Improvement of skin-graft survival after autologous transplantation of adipose-derived stem cells in rats

Summary Background Skin grafts are frequently used for a variety of indications in plastic and reconstructive surgery. Their necrosis is a common complication, while different therapies have been proposed. Currently, adipose-derived stem cells (ASCs) hold great promise for their angiogenic potential...

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Veröffentlicht in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2011-12, Vol.64 (12), p.1647-1656
Hauptverfasser: Zografou, A, Tsigris, C, Papadopoulos, O, Kavantzas, N, Patsouris, E, Donta, I, Perrea, D
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container_end_page 1656
container_issue 12
container_start_page 1647
container_title Journal of plastic, reconstructive & aesthetic surgery
container_volume 64
creator Zografou, A
Tsigris, C
Papadopoulos, O
Kavantzas, N
Patsouris, E
Donta, I
Perrea, D
description Summary Background Skin grafts are frequently used for a variety of indications in plastic and reconstructive surgery. Their necrosis is a common complication, while different therapies have been proposed. Currently, adipose-derived stem cells (ASCs) hold great promise for their angiogenic potential and role during tissue repair. In this study, autologous transplantation of ASCs was used in skin grafts in rats to determine if it increases angiogenesis, skin-graft survival and wound healing. Methods ASCs were isolated, cultured, labelled with fluorescent dye and injected under full-thickness skin grafts in 10 rats (group 1), while 10 others served as controls (group 2). Skin grafts were analysed after 1 week. Collagen’s framework was assessed with Masson’s trichrome stain and angiogenesis with von Willebrand factor (vWF) immunohistochemistry. In addition, immunohistochemical staining intensity of vascular endothelial growth factor (VEGF) and transforming growth factor b3 (TGFb3) was assessed in all grafts. Results Mean area of graft necrosis was significantly less in group 1 than in group 2 (6.12% vs. 32.62%, p  
doi_str_mv 10.1016/j.bjps.2011.07.009
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Their necrosis is a common complication, while different therapies have been proposed. Currently, adipose-derived stem cells (ASCs) hold great promise for their angiogenic potential and role during tissue repair. In this study, autologous transplantation of ASCs was used in skin grafts in rats to determine if it increases angiogenesis, skin-graft survival and wound healing. Methods ASCs were isolated, cultured, labelled with fluorescent dye and injected under full-thickness skin grafts in 10 rats (group 1), while 10 others served as controls (group 2). Skin grafts were analysed after 1 week. Collagen’s framework was assessed with Masson’s trichrome stain and angiogenesis with von Willebrand factor (vWF) immunohistochemistry. In addition, immunohistochemical staining intensity of vascular endothelial growth factor (VEGF) and transforming growth factor b3 (TGFb3) was assessed in all grafts. Results Mean area of graft necrosis was significantly less in group 1 than in group 2 (6.12% vs. 32.62%, p  &lt; 0.01). Statistically significant increase of microvessel density, collagen density, VEGF and TGFb3 expression was noted in group 1 compared with group 2 (all: p  &lt; 0.01). Conclusions These findings suggest that autologous ASCs transplantation increases full-thickness skin-graft survival and shows promise for use in skin-graft surgery. This might be both due to in situ differentiation of ASCs into endothelial cells and increased secretion by ASCs of growth factors, such as VEGF and TGFb3 that enhance angiogenesis and wound healing.</description><identifier>ISSN: 1748-6815</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2011.07.009</identifier><identifier>PMID: 21839697</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adipose Tissue - cytology ; Adipose-derived stem cells ; Angiogenesis ; Animals ; Biological and medical sciences ; Cell Differentiation ; Cells, Cultured ; Flow Cytometry ; Graft Survival - physiology ; Immunohistochemistry ; Immunophenotyping ; Male ; Medical sciences ; Plastic Surgery ; Rats ; Rats, Sprague-Dawley ; Skin Transplantation - physiology ; Skin-graft ; Stem Cell Transplantation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; TGFb3 ; Transplantation, Autologous ; Vascular Endothelial Growth Factor A - metabolism ; VEGF ; Wound Healing - physiology</subject><ispartof>Journal of plastic, reconstructive &amp; aesthetic surgery, 2011-12, Vol.64 (12), p.1647-1656</ispartof><rights>British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. 