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Orgun et al.                                                                                                                                          Regenerative mechanisms of adipose-derived stem cells





















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           Figure 1: The phenotypic differences between SVF cells and culture expanded ASCs. ASCs: adipose-derived stem cells; SVF: stromal
           vascular fraction

           adipose  tissue. Liposuction  is the most widely used   function. Results of the study showed no statistically
           method to harvest fat  from humans.  The liposuction   significant difference in terms of yield or function of ASCs
           aspirate is primarily composed of fragmented fat,   harvested from different locations. Jurgens  et al.
                                                                                                            [19]
           blood and saline. ASCs are usually isolated from the   compared ASCs harvested from abdomen versus hip/
           fatty portion. A previous study showed that isolation of   thigh  region,  and  similarly  no  significant  difference
           ASCs from the liposuction aspirate fluid (LAF) portion   in the yield and function of  ASCs was found.
           is also possible, but unfortunately this method yields   Gnanasegaran  et  al. [20]  has  investigated whether
           less cells. [14]                                   the harvesting procedure affects  isolated  ASCs.
                                                              They  argued that  cells harvested using liposuction
           The  investigation  for  new  methods  to  increase   had endodermal propensity while cells harvested by
           efficiency of ASC isolation also needs to be mentioned.   excision had meso/ectodermal propensity.
           Conventional methods to acquire SVF or ASCs take a
           long time, making the process costly and increasing the   Preservation of human ASCs for further use is another
           risk of contamination. Sachs et al. [15]  and Francis et al. [16]    subject which is being  investigated.  According  to
           isolated viable ASCs from liposuction aspirate within   Shah  et al. [21]  colony forming potential  and cell
           thirty  minutes without using collagenase  digestion;   marker expression of ASCs except CD34 and CD45
           however, the cell yield  was much less compared  to   did not change with cryopreservation; however, their
           conventional  isolation method.  In  another study,  it is   differentiation  potential  was  significantly  reduced.
           suggested that using fluorescent assisted cell sorting   Further investigation on this subject is necessary.
           (FACS) for ASCs isolation  is possible,  however  this
           method also yields less cells. [17]                THE EFFECTS OF ASCS ON ANGIOGENESIS

           Schipper  et  al.   investigated  whether  the  region  of   There is a considerable  amount of research on the
                         [18]
           harvest or the age of the donor had effects on ASCs’   angiogenic effects of ASCs against ischemic diseases.
            34                                                                                     Plastic and Aesthetic Research ¦ Volume 4 ¦ March 22, 2017
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