The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis

Conventional breast cancer extirpation involves resection of parts of or the whole gland, resulting in asymmetry and disfiguration. Given the unsatisfactory aesthetic outcomes, patients often desire postmastectomy reconstructive procedures. Autologous fat grafting has been proposed for reconstructi...

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Main Authors: Riccardo Schweizer, Wakako Tsuji, Vijay S. Gorantla, Kacey G. Marra, J. Peter Rubin, Jan A. Plock
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2015/120949
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author Riccardo Schweizer
Wakako Tsuji
Vijay S. Gorantla
Kacey G. Marra
J. Peter Rubin
Jan A. Plock
author_facet Riccardo Schweizer
Wakako Tsuji
Vijay S. Gorantla
Kacey G. Marra
J. Peter Rubin
Jan A. Plock
author_sort Riccardo Schweizer
collection DOAJ
description Conventional breast cancer extirpation involves resection of parts of or the whole gland, resulting in asymmetry and disfiguration. Given the unsatisfactory aesthetic outcomes, patients often desire postmastectomy reconstructive procedures. Autologous fat grafting has been proposed for reconstructive purposes for decades to restore form and anatomy after mastectomy. Fat has the inherent advantage of being autologous tissue and the most natural-appearing filler, but given its inconsistent engraftment and retention rates, it lacks reliability. Implementation of autologous fat grafts with cellular adjuncts, such as multipotent adipose-derived stem cells (ADSCs), has shown promising results. However, it is pertinent and critical to question whether these cells could promote any residual tumor cells to proliferate, differentiate, or metastasize or even induce de novo carcinogenesis. Thus far, preclinical and clinical study findings are discordant. A trend towards potential promotion of both breast cancer growth and invasion by ADSCs found in basic science studies was indeed not confirmed in clinical trials. Whether experimental findings eventually correlate with or will be predictive of clinical outcomes remains unclear. Herein, we aimed to concisely review current experimental findings on the interaction of mesenchymal stem cells and breast cancer, mainly focusing on ADSCs as a promising tool for regenerative medicine, and discuss the implications in clinical translation.
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spelling doaj-art-7f35ccc9b9534cd396a46c67dc2fce382025-02-03T06:08:14ZengWileyStem Cells International1687-966X1687-96782015-01-01201510.1155/2015/120949120949The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and MetastasisRiccardo Schweizer0Wakako Tsuji1Vijay S. Gorantla2Kacey G. Marra3J. Peter Rubin4Jan A. Plock5Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, 8006 Zurich, SwitzerlandDepartment of Surgery, Shiga Medical Center for Adults, Shiga 524-8525, JapanMcGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USAAdipose Stem Cell Center, Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA 15261, USAAdipose Stem Cell Center, Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA 15261, USADepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich, 8006 Zurich, SwitzerlandConventional breast cancer extirpation involves resection of parts of or the whole gland, resulting in asymmetry and disfiguration. Given the unsatisfactory aesthetic outcomes, patients often desire postmastectomy reconstructive procedures. Autologous fat grafting has been proposed for reconstructive purposes for decades to restore form and anatomy after mastectomy. Fat has the inherent advantage of being autologous tissue and the most natural-appearing filler, but given its inconsistent engraftment and retention rates, it lacks reliability. Implementation of autologous fat grafts with cellular adjuncts, such as multipotent adipose-derived stem cells (ADSCs), has shown promising results. However, it is pertinent and critical to question whether these cells could promote any residual tumor cells to proliferate, differentiate, or metastasize or even induce de novo carcinogenesis. Thus far, preclinical and clinical study findings are discordant. A trend towards potential promotion of both breast cancer growth and invasion by ADSCs found in basic science studies was indeed not confirmed in clinical trials. Whether experimental findings eventually correlate with or will be predictive of clinical outcomes remains unclear. Herein, we aimed to concisely review current experimental findings on the interaction of mesenchymal stem cells and breast cancer, mainly focusing on ADSCs as a promising tool for regenerative medicine, and discuss the implications in clinical translation.http://dx.doi.org/10.1155/2015/120949
spellingShingle Riccardo Schweizer
Wakako Tsuji
Vijay S. Gorantla
Kacey G. Marra
J. Peter Rubin
Jan A. Plock
The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
Stem Cells International
title The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
title_full The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
title_fullStr The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
title_full_unstemmed The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
title_short The Role of Adipose-Derived Stem Cells in Breast Cancer Progression and Metastasis
title_sort role of adipose derived stem cells in breast cancer progression and metastasis
url http://dx.doi.org/10.1155/2015/120949
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