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Effects of Harvest Sites on Cryopreserved Adipose-Derived Stem Cells and ASC-Enriched Fat Grafts

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  • Basic Science/Experimental
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Abstract

Background

Enrichment of adipose-derived stem cells (ASCs) with fat grafts has demonstrated benefit for graft retention and histologic appearance. There is no consensus on the optimal harvest site for adipose-derived stem cells. This study aimed to investigate the effects of harvest sites on the characteristics of cryopreserved adipose-derived stem cells and the graft retention of cell-assisted lipotransfer.

Methods

Lipoaspirates were harvested from 18 healthy volunteers who underwent liposuctions for body contouring. Twenty milliliters of lipoaspirates was, respectively, obtained from four sites, including the upper limb, abdomen, waist, and thighs, by the Coleman technique. Adipose-derived stem cells were ex vivo cultured and cryopreserved for four weeks. The biological characteristics of ASCs from four harvest sites were analyzed: MSC surface markers, cell proliferation, migration ability, and multipotential differentiation. The fat grafts were co-implanted with ASCs from four harvest sites and injected subcutaneously in mice. The ASC-enriched fat grafts were analyzed three months after transplantation.

Results

Cryopreserved ASCs from the abdomen and thighs maintained more significant cell proliferation, migration ability, and differentiation potential, compared with cells from the upper limb and waist. Moreover, we achieved better graft retention of cell-assisted fat grafts with cryopreserved ASC from the abdomen and thighs.

Conclusions

The harvest site of adipose tissue affects the cellular activity and differentiation potential of cryopreserved ASCs. Improved understanding of harvest sites for ASCs can optimize the outcomes of cell-assisted fat grafts. Fat grafts enriched with cryopreserved ASCs from the abdomen or thighs are the optimal choices.

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References

  1. Vyas KS, Vasconez HC, Morrison S et al (2020) Fat Graft Enrichment Strategies: A Systematic Review. Plast Reconstr Surg 145:827–841

    Article  CAS  Google Scholar 

  2. Kølle S-FT, Fischer-Nielsen A, Mathiasen AB et al (2013) Enrichment of autologous fat grafts with ex-vivo expanded adipose tissue-derived stem cells for graft survival: a randomized placebo-controlled trial. The Lancet 382:1113–1120

    Article  Google Scholar 

  3. Suh A, Pham A, Cress MJ et al (2019) Adipose-derived cellular and cell-derived regenerative therapies in dermatology and aesthetic rejuvenation. Ageing Res Rev 54:100933

    Article  Google Scholar 

  4. Tan SS, Ng ZY, Zhan W et al (2016) Role of adipose-derived stem cells in fat grafting and reconstructive surgery. J Cutan Aesthet Surg 9:152–156

    Article  Google Scholar 

  5. Brayfield C, Marra K, Rubin JP (2010) Adipose stem cells for soft tissue regeneration. Handchir Mikrochir Plast Chir 42:124–128

    Article  CAS  Google Scholar 

  6. Wilson A, Butler PE, Seifalian AM (2011) Adipose-derived stem cells for clinical applications: a review. Cell Prolif 44:86–98

    Article  CAS  Google Scholar 

  7. Zuk PA (2010) The adipose-derived stem cell: looking back and looking ahead. Mol Biol Cell 21:1783–1787

    Article  CAS  Google Scholar 

  8. Liu M, Lei H, Dong P et al (2017) Adipose-derived mesenchymal stem cells from the elderly exhibit decreased migration and differentiation abilities with senescent properties. Cell Transplant 26:1505–1519

    Article  Google Scholar 

  9. Buschmann J, Gao S, Harter L et al (2013) Yield and proliferation rate of adipose-derived stromal cells as a function of age, body mass index and harvest site-increasing the yield by use of adherent and supernatant fractions? Cytotherapy 15:1098–1105

    Article  CAS  Google Scholar 

  10. Aksu AE, Rubin JP, Dudas JR et al (2008) Role of gender and anatomical region on induction of osteogenic differentiation of human adipose-derived stem cells. Ann Plast Surg 60:306–322

    Article  CAS  Google Scholar 

  11. Zampar AG, Farina Junior JA, Orellana MD et al (2020) Analysis of adipose-derived stem cells from different donor areas and their influence on fibroblasts in vitro. Aesthetic Plast Surg 44:971–978

