综述

血管基质片段在整形外科领域中的应用研究进展

  • 陈盈盈 ,
  • 郭治宏 ,
  • 刘德伍
展开
  • 南昌大学第一附属医院烧伤整形与创面修复医学中心 (江西 南昌 330006 )

收稿日期: 2024-10-24

  网络出版日期: 2025-02-19

基金资助

国家自然科学基金项目(82160378)

Research progress on application of stromal vascular fractionin plastic surgery

  • Yingying CHEN ,
  • Zhihong GUO ,
  • Dewu. LIU
Expand
  • Medical Center for Burns,Department of Plastic Surgery and Wound Repair,the First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China

Received date: 2024-10-24

  Online published: 2025-02-19

摘要

血管基质片段(stromal vascular fraction, SVF)是脂肪组织通过酶和非酶技术,手动或在自动封闭系统中分离处理后所获得的细胞混合物,主要包括脂肪源性干细胞,成纤维细胞、免疫和内皮细胞以及周细胞。因其促进创面愈合及组织修复的作用被广泛应用。近年来,SVF开始用于促进瘢痕修复、对抗皮肤衰老、促进毛发再生及提高脂肪移植的存活率等方面,并取得了显著疗效。但目前缺乏对SVF在整形外科领域临床研究成果的有效整合。本文就SVF的定义、作用机制和在整形外科领域的临床应用展开综述,以期探讨SVF作为组织再生修复治疗新策略在整形外科领域广泛应用的可能性,并为SVF研究的深入开展指明方向。

本文引用格式

陈盈盈 , 郭治宏 , 刘德伍 . 血管基质片段在整形外科领域中的应用研究进展[J]. 实用医学杂志, 2025 , 41(3) : 442 -446 . DOI: 10.3969/j.issn.1006-5725.2025.03.021

Abstract

Derived from adipose tissue, stromal vascular fraction (SVF) contains heterogeneous cell populations including adipose-derived stem cells (ADSCs), adipose precursor cells, endothelial cells, and macrophages, which can be isolated manually or in an automated closed system by enzymatic and non-enzymatic technique. SVF has been widely applied in various fields because of its role in wound healing and tissue repair, and in recent years, SVF has been applied to promote their pair of scar, skin rejuvenation and hair regeneration, and improve the survival of fat grafting, which has achieved significant efficacy. However, there is a lack of effective integration of clinical research on SVF in the field of plastic surgery. This paper provides a systematic review of the definition, mechanism and applications of SVF in order to investigate the potential of SVF as a novel strategy for tissue regeneration and repair treatment in the field of plastic surgery and to point out the direction for further advancements in SVF research.

