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Numerical Measurement of Viable and Nonviable Adipocytes and Other Cellular Components in Aspirated Fat Tissue

Suga, Hirotaka M.D.; Matsumoto, Daisuke M.D.; Inoue, Keita M.D.; Shigeura, Tomokuni M.S.; Eto, Hitomi M.D.; Aoi, Noriyuki M.D.; Kato, Harunosuke M.D.; Abe, Hiroaki M.D.; Yoshimura, Kotaro M.D.

Plastic and Reconstructive Surgery: July 2008 - Volume 122 - Issue 1 - p 103-114
doi: 10.1097/PRS.0b013e31817742ed
Experimental: Original Articles

Background: A reliable method with which to assay viability and number of adipocytes and other cellular components in adipose tissue remains to be established.

Methods: The authors assessed cell viability and number obtained from 1 g of suctioned adipose tissue and respective layers (the top, middle, and bottom layers) before and after digestion and centrifugation, using cell staining with Hoechst 33342 and propidium iodide and the 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenyl-amino)carbonyl]-2H-tetrazoliumhydroxide (XTT) and glycerol-3-phosphate dehydrogenase assays (n = 10). The correlation between the number of prepared cells (adipocytes, adipose stromal cells, and white blood cells) and the resulting values from the XTT and glycerol-3-phosphate dehydrogenase assays was also examined (n = 5). The cell composition of the stromal vascular fraction isolated from the same adipose tissue was determined by multicolor flow cytometry (n = 5).

Results: Hoechst 33342 and propidium iodide staining allowed distinguishing of viable adipocytes from lipid droplets, dead adipocytes, and cells other than adipocytes. The authors obtained 6.9 × 105 nonruptured adipocytes from 1 g of suctioned adipose tissue; 30 percent of the original adipocytes appeared to have been ruptured. Both the XTT and glycerol-3-phosphate dehydrogenase assays provided good correlations between the number of viable adipocytes and resulting values, but only the glycerol-3-phosphate dehydrogenase assay was strictly specific for adipocytes. The ratio of adipose stromal cells to adipocytes was found to be much larger than previously described.

Conclusion: Single use or a combination of the viability assays used in this study can appropriately determine the number of adipocytes and other cells, although it remains difficult to assess original cells directly without tissue dissociation.

Tokyo and Yokohama, Japan

From the Department of Plastic Surgery, University of Tokyo School of Medicine, and the Division of Research and Development, Biomaster, Inc.

Received for publication July 20, 2007; accepted December 14, 2007.

Kotaro Yoshimura, M.D.; Department of Plastic Surgery; University of Tokyo School of Medicine; 7-3-1, Hongo, Bunkyo-Ku, Tokyo 113-8655, Japan;

Disclosure: The authors do not have any commercial associations or financial disclosures that might pose or create a conflict of interest with information presented in this article.

©2008American Society of Plastic Surgeons