PMID- 30760630 OWN - NLM STAT- MEDLINE DCOM- 20200128 LR - 20200309 IS - 1573-4935 (Electronic) IS - 0144-8463 (Print) IS - 0144-8463 (Linking) VI - 39 IP - 2 DP - 2019 Feb 28 TI - Increase of glandular epithelial cell clusters by an external volume expansion device promotes adipose tissue regeneration by recruiting macrophages. LID - BSR20181776 [pii] LID - 10.1042/BSR20181776 [doi] AB - Background: There is a clinical need for the use of engineered adipose tissue in place of surgical reconstruction. We previously found that the external volume expansion (EVE) device increased special cell clusters in well-vascularized connective stroma during adipose regeneration. However, the origin of these cell clusters and their role in adipose tissue regeneration remain unknown. Aim: In the present study, we evaluated EVE in the construction of expanded prefabricated adipose tissue (EPAT) in a rat model. Methods: Rats were randomized into an EVE suction group and a control group, with 24 rats in each group. The structure and origin of the special cell clusters were determined by hematoxylin and eosin staining, and immunohistochemistry; their role in adipose tissue regeneration was investigated by immunohistochemistry and Western blot analyses. Results: Special cell clusters began to increase at week 1 with a peak at week 4, and then receded from weeks 8 to 12. Clusters were identified as glandular epithelial cells as determined by their gland-like structure and expression of specific markers. The cell clusters induced significant infiltration of macrophage antigen-2 (Mac-2) positive macrophages by secreting monocyte chemoattractant protein-1 (MCP-1) at the early stage of suction. Subsequently, these infiltrated macrophages expressed massive vascular endothelial growth factor (VEGF) to promoted angiogenesis. Conclusion: EVE generated glandular epithelial cell clusters, which recruited macrophages to promote angiogenesis and subsequent adipose tissue regeneration. These findings shed light on the mechanisms underlying the effects of EVE devices on adipose tissue regeneration. CI - (c) 2019 The Author(s). FAU - Chen, Xihang AU - Chen X AUID- ORCID: 0000-0002-6698-9080 AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - He, Yunfan AU - He Y AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Xu, Anqi AU - Xu A AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Deng, Zilong AU - Deng Z AD - Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China. AD - College of Stomatology, Southern Medical University, Guangzhou, China. FAU - Feng, Jingwei AU - Feng J AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China. FAU - Lu, Feng AU - Lu F AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China yuanyips@gmail.com doctorlufeng@hotmail.com. FAU - Yuan, Yi AU - Yuan Y AUID- ORCID: 0000-0003-0446-098X AD - Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China yuanyips@gmail.com doctorlufeng@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190226 PL - England TA - Biosci Rep JT - Bioscience reports JID - 8102797 RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Adipose Tissue/blood supply/cytology/*physiology MH - Animals MH - Epithelial Cells/*cytology/metabolism MH - Macrophages/*cytology/metabolism MH - Male MH - Neovascularization, Physiologic MH - Rats MH - Rats, Sprague-Dawley MH - *Regeneration MH - *Tissue Expansion Devices MH - Vascular Endothelial Growth Factor A/metabolism PMC - PMC6390125 OTO - NOTNLM OT - adipose tissue regeneration OT - angiogenesis OT - external volume expansion OT - glandular epithelial cell clusters OT - macrophage COIS- The authors declare that there are no competing interests associated with the manuscript. EDAT- 2019/02/15 06:00 MHDA- 2020/01/29 06:00 PMCR- 2019/02/26 CRDT- 2019/02/15 06:00 PHST- 2018/10/04 00:00 [received] PHST- 2019/01/27 00:00 [revised] PHST- 2019/02/07 00:00 [accepted] PHST- 2019/02/15 06:00 [pubmed] PHST- 2020/01/29 06:00 [medline] PHST- 2019/02/15 06:00 [entrez] PHST- 2019/02/26 00:00 [pmc-release] AID - BSR20181776 [pii] AID - 10.1042/BSR20181776 [doi] PST - epublish SO - Biosci Rep. 2019 Feb 26;39(2):BSR20181776. doi: 10.1042/BSR20181776. Print 2019 Feb 28.