In vivo tissue engineering of an adipose tissue flap using fat grafts and Adipogel.

adipogenesis adipose tissue engineering adipose tissue flap arteriovenous loop chamber model fat grafting hydrogel

Journal

Journal of tissue engineering and regenerative medicine
ISSN: 1932-7005
Titre abrégé: J Tissue Eng Regen Med
Pays: England
ID NLM: 101308490

Informations de publication

Date de publication:
04 2020
Historique:
received: 08 06 2019
revised: 27 01 2020
accepted: 04 02 2020
pubmed: 25 2 2020
medline: 9 7 2021
entrez: 25 2 2020
Statut: ppublish

Résumé

For decades, plastic surgeons have spent considerable effort exploring anatomical regions for free flap design. More recently, tissue-engineering approaches have been utilised in an attempt to grow transplantable tissue flaps in vivo. The aim of this study was to engineer a fat flap with a vascular pedicle by combining autologous fat grafts and a novel acellular hydrogel (Adipogel) in an established tissue-engineering model comprising a chamber and blood vessel loop. An arteriovenous loop was created in the rat groin from the femoral vessels and positioned inside a perforated polycarbonate chamber. In Group 1, the chamber contained minced, centrifuged autologous fat; in Group 2, Adipogel was added to the graft; and in Group 3, Adipogel alone was used. Constructs were histologically examined at 6 and 12 weeks. In all groups, new tissue was generated. Adipocytes, although appearing viable in the graft at the time of insertion, were predominantly nonviable at 6 weeks. However, by 12 weeks, new fat had formed in all groups and was significantly greater in the combined fat/Adipogel group. No significant difference was seen in final construct total volume or construct neovascularisation between the groups. This study demonstrated that a pedicled adipose flap can be generated in rats by combining a blood vessel loop, an adipogenic hydrogel, and a lipoaspirate equivalent. Success appears to be based on adipogenesis rather than on adipocyte survival, and consistent with our previous work, this adipogenesis occurred subsequent to graft death and remodelling. The regenerative process was significantly enhanced in the presence of Adipogel.

Identifiants

pubmed: 32090506
doi: 10.1002/term.3027
doi:

Substances chimiques

Hydrogels 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

633-644

Informations de copyright

© 2020 John Wiley & Sons, Ltd.

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Auteurs

Heidi Debels (H)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.
Department of Plastic and Reconstructive Surgery, Free University Brussels (VUB), Belgium.
Department of Plastic Surgery, Maastricht University, Maastricht, The Netherlands.

Jason Palmer (J)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.
University of Melbourne Department of Surgery, St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.

Xiao-Lian Han (XL)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.

Christopher Poon (C)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.
University of Melbourne Department of Surgery, St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.

Keren Abberton (K)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.
University of Melbourne Department of Surgery, St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
Faculty of Health Sciences, Australian Catholic University, Fitzroy, Victoria, Australia.

Wayne Morrison (W)

O'Brien Institute Department, St. Vincent's Institute, Fitzroy, Victoria, Australia.
University of Melbourne Department of Surgery, St. Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
Faculty of Health Sciences, Australian Catholic University, Fitzroy, Victoria, Australia.

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