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Erschienen in: Aesthetic Plastic Surgery 5/2021

01.06.2021 | Original Article

Liquid Phase Concentrated Growth Factor Improves Autologous Fat Graft Survival In Vivo in Nude Mice

verfasst von: Tianjia Zhang, Jiewen Dai, Yuting Xu, Liya Yu, Xudong Wang

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 5/2021

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Abstract

Objective

The present study aimed to explore the efficacy and safety profile of liquid phase concentrated growth factor (LPCGF) in promoting autologous fat graft survival.

Methods

LPCGF/PRP was mixed with human fat tissues at different proportions and transplanted into nude mice. Three months after transplantation, the implanted fat tissues were retrieved for analysis. H&E staining was used to quantify the neovascularization. Immunohistochemical staining was applied to quantify the CD34-positive stem cells and the fluorescence intensity of VEGF and TGF-β.

Results

Addition of LPCGF to autologous fat reduced the fat absorption by 5–15%, especially at the early stage, and no complications were observed. In addition, the effect was improved with increased CGF. Liquid phase concentrated growth factor improves autologous fat graft survival, and the most suitable ratio of LPCGF/fat is 1:8.

Conclusion

LPCGF is rich in VEGF, TGF-β and CD34-positive stem cells, which can improve the fat transplantation effect, but the specific influence of a single component requires future evaluation.

