google Scholar 

  2. La Rusca I, Schonauer F, Molea G (2009) Core fat graft transplantation for depressed scar. Plast Reconstr Surg 123:1394–1395 author reply 1395

    Article  Google Scholar 

  3. Coleman SR (1995) Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg 19:421–425

    Article  CAS  Google Scholar 

  4. Tonnard P, Verpaele A, Peeters G, Hamdi M, Cornelissen M, Declercq H (2013) Nanofat grafting: basic research and clinical applications. Plast Reconstr Surg 132:1017–1026

    Article  CAS  Google Scholar 

  5. Kemaloglu CA (2016) Nanofat grafting under a split-thickness skin graft for problematic wound management. Springerplus 5:138

    Article  Google Scholar 

  6. Langer S, Sinitsina I, Biberthaler P, Krombach F, Messmer K (2002) Revascularization of transplanted adipose tissue: a study in the dorsal skinfold chamber of hamsters. Ann Plast Surg 48:53–59

    Article  Google Scholar 

  7. Mu DL, Luan J, Mu L, Xin MQ (2009) Breast augmentation by autologous fat injection grafting: management and clinical analysis of complications. Ann Plast Surg 63:124–127

    Article  CAS  Google Scholar 

  8. Yi CG, Xia W, Zhang LX, Zhen Y, Shu MG, Han Y, Guo SZ (2007) VEGF gene therapy for the survival of transplanted fat tissue in nude mice. J Plast Reconstr Aesthet Surg 60:272–278

    Article  CAS  Google Scholar 

  9. Kakudo N, Shimotsuma A, Kusumoto K (2007) Fibroblast growth factor-2 stimulates adipogenic differentiation of human adipose-derived stem cells. Biochem Biophys Res Commun 359:239–244

    Article  CAS  Google Scholar 

  10. Gutierrez OM, Wolf M, Taylor EN (2011) Fibroblast growth factor 23, cardiovascular disease risk factors, and phosphorus intake in the health professionals follow-up study. Clin J Am Soc Nephrol 6:2871–2878

    Article  CAS  Google Scholar 

  11. Pollak M (2000) Insulin-like growth factor physiology and cancer risk. Eur J Cancer 36:1224–1228

    Article  CAS  Google Scholar 

  12. Hou X, Yuan J, Aisaiti A, Liu Y, Zhao J (2016) The effect of platelet-rich plasma on clinical outcomes of the surgical treatment of periodontal intrabony defects: a systematic review and meta-analysis. Bmc Oral Health 16:71

    Article  Google Scholar 

  13. Whitman DH, Berry RL, Green DM (1997) Platelet gel: an autologous alternative to fibrin glue with applications in oral and maxillofacial surgery. J Oral Maxillofac Surg 55:1294–1299

    Article  CAS  Google Scholar 

  14. Edelblute CM, Donate AL, Hargrave BY, Heller LC (2015) Human platelet gel supernatant inactivates opportunistic wound pathogens on skin. Platelets 26:13–16

    Article  CAS  Google Scholar 

  15. Margolis DJ, Kantor J, Santanna J, Strom BL, Berlin JA (2001) Effectiveness of platelet releasate for the treatment of diabetic neuropathic foot ulcers. Diabetes Care 24:483–488

    Article  CAS  Google Scholar 

  16. Oh DS, Cheon YW, Jeon YR, Lew DH (2011) Activated platelet-rich plasma improves fat graft survival in nude mice: a pilot study. Dermatol Surg 37:619–625

    Article  CAS  Google Scholar 

  17. Yu Q, Cai Y, Huang H, Wang Z, Xu P, Wang X, Zhang L, Zhang W, Li W (2018) Co-transplantation of nanofat enhances neovascularization and fat graft survival in nude mice. Aesthet Surg J 38:667–675

    Article  Google Scholar 

  18. Li F, Guo W, Li K, Yu M, Tang W, Wang H, Tian W (2015) Improved fat graft survival by different volume fractions of platelet-rich plasma and adipose-derived stem cells. Aesthet Surg J 35:319–333

    Article  CAS  Google Scholar 

  19. Blumenschein AR, Freitas-Junior R, Moreira MA, Cysneiros MP, Pereira RN, Tufanin AT, Soares LR (2016) Is the combination of fat grafts and platelet rich plasma effective in rats? Acta Cir Bras 31:668–674

    Article  Google Scholar 

  20. Neufeld G, Cohen T, Gengrinovitch S, Poltorak Z (1999) Vascular endothelial growth factor (VEGF) and its receptors. Faseb J 13:9–22

    Article  CAS  Google Scholar 

  21. Nishimura T, Hashimoto H, Nakanishi I, Furukawa M (2000) Microvascular angiogenesis and apoptosis in the survival of free fat grafts. Laryngoscope 110:1333–1338

    Article  CAS  Google Scholar 

  22. Chung CW, Marra KG, Li H, Leung AS, Ward DH, Tan H, Kelmendi-Doko A, Rubin JP (2012) VEGF microsphere technology to enhance vascularization in fat grafting. Ann Plast Surg 69:213–219

    Article  CAS  Google Scholar 

  23. Leung DW, Cachianes G, Kuang WJ, Goeddel DV, Ferrara N (1989) Vascular endothelial growth factor is a secreted angiogenic mitogen. Science 246:1306–1309

