脂肪來源干細胞輔助自體脂肪移植在乳房修復重建中的研究進展_《中國修復重建外科雜志》

作者：

田春祥 , 呂青

四川大學華西醫院甲狀腺乳腺外科（成都，610041）;

關鍵詞：

脂肪來源干細胞，自體脂肪移植，乳房修復重建

DOI：

10.7507/1002-1892.20130273

視頻：

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目的總結脂肪來源干細胞（adipose-derived stem cells，ADSCs）的主要生物學特點及ADSCs輔助自體脂肪移植在乳房修復重建中的臨床應用。方法查閱近年有關ADSCs輔助自體脂肪移植的文獻，并進行綜述。結果ADSCs具有多向分化潛能，能促進血管生成，且具有免疫調節能力；ADSCs輔助自體脂肪移植修復重建乳房，患者對療效基本滿意，且并發癥較少，但長期安全性仍需進一步研究。結論ADSCs輔助自體脂肪移植進行乳房修復重建具有較好的臨床效果，但長期安全性需更多臨床試驗來證實。

引用本文： 田春祥,呂青. 脂肪來源干細胞輔助自體脂肪移植在乳房修復重建中的研究進展. 中國修復重建外科雜志, 2013, 27(10): 1252-1255. doi: 10.7507/1002-1892.20130273 復制

1.	Yoshimura K, Sato K, Aoi N, et al. Cell-assisted lipotransfer for facial lipoatrophy: efficacy of clinical use of adipose-derived stem cells. Dermatol Surg, 2008, 34(9): 1178-1185.
2.	Yoshimura K, Sato K, Aoi N, et al. Cell-assisted lipotransfer for cosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesthetic Plast Surg, 2008, 32(1): 48-55.
3.	Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg, 2007, 119(3): 775-785.
4.	Gutowski KA, ASPS Fat Graft Force. Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plast Reconstr Surg, 2009, 124(1): 272-280.
5.	王琳, 陸毅, 羅旋, 等. 細胞輔助的脂肪移植法隆乳術: 18 例報告. 中華整形外科雜志, 2012, 28(1): 1-6.
6.	Castro-Govea Y, La Garza-Pineda D, Lara-Arias J, et al. Cell-assisted lipotransfer for the treatment of parry-romberg syndrome. Arch Plast Surg, 2012, 39(6): 659-662.
7.	Wu AY, Morrow DM. Autologous fat transfer with in-situ mediation (AIM): a novel and compliant method of adult mesenchymal stem cell therapy. J Transl Med, 2013, 11(1): 136.
8.	Zuk PA, Zhu M, Mizuno H, et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng, 2001, 7(2): 211-228.
9.	Zuk PA, Zhu M, Ashjian P, et al. Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell, 2002, 13(12): 4279-4295.
10.	Patrick CW. Tissue engineering strategies for adipose tissue repair. Anat Rec, 2001, 263(4): 361-366.
11.	Gimble JM, Katz AJ, Bunnell BA. Adipose-derived stem cells for regenerative medicine. Circ Res, 2007, 100(9): 1249-1260.
12.	Dobson DE, Kambe A, Block E, et al. 1-Butyryl-glycerol: a novel angiogenesis factor secreted by differentiating adipocytes. Cell, 1990, 61(2): 223-230.
13.	袁藝, 魯峰, 高建華. 血管基質片段輔助游離脂肪移植早期移植物組織學變化及相關實驗研究. 中國修復重建外科雜志, 2013, 27(4): 449-453.
14.	McIntosh K, Zvonic S, Garrett S, et al. The immunogenicity of human adipose-derived cells: temporal changes in vitro. Stem Cells, 2006, 24(5): 1246-1253.
15.	Illouz YG. Study of subcutaneous fat. Aesthetic Plast Surg, 1990, 14(3): 165-177.
16.	Gonzalez AM, Lobocki C, Kelly CP, et al. An alternative method for harvest and processing fat grafts: An in vitro study of cell viability and survival. Plast Reconstr Surg, 2007, 120(1): 285-294.
17.	Sterodimas A, de Faria J, Nicaretta B, et al. Cell-assisted lipotransfer. Aesthetic Surg J, 2010, 30(1): 78-81.
18.	李劫, 高建華, 魯峰, 等. 脂肪組織來源干細胞提高游離脂肪組織存活率的研究. 中華整形外科雜志, 2009, 25(2): 129-133.
19.	付冰川, 高建華, 魯峰, 等. 新鮮分離的脂肪 SVF 細胞促進脂肪移植存活的實驗研究. 中華整形外科雜志, 2010, 26(4): 289-294.
