1. Autologous adipose-derived stem cells (ADSCs) transplantation in the management of chronic wounds.
- Author
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Dung, T. N., Han, V. D., Tien, G. N., and Lam, H. Q.
- Abstract
Objective: Our aim was to characterise the chronic wound response to autologous adipose-derived stem cells (ADSCs) sheet transplantation. Methods: A pilot descriptive, longitudinal study was performed at the Wound Healing Center of the Vietnam National Burns Hospital from 1 July 2019 to 30 August 2020. Thirty patients with 38 chronic wounds were enrolled in the study and autologous ADSCs sheets were grafted on the wound beds. Wound edges, wound bed, wound size and structure were assessed using histology with ultrastructural changes visualised by transmission electron microscopy. Wounds were assessed at time of transplantation and at the first, second and third week of follow-up. Results: After ADSCs sheet transplantation, improved extracellular matrix (ECM) with neo-vascular structures was observed, and collagen fibres arranged side by side in the dermal layer. Fibroblast proliferation was observed with increased secretion of collagen. Keratinocytes were also observed proliferating and migrating into the epidermis layer. Neo-vascular cells, fibroblast proliferation and collagen production increased weekly however lymphocytes infiltration decreased. Wound size reduced significantly compared to before treatment commenced and wound beds appeared cleaner and filled with granulation tissue. Re-epithelialisation appeared at the wound edge and throughout the wound. Conclusion: ADSCs may have a beneficial effect on cutaneous regeneration and chronic wound healing. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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