参考文献

1 张玉培, 谢新生, 石雅洁, 等. 异基因造血干细胞移植治疗ASXL1基因突变的骨髓增生异常综合征患者的效果 [J]. 实用医学杂志, 2023, 39(23): 3087-3092. doi:10.3969/j.issn.1006-5725.2023.23.011
2 DONG L, LI X, LENG W, et al. Adipose stem cells in tissue regeneration and repair: From bench to bedside [J]. Regen Ther, 2023, 24: 547-560. doi:10.1016/j.reth.2023.09.014
3 BINIAZAN F, STOIAN A, HAYKAL S. Adipose-Derived Stem Cells: Angiogenetic Potential and Utility in Tissue Engineering [J]. Int J Mol Sci, 2024, 25(4):2356. doi:10.3390/ijms25042356
4 WANG Z, GAGLIARDI M, MOHAMADI R M, et al. Ultrasensitive and rapid quantification of rare tumorigenic stem cells in hPSC-derived cardiomyocyte populations [J]. Sci Adv, 2020, 6(12): eaay7629. doi:10.1126/sciadv.aay7629
5 QIN X, HE J, WANG X, et al. The functions and clinical application potential of exosomes derived from mesenchymal stem cells on wound repair: A review of recent research advances [J]. Front Immunol, 2023, 14: 1256687. doi:10.3389/fimmu.2023.1256687
6 STACHURA A, PASKAL W, PAWLIK W, et al. The Use of Adipose-Derived Stem Cells (ADSCs) and Stromal Vascular Fraction (SVF) in Skin Scar Treatment-A Systematic Review of Clinical Studies [J]. J Clin Med, 2021, 10(16):3637. doi:10.3390/jcm10163637
7 XU J, CHEN X, WANG J, et al. An ADSC-loaded dermal regeneration template promotes full-thickness wound healing [J]. Regen Ther, 2024, 26: 800-810. doi:10.1016/j.reth.2024.08.010
8 BOURIN P, BUNNELL B A, CASTEILLA L, et al. Stromal cells from the adipose tissue-derived stromal vascular fraction and culture expanded adipose tissue-derived stromal/stem cells: A joint statement of the International Federation for Adipose Therapeutics and Science (IFATS) and the International Society for Cellular Therapy (ISCT) [J]. Cytotherapy, 2013, 15(6): 641-648. doi:10.1016/j.jcyt.2013.02.006
9 ANDIA I, MAFFULLI N, BURGOS-ALONSO N. Stromal vascular fraction technologies and clinical applications [J]. Expert Opin Biol Ther, 2019, 19(12): 1289-1305. doi:10.1080/14712598.2019.1671970
10 RAMAKRISHNAN V M, BOYD N L. The Adipose Stromal Vascular Fraction as a Complex Cellular Source for Tissue Engineering Applications [J]. Tissue Eng Part B Rev, 2018, 24(4): 289-299. doi:10.1089/ten.teb.2017.0061
11 FERRONI L, DE FRANCESCO F, PINTON P, et al. Methods to isolate adipose tissue-derived stem cells [J]. Methods Cell Biol, 2022, 171: 215-228. doi:10.1016/bs.mcb.2022.04.011
12 COPCU H E, OZTAN S. Not Stromal Vascular Fraction (SVF) or Nanofat, but Total Stromal-Cells (TOST): A New Definition. Systemic Review of Mechanical Stromal-Cell Extraction Techniques [J]. Tissue Eng Regen Med, 2021, 18(1): 25-36. doi:10.1007/s13770-020-00313-0
13 GENTILE P, CERVELLI V, DE FAZIO D, et al. Mechanical and Enzymatic Digestion of Autologous Fat Grafting (A-FG): Fat Volume Maintenance and AD-SVFs Amount in Comparison [J]. Aesthetic Plast Surg, 2023, 47(5): 2051-2062. doi:10.1007/s00266-023-03364-5
14 LANGRIDGE B J, JASIONOWSKA S, KHAN H, et al. Achieving optimal clinical outcomes in autologous fat grafting: A systematic review of processing techniques [J]. J Plast Reconstr Aesthet Surg, 2023, 81: 9-25. doi:10.1016/j.bjps.2023.01.003
15 GUO J, NGUYEN A, BANYARD D A, et al. Stromal vascular fraction: A regenerative reality? Part 2: Mechanisms of regenerative action [J]. J Plast Reconstr Aesthet Surg, 2016, 69(2): 180-188. doi:10.1016/j.bjps.2015.10.014
16 VUERICH R, GROPPA E, VODRET S, et al. Ischemic wound revascularization by the stromal vascular fraction relies on host-donor hybrid vessels [J]. NPJ Regen Med, 2023, 8(1): 8. doi:10.1038/s41536-023-00283-6
17 AGAVERDIEV M, SHAMSOV B, MIRZOEV S, et al. MiRNA regulated therapeutic potential of the stromal vascular fraction: Current clinical applications-A systematic review [J]. Noncoding RNA Res, 2023, 8(2): 146-154. doi:10.1016/j.ncrna.2022.12.003
18 SUN J, SUN Z, GAREEV I, et al. Exosomal miR-2276-5p in Plasma Is a Potential Diagnostic and Prognostic Biomarker in Glioma [J]. Front Cell Dev Biol, 2021, 9: 671202. doi:10.3389/fcell.2021.671202
19 安靖雯, 冯俊云, 饶磊, 等. 细胞衰老与瘢痕纤维化的关系研究进展 [J]. 实用医学杂志, 2024, 40(12): 1749-1754.
