Abstract
Venous congestion after skin flap transplantation usually slows blood flow velocity and induces skin flap necrosis and surgical failure. Adipose tissue-derived stromal cells (ADSCs) can promote neovascularization and have been extensively applied in cell transplantation therapy and tissue regeneration. However, their function has not been reported in venous-congested skin flaps. In this study, rabbit ADSCs were isolated and identified. We established a rabbit ear venous-congested skin flap model and injected ADSCs into points along the midlines of skin flaps. The survival conditions of venous-congested skin flaps on postoperative day 7 showed that there was obvious swelling, hemorrhage, or necrosis in skin flaps of the control group, while the skin flap survival rate in the ADSC treatment group significantly increased. Hematoxylin and eosin (HE) staining results indicated that compared with the control group, thrombosis was significantly relieved and neovascularization was observed in the ADSC treatment group. Immunofluorescence revealed that the CD34 expression level and the number of capillaries significantly increased in the ADSC treatment group. In summary, ADSC transplantation promotes neovascularization in venous-congested skin flaps and skin flap survival. Therefore, ADSC transplantation may be an effective measure for promoting the survival of venous-congested skin flaps.
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Miyawaki, T., Jackson, I. T., Elmazar, H., Bier, U. C., Barakat, K., Andrus, L., et al. (2002). The effect of low-molecular-weight heparin in the survival of a rabbit congested skin flap. Plastic and Reconstructive Surgery, 2002(109), 1994–1999.
Lindroos, B., Suuronen, R., & Miettinen, S. (2011). The potential of adipose stem cells in regenerative medicine. Stem Cell Reviews, 2011(7), 269–291.
Ning, H., Liu, G., Lin, G., Yang, R., Lue, T. F., & Lin, C. S. (2009). Fibroblast growth factor 2 promotes endothelial differentiation of adipose tissue-derived stem cells. The Journal of Sexual Medicine, 2009(6), 967–979.
Rehman, J., Traktuev, D., Li, J., Merfeld-Clauss, S., Temm-Grove, C. J., Bovenkerk, J. E., et al. (2004). Secretion of angiogenic and antiapoptotic factors by human adipose stromal cells. Circulation, 2004(109), 1292–1298.
Iwashima, S., Ozaki, T., Maruyama, S., Saka, Y., Kobori, M., Omae, K., et al. (2009). Novel culture system of mesenchymal stromal cells from human subcutaneous adipose tissue. Stem Cells and Development, 2009(18), 533–543.
Bai, X., Yan, Y., Song, Y. H., Seidensticker, M., Rabinovich, B., Metzele, R., et al. (2010). Both cultured and freshly isolated adipose tissue-derived stem cells enhance cardiac function after acute myocardial infarction. European Heart Journal, 2010(31), 489–501.
Zhang, D. Z., Gai, L. Y., Liu, H. W., Jin, Q. H., Huang, J. H., & Zhu, X. Y. (2007). Transplantation of autologous adipose-derived stem cells ameliorates cardiac function in rabbits with myocardial infarction. Chinese Medical Journal (English Edition), 2007(120), 300–307.
Rigotti, G., Marchi, A., Galie, M., Baroni, G., Benati, D., Krampera, M., et al. (2007). Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: A healing process mediated by adipose-derived adult stem cells. Plastic and Reconstructive Surgery, 2007(119), 1409–1422. discussion 1423-4.
Li, J., Fu, X., Sheng, Z., & Sun, T. (2006). Ectopia of epidermal stem cells on wound edge during wound healing process. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi., 2006(20), 264–267.
Ebrahimian, T. G., Pouzoulet, F., Squiban, C., Buard, V., Andre, M., Cousin, B., et al. (2009). Cell therapy based on adipose tissue-derived stromal cells promotes physiological and pathological wound healing. Arteriosclerosis, Thrombosis, and Vascular Biology, 2009(29), 503–510.
Rangappa, S., Fen, C., Lee, E. H., Bongso, A., & Sim, E. K. (2003). Transformation of adult mesenchymal stem cells isolated from the fatty tissue into cardiomyocytes. Annals of Thoracic Surgery, 2003(75), 775–779.
Chung, T. L., Holton, L. H., 3rd, & Silverman, R. P. (2006). The effect of fondaparinux versus enoxaparin in the survival of a congested skin flap in a rabbit model. Annals of Plastic Surgery, 2006(56), 312–315.
Dawn, B., & Bolli, R. (2005). Adult bone marrow-derived cells: Regenerative potential, plasticity, and tissue commitment. Basic Research in Cardiology, 2005(100), 494–503.
