BACKGROUND: Autologous fat is an ideal filling material in aesthetic and reconstructive surgery. However, the long-term effects are poor because much tissue is absorbed after grafting.
OBJECTIVE: To investigate the effects of hypoxia-inducible factor-1α gene transfected adipose-derived stem cells on survival of autologous fat grafts.
METHODS: Adipose-derived stem cells were isolated from the subcutaneous adipose tissue of healthy adults after liposuction, primary cultured and sub-cultured. Passage 3 adipose-derived stem cells at a density of 1× 109 cells/L were transfected with hypoxia-inducible factor-1α gene. The cells were then adjusted to 1×1011 cells/L. Simultaneously, autologous fat from the same liposuction was selected and purified. The grafts were made according to physiological characteristics of fibrin glue. Three groups were designated. In the gene-modified group, hypoxia-inducible factor-1α gene-modified adipose-derived stem cells, autologous fat+fibrin glue were transplanted into the back of nude mice. In the non-gene-modified group, adipose-derived stem cells+autologous fat+fibrin glue were transplanted in the identical region. In the saline group, physiological saline+autologous fat+ fibrin glue were transplanted.
RESULTS AND CONCLUSION: At 3 and 6 months after transplantation, the vascular density in the graft was highest in the gene-modified group, followed by non-gene-modified group, and lastly the saline group and there was significant difference between groups (P < 0.05). Fiber necrosis rate of adipose-derived stem cells was lowest in the gene-modified group, followed by non-gene-modified group, and lastly the saline group and there was significant difference between groups (P < 0.05). Fat maintenance rate was highest in the gene-modified group, followed by non-gene-modified group, and lastly the saline group and there was significant difference between groups (P < 0.05). These findings suggest that hypoxia-inducible factor-1α gene transfected adipose-derived stem cells can accelerate the vascularization in the local fat graft transplanted, promote the survival of adipose cells, increase the mass maintenance rate of fat graft and lower the fibrosis necrosis degree after fat grafting.