Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps

The most common postoperative complication after reconstructive surgery is flap necrosis. Adipose-derived stem cells (ADSCs) and their secretomes are reported to mediate skin repair. This study was designed to investigate whether conditioned media from ADSCs (ADSC-CM) protects ischemia/reperfusion-...

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Main Authors: Chi-Ming Pu, Ya-Chun Chen, Yu-Chen Chen, Tzu-Lin Lee, Yu-Sen Peng, Shun-Hua Chen, Yu-Hsiu Yen, Chung-Liang Chien, Jung-Hsien Hsieh, Yuh-Lien Chen
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2019/2343867
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author Chi-Ming Pu
Ya-Chun Chen
Yu-Chen Chen
Tzu-Lin Lee
Yu-Sen Peng
Shun-Hua Chen
Yu-Hsiu Yen
Chung-Liang Chien
Jung-Hsien Hsieh
Yuh-Lien Chen
author_facet Chi-Ming Pu
Ya-Chun Chen
Yu-Chen Chen
Tzu-Lin Lee
Yu-Sen Peng
Shun-Hua Chen
Yu-Hsiu Yen
Chung-Liang Chien
Jung-Hsien Hsieh
Yuh-Lien Chen
author_sort Chi-Ming Pu
collection DOAJ
description The most common postoperative complication after reconstructive surgery is flap necrosis. Adipose-derived stem cells (ADSCs) and their secretomes are reported to mediate skin repair. This study was designed to investigate whether conditioned media from ADSCs (ADSC-CM) protects ischemia/reperfusion- (I/R-) induced injury in skin flaps by promoting cell proliferation and increasing the number of hair follicles. The mouse flap model of ischemia was ligating the long thoracic vessels for 3 h, followed by blood reperfusion. ADSC-CM was administered to the flaps, and their survival was observed on postoperative day 5. ADSC-CM treatment led to a significant increase in cell proliferation and the number of hair follicles. IL-6 levels in the lysate and CM from ADSCs were significantly higher than those from Hs68 fibroblasts. Furthermore, a strong decrease in cell proliferation and the number of hair follicles was observed after treatment with IL-6-neutralizing antibodies or si-IL-6-ADSC. In addition, ADSC transplantation increased flap repair, cell proliferation, and hair follicle number in I/R injury of IL-6-knockout mice. In conclusion, IL-6 secreted from ADSCs promotes the survival of I/R-induced flaps by increasing cell proliferation and the number of hair follicles. ADSCs represent a promising therapy for preventing skin flap necrosis following reconstructive and plastic surgery.
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spelling doaj-art-e1ad793b40884321a5d976e343d6582a2025-08-20T03:20:59ZengWileyMediators of Inflammation0962-93511466-18612019-01-01201910.1155/2019/23438672343867Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin FlapsChi-Ming Pu0Ya-Chun Chen1Yu-Chen Chen2Tzu-Lin Lee3Yu-Sen Peng4Shun-Hua Chen5Yu-Hsiu Yen6Chung-Liang Chien7Jung-Hsien Hsieh8Yuh-Lien Chen9Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDivision of Nephrology, Department of Internal Medicine, Far-Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Microbiology and Immunology, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanDivision of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, TaiwanDepartment of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, TaiwanThe most common postoperative complication after reconstructive surgery is flap necrosis. Adipose-derived stem cells (ADSCs) and their secretomes are reported to mediate skin repair. This study was designed to investigate whether conditioned media from ADSCs (ADSC-CM) protects ischemia/reperfusion- (I/R-) induced injury in skin flaps by promoting cell proliferation and increasing the number of hair follicles. The mouse flap model of ischemia was ligating the long thoracic vessels for 3 h, followed by blood reperfusion. ADSC-CM was administered to the flaps, and their survival was observed on postoperative day 5. ADSC-CM treatment led to a significant increase in cell proliferation and the number of hair follicles. IL-6 levels in the lysate and CM from ADSCs were significantly higher than those from Hs68 fibroblasts. Furthermore, a strong decrease in cell proliferation and the number of hair follicles was observed after treatment with IL-6-neutralizing antibodies or si-IL-6-ADSC. In addition, ADSC transplantation increased flap repair, cell proliferation, and hair follicle number in I/R injury of IL-6-knockout mice. In conclusion, IL-6 secreted from ADSCs promotes the survival of I/R-induced flaps by increasing cell proliferation and the number of hair follicles. ADSCs represent a promising therapy for preventing skin flap necrosis following reconstructive and plastic surgery.http://dx.doi.org/10.1155/2019/2343867
spellingShingle Chi-Ming Pu
Ya-Chun Chen
Yu-Chen Chen
Tzu-Lin Lee
Yu-Sen Peng
Shun-Hua Chen
Yu-Hsiu Yen
Chung-Liang Chien
Jung-Hsien Hsieh
Yuh-Lien Chen
Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
Mediators of Inflammation
title Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
title_full Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
title_fullStr Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
title_full_unstemmed Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
title_short Interleukin-6 from Adipose-Derived Stem Cells Promotes Tissue Repair by the Increase of Cell Proliferation and Hair Follicles in Ischemia/Reperfusion-Treated Skin Flaps
title_sort interleukin 6 from adipose derived stem cells promotes tissue repair by the increase of cell proliferation and hair follicles in ischemia reperfusion treated skin flaps
url http://dx.doi.org/10.1155/2019/2343867
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