脂肪干细胞复合富血小板血浆对脂肪颗粒移植的影响  

Increased Survival of Free Fat Grafts with Adipose-derived Stem Cells and Platelet-rich Plasma in Nude Mice

作　　者：李昆[1,2] 李锋[1,2] 郭丽娟[1,2] 李杰[1,3] 黄科[1,2] 郭维华[1] 田卫东[1,2] 

机构地区：[1]四川大学口腔疾病研究国家重点实验室,成都610041 [2]四川大学华西口腔医院创伤与整形外科,成都610041 [3]四川大学生命科学院,成都610064

出　　处：《四川大学学报（医学版）》2013年第3期337-341,共5页Journal of Sichuan University(Medical Sciences)

基　　金：国家自然科学基金项目(No.30973348);国家"973"重大基础研究前期研究专项(No.2006CB708505)资助

摘　　要：目的探讨运用组织工程技术构建的组织工程脂肪对颗粒脂肪移植的影响。方法通过酶消化法获取脂肪干细胞(ASCs),采用两步离心法制备富血小板血浆(PRP),运用组织工程技术构建组织工程脂肪。根据移植物的组成不同分为ASCs+PRP+脂肪颗粒、PRP+脂肪颗粒、ASCs+脂肪颗粒及对照组(PBS+脂肪颗粒),分别移植入裸鼠皮下,并于移植后10d、30d、60d及90d取出移植物,进行大体观察及体积测量,镜下观察组织结构变化。结果 90d后ASCs+PRP+脂肪颗粒组移植物质地柔软、颜色淡黄,较其它组别更接近于正常的脂肪组织,且具有更多的存活体积(P<0.05)及更好的组织学形态。结论运用ASCs与PRP复合脂肪颗粒能够成功构建组织工程脂肪,是一种新的安全有效的修复颌面部及全身软组织缺损方法,具有较高的应用前景。Objecitve To investigate the impact of combined adipose-derived stem cells （ASCs） and platelet- rich plasma （PRP） on the survival of transplanted fat. Methods The ASCs were isolated and cultured from fat tissues by enzyme digestion; and the PRP was prepared by two-step ultracentrifugation. The grafts of fat granules were divided into test groups （ASCs 4- PRP4- fat granules, PRP 4- fat granules, ASCs 4- fat granules） and control groups （PBS4- fat granules）. The grafts were injected into the left and right dorsal subcutaneous areas of nude mice. General observations, volume measurements and microscope examinations were conducted 10 d, 30 d, 60 d and 90 d after transplantation. Results The grafts of the mice in the ASCs4-PRP group showed soft structure, with light yellow color and closer to normal adipose tissue compared with those in other groups. Greater survival volumes （P〈0.05） and better histology were also observed in the grafts of the mice in the ASCs4-PRP group. Conclusion The fat grafts consisting of PRP and ASCs constitute an ideal transplant strategy, which could provide a valuable and needed tool in plastic and reconstructive surgery.

关 键 词：脂肪移植 富血小板血浆 脂肪干细胞 

分 类 号：R782.2[医药卫生—口腔医学]