Measured Levels of Human Adipose Tissue–Derived Stem Cells in Adipose Tissue Is Strongly Dependent on Harvesting Method and Stem Cell Isolation Technique

Background: Adipose tissue-derived stem cells are of great interest because of their properties of immune modulation, tissue regeneration, and multipotent differentiation. To advance development of stem cell-based treatments, determination of the physiologic concentration of adipose tissue-derived s...

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Veröffentlicht in:Plastic and reconstructive surgery (1963) 2020-01, Vol.145 (1), p.142-150
Hauptverfasser: Alstrup, Toke, Eijken, Marco, Brunbjerg, Mette Eline, Hammer-Hansen, Niels, Møller, Bjarne K., Damsgaard, Tine Engberg
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container_end_page 150
container_issue 1
container_start_page 142
container_title Plastic and reconstructive surgery (1963)
container_volume 145
creator Alstrup, Toke
Eijken, Marco
Brunbjerg, Mette Eline
Hammer-Hansen, Niels
Møller, Bjarne K.
Damsgaard, Tine Engberg
description Background: Adipose tissue-derived stem cells are of great interest because of their properties of immune modulation, tissue regeneration, and multipotent differentiation. To advance development of stem cell-based treatments, determination of the physiologic concentration of adipose tissue-derived stem cells in human adipose tissue is relevant for proper guidance of stem cell treatment dosage, oncologic safety, and evaluation of efficacy. Methods: A prospective comparative case-control study of 20 patients was conducted to determine the yield of adipose tissue-derived stem cells in periumbilical adipose tissue harvested by the widely used method of aspiration and in structurally intact adipose tissue harvested by excision. Stem cells were isolated using conventional enzymatic digestion and by a method combining enzymatic digestion with mechanical distortion. Stem cell yield was quantified by multicolor flow cytometry and colony-forming capacity. Results: When only the conventional enzymatic digestion was used, no significant difference in adipose tissue-derived stem cell yield was observed. However, when enzymatic digestion was combined with mechanical distortion, twice as many stem cells were isolated from excised adipose tissue compared to aspirated adipose tissue. Inclusion of mechanical distortion significantly increased yield 5-fold in excised adipose tissue and 2-fold in aspirated adipose tissue. Combining enzymatic digestion and mechanical distortion, measured levels of excised adipose tissue reached 140 x 10(3) (95 percent CI, 62 to 220 x 10(3)) adipose tissue-derived stem cells per gram of adipose tissue that corresponded to 26 x 10(3) (95 percent CI, 18 to 33 x 10(3)) colony-forming units per gram. Conclusions: The study indicates that harvesting by aspiration halves the concentration of adipose tissue-derived stem cells in adipose tissue samples when compared to structural intact adipose tissue. Furthermore, the study presents stem cell yield higher than previously described in the current literature. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
doi_str_mv 10.1097/PRS.0000000000006404
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To advance development of stem cell-based treatments, determination of the physiologic concentration of adipose tissue-derived stem cells in human adipose tissue is relevant for proper guidance of stem cell treatment dosage, oncologic safety, and evaluation of efficacy. Methods: A prospective comparative case-control study of 20 patients was conducted to determine the yield of adipose tissue-derived stem cells in periumbilical adipose tissue harvested by the widely used method of aspiration and in structurally intact adipose tissue harvested by excision. Stem cells were isolated using conventional enzymatic digestion and by a method combining enzymatic digestion with mechanical distortion. Stem cell yield was quantified by multicolor flow cytometry and colony-forming capacity. Results: When only the conventional enzymatic digestion was used, no significant difference in adipose tissue-derived stem cell yield was observed. However, when enzymatic digestion was combined with mechanical distortion, twice as many stem cells were isolated from excised adipose tissue compared to aspirated adipose tissue. Inclusion of mechanical distortion significantly increased yield 5-fold in excised adipose tissue and 2-fold in aspirated adipose tissue. Combining enzymatic digestion and mechanical distortion, measured levels of excised adipose tissue reached 140 x 10(3) (95 percent CI, 62 to 220 x 10(3)) adipose tissue-derived stem cells per gram of adipose tissue that corresponded to 26 x 10(3) (95 percent CI, 18 to 33 x 10(3)) colony-forming units per gram. Conclusions: The study indicates that harvesting by aspiration halves the concentration of adipose tissue-derived stem cells in adipose tissue samples when compared to structural intact adipose tissue. Furthermore, the study presents stem cell yield higher than previously described in the current literature. 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Biomedicine</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Science &amp; Technology</topic><topic>Stem Cells - cytology</topic><topic>Surgery</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alstrup, Toke</creatorcontrib><creatorcontrib>Eijken, Marco</creatorcontrib><creatorcontrib>Brunbjerg, Mette Eline</creatorcontrib><creatorcontrib>Hammer-Hansen, Niels</creatorcontrib><creatorcontrib>Møller, Bjarne K.</creatorcontrib><creatorcontrib>Damsgaard, Tine Engberg</creatorcontrib><collection>Conference Proceedings Citation Index - Science (CPCI-S)</collection><collection>Conference Proceedings Citation Index - Science (CPCI-S) 2020</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</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>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alstrup, Toke</au><au>Eijken, Marco</au><au>Brunbjerg, Mette Eline</au><au>Hammer-Hansen, Niels</au><au>Møller, Bjarne K.</au><au>Damsgaard, Tine Engberg</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measured Levels of Human Adipose Tissue–Derived Stem Cells in Adipose Tissue Is Strongly Dependent on Harvesting Method and Stem Cell Isolation Technique</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><stitle>PLAST RECONSTR SURG</stitle><addtitle>Plast Reconstr Surg</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>145</volume><issue>1</issue><spage>142</spage><epage>150</epage><pages>142-150</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Background: Adipose tissue-derived stem cells are of great interest because of their properties of immune modulation, tissue regeneration, and multipotent differentiation. 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source MEDLINE; Journals@Ovid Ovid Autoload; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />
subjects Abdominoplasty - methods
Adipose Tissue - cytology
Adult
Case-Control Studies
Cell Separation - methods
Female
Humans
Life Sciences & Biomedicine
Middle Aged
Prospective Studies
Science & Technology
Stem Cells - cytology
Surgery
Tissue and Organ Harvesting - methods
Young Adult
title Measured Levels of Human Adipose Tissue–Derived Stem Cells in Adipose Tissue Is Strongly Dependent on Harvesting Method and Stem Cell Isolation Technique
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