Name: human adipose tissue micro-fragmentation for cell phenotyping and secretome characterization
Uploaded: 2019-10-20T14:00:00
Description: Watch this Scientific Journal Video about Human Adipose Tissue Micro-fragmentation for Cell Phenotyping and Secretome Characterization at JoVE.com

The authors wish to thank Claire Cryer and Fiona Rossi at the University of Edinburgh for their expert assistance with flow cytometry. We also wish to thank the personnel of the Murrayfield hospital who contributed by providing tissue specimens.
This work was supported by grants from the British Heart Foundation and Lipogems, which supplied adipose tissue processing kits. Human adult tissue samples were procured with full ethics permission of the South East Scotland Research Ethics Committee (reference: 16/SS/0103).

Ethical approval for the use of human tissues in this research was obtained from the South East Scotland Research Ethics Committee (reference: 16/SS/0103).
1. Subcutaneous Abdominal Adipose Tissue Collection
NOTE: All instruments used in the manual lipo-aspiration procedure are provided by the manufacturer of the micro-fragmentation device.
<ol>
	<li>Maintain sterility for all fluids, containers, instruments, and the operational area throughout th...

<ol>
	<li>Zuk, P. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multilineage+cells+from+human+adipose+tissue:+implications+for+cell-based+therapies.">Multilineage cells from human adipose tissue: implications for cell-based therapies.</a> Tissue Engineering Journal. 7 (2), 211-228 (2001).</li><li>Sch&#228;ffler, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Concise+review:+Adipose+tissue-derived+stromal+cells-basic+and+clinical+implications+for+novel+cell-based+therapies.">Concise review: Adipose tissue-derived stromal cells-basic and clinical implications for novel cell-based therapies.</a> Stem Cells. 25 (4), 818-827 (2007).</li><li>Bianchi, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+new+non+enzymatic+method+and+device+to+obtain+a+fat+tissue+derivative+highly+enriched+in+pericyte-like+elements+by+mild+mechanical+forces+from+human+lipoaspirates.">A new non enzymatic method and device to obtain a fat tissue derivative highly enriched in pericyte-like elements by mild mechanical forces from human lipoaspirates.</a> Cell Transplantation. 2, 2063-2077 (2013).</li><li>Raffaini, M., Tremolada, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Micro+fractured+and+purified+adipose+tissue+graft+(Lipogems)+can+improve+the+orthognathic+surgery+outcomes+both+aesthetically+and+in+postoperative+healing.">Micro fractured and purified adipose tissue graft (Lipogems) can improve the orthognathic surgery outcomes both aesthetically and in postoperative healing.</a> CellR4. 2 (4), (2014).</li><li>Cestaro, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intersphincteric+anal+lipofilling+with+micro-fragmented+fat+tissue+for+the+treatment+of+faecal+incontinence:+preliminary+results+of+three+patients.">Intersphincteric anal lipofilling with micro-fragmented fat tissue for the treatment of faecal incontinence: preliminary results of three patients.</a> Wideochir Inne Tech Maloinwazyjne. 10 (2), 337-341 (2015).</li><li>Fantasia, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Microfractured+and+purified+adipose+tissue+(Lipogems+system)+injections+for+treatment+of+atrophic+vaginitis.">Microfractured and purified adipose tissue (Lipogems system) injections for treatment of atrophic vaginitis.</a> Journal of Urology Research. 3 (7), 1073-1075 (2016).</li><li>Saibene, A. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Transnasal+endoscopic+microfractured+fat+injection+in+glottic+insufficiency.">Transnasal endoscopic microfractured fat injection in glottic insufficiency.</a> B-ENT. 11 (3), 229-234 (2015).</li><li>Giori, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Recovery+of+function+in+anal+incontinence+after+micro-fragmented+fat+graft+(Lipogems)+injection:+two+years+follow+up+of+the+first+5+cases.">Recovery of function in anal incontinence after micro-fragmented fat graft (Lipogems) injection: two years follow up of the first 5 cases.</a> CellR4. 3 (2), (2015).</li><li>Tremolada, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adipose+mesenchymal+stem+cells+and+regenerative+adipose+tissue+graft+(Lipogems)+for+musculoskeletal+regeneration.">Adipose mesenchymal stem cells and regenerative adipose tissue graft (Lipogems) for musculoskeletal regeneration.</a> European Journal of Muscoloskeletal Diseases. 3 (2), 57-67 (2014).</li><li>Striano, R. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Non-responsive+knee+pain+with+osteoarthritis+and+concurrent+meniscal+disease+treated+with+autologous+micro-fragmented+adipose+tissue+under+continuous+ultrasound+guidance.">Non-responsive knee pain with osteoarthritis and concurrent meniscal disease treated with autologous micro-fragmented adipose tissue under continuous ultrasound guidance.</a> CellR4. 3 (5), (2015).</li><li>Randelli, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lipogems+product+treatment+increases+the+proliferation+rate+of+human+tendon+stem+cells+without+affecting+their+stemness+and+differentiation+capability.">Lipogems product treatment increases the proliferation rate of human tendon stem cells without affecting their stemness and differentiation capability.</a> Stem Cells International. 2016, (2016).</li><li>Bianchi, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lipogems,+a+new+modality+off+at+tissue+handling+to+enhance+tissue+repair+in+chronic+hind+limb+ischemia.">Lipogems, a new modality off at tissue handling to enhance tissue repair in chronic hind limb ischemia.</a> CellR4. 2 (6), (2014).</li><li>Benzi, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Microfractured+lipoaspirate+may+help+oral+bone+and+soft+tissue+regeneration:+a+case+report.">Microfractured lipoaspirate may help oral bone and soft tissue regeneration: a case report.</a> CellR4. 3 (3), (2015).</li><li>Crisan, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+perivascular+origin+for+mesenchymal+stem+cells+in+multiple+human+organs.">A perivascular origin for mesenchymal stem cells in multiple human organs.</a> Cell Stem Cell. 3, 301-313 (2008).</li><li>Vezzani, B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Higher+pericyte+content+and+secretory+activity+of+micro-fragmented+human+adipose+tissue+compared+to+enzymatically+derived+stromal+vascular+fraction.">Higher pericyte content and secretory activity of micro-fragmented human adipose tissue compared to enzymatically derived stromal vascular fraction.</a> Stem Cells Translational Medicine. 7 (12), 876-886 (2018).</li><li>Coleman, S. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Structural+fat+grafting:+more+than+a+permanent+filler.">Structural fat grafting: more than a permanent filler.</a> Plastic and Reconstructive Surgery. 118 (3), 108S-120S (2006).</li><li>. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Editorial:+An+update+on+organoid+research.">Editorial: An update on organoid research.</a> Nature Cell Biology. 20 (6), 633 (2018).</li></ol>

This paper describes the physical fractionation, using a closed system device, of human adipose tissue into small clusters displaying normal adipose tissue microanatomy.
Manually aspirated human subcutaneous adipose tissue and saline solution are loaded into a transparent plastic cylinder containing large pinball-style metallic spheres that, upon vigorous manual shaking of the device, rupture the fat into sub-millimeter fragments. Attached filters and outlet allow eliminating debris, blood and...

