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The Effect of Tissue Stromal Vascular Fraction as Compared to Cellular Stromal Vascular Fraction to Treat Anal Sphincter Incontinence.
Chen, Wenbin; He, Zijian; Li, Shuyu; Wu, Zixin; Tan, Jin; Yang, Weifeng; Li, Guanwei; Pan, Xiaoling; Liu, Yuying; Lyu, Feng-Juan; Li, Wanglin.
Afiliação
  • Chen W; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • He Z; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Li S; School of Biology and Biological Engineering, South China University of Technology, Guangzhou 510641, China.
  • Wu Z; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Tan J; The Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Yang W; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Li G; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Pan X; The Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Liu Y; The Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Lyu FJ; The Sixth Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
  • Li W; Department of Colorectal and Anal Surgery, The Second Affiliated Hospital, School of Medicine, South China University of Technology, Guangzhou 510641, China.
Bioengineering (Basel) ; 10(1)2022 Dec 26.
Article em En | MEDLINE | ID: mdl-36671604
ABSTRACT

BACKGROUND:

The long-term prognosis of current treatments for anal sphincter incontinence (ASI) is poor. Here, we explored the efficacy of tissue adipose stromal vascular fraction SVF (tSVF) on ASI and compared it to that of cellular SVF (cSVF). We then investigated possible mechanisms.

METHODS:

Rat cSVF and tSVF were isolated and labeled with DIL. One day after modeling, three groups received phosphate-buffered saline (PBS), cSVF, tSVF, respectively. The control group received nil modeling nor any treatments. The effect was assessed by function test for anal pressure and electromyography, and staining for fiber content, proliferation and differentiation at day 5 and day 10.

RESULTS:

cSVF injection resulted in faster healing than tSVF. The cSVF group showed significant improvement on anal pressure on day 10. For the electromyography test, cSVF showed significant improvement for the frequencies on day 10, and for the peak values on both time points, while tSVF showed significant improvement for the peak values on day 10. The two SVF both alleviated fibrosis. Immunofluorescence tracing identified differentiation of some injected cells towards myosatellite cells and smooth muscle cells in both SVF groups. For all the tests, the tSVF group tends to have similar or lower effects than the cSVF group with no significant difference.

CONCLUSION:

cSVF and tSVF are both safe and effective in treating ASI, while the effect of cSVF is slighter higher than tSVF.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Bioengineering (Basel) Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Bioengineering (Basel) Ano de publicação: 2022 Tipo de documento: Article