Parker, A. M., & Katz, A. J. (2006). Adipose-derived stem cells for the regeneration of damaged tissues. Expert Opinion on Biological Therapy, 2006(6), 567–578.
Bura, A., Planat-Benard, V., Bourin, P., Silvestre, J. S., Gross, F., Grolleau, J. L., et al. (2014). Phase I trial: The use of autologous cultured adipose-derived stroma/stem cells to treat patients with non-revascularizable critical limb ischemia. Cytotherapy, 2014(16), 245–257.
di Summa, P. G., Kingham, P. J., Raffoul, W., Wiberg, M., Terenghi, G., & Kalbermatten, D. F. (2010). Adipose-derived stem cells enhance peripheral nerve regeneration. Journal of Plastic, Reconstructive and Aesthetic Surgery, 2010(63), 1544–1552.
Nie, C., Yang, D., Xu, J., Si, Z., Jin, X., & Zhang, J. (2011). Locally administered adipose-derived stem cells accelerate wound healing through differentiation and vasculogenesis. Cell Transplantation, 2011(20), 205–216.
Tomita, K., Madura, T., Sakai, Y., Yano, K., Terenghi, G., & Hosokawa, K. (2013). Glial differentiation of human adipose-derived stem cells: implications for cell-based transplantation therapy. Neuroscience, 2013(236), 55–65.
Schipper, B. M., Marra, K. G., Zhang, W., Donnenberg, A. D., & Rubin, J. P. (2008). Regional anatomic and age effects on cell function of human adipose-derived stem cells. Annals of Plastic Surgery, 2008(60), 538–544.
Prunet-Marcassus, B., Cousin, B., Caton, D., Andre, M., Penicaud, L., & Casteilla, L. (2006). From heterogeneity to plasticity in adipose tissues: site-specific differences. Experimental Cell Research, 2006(312), 727–736.
Gimble, J., & Guilak, F. (2003). Adipose-derived adult stem cells: isolation, characterization, and differentiation potential. Cytotherapy, 2003(5), 362–369.
Bailey, A. M., Kapur, S., & Katz, A. J. (2010). Characterization of adipose-derived stem cells: An update. Current Stem Cell Research & Therapy, 2010(5), 95–102.
Mitchell, J. B., McIntosh, K., Zvonic, S., Garrett, S., Floyd, Z. E., Kloster, A., et al. (2006). Immunophenotype of human adipose-derived cells: Temporal changes in stromal-associated and stem cell-associated markers. Stem Cells, 2006(24), 376–385.
Oedayrajsingh-Varma, M. J., van Ham, S. M., Knippenberg, M., Helder, M. N., Klein-Nulend, J., Schouten, T. E., et al. (2006). Adipose tissue-derived mesenchymal stem cell yield and growth characteristics are affected by the tissue-harvesting procedure. Cytotherapy, 2006(8), 166–177.
Lu, F., Mizuno, H., Uysal, C. A., Cai, X., Ogawa, R., & Hyakusoku, H. (2008). Improved viability of random pattern skin flaps through the use of adipose-derived stem cells. Plastic and Reconstructive Surgery, 2008(121), 50–58.
Yingxin, G., Guoqian, Y., Jiaquan, L., & Han, X. (2013). Effects of natural and recombinant hirudin on VEGF expression and random skin flap survival in a venous congested rat model. International Surgery, 2013(98), 82–87.
Planat-Benard, V., Silvestre, J. S., Cousin, B., Andre, M., Nibbelink, M., Tamarat, R., et al. (2004). Plasticity of human adipose lineage cells toward endothelial cells: Physiological and therapeutic perspectives. Circulation, 2004(109), 656–663.
Salgado, A. J., Reis, R. L., Sousa, N. J., & Gimble, J. M. (2010). Adipose tissue derived stem cells secretome: Soluble factors and their roles in regenerative medicine. Current Stem Cell Research & Therapy, 2010(5), 103–110.
Kilroy, G. E., Foster, S. J., Wu, X., Ruiz, J., Sherwood, S., Heifetz, A., et al. (2007). Cytokine profile of human adipose-derived stem cells: Expression of angiogenic, hematopoietic, and pro-inflammatory factors. Journal of Cellular Physiology, 2007(212), 702–709.
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This study was supported by a grant from the National Nature Science Foundation of China (No.: 51272286).
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Xu, N., Guo, S., Wang, Y. et al. Transplantation of Adipose Tissue-Derived Stromal Cells Promotes the Survival of Venous-Congested Skin Flaps in Rabbit Ear. Cell Biochem Biophys 71, 557–563 (2015). https://doi.org/10.1007/s12013-014-0234-8
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DOI: https://doi.org/10.1007/s12013-014-0234-8