Adipose tissue, long used as a filler in reconstructive and cosmetic surgery, has recently become more popular in regenerative medicine once recognized as a source for mesenchymal stem cells (MSCs)1. Lipoaspirates dissociated enzymatically into single-cell suspensions yield an adipocyte-free stromal vascular fraction (SVF) that is used unaltered in the patient or, more commonly, is cultured for several weeks into MSCs2.
However, enzyme dissociation ruptures the tissue microenvironments, secluding neighboring regulatory cells from presumptive regenerative cells that become considerably modified by in vitro culture. To avoid such experimental artifacts and consequent functional alterations, attempts have been made to process adipose tissue for therapeutic use while maintaining its native configuration as intact as possible3,4. Notably, mechanical tissue disruption has started to replace enzymatic dissociation. To this end, the full immersion closed system micro-fragments lipoaspirates into sub-millimeter, blood- and oil-free tissue clusters (e.g., Lipogems) via a sequence of sieve filtration and steel marble induced disruption3. Autologous transplantation of micro-fragmented adipose tissue, using this closed system technology, has been successful in multiple indications, spanning cosmetics, orthopedics, proctology and gynaecology4,5,6,7,8,9,10,11,12,13.
Comparison between human micro-fragmented adipose tissue (MAT) obtained with the closed system device and isogenic SVF revealed that with respect to vascular/stromal cell distribution and secretory activity in culture, MAT contains more pericytes, which are presumptive MSCs14, and secretes higher amounts of growth factors and cytokines15.
The present article illustrates the enzyme-free micro-fragmentation of human subcutaneous adipose tissue using a closed system device, and the further processing of such micronized adipose tissue for in vitro culture, immunohistochemistry and FACS analysis, in order to identify the cell types present and the soluble factors secreted (Figure 1). The described method safely generates adipose derived sub-millimeter organoids containing viable adipose tissue cell populations in an intact niche, suitable for further applications and studies.