20.	譚新穎, 張海霞, 劉斌, 等. 自體基質血管成分改善脂肪組織移植效果的實驗研究. 中國美容醫學, 2011, 20(3): 425-427.
21.	Matsumoto D, Sato K, Gonda K, et al. Cell-assisted lipotransfer: supportive use of human adipose-derived cells for soft tissue augmentation with lipoinjection. Tissue Eng, 2006, 12(12): 3375-3382.
22.	Yoshimura K, Suga H, Eto H. Adipose-derived stem/progenitor cells: roles in adipose tissue remodeling and potential use for soft tissue augmentation. Regen Med, 2009, 4(2): 265-273.
23.	Mizuno H, Hyakusoku H. Fat grafting to the breast and adipose-derived stem cells: Recent scientific consensus and controversy. Aesthetic Surg J, 2010, 30(3): 381-387.
24.	Rehman J, Traktuev D, Li J, et al. Secretion of angiogenic and antiapoptotic factors by human adipose stromal cells. Circulation, 2004, 109(10): 1292-1298.
25.	Rigotti G, Marchi A, Galiè M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg, 2007, 119(5): 1409-1424.
26.	Kamakura T, Ito K. Autologous cell-enriched fat grafting for breast augmentation. Aesthet Plast Surg, 2011, 35(6): 1022-1030.
27.	Weiler-Mithoff E, Cano PR, Calabrese C, et al. Cell-enhanced reconstruction after breast conservation therapy: a proven technique. Cancer Res, 2009, 69(24): 748-748.
28.	Pérez-Cano R, Vranckx JJ, Lasso JM, et al. Prospective trial of adipose-derived regenerative cell (ADRC)-enriched fat grafting for partial mastectomy defects: the RESTORE-2 trial. Eur J Surg Oncol, 2012, 38(5): 382-389.
29.	Asano Y, Yoshimura K. Cell-assisted lipotransfer for breast reconstruction after breast conserving therapy. Eur J Caner (Suppl), 2010, 8(6): 3.
30.	Chajchir A. Fat injection: Long-term follow-up. Aesthetic Plast Surg, 1996, 20(4): 291-296.
31.	Niechajev I, Sev?uk O. Long-term results of fat transplantation: clinical and histologic studies. Plast Reconstr Surg, 1994, 94(3): 496-506.
32.	Valdatta L, Thione A, Buoro M, et al. A case of life-threatening sepsis after breast augmentation by fat injection. Aesthetic Plast Surg, 2001, 25(5): 347-349.
33.	Pulagam SR, Poulton T, Mamounas EP. Long-term clinical and radiologic results with autologous fat transplantation for breast augmentation: case reports and review of the literature. Breast J, 2006, 12(1): 63-65.
34.	Cheung M, Houssami N, Lim E. The unusual mammographic appearance of breasts augmented by autologous fat injection. Breast, 2000, 9(4): 220-222.
35.	Gimble JM, Floyd ZE. Fat circadian biology. J Appl Physiol, 2009, 107(5): 1629-1637.
36.	Vona-Davis L, Rose DP. Angiogenesis, adipokines and breast cancer. Cytokine Growth Factor Rev, 2009, 20(3): 193-201.
37.	Yu JM, Jun ES, Bae YC, et al. Mesenchymal stem cells derived from human adipose tissues favor tumor cell growth in vivo. Stem Cells Dev, 2008, 17(3): 463-473.
38.	Manabe Y, Toda S, Miyazaki K, et al. Mature adipocytes, but not preadipocytes, promote the growth of breast carcinoma cells in collagen gel matrix culture through cancer-stromal cell interactions. J Pathol, 2003, 201(2): 221-228.

