中华皮肤科杂志 ›› 2025, e20240300.doi: 10.35541/cjd.20240300
袁梦莎1 赵涛1 刘玲2
收稿日期:
2024-06-04
修回日期:
2024-09-11
发布日期:
2025-02-08
通讯作者:
刘玲
E-mail:vanilla@fmmu.edu.cn
基金资助:
Yuan Mengsha1, Zhao Tao1, Liu Ling2
Received:
2024-06-04
Revised:
2024-09-11
Published:
2025-02-08
Contact:
Liu Ling
E-mail:vanilla@fmmu.edu.cn
Supported by:
摘要: 【摘要】 脂肪干细胞基质胶是采用物理方法将脂肪组织机械切割离心,去除成熟脂肪细胞和油滴后获得的高活性物质,因其保留了脂肪干细胞、细胞外基质和浓缩血管基质片段,且可低温储存,近年来在填充、色素异常改善、瘢痕、创面修复等领域广泛应用。本文综述脂肪干细胞基质胶在烧伤、整形、皮肤科应用的现状及前景。
袁梦莎 赵涛 刘玲. 脂肪干细胞基质胶临床应用进展[J]. 中华皮肤科杂志, 2025,e20240300. doi:10.35541/cjd.20240300
Yuan Mengsha, Zhao Tao, Liu Ling. Clinical application of stromal vascular fraction gel[J]. Chinese Journal of Dermatology,2025,e20240300. doi:10.35541/cjd.20240300
[1] | Dong Z, Peng Z, Chang Q, et al. The survival condition and immunoregulatory function of adipose stromal vascular fraction (SVF) in the early stage of nonvascularized adipose transplantation[J/OL]. PLoS One, 2013,8(11):e80364. doi: 10. 1371/journal.pone.0080364. |
[2] | Tonnard P, Verpaele A, Peeters G, et al. Nanofat grafting: basic research and clinical applications[J]. Plast Reconstr Surg, 2013,132(4):1017⁃1026. doi: 10.1097/PRS.0b013e31829fe1b0. |
[3] | Yao Y, Dong Z, Liao Y, et al. Adipose extracellular matrix/stromal vascular fraction gel: a novel adipose tissue⁃derived injectable for stem cell therapy[J]. Plast Reconstr Surg, 2017,139(4):867⁃879. doi: 10.1097/PRS.0000000000003214. |
[4] | Jiang W, Wang J, Lin J, et al. Adipose⁃derived stem cell⁃enriched lipotransfer reverses skin sclerosis by suppressing dermal inflammation[J]. Plast Reconstr Surg, 2022,150(3):578⁃587. doi: 10.1097/PRS.0000000000009435. |
[5] | Liu J, Wang J, Zhang Q, et al. Clinical, histologic, and transcriptomic evaluation of sequential fat grafting for morphea: a nonrandomized controlled trial[J]. JAMA Dermatol, 2024,160(4):425⁃433. doi: 10.1001/jamadermatol.2023.5908. |
[6] | Cao Z, Li H, Wang ZH, et al. High⁃density fat grafting assisted stromal vascular fraction gel in facial deformities[J]. J Craniofac Surg, 2022,33(1):108⁃111. doi: 10.1097/SCS.000000000000 8038. |
[7] | 侯崇超, 周传德. SVF⁃gel联合自体颗粒脂肪在外生殖器整形中的临床应用[J]. 中国美容整形外科杂志, 2019,30(3):179⁃181,后插3. doi: 10.3969/j.issn.1673⁃7040.2019.03.017. |
[8] | Li M, Tian Y, Cheng R, et al. Clinical efficacy of stromal vascular fraction gel in the treatment of mature striae distensae[J]. Skin Res Technol, 2024,30(1):e13551. doi: 10.1111/srt. 13551. |
[9] | Zhang Y, Zou J, Yuan Y, et al. Contouring and augmentation of the temple using stromal vascular fraction gel grafting[J]. Front Surg, 2022,9:893219. doi: 10.3389/fsurg.2022.893219. |
[10] | Sun Y, Wu G, Dai T, et al. Stromal vascular fraction gel (SVF⁃Gel) combined with nanofat for tear trough deformity[J]. Aesthetic Plast Surg, 2024,48(2):213⁃220. doi: 10.1007/s00266⁃023⁃03698⁃0. |
[11] | Cai J, Wang J, Hu W, et al. Mechanical micronization of lipoaspirates for the treatment of horizontal neck lines[J]. Plast Reconstr Surg, 2020,145(2):345⁃353. doi: 10.1097/PRS.00000 00000006456. |
[12] | Yang RL, Chen SY, Fu SP, et al. Antioxidant mechanisms of mesenchymal stem cells and their therapeutic potential in vitiligo[J]. Front Cell Dev Biol, 2023,11:1293101. doi: 10.3389/fcell. 2023.1293101. |
[13] | Zavala G, Sandoval C, Meza D, et al. Differentiation of adipose⁃derived stem cells to functional CD105(neg) CD73(low) melanocyte precursors guided by defined culture condition[J]. Stem Cell Res Ther, 2019,10(1):249. doi: 10.1186/s13287⁃019⁃1364⁃0. |
