J Cosmet Dermatol. 2021 Oct 07; doi: 10.1111/jocd.14385. Epub 2021 Oct 07.
A critical review on the potential role of adipose-derived stem cells for future treatment of hypertrophic scars.
Journal of cosmetic dermatology
Karina Teja Putri, Theddeus Octavianus Hari Prasetyono
Affiliations
Affiliations
- Undergraduate Study Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
- Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital/Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
PMID: 34619011
DOI: 10.1111/jocd.14385
Abstract
INTRODUCTION: Adipose-derived stem cells (ASCs) have recently gained researchers' interest as a solution to various diseases and conditions, including hypertrophic scar. This literature review aims to elucidate ASCs as a potential solution to alleviate hypertrophic scar in human subjects.
METHODS: Literature search was done in databases which includes PubMed, MEDLINE, and ProQuest using terms 'adipose derived stem cells', 'adipose cells', 'fat graft', 'fat grafting', 'autologous fat graft', 'fat injection', 'lipofilling', 'scar management', 'scar treatment', 'burn scar', and 'wound management'. The included articles which were published during year 2000-November 2020 must describe the use of ASCs or fat grafting or lipofilling as an attempt to alleviate hypertrophic scar.
REMARKS: Clinically, ASCs improve hypertrophic scars in terms of scar color, elasticity, texture, thickness, and size. Histologically, ASCs promotes healthy tissue regeneration, reduction in fibroblasts, and reorganisation of collagen, resembling those of normal skin. In terms of molecular aspects, ASCs alleviates hypertrophic scars through direct differentiation and paracrine mechanisms.
CONCLUSION: Adipose-derived stem cells, emerge to be a potential solution for alleviating hypertrophic scar, as demonstrated in various studies. However, there has been no studies conducted in human subjects to investigate the effect of ASCs on hypertrophic scar.
© 2021 Wiley Periodicals LLC.
Keywords: adipocytes; cicatrix; fibroblast; intercellular signaling peptides and proteins; stem cells
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