LIU Pengcheng 1 , TAN Qiuwen 1,2 Δ , ZHANG Yi 3 , WANG Hong 4 , LÜ Qing 1
  • 1. Department of Breast Surgery, Clinical Research Center for Breast, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
  • 2. Laboratory of Stem Cell and Tissue Engineering, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
  • 3. Research Core Facility of West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
  • 4. Department of Ultrasound, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;
LÜ Qing, Email: lvqingwestchina@163.com
Extracellular matrix; lipofilling; hypoxia; volume retention rate
10.7507/1002-1892.202002126
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Objective To investigate the effect of hydrogel from acellular porcine adipose tissue (HAPA) on the survival of transplanted adipose tissue.Methods For in vitro study, adipose tissue and HAPA-adipose tissue complex were cultured in normoxia and hypoxia atmospheres for 24 and 72 hours. TUNEL and Perilipin immunofluorescence staining were performed to observe the effect of HAPA on apoptosis and survival of adipocities. For in vivo study, 42 healthy male nude mice (4-6 weeks old) weighing 15-18 g were randomly divided into adipose group (group A), 10%HAPA group (group B), 20%HAPA group (group C), 30%HAPA group (group D), 40%HAPA group (group E), and 50%HAPA group (group F) according to different HAPA/adipose tissue volume ratio (n=7). For each group, 1 mL adipose tissue or HAPA-adipose tissue complex was injected subcutaneously into the dorsum of the nude mice. At 4 weeks after transplantation, 7 nude mice in each group were sacrificed and grafts were harvested, gross observation, volume measurement, ultrasound examination, and histologic staining (HE staining, CD31 and Perilipin immunofluorescence stainings) were applied.Results Hypoxia showed a tendency of promoting adipose tissue necrosis and apoptosis, while HAPA exhibited an obvious effect of inhibiting cell apoptosis in vitro study (P<0.05). For in vivo study, grafts of all groups had intact fibrocapsule. No obvious signs of infection and necrosis were observed at 4 weeks. Volume shrinkage was observed in all groups, however, the groups A-D had significantly higher volume retention rate than groups E and F (P<0.05). Ultrasound examination showed that there were no significant difference in the number and volume of liquify area of the grafts in each group (P>0.05). With the increase of HAPA’s volume ratio, HE staining proved an improved fat integrity while a gradually decreased vacuoles and fibrosis. CD31 immunohistochemical staining showed that the number of neo-vascularisation in groups E and F were significantly higher than those in groups A-D (P<0.05). Perilipin immunofluorescence staining showed that with the increase of HAPA volume ratio, the number of living adipocytes increased gradually, and more new adipocytes could be seen in the field of vision.Conclusion As the volume ratio of HAPA gradually increased, the survival of transplanted adipose tissue also increased, but the volume retention rate decreased gradually. 30%HAPA was considered the relative optimal volume ratio for its superior adipose tissue survival and volume retation rate.

Citation： LIU Pengcheng, TAN Qiuwen, ZHANG Yi, WANG Hong, LÜ Qing. Preliminary exploration on the application of hydrogel from acellular porcine adipose tissue to assist lipofilling. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(10): 1322-1331. doi: 10.7507/1002-1892.202002126 Copy