20 LEE J W, PARK S H, LEE S J, et al. Clinical Impact of Highly Condensed Stromal Vascular Fraction Injection in Surgical Management of Depressed and Contracted Scars [J]. Aesthetic Plast Surg, 2018, 42(6): 1689-1698. doi:10.1007/s00266-018-1216-9
21 MOON K C, CHUNG H Y, HAN S K, et al. Tissue-engineered dermis grafts using stromal vascular fraction cells on the nose: A retrospective case-control study [J]. J Plast Reconstr Aesthet Surg, 2020, 73(5): 965-974. doi:10.1016/j.bjps.2019.11.027
22 QIU K, GAN W, CHEN X. Efficacy of stromal vascular fraction in the treatment of scars: A systematic review and meta-analysis [J]. Skin Res Technol, 2024, 30(8): e13881. doi:10.1111/srt.13881
23 GENTILE P, SCIOLI M G, BIELLI A, et al. Comparing different nanofat procedures on scars: Role of the stromal vascular fraction and its clinical implications [J]. Regen Med, 2017, 12(8): 939-952. doi:10.2217/rme-2017-0076
24 KWON H, LEE S, KIM J, et al. Efficacy and safety of stromal vascular fraction on scar revision surgery: A prospective study [J]. J Dermatolog Treat, 2023, 34(1): 2171260. doi:10.1080/09546634.2023.2171260
25 RAMAUT L, MOONEN L, GEEROMS M, et al. Improvement in Early Scar Maturation by Nanofat Infiltration: Histological and Spectrophotometric Preliminary Results From a Split Scar-Controlled, Randomized, Double-Blinded Clinical Trial [J]. Aesthet Surg J Open Forum, 2024, 6: ojae072. doi:10.1093/asjof/ojae072
26 SUROWIECKA A. Combined therapies in scar treatment-The role of autologous derived agents in scar remodeling: A series of cases [J]. Dermatol Ther, 2022, 35(11): e15877. doi:10.1111/dth.15877
27 NILFOROUSHZADEH M A, HEIDARI-KHARAJI M, ALAVI S, et al. Transplantation of autologous fat, stromal vascular fraction (SVF) cell, and platelet-rich plasma (PRP) for cell therapy of atrophic acne scars: Clinical evaluation and biometric assessment [J]. J Cosmet Dermatol, 2022, 21(5): 2089-2098. doi:10.1111/jocd.14333
28 ROOHANINASAB M, SEIFADINI A, ATEFI N, et al. Evaluating the effectiveness of stromal-vascular fraction (SVF) cells along with subcision method in the treatment of acne scars: A double-blind randomized controlled clinical trial study [J]. J Cosmet Dermatol, 2022, 21(12): 6928-6938. doi:10.1111/jocd.15375
29 ROOHANINASAB M, KHODADAD F, SADEGHZADEH-BAZARGAN A, et al. Efficacy of fractional CO(2) laser in combination with stromal vascular fraction (SVF) compared with fractional CO(2) laser alone in the treatment of burn scars: a randomized controlled clinical trial [J]. Stem Cell Res Ther, 2023, 14(1): 269. doi:10.1186/s13287-023-03480-8
30 GRIFFITHS T W, WATSON R E B, LANGTON A K. Skin ageing and topical rejuvenation strategies [J]. Br J Dermatol, 2023, 189(): i17-i23. doi:10.1093/bjd/ljad282
31 SUROWIECKA A, STRU?YNA J. Adipose-Derived Stem Cells for Facial Rejuvenation [J]. J Pers Med, 2022, 12(1):117. doi:10.3390/jpm12010117
32 CHARLES-DE-Sá L, GONTIJO-DE-AMORIM N F, MAEDA TAKIYA C, et al. Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells [J]. Plast Reconstr Surg, 2015, 135(4): 999-1009. doi:10.1097/prs.0000000000001123
33 AMIRKHANI M A, SHOAE-HASSANI A, SOLEIMANI M, et al. Rejuvenation of facial skin and improvement in the dermal architecture by transplantation of autologous stromal vascular fraction: A clinical study [J]. Bioimpacts, 2016, 6(3): 149-154. doi:10.15171/bi.2016.21
34 YIN Y, LI J, LI Q, et al. Autologous fat graft assisted by stromal vascular fraction improves facial skin quality: A randomized controlled trial [J]. J Plast Reconstr Aesthet Surg, 2020, 73(6): 1166-1173. doi:10.1016/j.bjps.2019.11.010
35 SUROWIECKA A, PIEKARSKI M, POTOTSCHNIG H. Stromal vascular fraction and emulsified fat as regenerative tools in rejuvenation of the lower eyelid area [J]. Dermatol Ther, 2021, 34(3): e14937. doi:10.1111/dth.14937
36 PATTAYADEEKUL T, PAWCSUNTORN T, NARARATWANCHAI T. The efficacy and safety of autologous stromal vascular fraction transplantation for infraorbital skin rejuvenation: A clinical prospective study [J]. J Cosmet Dermatol, 2022, 21(1): 220-226. doi:10.1111/jocd.14069
37 MANTOVANI G P, MARRA C, DE MARIA F, et al. Adipose-derived stromal vascular fraction (SVF) for the treatment of androgenic alopecia (AGA): A systematic review [J]. Acta Biomed, 2023, 94(5): e2023236.
