Abstract
Background
With the demand for stem cells in regenerative medicine, new methods of isolating stem cells are highly sought. Adipose tissue is a readily available and non-controversial source of multipotent stem cells that carries a low risk for potential donors. However, elevated donor body mass index has been associated with an altered cellular microenvironment and thus has implications for stem cell efficacy in recipients. This review explored the literature on adipose-derived stem cells (ASCs) and the effect of donor obesity on cellular function.
Methods
A review of published articles on obesity and ASCs was conducted with the PubMed database and the following search terms: obesity, overweight, adipose-derived stem cells and ASCs. Two investigators screened and reviewed the relevant abstracts.
Results
There is agreement on reduced ASC function in response to obesity in terms of angiogenic differentiation, proliferation, migration, viability, and an altered and inflammatory transcriptome. Osteogenic differentiation and cell yield do not show reasonable agreement. Weight loss partially rescues some of the aforementioned features.
Conclusions
Generally, obesity reduces ASC qualities and may have an effect on the therapeutic value of ASCs. Because weight loss and some biomolecules have been shown to rescue these qualities, further research should be conducted on methods to return obese-derived ASCs to baseline.
Level V
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KSV, HCV, SM, KB were involved in conception or design of the work. KSV, HCV, SM, KB, MB, JMB, JM-J, NT, VL contributed to data collection, analysis and interpretation. KSV, HCV, SM, KB, MB, JMB, JM-J, NT, VL were involved in drafting the work or revising it critically for important intellectual content.
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Vyas, K.S., Bole, M., Vasconez, H.C. et al. Profile of Adipose-Derived Stem Cells in Obese and Lean Environments. Aesth Plast Surg 43, 1635–1645 (2019). https://doi.org/10.1007/s00266-019-01397-3
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DOI: https://doi.org/10.1007/s00266-019-01397-3