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			<td>4% Buffered paraformaldehyde (PFA)</td>
			<td>VWR chemicals</td>
			<td>9317.901</td>
			<td></td>
		</tr>
		<tr>
			<td>0.9% NaCl Solution</td>
			<td>Baxter</td>
			<td>3KB7127</td>
			<td></td>
		</tr>
		<tr>
			<td>AlexaFluor 555 goat anti-mouse IgG&#160;</td>
			<td>Life Technologies</td>
			<td>A21422</td>
			<td></td>
		</tr>
		<tr>
			<td>AlexaFluor 647 goat anti-Rabbit IgG</td>
			<td>Life Technologies</td>
			<td>&#160;A21245</td>
			<td></td>
		</tr>
		<tr>
			<td>Ammonium chloride</td>
			<td>fisher chemicals</td>
			<td>1158868</td>
			<td></td>
		</tr>
		<tr>
			<td>Antigent Diluent</td>
			<td>Life Technologies</td>
			<td>3218</td>
			<td></td>
		</tr>
		<tr>
			<td>Anti-Mouse Ig, &#954;/Negative Control (BSA) Compensation Plus</td>
			<td>BD Biosciences</td>
			<td>560497</td>
			<td></td>
		</tr>
		<tr>
			<td>Avidin/Biotin Blocking Kit</td>
			<td>Life Technologies</td>
			<td>4303</td>
			<td></td>
		</tr>
		<tr>
			<td>BD LSR Fortessa 5-laser flow cytometer&#160;</td>
			<td>BD Biosciences</td>
			<td></td>
			<td>Laser 405nm (violet)/375nm (UV) &#8211; filter V450/50 for DAPI and V450 antibodies; Laser 561nm (Yellow-green) &#8211; filter YG582/15 for PE antibodies; Laser 405nm (violet)/375nm (UV) &#8211; filter V710/50 for BV711 antibodies&#160;</td>
		</tr>
		<tr>
			<td>Biotinylated Ulex europaeus lectin</td>
			<td>Vector Laboratories</td>
			<td>Vector-B1065</td>
			<td></td>
		</tr>
		<tr>
			<td>BV711 Mouse IgG1, k Isotype Control</td>
			<td>BD Biosciences</td>
			<td>563044</td>
			<td></td>
		</tr>
		<tr>
			<td>CD146-BV711</td>
			<td>BD Biosciences</td>
			<td>563186</td>
			<td></td>
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			<td>CD31-V450</td>
			<td>BD Biosciences</td>
			<td>561653</td>
			<td></td>
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			<td>CD34-PE</td>
			<td>BD Biosciences</td>
			<td>555822</td>
			<td></td>
		</tr>
		<tr>
			<td>CD45-V450</td>
			<td>BD Biosciences</td>
			<td>560367</td>
			<td></td>
		</tr>
		<tr>
			<td>DAPI</td>
			<td>Life Technologies</td>
			<td>D1306</td>
			<td>stock concentration: 5mg/mL</td>
		</tr>
		<tr>
			<td>Disposable liposuction cannula (LGI 13Gx185 mm &#8211; AR 13/18) &#160;</td>
			<td>Lipogems&#160;</td>
			<td></td>
			<td>provided in the Lipogems surgical kit</td>
		</tr>
		<tr>
			<td>Diva software 306 (v.6.0)</td>
			<td>BD Biosciences</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>DMEM, high glucose, GlutaMAX without sodium pyruvate</td>
			<td>Life Technologies</td>
			<td>61965026</td>
			<td></td>
		</tr>
		<tr>
