Cell therapy based on adipose tissue-derived stromal cells promotes physiological and pathological wound healing
Résumé
OBJECTIVE: We hypothesized that adipose tissue may contain progenitors cells with cutaneous and angiogenic potential. METHODS AND RESULTS: Adipose tissue-derived stroma cells (ADSCs) were administrated to skin punched wounds of both nonirradiated and irradiated mice (20 Gy, locally). At day14, ADSCs promoted dermal wound healing and enhanced wound closure, viscolesticity, and collagen tissue secretion in both irradiated and nonirradiated mice. Interestingly, GFP-positive ADSCs incorporated in dermal and epidermal tissue in vivo and expressed epidermal markers K5 and K14. Cultured ADSCs in keratinocyte medium have been shown to differentiate into K5- and K14-positive cells and produced high levels of KGF. At Day 7, ADSCs also improved skin blood perfusion assessed by laser Doppler imaging, capillary density, and VEGF plasma levels in both irradiated and nonirradiated animals. GFP-positive ADSCs incorporated into capillary structures in vivo and expressed the endothelial cell marker CD31. Finally, in situ interphase fluorescence hybridization showed that a small number of ADSCs have the potential to fuse with endogenous keratinocytes. CONCLUSION: ADSCs participate in dermal wound healing in physiological and pathological conditions by their ability to promote reepithelialization and angiogenesis. Hence, adipose lineage cells represent a new cell source for therapeutic dermal wound healing. © 2009 American Heart Association, Inc.
Mots clés
alpha actin
CD31 antigen
collagen
cytokeratin 14
cytokeratin 5
green fluorescent protein
keratinocyte growth factor
vasculotropin
vasculotropin A
adipose tissue
adipose tissue derived stromal cell
angiogenesis
animal experiment
animal model
animal tissue
article
capillary density
cell therapy
controlled study
dermis
endothelium cell
epidermis
epithelization
fluorescence in situ hybridization
interphase
keratinocyte
laser Doppler flowmetry
male
mouse
nonhuman
perfusion
priority journal
protein blood level
secretion
skin injury
stroma cell
viscoelasticity
wound closure
wound healing
animal
blood
blood flow
C57BL mouse
capillary
cell culture
cell differentiation
cell fusion
cell lineage
cell transplantation
cytology
genetics
metabolism
pathophysiology
radiation exposure
reporter gene
skin
time
transplantation
vascularization
Adipose Tissue
Animals
Capillaries
Cell Differentiation
Cell Fusion
Cell Lineage
Cell Transplantation
Cells
Cultured
Endothelial Cells
Fibroblast Growth Factor 7
Genes
Reporter
Green Fluorescent Proteins
Keratinocytes
Male
Mice
Inbred C57BL
Models
Animal
Neovascularization
Physiologic
Regional Blood Flow
Skin
Stromal Cells
Time Factors
Vascular Endothelial Growth Factor A
Wound Healing