No Level Assigned

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Literatur
1.
Zurück zum Zitat Denadai R, Raposoamaral CA, Buzzo CL et al (2018) Autologous free fat grafting for management of the facial contour asymmetry. J Craniofac Surg 29(4):878–886CrossRef Denadai R, Raposoamaral CA, Buzzo CL et al (2018) Autologous free fat grafting for management of the facial contour asymmetry. J Craniofac Surg 29(4):878–886CrossRef
2.
Zurück zum Zitat Jin R, Zhang L, Zhang YG (2013) Does platelet-rich plasma enhance the survival of grafted fat? An update review. Int J Clin Exp Med 6(4):252–258PubMedPubMedCentral Jin R, Zhang L, Zhang YG (2013) Does platelet-rich plasma enhance the survival of grafted fat? An update review. Int J Clin Exp Med 6(4):252–258PubMedPubMedCentral
3.
Zurück zum Zitat Pinski KS Jr, RH. (1992) Autologous fat transplantation. J Dermatol Surg Oncol 18(3):179–184CrossRef Pinski KS Jr, RH. (1992) Autologous fat transplantation. J Dermatol Surg Oncol 18(3):179–184CrossRef
4.
Zurück zum Zitat Kaufman MR, Bradley JP, Dickinson B et al (2007) Autologous fat transfer national consensus survey: trends in techniques for harvest, preparation, and application, and perception of short- and long-term results. Plast Reconstr Surg 119(1):323–331CrossRef Kaufman MR, Bradley JP, Dickinson B et al (2007) Autologous fat transfer national consensus survey: trends in techniques for harvest, preparation, and application, and perception of short- and long-term results. Plast Reconstr Surg 119(1):323–331CrossRef
5.
Zurück zum Zitat DohanDM ChoukrounJ, DissA, et al (2006) Platelet-rich fibrin (PRF): a second generation platelet concentrate PartII: platelet relatedbiologicfeatures. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 101(3):45–50CrossRef DohanDM ChoukrounJ, DissA, et al (2006) Platelet-rich fibrin (PRF): a second generation platelet concentrate PartII: platelet relatedbiologicfeatures. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 101(3):45–50CrossRef
6.
Zurück zum Zitat Landesberg R, Roy M, G lickman RS. (2000) Quantification of growth factor levels using a simplified method of platelet rich plasma gel preparation. J Oral MaxillofacSurg 58:297–300CrossRef Landesberg R, Roy M, G lickman RS. (2000) Quantification of growth factor levels using a simplified method of platelet rich plasma gel preparation. J Oral MaxillofacSurg 58:297–300CrossRef
7.
Zurück zum Zitat Zhang CQ, Yuan T, Zeng BF (2004) Experimental study of the effect of Platelet-rich plasma on osteogenesis in rabbit. Chin Med J 117(12):1853–1855PubMed Zhang CQ, Yuan T, Zeng BF (2004) Experimental study of the effect of Platelet-rich plasma on osteogenesis in rabbit. Chin Med J 117(12):1853–1855PubMed
8.
Zurück zum Zitat Marx RE, Carlson ER, Eichstaedt RM et al (1998) Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radio-Endod 85:638–646CrossRef Marx RE, Carlson ER, Eichstaedt RM et al (1998) Platelet-rich plasma: growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radio-Endod 85:638–646CrossRef
9.
Zurück zum Zitat Sacco L (2006) Lecture, International academy of implant prosthesis and osteoconnection. 12:4 Sacco L (2006) Lecture, International academy of implant prosthesis and osteoconnection. 12:4
10.
Zurück zum Zitat Rodella LF, Favero G, Boninsegna R et al (2011) Growth factors, CD34 positive cells, and fibrin network analysis in concentrated growth factors fraction. Microsc Res Tech 74(8):772–777CrossRef Rodella LF, Favero G, Boninsegna R et al (2011) Growth factors, CD34 positive cells, and fibrin network analysis in concentrated growth factors fraction. Microsc Res Tech 74(8):772–777CrossRef
11.
Zurück zum Zitat Yoshimura K, Sato K, Aoi N et al (2007) Cell-assisted lipotransfer for cosmetic breast augmentation supportive use of adipose derived stem/stromal cells. Aesthetic PlastSurg 32(1):48–55CrossRef Yoshimura K, Sato K, Aoi N et al (2007) Cell-assisted lipotransfer for cosmetic breast augmentation supportive use of adipose derived stem/stromal cells. Aesthetic PlastSurg 32(1):48–55CrossRef
12.
Zurück zum Zitat Yoshimura K, Sato K, Aoi N et al (2008) Cell-assisted lipotransfer for facial lipoatrophy: efficacy of clinical use of adipose-derived stem cells. DermatolSurg 34(9):1178–1185 Yoshimura K, Sato K, Aoi N et al (2008) Cell-assisted lipotransfer for facial lipoatrophy: efficacy of clinical use of adipose-derived stem cells. DermatolSurg 34(9):1178–1185
13.
Zurück zum Zitat Chung CW, Marra KG, Li H et al (2012) VEGF microsphere technology to enhance vascularization in fat grafting. Ann PlastSurg 69(2):213–219 Chung CW, Marra KG, Li H et al (2012) VEGF microsphere technology to enhance vascularization in fat grafting. Ann PlastSurg 69(2):213–219
14.
Zurück zum Zitat Lu F, Li J, Gao J et al (2009) Improvement of the survival of human autologous fat transplantation by using VEGF-transfected adipose-derived stem cells. PlastReconstrSurg 124(5):1447–1449 Lu F, Li J, Gao J et al (2009) Improvement of the survival of human autologous fat transplantation by using VEGF-transfected adipose-derived stem cells. PlastReconstrSurg 124(5):1447–1449