1. Yoshimura K, Sato K, Aoi N, et al. Cell-assisted lipotransfer for facial lipoatrophy: efficacy of clinical use of adipose-derived stem cells. Dermatol Surg, 2008, 34(9): 1178-1185.
2. Yoshimura K, Sato K, Aoi N, et al. Cell-assisted lipotransfer for cosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesthetic Plast Surg, 2008, 32(1): 48-55.
3. Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg, 2007, 119(3): 775-785.
4. Gutowski KA, ASPS Fat Graft Force. Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plast Reconstr Surg, 2009, 124(1): 272-280.
5. 王琳, 陸毅, 羅旋, 等. 細胞輔助的脂肪移植法隆乳術: 18 例報告. 中華整形外科雜志, 2012, 28(1): 1-6.
6. Castro-Govea Y, La Garza-Pineda D, Lara-Arias J, et al. Cell-assisted lipotransfer for the treatment of parry-romberg syndrome. Arch Plast Surg, 2012, 39(6): 659-662.
7. Wu AY, Morrow DM. Autologous fat transfer with in-situ mediation (AIM): a novel and compliant method of adult mesenchymal stem cell therapy. J Transl Med, 2013, 11(1): 136.
8. Zuk PA, Zhu M, Mizuno H, et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng, 2001, 7(2): 211-228.
9. Zuk PA, Zhu M, Ashjian P, et al. Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell, 2002, 13(12): 4279-4295.
10. Patrick CW. Tissue engineering strategies for adipose tissue repair. Anat Rec, 2001, 263(4): 361-366.
11. Gimble JM, Katz AJ, Bunnell BA. Adipose-derived stem cells for regenerative medicine. Circ Res, 2007, 100(9): 1249-1260.
12. Dobson DE, Kambe A, Block E, et al. 1-Butyryl-glycerol: a novel angiogenesis factor secreted by differentiating adipocytes. Cell, 1990, 61(2): 223-230.
13. 袁藝, 魯峰, 高建華. 血管基質片段輔助游離脂肪移植早期移植物組織學變化及相關實驗研究. 中國修復重建外科雜志, 2013, 27(4): 449-453.
14. McIntosh K, Zvonic S, Garrett S, et al. The immunogenicity of human adipose-derived cells: temporal changes in vitro. Stem Cells, 2006, 24(5): 1246-1253.
15. Illouz YG. Study of subcutaneous fat. Aesthetic Plast Surg, 1990, 14(3): 165-177.
16. Gonzalez AM, Lobocki C, Kelly CP, et al. An alternative method for harvest and processing fat grafts: An in vitro study of cell viability and survival. Plast Reconstr Surg, 2007, 120(1): 285-294.
17. Sterodimas A, de Faria J, Nicaretta B, et al. Cell-assisted lipotransfer. Aesthetic Surg J, 2010, 30(1): 78-81.
18. 李劫, 高建華, 魯峰, 等. 脂肪組織來源干細胞提高游離脂肪組織存活率的研究. 中華整形外科雜志, 2009, 25(2): 129-133.
19. 付冰川, 高建華, 魯峰, 等. 新鮮分離的脂肪 SVF 細胞促進脂肪移植存活的實驗研究. 中華整形外科雜志, 2010, 26(4): 289-294.
20. 譚新穎, 張海霞, 劉斌, 等. 自體基質血管成分改善脂肪組織移植效果的實驗研究. 中國美容醫學, 2011, 20(3): 425-427.
21. Matsumoto D, Sato K, Gonda K, et al. Cell-assisted lipotransfer: supportive use of human adipose-derived cells for soft tissue augmentation with lipoinjection. Tissue Eng, 2006, 12(12): 3375-3382.
22. Yoshimura K, Suga H, Eto H. Adipose-derived stem/progenitor cells: roles in adipose tissue remodeling and potential use for soft tissue augmentation. Regen Med, 2009, 4(2): 265-273.
23. Mizuno H, Hyakusoku H. Fat grafting to the breast and adipose-derived stem cells: Recent scientific consensus and controversy. Aesthetic Surg J, 2010, 30(3): 381-387.
24. Rehman J, Traktuev D, Li J, et al. Secretion of angiogenic and antiapoptotic factors by human adipose stromal cells. Circulation, 2004, 109(10): 1292-1298.
25. Rigotti G, Marchi A, Galiè M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg, 2007, 119(5): 1409-1424.
26. Kamakura T, Ito K. Autologous cell-enriched fat grafting for breast augmentation. Aesthet Plast Surg, 2011, 35(6): 1022-1030.
27. Weiler-Mithoff E, Cano PR, Calabrese C, et al. Cell-enhanced reconstruction after breast conservation therapy: a proven technique. Cancer Res, 2009, 69(24): 748-748.
28. Pérez-Cano R, Vranckx JJ, Lasso JM, et al. Prospective trial of adipose-derived regenerative cell (ADRC)-enriched fat grafting for partial mastectomy defects: the RESTORE-2 trial. Eur J Surg Oncol, 2012, 38(5): 382-389.
29. Asano Y, Yoshimura K. Cell-assisted lipotransfer for breast reconstruction after breast conserving therapy. Eur J Caner (Suppl), 2010, 8(6): 3.
30. Chajchir A. Fat injection: Long-term follow-up. Aesthetic Plast Surg, 1996, 20(4): 291-296.
31. Niechajev I, Sev?uk O. Long-term results of fat transplantation: clinical and histologic studies. Plast Reconstr Surg, 1994, 94(3): 496-506.
32. Valdatta L, Thione A, Buoro M, et al. A case of life-threatening sepsis after breast augmentation by fat injection. Aesthetic Plast Surg, 2001, 25(5): 347-349.
33. Pulagam SR, Poulton T, Mamounas EP. Long-term clinical and radiologic results with autologous fat transplantation for breast augmentation: case reports and review of the literature. Breast J, 2006, 12(1): 63-65.
34. Cheung M, Houssami N, Lim E. The unusual mammographic appearance of breasts augmented by autologous fat injection. Breast, 2000, 9(4): 220-222.
35. Gimble JM, Floyd ZE. Fat circadian biology. J Appl Physiol, 2009, 107(5): 1629-1637.
36. Vona-Davis L, Rose DP. Angiogenesis, adipokines and breast cancer. Cytokine Growth Factor Rev, 2009, 20(3): 193-201.
37. Yu JM, Jun ES, Bae YC, et al. Mesenchymal stem cells derived from human adipose tissues favor tumor cell growth in vivo. Stem Cells Dev, 2008, 17(3): 463-473.
38. Manabe Y, Toda S, Miyazaki K, et al. Mature adipocytes, but not preadipocytes, promote the growth of breast carcinoma cells in collagen gel matrix culture through cancer-stromal cell interactions. J Pathol, 2003, 201(2): 221-228.

《中國修復重建外科雜志》

脂肪來源干細胞輔助自體脂肪移植在乳房修復重建中的研究進展

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《中國修復重建外科雜志》

脂肪來源干細胞輔助自體脂肪移植在乳房修復重建中的研究進展

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