    Article  CAS  Google Scholar 

  24. Schmidt A, Brixius K, Bloch W (2007) Endothelial precursor cell migration during vasculogenesis. Circ Res 101:125–136

    Article  CAS  Google Scholar 

  25. Yoshimura K, Suga H, Eto H (2009) Adipose-derived stem/progenitor cells: roles in adipose tissue remodeling and potential use for soft tissue augmentation. Regen Med 4:265–273

    Article  Google Scholar 

  26. Lee EY, Xia Y, Kim WS, Kim MH, Kim TH, Kim KJ, Park BS, Sung JH (2009) Hypoxia-enhanced wound-healing function of adipose-derived stem cells: increase in stem cell proliferation and up-regulation of VEGF and bFGF. Wound Repair Regen 17:540–547

    Article  Google Scholar 

  27. Stessuk T, Puzzi MB, Chaim EA, Alves PC, de Paula EV, Forte A, Izumizawa JM, Oliveira CC, Frei F, Ribeiro-Paes JT (2016) Platelet-rich plasma (PRP) and adipose-derived mesenchymal stem cells: stimulatory effects on proliferation and migration of fibroblasts and keratinocytes in vitro. Arch Dermatol Res 308:511–520

    Article  CAS  Google Scholar 

  28. Gentile P, Scioli MG, Bielli A, Orlandi A, Cervelli V (2017) Concise review: the use of adipose-derived stromal vascular fraction cells and platelet rich plasma in regenerative plastic surgery. Stem Cells 35:117–134

    Article  Google Scholar 

  29. Willemsen JC, Spiekman M, Stevens HP, van der Lei B, Harmsen MC (2016) Platelet-rich plasma influences expansion and paracrine function of adipose-derived stromal cells in a dose-dependent fashion. Plast Reconstr Surg 137:554e–565e

    Article  CAS  Google Scholar 

  30. Wei H, Gu SX, Liang YD, Liang ZJ, Chen H, Zhu MG, Xu FT, He N, Wei XJ, Li HM (2017) Nanofat-derived stem cells with platelet-rich fibrin improve facial contour remodeling and skin rejuvenation after autologous structural fat transplantation. Oncotarget 8:68542–68556

    Article  Google Scholar 

  31. Craft RO, Rophael J, Morrison WA, Vashi AV, Mitchell GM, Penington AJ (2009) Effect of local, long-term delivery of platelet-derived growth factor (PDGF) on injected fat graft survival in severe combined immunodeficient (SCID) mice. J Plast Reconstr Aesthet Surg 62:235–243

    Article  Google Scholar 

  32. Yuksel E, Weinfeld AB, Cleek R, Wamsley S, Jensen J, Boutros S, Waugh JM, Shenaq SM, Spira M (2000) Increased free fat-graft survival with the long-term, local delivery of insulin, insulin-like growth factor-I, and basic fibroblast growth factor by PLGA/PEG microspheres. Plast Reconstr Surg 105:1712–1720

    Article  CAS  Google Scholar 

  33. Karacaoglu E, Kizilkaya E, Cermik H, Zienowicz R (2005) The role of recipient sites in fat-graft survival: experimental study. Ann Plast Surg 55:63–68 discussion 68

    Article  CAS  Google Scholar 

  34. Harrison S, Vavken P, Kevy S, Jacobson M, Zurakowski D, Murray MM (2011) Platelet activation by collagen provides sustained release of anabolic cytokines. Am J Sports Med 39:729–734

    Article  Google Scholar 

  35. Gentile P, Cole JP, Cole MA, Garcovich S, Bielli A, Scioli MG, Orlandi A, Insalaco C, Cervelli V (2017) Evaluation of not-activated and activated PRP in hair loss treatment: role of growth factor and cytokine concentrations obtained by different collection systems. Int J Mol Sci 18:408

    Article  Google Scholar 

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Acknowledgements

This study was supported by the National Natural Science Foundation of China (Nos. 81171812, 81671924 and 81272105), the National Key Research and Development Plan of China (No. 2017YFC1103301), the National Basic Science and Development Program (No. 2012CB518105), Health and Medical Treatment Collaborative Innovation Major Special Projects of Guangzhou (No. 201508020253), the Science and Technology Program of Guangzhou (201508020115) and Science and Technology Project of Guangdong province (Nos. 2014B020212010, 508113150092, 2015A010101313 and 2017A050506011).

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Correspondence to Biao Cheng.

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The authors declare that they have no conflicts of interest in relation to this work. We declare that we do not have any commercial or associative interest that represents a conflict of interest in connection with the work submitted.

Statement of Human and Animal Rights

All the experiments were approved by the Animal Care Committee of Guangzhou General Hospital. All applicable institutional and/or national guidelines for the care and use of animals were followed. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee.

Informed Consent

A 50-year-old healthy woman was selected for abdominal liposuction from the Plastic Surgery Department of the General Hospital. Her signed informed consent was obtained before the procedure was performed.

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Lei, X., Liu, H., Pang, M. et al. Effects of Platelet-Rich Plasma on Fat and Nanofat Survival: An Experimental Study on Mice. Aesth Plast Surg 43, 1085–1094 (2019). https://doi.org/10.1007/s00266-019-01355-z

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  • DOI: https://doi.org/10.1007/s00266-019-01355-z

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