[14] | Bian Y, Yu H, Jin M, et al. Repigmentation by combined narrow‑band ultraviolet B/adipose‑derived stem cell transplantation in the mouse model: role of Nrf2/HO‑1‑mediated Ca2+ homeostasis[J]. Mol Med Rep, 2022,25(1):6 [pii]. doi: 10.3892/mmr.2021.12522. |
[15] | Wang S, Wang P, Zhang R. Adipose tissue⁃derived Muse cells promote autophagy and oxidative stress tolerance in human epidermal melanocytes[J]. Cell Tissue Bank, 2023,24(1):253⁃264. doi: 10.1007/s10561⁃022⁃10031⁃7. |
[16] | Refat MA, Strassner JP, Frisoli ML, et al. Lesional CD8+ T⁃cell number predicts surgical outcomes of melanocyte⁃keratinocyte transplantation surgery for vitiligo[J]. J Invest Dermatol, 2023,143(11):2275⁃2282.e6. doi: 10.1016/j.jid.2023.03.1689. |
[17] | Symonds E, Black B, Brown A, et al. Adipose derived stem cell extracellular vesicles modulate primary human macrophages to an anti⁃inflammatory phenotype in vitro[J]. J Extracell Biol, 2023,2(8):e104. doi: 10.1002/jex2.104. |
[18] | Lim WS, Kim CH, Kim JY, et al. Adipose⁃derived stem cells improve efficacy of melanocyte transplantation in animal skin[J]. Biomol Ther (Seoul), 2014,22(4):328⁃333. doi: 10.4062/biomolther.2014.065. |
[19] | Wang XY, Guan XH, Yu ZP, et al. Human amniotic stem cells⁃derived exosmal miR⁃181a⁃5p and miR⁃199a inhibit melanogenesis and promote melanosome degradation in skin hyperpigmentation, respectively[J]. Stem Cell Res Ther, 2021,12(1):501. doi: 10.1186/s13287⁃021⁃02570⁃9. |
[20] | Shen JP, Wu YX, Tang SJ, et al. Experimental study on stromal vascular fraction mediated inhibition of skin pigmentation in guinea pigs[J]. Ann Transl Med, 2022,10(23):1268. doi: 10. 21037/atm⁃22⁃5433. |
[21] | Zhao H, Hao L, Chen X, et al. An efficacy study of a new radical treatment for acne vulgaris using fat injection[J]. Aesthet Surg J, 2021,41(8):NP1061⁃NP1072. doi: 10.1093/asj/sjab162. |
[22] | Xiao S, Qi J, Li J, et al. Mechanical micronization of lipoaspirates combined with fractional CO2 laser for the treatment of hypertrophic scars[J]. Plast Reconstr Surg, 2023,151(3):549⁃559. doi: 10.1097/PRS.0000000000009915. |
[23] | 朱萌莹, 陈龙金, 张明军, 等. 脂肪细胞外基质凝胶(SVF⁃gel)促进增生性瘢痕重塑的临床研究[J]. 中国医疗美容, 2022,12(11):39⁃42. doi: 10.19593/j.issn.2095⁃0721.2022.11.011. |
[24] | 邓红柳, 冯倩. SVF⁃gel与超脉冲CO2点阵激光治疗凹陷性痤疮瘢痕的对比研究[J]. 检验医学与临床, 2021,18(2):249⁃251. doi: 10.3969/j.issn.1672⁃9455.2021.02.031. |
[25] | Cai Y, Zhang F, Feng J, et al. Long⁃term follow⁃up and exploration of the mechanism of stromal vascular fraction gel in chronic wounds[J]. Stem Cell Res Ther, 2023,14(1):163. doi: 10.1186/s13287⁃023⁃03389⁃2. |
[26] | Deng C, Wang L, Feng J, et al. Treatment of human chronic wounds with autologous extracellular matrix/stromal vascular fraction gel: a STROBE⁃compliant study[J]. Medicine (Baltimore), 2018,97(32):e11667. doi: 10.1097/MD.0000000 000011667. |
[27] | Ma J, Zhang Z, Wang Y, et al. Investigation of miR⁃126⁃3p loaded on adipose stem cell⁃derived exosomes for wound healing of full⁃thickness skin defects[J]. Exp Dermatol, 2022,31(3):362⁃374. doi: 10.1111/exd.14480. |
[28] | Ren S, Chen J, Guo J, et al. Exosomes from adipose stem cells promote diabetic wound healing through the eHSP90/LRP1/AKT axis[J]. Cells, 2022,11(20):3229. doi: 10.3390/cells11203229. |
[29] | Liang Q, Zhou D, Ge X, et al. Exosomes from adipose⁃derived mesenchymal stem cell improve diabetic wound healing and inhibit fibrosis via miR⁃128⁃1⁃5p/TGF⁃β1/Smad axis[J]. Mol Cell Endocrinol, 2024,588:112213. doi: 10.1016/j.mce.2024. 112213. |