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Their necrosis is a common complication, while different therapies have been proposed. Currently, adipose-derived stem cells (ASCs) hold great promise for their angiogenic potential and role during tissue repair. In this study, autologous transplantation of ASCs was used in skin grafts in rats to determine if it increases angiogenesis, skin-graft survival and wound healing. Methods ASCs were isolated, cultured, labelled with fluorescent dye and injected under full-thickness skin grafts in 10 rats (group 1), while 10 others served as controls (group 2). Skin grafts were analysed after 1 week. Collagen’s framework was assessed with Masson’s trichrome stain and angiogenesis with von Willebrand factor (vWF) immunohistochemistry. In addition, immunohistochemical staining intensity of vascular endothelial growth factor (VEGF) and transforming growth factor b3 (TGFb3) was assessed in all grafts. Results Mean area of graft necrosis was significantly less in group 1 than in group 2 (6.12% vs. 32.62%, p  &lt; 0.01). Statistically significant increase of microvessel density, collagen density, VEGF and TGFb3 expression was noted in group 1 compared with group 2 (all: p  &lt; 0.01). Conclusions These findings suggest that autologous ASCs transplantation increases full-thickness skin-graft survival and shows promise for use in skin-graft surgery. This might be both due to in situ differentiation of ASCs into endothelial cells and increased secretion by ASCs of growth factors, such as VEGF and TGFb3 that enhance angiogenesis and wound healing.</description><subject>Adipose Tissue - cytology</subject><subject>Adipose-derived stem cells</subject><subject>Angiogenesis</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cell Differentiation</subject><subject>Cells, Cultured</subject><subject>Flow Cytometry</subject><subject>Graft Survival - physiology</subject><subject>Immunohistochemistry</subject><subject>Immunophenotyping</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Plastic Surgery</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Skin Transplantation - physiology</subject><subject>Skin-graft</subject><subject>Stem Cell Transplantation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>TGFb3</topic><topic>Transplantation, Autologous</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><topic>VEGF</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zografou, A</creatorcontrib><creatorcontrib>Tsigris, C</creatorcontrib><creatorcontrib>Papadopoulos, O</creatorcontrib><creatorcontrib>Kavantzas, N</creatorcontrib><creatorcontrib>Patsouris, E</creatorcontrib><creatorcontrib>Donta, I</creatorcontrib><creatorcontrib>Perrea, D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive &amp; aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zografou, A</au><au>Tsigris, C</au><au>Papadopoulos, O</au><au>Kavantzas, N</au><au>Patsouris, E</au><au>Donta, I</au><au>Perrea, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of skin-graft survival after autologous transplantation of adipose-derived stem cells in rats</atitle><jtitle>Journal of plastic, reconstructive &amp; aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>64</volume><issue>12</issue><spage>1647</spage><epage>1656</epage><pages>1647-1656</pages><issn>1748-6815</issn><eissn>1878-0539</eissn><abstract>Summary Background Skin grafts are frequently used for a variety of indications in plastic and reconstructive surgery. Their necrosis is a common complication, while different therapies have been proposed. Currently, adipose-derived stem cells (ASCs) hold great promise for their angiogenic potential and role during tissue repair. In this study, autologous transplantation of ASCs was used in skin grafts in rats to determine if it increases angiogenesis, skin-graft survival and wound healing. Methods ASCs were isolated, cultured, labelled with fluorescent dye and injected under full-thickness skin grafts in 10 rats (group 1), while 10 others served as controls (group 2). Skin grafts were analysed after 1 week. Collagen’s framework was assessed with Masson’s trichrome stain and angiogenesis with von Willebrand factor (vWF) immunohistochemistry. In addition, immunohistochemical staining intensity of vascular endothelial growth factor (VEGF) and transforming growth factor b3 (TGFb3) was assessed in all grafts. Results Mean area of graft necrosis was significantly less in group 1 than in group 2 (6.12% vs. 32.62%, p  &lt; 0.01). Statistically significant increase of microvessel density, collagen density, VEGF and TGFb3 expression was noted in group 1 compared with group 2 (all: p  &lt; 0.01). Conclusions These findings suggest that autologous ASCs transplantation increases full-thickness skin-graft survival and shows promise for use in skin-graft surgery. This might be both due to in situ differentiation of ASCs into endothelial cells and increased secretion by ASCs of growth factors, such as VEGF and TGFb3 that enhance angiogenesis and wound healing.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>21839697</pmid><doi>10.1016/j.bjps.2011.07.009</doi><tpages>10</tpages></addata></record>
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subjects Adipose Tissue - cytology
Adipose-derived stem cells
Angiogenesis
Animals
Biological and medical sciences
Cell Differentiation
Cells, Cultured
Flow Cytometry
Graft Survival - physiology
Immunohistochemistry
Immunophenotyping
Male
Medical sciences
Plastic Surgery
Rats
Rats, Sprague-Dawley
Skin Transplantation - physiology
Skin-graft
Stem Cell Transplantation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
TGFb3
Transplantation, Autologous
Vascular Endothelial Growth Factor A - metabolism
VEGF
Wound Healing - physiology
title Improvement of skin-graft survival after autologous transplantation of adipose-derived stem cells in rats
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