Platelet-Derived Growth Factor Receptor-Positive Pericytic Cells of White Adipose Tissue from Critical Limb Ischemia Patients Display Mesenchymal Stem Cell-Like Properties.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.4055/cios.2017.9.2.239
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Eo Jin KIM
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sang Gyo SEO
			        		
			        		;
		        		
		        		
		        		
			        		Hyuk Soo SHIN
			        		
			        		;
		        		
		        		
		        		
			        		Doo Jae LEE
			        		
			        		;
		        		
		        		
		        		
			        		Ji Hye KIM
			        		
			        		;
		        		
		        		
		        		
			        		Dong Yeon LEE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Orthopedic Surgery, Hanil General Hospital, Seoul, Korea.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Platelet-derived growth factor;
			        		
			        		
			        		
				        		Adipose tissue;
			        		
			        		
			        		
				        		Adult stem cells;
			        		
			        		
			        		
				        		Ischemia
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Adipose Tissue;
				        		
			        		
				        		
					        		Adipose Tissue, White*;
				        		
			        		
				        		
					        		Adult Stem Cells;
				        		
			        		
				        		
					        		Amputation;
				        		
			        		
				        		
					        		Blood Vessels;
				        		
			        		
				        		
					        		Extremities*;
				        		
			        		
				        		
					        		Flow Cytometry;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		In Vitro Techniques;
				        		
			        		
				        		
					        		Ischemia*;
				        		
			        		
				        		
					        		Mesenchymal Stromal Cells;
				        		
			        		
				        		
					        		Pericytes;
				        		
			        		
				        		
					        		Platelet-Derived Growth Factor*;
				        		
			        		
				        		
					        		Receptors, Platelet-Derived Growth Factor;
				        		
			        		
				        		
					        		Stem Cells;
				        		
			        		
				        		
					        		Subcutaneous Fat
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Clinics in Orthopedic Surgery
	            		
	            		 2017;9(2):239-248
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	BACKGROUND: The pericytes in the blood vessel wall have recently been identified to be important in regulating vascular formation, stabilization, remodeling, and function. We isolated and identified pericyte-like platelet-derived growth factor receptor beta-positive (PDGFRβ+) cells from the stromal vascular fraction (SVF) of adipose tissue from critical limb ischemia (CLI) patients and investigated their potential as a reliable source of stem cells for cell-based therapy. METHODS: De-identified subcutaneous fat tissues were harvested after amputation in CLI patients. Freshly isolated SVF cells and culture-expanded adipose-derived stem cells (ADSCs) were quantified using flow cytometry. A matrigel tube formation assay and multi-lineage differentiation were performed to assess pericytic and mesenchymal stem cell (MSC)-like characteristics of PDGFRβ+ ADSCs. RESULTS: PDGFRβ+ cells were located in the pericytic area of various sizes of blood vessels and coexpressed mesenchymal stem cell markers. PDGFRβ+ cells in freshly isolated SVF cells expressed a higher level of stem cell markers (CD34 and CXCR4) and mesenchymal markers (CD13, CD44, CD54, and CD90) than PDGFRβ– cells. In vitro expansion of PDGFRβ+ cells resulted in enrichment of the perivascular mesenchymal stem-like (PDGFRβ+/CD90+/CD45–/CD31–) cell fractions. The Matrigel tube formation assay revealed that PDGFRβ+ cells were located in the peritubular area. CONCLUSIONS: PDGFRβ+ ADSCs cells demonstrated a good multilineage differentiation potential. Pericyte-like PDGFRβ+ cells from the SVF of adipose tissue from CLI patients had MSC-like characteristics and could be amplified by in vitro culture with preservation of their cell characteristics. We believe PDGFRβ+ cells in the SVF of adipose tissue can be used as a reliable source of stem cells even in CLI patients.