A novel perfluoroelastomer seeded with adipose-derived stem cells for soft-tissue repair.
ABSTRACT There is a need for engineered soft tissue in reconstructive surgery, particularly after tumor removal. An ideal implant that will provide structural support and a favorable environment for growing cells is a key element in the process of tissue engineering. Nonbiodegradable materials that become well incorporated within the new tissue are a good solution, but many such materials do not have a surface favorable for cell adherence and proliferation. The authors hypothesized that the modification of the pore size in a novel fluoropolymer would improve the adherence and enhance the proliferation of adipose-derived stem cells.
Fluoropolymers with two varying pore size ranges were examined. Fluoropolymer compound U48 (pore size, 100 to 180 microm) and fluoropolymer compound P54 (pore size, 10 to 55 microm) were seeded with human adipose-derived stem cells, and cell adherence to the material was measured after 4 hours and cell proliferation was measured after 72 hours. Cell-seeded constructs were implanted subcutaneously in a nude mouse model for 30 days.
Fluoropolymer surface treatment with fibronectin improved the attachment of adipose-derived stem cells to the well plates but did not improve attachment to the fluoropolymer, regardless of pore size. Fluoropolymer U48 increases the adherence and provides a favorable surface for proliferation of adipose-derived stem cells.
After subcutaneous implantation into nude mice, tissue growth was observed in the fluoropolymer samples with the larger pore size. The characteristics of this new material will allow for future clinical applications in plastic and reconstructive surgery.
Article: Adipose-derived stem cells: characterization and current application in orthopaedic tissue repair.[show abstract] [hide abstract]
ABSTRACT: Orthopaedic tissues, such as bone, cartilage, intervertebral disc and tendon, contain cells that are difficult to culture and stimulate in vitro for repair of damaged tissue. Stem cells have the ability to self-renew and differentiate into many tissue types. Recent progress in stem cell research has led to an enthusiastic effort to utilize stem cells for orthopaedic tissue regeneration. Due to ease of harvest and abundance, adipose-derived mesenchymal cells (ASC) are an attractive, readily available adult stem cell that has become increasingly popular for use in many stem cell applications. Recent progress has been made in characterizing ASC and looking mechanistically at gene expression and cellular pathways involved in differentiation. This review focuses on (i) the characterization of ASC through expression of appropriate surface markers; (ii) modulation of in vitro differentiation of ASC through different scaffolds, growth factors, and media; and (iii) the use of ASC in orthopaedic tissue repair. Strategies for repair involve the use of differentiated or undifferentiated, fresh or passaged ASC, in conjunction with appropriate choice of media, growth factors and scaffolds. Recent in vivo studies utilizing ASC are discussed giving results on defect repair and potential for clinical orthopaedic tissue regeneration.Experimental Biology and Medicine 02/2009; 234(1):1-9. · 2.64 Impact Factor
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ABSTRACT: Tissue engineering has emerged as a promising alternative to current clinical treatments for restoration of soft tissue defects. A key element in the process of tissue engineering is an ideal implant that provides structural support and a favorable environment for growing cells. The authors hypothesized that autologous platelet-rich plasma (APRP) could be used as an in vivo adipocyte delivery system to favor cell survival and to stimulate early recruitment of microcapillaries to the site of implantation. Autologous fat was included in APRP and injected as a gel into a subcutaneous pocket created to correct a painful, adherent scar at the shoulder level in a 75-year-old woman. The surgical outcome was evaluated by histologic and immunohistochemical analysis as well as by ecography before and after surgery. The results were satisfactory, showing fat survival 1 year after surgery. The characteristics of this new material should stimulate research into future clinical applications for such cell constructs in plastic and reconstructive surgery.Aesthetic Plastic Surgery 02/2008; 32(1):155-8; discussion 159-61. · 1.41 Impact Factor