15.
Zurück zum Zitat Yuksel E, Weinfeld AB, Cleek R et al (2000) Increased free fat-graft survival with the long-term, local delivery of insulin, insulin-like growth factor-I, and basic fibroblast growth factor by PLGA/PEG microspheres. PlastReconstrSurg 105(5):1712–1720 Yuksel E, Weinfeld AB, Cleek R et al (2000) Increased free fat-graft survival with the long-term, local delivery of insulin, insulin-like growth factor-I, and basic fibroblast growth factor by PLGA/PEG microspheres. PlastReconstrSurg 105(5):1712–1720
16.
Zurück zum Zitat Hamed S, Egozi D, Kruchevsky D et al (2010) Erythropoietin improves the survival of fat tissue after its transplantation in nude mice. PLoS ONE 5(11):419–453CrossRef Hamed S, Egozi D, Kruchevsky D et al (2010) Erythropoietin improves the survival of fat tissue after its transplantation in nude mice. PLoS ONE 5(11):419–453CrossRef
17.
Zurück zum Zitat Yun H, Yichen J, Muyao W et al (2018) Concentrated growth factor enhanced fat graft survival. Dermatol Surg 44(7):976–984CrossRef Yun H, Yichen J, Muyao W et al (2018) Concentrated growth factor enhanced fat graft survival. Dermatol Surg 44(7):976–984CrossRef
18.
Zurück zum Zitat Rodella LF, Favero G, Boninsegna R et al (2011) Growth factors, CD34 positive cells, and fibrin network analysis in concentrated growth factors fraction. Microsc Res Tech 74(8):772–777CrossRef Rodella LF, Favero G, Boninsegna R et al (2011) Growth factors, CD34 positive cells, and fibrin network analysis in concentrated growth factors fraction. Microsc Res Tech 74(8):772–777CrossRef
19.
Zurück zum Zitat Lei X, Liu H, Pang M et al (2019) Effects of platelet-rich plasma on fat and nanofat survival: an experimental study on mice. Aesthetic Plast Surg 43(4):1085–1094CrossRef Lei X, Liu H, Pang M et al (2019) Effects of platelet-rich plasma on fat and nanofat survival: an experimental study on mice. Aesthetic Plast Surg 43(4):1085–1094CrossRef
20.
Zurück zum Zitat Laukka M, Hoppela E, Salo J et al (2020) Preperitoneal fat grafting inhibits the formation of intra-abdominal adhesions in mice. J Gastrointest Surg 24(12):2838–2848CrossRef Laukka M, Hoppela E, Salo J et al (2020) Preperitoneal fat grafting inhibits the formation of intra-abdominal adhesions in mice. J Gastrointest Surg 24(12):2838–2848CrossRef
21.
Zurück zum Zitat Li S, Liu W, Kang D et al (2019) Locally increased level of inorganic phosphate induced nodules or calcification after bolus fat grafting. Aesthet Plast Surg 43(6):1646–1656CrossRef Li S, Liu W, Kang D et al (2019) Locally increased level of inorganic phosphate induced nodules or calcification after bolus fat grafting. Aesthet Plast Surg 43(6):1646–1656CrossRef
22.
Zurück zum Zitat Qi HX (2014) Analysis of component and content of bioactive factors of autologous concentrated growth factors fibrin gel(liquid). Heibei Medical University Qi HX (2014) Analysis of component and content of bioactive factors of autologous concentrated growth factors fibrin gel(liquid). Heibei Medical University
23.
Zurück zum Zitat Scarano A, Valbonetti L, Marchetti M et al (2016) Soft tissue augmentation of the face with autologous platelet-derived growth factors and tricalcium phosphate microtomography evaluation of mice. J.Craniofac Surg 27(5):1212–1214CrossRef Scarano A, Valbonetti L, Marchetti M et al (2016) Soft tissue augmentation of the face with autologous platelet-derived growth factors and tricalcium phosphate microtomography evaluation of mice. J.Craniofac Surg 27(5):1212–1214CrossRef
24.
Zurück zum Zitat Isenberg JS, Romeo MJ, Abuasab M et al (2007) Increasing survival of ischemic tissue by targeting CD47. Circ Res 100(5):712CrossRef Isenberg JS, Romeo MJ, Abuasab M et al (2007) Increasing survival of ischemic tissue by targeting CD47. Circ Res 100(5):712CrossRef
25.
Zurück zum Zitat Li Y, Mou S, Xiao P et al (2020) Delayed two steps PRP injection strategy for the improvement of fat graft survival with superior angiogenesis. Sci Rep 10(1):5231CrossRef Li Y, Mou S, Xiao P et al (2020) Delayed two steps PRP injection strategy for the improvement of fat graft survival with superior angiogenesis. Sci Rep 10(1):5231CrossRef
26.
Zurück zum Zitat Roh DS, Orgill DP (2018) Discussion: early macrophage infiltration improves fat graft survival by inducing angiogenesis and hematopoietic stem cell recruitment. Plast Reconstr Surg 141(2):387CrossRef Roh DS, Orgill DP (2018) Discussion: early macrophage infiltration improves fat graft survival by inducing angiogenesis and hematopoietic stem cell recruitment. Plast Reconstr Surg 141(2):387CrossRef
Metadaten
Titel
Liquid Phase Concentrated Growth Factor Improves Autologous Fat Graft Survival In Vivo in Nude Mice
verfasst von
Tianjia Zhang
Jiewen Dai
Yuting Xu
Liya Yu
Xudong Wang
Publikationsdatum
01.06.2021
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 5/2021
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02336-x

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