Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (35): 5652-5657.doi: 10.3969/j.issn.2095-4344.1486

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Variables affecting the retained volume of adipose tissue after transplantation in rats

Jia Daping, Ma Li, Wu Liangliang, Zhao Yu   

  1.  (Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China)
  • Received:2019-05-21 Online:2019-12-18 Published:2019-12-18
  • Contact: Zhao Yu, MD, Professor, Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
  • About author:Jia Daping, Master candidate, Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
  • Supported by:

    Funding: the National Natural Science Foundation, No. 81171829 (to ZY)

Abstract:

BACKGROUND: The high and unstable absorption rate after autologous granule fat transplantation limits its clinical application. In addition to the early establishment of blood supply, it is particularly important to find new ways to improve survival rate.
OBJECTIVE: To investigate the effect of mechanical shearing and anti-apoptotic drug edaravone on the volume retention after autologous fat transplantation from the perspective of apoptosis.
METHODS: The study was approved by the Laboratory Animal Ethics Committee of Anhui Medical University. Forty-two Sprague-Dawley male rats were randomly divided into three groups: A, B, and C. The rats were transplanted with fat by clinical autologous fat transplantation. Group A was the control group (n=6): the adipose tissue was given 130 times of basic shearing during operation; the B and C groups were given different variables of adipose tissue on the basis of group A. Group B was a mechanical shearing group with a total of 18 rats subdivided into subgroups B1, B2 and B3, which were given 230 times, 330 times and 430 mechanical shears, respectively. Group C was the edaravone group (n=18), subdivided into C1, C2 and C3 subgroups, respectively, given 0.1%, 0.2% and 1% concentration of edaravone, and then the adipose tissue was given 130 times of basic shearing. Graft specimens were taken immediately after operation and at 1, 4 and 8 weeks after transplantation, to observe and record the morphological features and volume of the specimens. The histological changes were observed under a light microscope after hematoxylin-eosin staining. The apoptosis ratio of fat cells in each group was detected by flow cytometry Annexin V/PI double staining.
RESULTS AND CONCLUSION: (1) Compared with the control group, the group B: the proportion of apoptosis was increased significantly at immediately and 1 week after surgery, and the graft absorption rate was fast; at 4 and 8 weeks after operation, the volume of hematoxylin- eosin-stained adipocytes was different, the arrangement was disordered, and the graft retention volume was reduced. The graft retention volume was reduced (P < 0.05). C1 and C2 subgroups: the proportion of apoptosis in specimens was significantly decreased at immediately and 1 week after surgery. At 4 and 8 weeks after operation, the morphology of hematoxylin-eosin-stained adipocytes was more regular and volume was more consistent, more blood vessels were visible. The graft retention volume was significantly increased (P < 0.05). (2) There was no significant difference in the fat absorption rate between C3 subgroup and control group (P > 0.05). (3) To conclude, in autologous fat transplantation, mechanical shearing reduces the volume of fat retained after transplantation, and a certain concentration of anti-apoptotic drug edaravone can increase the retained volume of adipose tissue after transplantation.

Key words: fat cells, autograft, apoptosis, edaravone, adipose tissue, absorption of autograft

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