A Comparative Analysis of Cell Yield and Viability of Stromal Vascular Fraction from Lipoaspirates Harvested by Ultrasound and Suction Assisted Liposuction
Abstract
This study aims to compare two methodologies routinely used for lipoaspiration- a standard Suction Assisted Liposuction (SAL) and Ultra-sound Assisted Lipoaspiration (UAL) on yield, viability, surface markers and trilineage differentiation potential of isolated SVF from both these samples. Subcutaneous fat tissue was collected by UAL and SAL from the same patient (n=8). Stromal Vascular fraction was isolated by enzymatic digestion and the cell yield and viability were compared. Further, the surface markers from both UAL and SAL isolated SVF was assessed. The isolated SVF was used to isolate adipose-derived stem cells (ADSC's) and the surface markers and trilineage differentiation potential were compared. Statistical analysis: All statistical analysis and graph generation were performed using GraphPad Prism version 9.1.1. Results: The results indicate no significant difference in cell, viability and surface markers of SVF isolated from UAL and SAL. Further, we demonstrate that ADSC's isolated from the SVF of both UAL and SAL are capable of trilineage differentiation. There is no statistically significant difference in the yield and viability of SVF isolated from both UAL and SAL techniques. Since UAL can be used for larger volumes of lipoaspiration, we suggest that UAL would be a suitable method for large volume aspirations that do not affect cell yield and viability. Further expansion of these cells demonstrates that they are capable of trilineage differentiation, indicating their possible use in regenerative therapies.
Keywords:
Ultrasound Assisted Lipoaspiration, Stromal Vascular Fraction, Suction Assisted Lipoaspiration, Cell Count, Cell ViabilityDOI
https://doi.org/10.25004/IJPSDR.2022.140308References
Mao AS, Mooney DJ. Regenerative medicine: Current therapies and future directions. Proc Natl Acad Sci U S A [Internet]. 2015;112(47):14452–9. Available from: http://dx.doi.org/10.1073/ pnas.1508520112
Frese L, Dijkman PE, Hoerstrup SP. Adipose tissue-derived stem cells in regenerative medicine. Transfus Med Hemother [Internet]. 2016;43(4):268–74. Available from: http://dx.doi. org/10.1159/000448180
Ullah I, Subbarao RB, Rho GJ. Human mesenchymal stem cells - current trends and future prospective. Biosci Rep [Internet]. 2015;35(2):1–18. Available from: http://dx.doi.org/10.1042/ BSR20150025
Ryan JM, Barry FP, Murphy JM, Mahon BP. Mesenchymal stem cells avoid allogeneic rejection. J Inflamm (Lond) [Internet]. 2005;2(1):8. Available from: http://dx.doi.org/10.1186/1476-9255-2-8
Oh W, Kim D-S, Yang YS, Lee JK. Immunological properties of umbilical cord blood-derived mesenchymal stromal cells. Cell Immunol [Internet]. 2008;251(2):116–23. Available from: http:// dx.doi.org/10.1016/j.cellimm.2008.04.003
Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng [Internet]. 2001;7(2):211–28. Available from: http://dx.doi.org/10.1089/107632701300062859
Strioga M, Viswanathan S, Darinskas A, Slaby O, Michalek J. Same or not the same? Comparison of adipose tissue-derived versus bone marrow-derived mesenchymal stem and stromal cells. Stem Cells Dev [Internet]. 2012;21(14):2724–52. Available from: http://dx.doi. org/10.1089/scd.2011.0722
Frese L, Dijkman PE, Hoerstrup SP. Adipose Tissue-Derived Stem Cells in Regenerative Medicine. Transfusion medicine and hemotherapy : offizielles. Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie. 2016;43(4):268–74.
Bellini E, Grieco MP, Raposio E. A journey through liposuction and liposculture: Review. Ann Med Surg (Lond) [Internet]. 2017;24:53– 60. Available from: http://dx.doi.org/10.1016/j.amsu.2017.10.024
Shridharani SM, Broyles JM, Matarasso A. Liposuction devices: technology update. Med Devices (Auckl) [Internet]. 2014;7:241–51. Available from: http://dx.doi.org/10.2147/MDER.S47322
Nagy MW, Vanek PF Jr. A multicenter, prospective, randomized, single-blind, controlled clinical trial comparing VASER-assisted Lipoplasty and suction-assisted Lipoplasty. Plast Reconstr Surg [Internet]. 2012;129(4):681e–9e. Available from: http://dx.doi. org/10.1097/PRS.0b013e3182442274
Chung MT, Zimmermann AS, Paik KJ, Morrison SD, Hyun JS, Lo DD, et al. Isolation of human adipose-derived stromal cells using laser-assisted liposuction and their therapeutic potential in regenerative medicine. Stem Cells Transl Med [Internet]. 2013;2(10):808–17. Available from: http://dx.doi.org/10.5966/sctm.2012-0183
Duscher D, Atashroo D, Maan ZN, Luan A, Brett EA, Barrera J, et al. Ultrasound-assisted liposuction does not compromise the regenerative potential of adipose-derived stem cells: UAL does not compromise ASCs. Stem Cells Transl Med [Internet]. 2016;5(2):248– 57. Available from: http://dx.doi.org/10.5966/sctm.2015-0064
Cells For Regenerative Medicine - Jeffrey A-DS, Gimble M, Katz AJ, Bunnell BA. Adipose-Derived Stem Cells for Regenerative Medicine.
Zuk *† Min, Daniel A, De Ugarte JI, Hiroshi Mizuno *., Zeni C, Alfonso JK, et al. Human Adipose Tissue Is a Source of Multipotent Stem Cells D - Patricia A.
Oil red O staining protocol [Internet]. Ihcworld.com. [cited 2022 Apr 1]. Available from: http://www.ihcworld.com/_protocols/ special_stains/oil_red_o_ellis.htm
Alcian blue staining protocol by Roy Ellis [Internet]. Ihcworld. com. [cited 2022 Apr 1]. Available from: http://www.ihcworld. com/_protocols/special_stains/alcian_blue_ellis.htm
Alizarin red S staining protocol for calcium [Internet]. Ihcworld. com. [cited 2022 Apr 1]. Available from: http://www.ihcworld. com/_protocols/special_stains/alizarin_red_s.htm
Greenwood HL, Singer PA, Downey GP, Martin DK, Thorsteinsdóttir H, Daar AS. Regenerative medicine and the developing world. PLoS Med [Internet]. 2006;3(9):e381. Available from: http://dx.doi. org/10.1371/journal.pmed.0030381
Glotzbach JP, Wong VW, Gurtner GC, Longaker MT. Regenerative medicine. Curr Probl Surg [Internet]. 2011;48(3):148–212. Available from: http://dx.doi.org/10.1067/j.cpsurg.2010.11.002
Kokai LE, Marra K, Rubin JP. Adipose stem cells: biology and clinical applications for tissue repair and regeneration. Transl Res [Internet]. 2014;163(4):399–408. Available from: http://dx.doi. org/10.1016/j.trsl.2013.11.009
Published

