Abstract

BackgroundTo overcome the absorption of traditional fat grafting, techniques for adipose-derived regenerative cell (ADRC)-enriched fat grafting are currently being adapted for practical application. The Celution®800/CRS (Cytori Therapeutics, San Diego, CA) has enabled rapid grafting of the patient’s own freshly harvested ADRCs without requiring a culturing step. However, the optimal cell concentration and the effects of ADRCs on the characteristics of grafted fat after free fat grafting remain unclear.MethodsADRCs were isolated and purified from human fat tissue using the Celution®800/CRS. Animals that received fat grafting without the addition of ADRCs were designated the control group (group A). The number of ADRCs per grafted fat volume (mL) was adjusted to 3 × 105, 1.5 × 106, and 3 × 106 cells/mL (groups B, C, and D, respectively), mixed with free fat, and transplanted as ADRC-enriched fat grafting. These mixtures were transplanted subcutaneously into BALB/C Jcl-nu/nu mice. The volume of grafted fat was determined 5 months after transplantation, and histological assessments were performed.ResultsADRC-enriched fat grafting resulted in decreased fat absorption and the formation of greater numbers of new blood vessels in the grafted fat. The optimal ADRC concentration in this study was found to be 3 × 105 cells/mL (group B), with higher concentrations resulting in increased cyst and fibril formation in the grafted fat.ConclusionsThis study used the Celution®800/CRS for free fat grafting and demonstrated that the concentration of transplanted ADRCs affected the engraftment and quality of the grafted fat.

Highlights

  • Autologous free fat grafting is a widely accepted technique used for the correction of various soft-tissue defects because it is biocompatible, versatile, natural-looking, nonimmunogenic, inexpensive, and readily obtainable with low donor site morbidity [1,2]

  • Using the Celution®800/ CRS, 3.0 × 105 ± 5.4 × 104 adipose-derived regenerative cell (ADRC) were extracted from 1 mL of fat

  • Relative fat volumes were significantly higher in groups B and C than in group A, which showed that fat absorption was inhibited (Figure 5)

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Summary

Introduction

Autologous free fat grafting is a widely accepted technique used for the correction of various soft-tissue defects because it is biocompatible, versatile, natural-looking, nonimmunogenic, inexpensive, and readily obtainable with low donor site morbidity [1,2]. Free fat grafting often has a low survival rate, and adipose tissue can be quickly resorbed and replaced by fibrous tissue and oil cysts [3,4]. To overcome this shortcoming of traditional fat grafting, techniques for adipose-derived regenerative cell (ADRC)-enriched fat grafting are currently. The Celution®800/CRS (Cytori Therapeutics, San Diego, CA) was recently developed to enable rapid grafting of the patient’s own freshly harvested ADRCs by automating and standardizing the extraction, washing, and concentration of ADRCs for clinical use without requiring a culturing step [5]. To overcome the absorption of traditional fat grafting, techniques for adipose-derived regenerative cell (ADRC)-enriched fat grafting are currently being adapted for practical application. The optimal cell concentration and the effects of ADRCs on the characteristics of grafted fat after free fat grafting remain unclear

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