38 XIONG J, LIU Z, JIA L, et al. Bioinspired engineering ADSC nanovesicles thermosensitive hydrogel enhance autophagy of dermal papilla cells for androgenetic alopecia treatment [J]. Bioact Mater, 2024, 36: 112-125. doi:10.1016/j.bioactmat.2024.02.023
39 MARTINEZ-JACOBO L, VILLARREAL-VILLARREAL C D, ORTIZ-LóPEZ R, et al. Genetic and molecular aspects of androgenetic alopecia [J]. Indian J Dermatol Venereol Leprol, 2018, 84(3): 263-268. doi:10.4103/ijdvl.ijdvl_262_17
40 FESTA E, FRETZ J, BERRY R, et al. Adipocyte lineage cells contribute to the skin stem cell niche to drive hair cycling [J]. Cell, 2011, 146(5): 761-771. doi:10.1016/j.cell.2011.07.019
41 PEREZ-MEZA D, ZIERING C, SFORZA M, et al. Hair follicle growth by stromal vascular fraction-enhanced adipose transplantation in baldness [J]. Stem Cells Cloning, 2017, 10: 1-10. doi:10.2147/sccaa.s131431
42 BUTT G, HUSSAIN I, AHMAD F J, et al. Stromal vascular fraction-enriched platelet-rich plasma therapy reverses the effects of androgenetic alopecia [J]. J Cosmet Dermatol, 2020, 19(5): 1078-1085. doi:10.1111/jocd.13149
43 KIM S J, KIM M J, LEE Y J, et al. Innovative method of alopecia treatment by autologous adipose-derived SVF [J]. Stem Cell Res Ther, 2021, 12(1): 486. doi:10.1186/s13287-021-02557-6
44 EL-KHALAWANY M, RAGEH M A, ELNOKRASHY I, et al. Efficacy of autologous stromal vascular fraction injection in the treatment of androgenic alopecia [J]. Arch Dermatol Res, 2023, 315(5): 1269-1276.
45 STEVENS H P, DONNERS S, DE BRUIJN J. Introducing Platelet-Rich Stroma: Platelet-Rich Plasma (PRP) and Stromal Vascular Fraction (SVF) Combined for the Treatment of Androgenetic Alopecia [J]. Aesthet Surg J, 2018, 38(8): 811-822. doi:10.1093/asj/sjy029
46 BEHRANGI E, RAHIMI S T, ZARE S, et al. Evaluation of the effects of adding an adipose tissue-derived stromal vascular fraction to platelet-rich plasma injection in the treatment of androgenetic alopecia: A randomized clinical trial [J]. Skin Res Technol, 2024, 30(4): e13700. doi:10.1111/srt.13700
47 ZHANG Y, LIANG J, LU F, et al. Survival Mechanisms and Retention Strategies in Large-Volume Fat Grafting: A Comprehensive Review and Future Perspectives [J]. Aesthetic Plast Surg, 2024:4178-4193. doi:10.1007/s00266-024-04338-x
48 GENTILE P, OSSANNA R, SIERRA L A Q, et al. Mechanical Purification of Lipofilling: The Relationship Between Cell Yield, Cell Growth, and Fat Volume Maintenance [J]. Aesthetic Plast Surg, 2024:2306-2318. doi:10.1007/s00266-024-03870-0
49 MATSUMOTO D, SATO K, GONDA K, et al. Cell-assisted lipotransfer: supportive use of human adipose-derived cells for soft tissue augmentation with lipoinjection [J]. Tissue Eng, 2006, 12(12): 3375-3382. doi:10.1089/ten.2006.12.3375
50 YOSHIMURA K, SATO K, AOI N, et al. Cell-Assisted Lipotransfer for Cosmetic Breast Augmentation: Supportive Use of Adipose-Derived Stem/Stromal Cells [J]. Aesthetic Plast Surg, 2020, 44(4): 1258-1265. doi:10.1007/s00266-020-01819-7
51 SCHENDEL S A. Enriched autologous facial fat grafts in aesthetic surgery: 3D volumetric results [J]. Aesthet Surg J, 2015, 35(8): 913-919. doi:10.1093/asj/sjv140
52 SHIN D J. A Study on Breast Augmentation Using Fat Grafting With Stromal Vascular Fraction [J]. Ann Plast Surg, 2023, 90(4): 380-384. doi:10.1097/sap.0000000000003506
53 GONTIJO-DE-AMORIM N F, CHARLES-DE-Sá L, RIGOTTI G. Mechanical Supplementation With the Stromal Vascular Fraction Yields Improved Volume Retention in Facial Lipotransfer: A 1-Year Comparative Study [J]. Aesthet Surg J, 2017, 37(9): 975-985. doi:10.1093/asj/sjx115
54 CHIU C H. Does Stromal Vascular Fraction Ensure a Higher Survival in Autologous Fat Grafting for Breast Augmentation? A Volumetric Study Using 3-Dimensional Laser Scanning [J]. Aesthet Surg J, 2019, 39(1): 41-52. doi:10.1093/asj/sjy030
55 WUFUER M, CHOI T H, NAJMIDDINOV B, et al. Improving Facial Fat Graft Survival Using Stromal Vascular Fraction-Enriched Lipotransfer: A Multicenter Randomized Controlled Study [J]. Plast Reconstr Surg, 2024, 153(4): 690e-700e.
56 GONCHAROV E N, KOVAL O A, IGOREVICH E I, et al. Analyzing the Clinical Potential of Stromal Vascular Fraction: A Comprehensive Literature Review [J]. Medicina (Kaunas), 2024, 60(2):221. doi:10.3390/medicina60020221
文章导航

/