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Adipose tissue-derived regenerative cell-based therapies: Current optimisation strategies for effective treatment in aesthetic surgery

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Handbook of Stem Cell Therapy

Abstract

Mesenchymal stem cells (MSCs) are adult stem cells derived from several different tissues in the human body, such as adipose tissue. Adipose tissue is composed of mature adipocytes and a stromal vascular fraction (SVF). Fresh SVF cells are heterogeneous, containing putative MSCs (adipose tissue-derived stem cells; ASCs), progenitor cells, vascular smooth muscle cells or pericytes, and hematopoietic cells under uncultured conditions. The capacity to isolate SVF and ASCs from the readily accessible and abundant adipose tissue shows great promise as a crucial unlimited supply for numerous applications, including regenerative medicine and basic research for pharmaceutical discoveries. The SVF is used for immediate autologous applications during surgery, while purified or cultured ASCs are considered suitable for cell therapy owing to their inter alia proliferation capabilities, multilineage differentiation capacities, low immunogenicity, immunomodulatory properties, and various trophic properties. Moreover, ASCs can be used in long-term autologous and allogeneic applications. However, various studies have identified the need for improvement of the therapeutic potential of ASCs. With ethical and scientific controls and standardization of production and handling, as well as identification of acceptable modes of therapeutic applications, ASCs are envisaged to make a credible contribution to the clinical practice of the twenty-first century. Thus, different strategies for optimizing the performance of ASCs as a therapy are currently under investigation, including two treatment approaches: fresh, uncultured, unmodified, autologous SVF and ASCs. This chapter aims to review these two treatments as well as other clinical application optimization strategies for adipose tissue-derived regenerative cells.

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Abbreviations

ASCs:

Adipose stem cells

AT:

Adipose tissue

AT-MSCs:

Adipose tissue-derived mesenchymal stem cells

b-FGF:

Beta-fibroblast growth factor

BM:

Bone marrow

BM-MSCs:

Bone marrow-derived mesenchymal stem cells

CCL:

Chemokine ligand

CD:

Cluster of differentiation

CFU-F:

Colony-forming unit fibroblast

cGMP:

Current good manufacturing practice

cGTP:

Current good tissue practice

CSF2:

Colony-stimulating factor 2

ECM:

Extracellular matrix

FDA:

Food and Drug Administration

GM-CSF:

Granulocyte-macrophage colony-stimulating factor

HCT/Ps:

Human cells, tissues, or cellular and tissue-based products

HLA:

Human leukocyte antigen

HNF4 α:

Hepatocyte nuclear factor 4 alpha

IFN-γ:

Interferon gamma

IGF:

Insulin growth factor

IL:

Interleukin

ISSCR:

International Society for Stem Cell Research

MCP:

Monocyte chemoattractant protein

MHLW:

Japan Ministry of Health, Labour and Welfare

MIP:

Macrophage inflammatory protein

miR:

Microribonucleic acid

MMP:

Matrix metalloproteinase

mRNA:

Messenger ribonucleic acid

MSCs:

Mesenchymal stromal cells

PAI:

Plasminogen activator inhibitor

PDGF:

Platelet-derived growth factors

PMDAct:

Pharmaceuticals and Medical Devices Act

RMAct:

Act on the Safety of Regenerative Medicine

SAEs:

Serious adverse events

SCs:

Stem cells

SVF:

Stromal vascular fraction

TCOM or TcPO2:

Transcutaneous oxygen measurement

TF:

Tissue factor

TGF-β:

Transforming growth factor beta

TNF-α:

Tumor necrosis factor alpha

VEGF:

Vascular endothelial growth factor

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Shimizu, Y., Ntege, E.H., Sunami, H. (2022). Adipose tissue-derived regenerative cell-based therapies: Current optimisation strategies for effective treatment in aesthetic surgery. In: Haider, K.H. (eds) Handbook of Stem Cell Therapy. Springer, Singapore. https://doi.org/10.1007/978-981-16-6016-0_35-1

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