[30] | Ren H, Su P, Zhao F, et al. Adipose mesenchymal stem cell⁃derived exosomes promote skin wound healing in diabetic mice by regulating epidermal autophagy[J]. Burns Trauma, 2024,12:tkae001. doi: 10.1093/burnst/tkae001. |
[31] | Zhang T. Hepatocyte growth factor⁃modified adipose⁃derived mesenchymal stem cells inhibit human hypertrophic scar fibroblast activation[J]. J Cosmet Dermatol, 2024. doi: 10.1111/jocd.16509. |
[32] | Yang J, Li S, He L, et al. Adipose⁃derived stem cells inhibit dermal fibroblast growth and induce apoptosis in keloids through the arachidonic acid⁃derived cyclooxygenase⁃2/prostaglandin E2 cascade by paracrine[J]. Burns Trauma, 2021,9:tkab020. doi: 10.1093/burnst/tkab020. |
[33] | Chen S, He Z, Xu J. Application of adipose⁃derived stem cells in photoaging: basic science and literature review[J]. Stem Cell Res Ther, 2020,11(1):491. doi: 10.1186/s13287⁃020⁃01994⁃z. |
[34] | Yang Z, Dong L, Jin S, et al. Comparison of microfat, nanofat, and extracellular matrix/stromal vascular fraction gel for skin rejuvenation: basic animal research[J]. Aesthet Surg J, 2023,43(7):NP573⁃NP586. doi: 10.1093/asj/sjad058. |
[35] | Legiawati L, Suseno LS, Sitohang I, et al. Combination of adipose⁃derived stem cell conditioned media and minoxidil for hair regrowth in male androgenetic alopecia: a randomized, double⁃blind clinical trial[J]. Stem Cell Res Ther, 2023,14(1):210. doi: 10.1186/s13287⁃023⁃03440⁃2. |
[36] | Tak YJ, Lee SY, Cho AR, et al. A randomized, double⁃blind, vehicle⁃controlled clinical study of hair regeneration using adipose⁃derived stem cell constituent extract in androgenetic alopecia[J]. Stem Cells Transl Med, 2020,9(8):839⁃849. doi: 10.1002/sctm.19⁃0410. |
[37] | Cho SB, Roh MR, Chung KY. Recovery of scleroderma⁃induced atrophic alopecia by autologous fat transplantation[J]. Dermatol Surg, 2010,36(12):2061⁃2063. doi: 10.1111/j.1524⁃4725.2010. 01783.x. |
[38] | Dini M, Mori A, Quattrini Li A. Eyebrow regrowth in patient with atrophic scarring alopecia treated with an autologous fat graft[J]. Dermatol Surg, 2014,40(8):926⁃928. doi: 10.1111/DSU.000000 0000000051. |
[39] | Vestita M, Filoni A, Bonamonte D, et al. Abstract: the use of nanofat in androgenic alopecia. A prospective blinded study[J]. Plast Reconstr Surg Glob Open, 2017,5(9 Suppl):90. doi: 10.1097/01.GOX.0000526293.77976.7f. |
[40] | Perez⁃Meza D, Ziering C, Sforza M, et al. Hair follicle growth by stromal vascular fraction⁃enhanced adipose transplantation in baldness[J]. Stem Cells Cloning, 2017,10:1⁃10. doi: 10.2147/SCCAA.S131431. |
[41] | Morinaga H, Mohri Y, Grachtchouk M, et al. Obesity accelerates hair thinning by stem cell⁃centric converging mechanisms[J]. Nature, 2021,595(7866):266⁃271. doi: 10.1038/s41586⁃021⁃03624⁃x. |
[42] | Shukla L, Morrison WA, Shayan R. Adipose⁃derived stem cells in radiotherapy injury: a new frontier[J]. Front Surg, 2015,2:1. doi: 10.3389/fsurg.2015.00001. |
[43] | Lin Z, Shibuya Y, Imai Y, et al. Therapeutic potential of adipose⁃derived stem cell⁃conditioned medium and extracellular vesicles in an in vitro radiation⁃induced skin injury model[J]. Int J Mol Sci, 2023,24(24):17214. doi: 10.3390/ijms242417214. |
[44] | Yao C, Zhou Y, Wang H, et al. Adipose⁃derived stem cells alleviate radiation⁃induced dermatitis by suppressing apoptosis and downregulating cathepsin F expression[J]. Stem Cell Res Ther, 2021,12(1):447. doi: 10.1186/s13287⁃021⁃02516⁃1. |
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