			<td>EGMTM-2 Endothelial Cell Growth Medium-2 BulletKitTM</td>
			<td>Lonza&#160;</td>
			<td>CC-3156</td>
			<td></td>
		</tr>
		<tr>
			<td>Fetal Calf Serum (FCS)</td>
			<td>Sigma-Aldrich</td>
			<td>F2442</td>
			<td></td>
		</tr>
		<tr>
			<td>FlowJo (v.10.0)</td>
			<td>FlowJo</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Fluoromount G</td>
			<td>SouthernBiotech</td>
			<td>0100-01</td>
			<td></td>
		</tr>
		<tr>
			<td>Gelatin</td>
			<td>Acros Organics</td>
			<td>410870025</td>
			<td></td>
		</tr>
		<tr>
			<td>Lipogems Surgical Kit</td>
			<td>Lipogems&#160;</td>
			<td>LG SK 60</td>
			<td></td>
		</tr>
		<tr>
			<td>Mouse anti human- NG2</td>
			<td>BD Biosciences</td>
			<td>554275</td>
			<td>stock concentration: 0.5 mg/mL</td>
		</tr>
		<tr>
			<td>PE Mouse IgG1, &#954; Isotype Control</td>
			<td>BD Biosciences</td>
			<td>555749</td>
			<td></td>
		</tr>
		<tr>
			<td>Penicillin-Streptomycin</td>
			<td>Sigma-Aldrich</td>
			<td>P4333</td>
			<td></td>
		</tr>
		<tr>
			<td>Phosphate buffered saline (PBS)</td>
			<td>Sigma-Aldrich</td>
			<td>D8537</td>
			<td></td>
		</tr>
		<tr>
			<td>Polystirene round bottom 5 mL tube with cell strainer snap cap&#160;</td>
			<td>BD Biosciences</td>
			<td>352235, 25/Pack</td>
			<td></td>
		</tr>
		<tr>
			<td>Polystyrene round bottom 5 mL tubes</td>
			<td>BD Biosciences</td>
			<td>352003</td>
			<td></td>
		</tr>
		<tr>
			<td>Rabbit anti human - PDGFRb</td>
			<td>Abcam</td>
			<td>32570</td>
			<td>stock concentration: 0.15 mg/mL</td>
		</tr>
		<tr>
			<td>Streptavidin conjugated-488</td>
			<td>Life Technologies</td>
			<td>&#160;S32354</td>
			<td></td>
		</tr>
		<tr>
			<td>Sucrose</td>
			<td>Sigma-Aldrich</td>
			<td>84100-5kg</td>
			<td></td>
		</tr>
		<tr>
			<td>Tissue infiltration cannula (17GX185 mm-VG 17/18)&#160;</td>
			<td>Lipogems&#160;</td>
			<td></td>
			<td>provided in the Lipogems surgical kit</td>
		</tr>
		<tr>
			<td>Tris base</td>
			<td>fisher chemicals</td>
			<td>BP152-500</td>
			<td></td>
		</tr>
		<tr>
			<td>Type- II Collagenase</td>
			<td>Gibco</td>
			<td>17101-015</td>
			<td></td>
		</tr>
		<tr>
			<td>V450 Mouse IgG1, &#954; Isotype Control</td>
			<td>BD Biosciences</td>
			<td>560373</td>
			<td></td>
		</tr>
		<tr>
			<td>Widefield Zeiss observer</td>
			<td>Zeiss</td>
			<td></td>
			<td>Objective used: Plan-Apo 20x/0.8</td>
		</tr>
		<tr>
			<td>Zeiss Colibri7 LED light source ( LEDs: 385, 475, 555, 590, 630 nm)</td>
			<td>Zeiss</td>
			<td></td>
			<td>DAPI: UV, excitation 385nm; 488: Blue, excitation 475nm;&#160; 555: Green, excitation 555nm;&#160; 647:Red, excitation 630nm&#160;</td>
		</tr>
	</tbody>
</table>