    Article  Google Scholar 

  12. Tsekouras A, Mantas D, Tsilimigras DI et al (2017) Comparison of the viability and yield of adipose-derived stem cells (ASCs) from different donor areas. Vivo 31:1229–1234

    CAS  Google Scholar 

  13. Ardeshirylajimi A, Rafeie F, Zandi-Karimi A et al (2016) Fat harvesting site is an important determinant of proliferation and pluripotency of adipose-derived stem cells. Biologicals 44:12–18

    Article  Google Scholar 

  14. Engels PE, Tremp M, Kingham PJ et al (2013) Harvest site influences the growth properties of adipose derived stem cells. Cytotechnology 65:437–445

    Article  CAS  Google Scholar 

  15. Padoin AV, Braga-Silva J, Martins P et al (2008) Sources of processed lipoaspirate cells: influence of donor site on cell concentration. Plast Reconstr Surg 122:614–618

    Article  CAS  Google Scholar 

  16. Zanata F, Bowles A, Frazier T et al (2018) Effect of cryopreservation on human adipose tissue and isolated stromal vascular fraction cells: in vitro and in vivo analyses. Plast Reconstr Surg 141:232e–243e

    Article  CAS  Google Scholar 

  17. Shaik S, Wu X, Gimble J et al (2018) Effects of decade long freezing storage on adipose derived stem cells functionality. Scientific Reports 8:8162

    Article  Google Scholar 

  18. Gonda K, Shigeura T, Sato T et al (2008) Preserved proliferative capacity and multipotency of human adipose-derived stem cells after long-term cryopreservation. Plast Reconstr Surg 121:401–410

    Article  CAS  Google Scholar 

  19. Reumann MK, Linnemann C, Aspera-Werz RH et al (2018) Donor site location is critical for proliferation, stem cell capacity, and osteogenic differentiation of adipose mesenchymal stem/stromal cells: implications for bone tissue engineering. Int J Mol Sci 19(7):1868

    Article  Google Scholar 

  20. Varghese J, Griffin M, Mosahebi A et al (2017) Systematic review of patient factors affecting adipose stem cell viability and function: implications for regenerative therapy. Stem Cell Res Ther 8:45

    Article  Google Scholar 

  21. Jurgens WJ, Oedayrajsingh-Varma MJ, Helder MN et al (2008) Effect of tissue-harvesting site on yield of stem cells derived from adipose tissue: implications for cell-based therapies. Cell Tissue Res 332:415–426

    Article  Google Scholar 

  22. Fraser J, Wulur I, Alfonso Z et al (2007) Differences in stem and progenitor cell yield in different subcutaneous adipose tissue depots. Cytotherapy 9:459–467

    Article  CAS  Google Scholar 

  23. Zhu M, Zhou Z, Chen Y et al (2010) Supplementation of fat grafts with adipose-derived regenerative cells improves long-term graft retention. Ann Plast Surg 64:222–228

    Article  CAS  Google Scholar 

  24. Matsumoto D, Sato K, Gonda K et al (2006) Cell-assisted lipotransfer: supportive use of human adipose-derived cells for soft tissue augmentation with lipoinjection. Tissue Eng 12:3375–3382

    Article  CAS  Google Scholar 

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Acknowledgements

This article was supported by the Chinese Academy of Medical Sciences Initiative for Innovative Medicine (CAMS-I2M) (2017-I2M-3-006).

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Correspondence to Jie Luan.

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The authors declared no conflicts of interest concerning the research, authorship, and publication of this article.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Electronic supplementary material

Below is the link to the electronic supplementary material. Supplemental Fig. 1. MSC surface markers of cryopreserved adipose-derived stem cells from four harvest sites. (a) The upper limb group; (b) the abdomen group; (c) the waist group; (d) the thigh group.

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Qu, Y., Mu, D., Wang, Q. et al. Effects of Harvest Sites on Cryopreserved Adipose-Derived Stem Cells and ASC-Enriched Fat Grafts. Aesth Plast Surg 44, 2286–2296 (2020). https://doi.org/10.1007/s00266-020-01900-1

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  • DOI: https://doi.org/10.1007/s00266-020-01900-1

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