human adipose tissue micro-fragmentation for cell phenotyping and secretome characterization

In the past decade, adipose tissue transplants have been widely used in plastic surgery and orthopaedics to enhance tissue repletion and/or regeneration. Accordingly, techniques for harvesting and processing human adipose tissue have evolved in order to quickly and efficiently obtain large amounts of tissue. Among these, the closed system technology represents an innovative and easy-to-use system to harvest, process, and re-inject refined fat tissue in a short time and in the same intervention (intra-operatively). Adipose tissue is collected by liposuction, washed, emulsified, rinsed and minced mechanically into cell clusters of 0.3 to 0.8 mm. Autologous transplantation of mechanically fragmented adipose tissue has shown remarkable efficacy in different therapeutic indications such as aesthetic medicine and surgery, orthopedic and general surgery. Characterization of micro-fragmented adipose tissue revealed the presence of intact small vessels within the adipocyte clusters; hence, the perivascular niche is left unperturbed. These clusters are enriched in perivascular cells (i.e., mesenchymal stem cell (MSC) ancestors) and in vitro analysis showed an increased release of growth factors and cytokines involved in tissue repair and regeneration, compared to enzymatically derived MSCs. This suggests that the superior therapeutic potential of microfragmented adipose tissue is explained by a higher frequency of presumptive MSCs and enhanced secretory activity. Whether these added pericytes directly contribute to higher growth factor and cytokine production is not known. This clinically approved procedure allows the transplantation of presumptive MSCs without the need for expansion and/or enzymatic treatment, thus bypassing the requirements of GMP guidelines, and reducing the costs for cell-based therapies.

Mechanical dissociation of manual lipoaspirates resulted in the production of micro-fragmented adipose tissue (MAT), consisting of an aggregate of adipocytes enveloping a microvascular network (Figure 3). Immunofluorescence analysis of gelatin-embedded and cryofixed MAT highlights this structure, showing the vascular network marked by the endothelial cell marker Ulex europaeus agglutinin 1 (UEA-1) receptor mainly consisting of small, capillary-like vessels (<...

Watch this Scientific Journal Video about Human Adipose Tissue Micro-fragmentation for Cell Phenotyping and Secretome Characterization at JoVE.com

Human Adipose Tissue Micro-fragmentation for Cell Phenotyping and Secretome Characterization

Here, we present human adipose tissue enzyme-free micro-fragmentation using a closed system device. This new method allows the obtainment of sub-millimeter clusters of adipose tissue suitable for in vivo transplantation, in vitro culture, and further cell isolation and characterization.

In the past decade, adipose tissue transplants have been widely used in plastic surgery and orthopaedics to enhance tissue repletion and/or regeneration. ...

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