Effects of Adipose-Derived Stem Cells and Platelet-Rich Plasma for Prevention of Alopecia and Other Skin Complications of Radiotherapy

• Published in: Annals of plastic surgery Vol. 86; no. 5; pp. 588 - 597
• Main Authors: Evin, Nuh, Tosun, Zekeriya, Aktan, Tahsin Murad, Duman, Selcuk, Harmankaya, Ismail, Yavas, Güler
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-05-2021; Copyright Wolters Kluwer Health, Inc. All rights reserved
• Subjects: Adipose Tissue; Alopecia - etiology; Alopecia - prevention & control; Animals; Mice; Platelet-Rich Plasma; Quality of Life; Stem Cells
• ISSN: 0148-7043; 1536-3708
• DOI: 10.1097/SAP.0000000000002573

BACKGROUNDRadiotherapy (RT) involves the use of ionizing radiation in treating malignancies and benign disorders. However, RT damages target and healthy surrounding tissues in a dose-dependent manner. This effectively reduces patient compliance and quality of life, thereby warranting the prevention of RT-induced adverse effects on skin. Adipose-derived stem cells (ASCs) are used to treat RT-induced damage and platelet-rich plasma (PRP) provides a scaffold that potentiates the effects of ASCs. Thus, the aim of this study was to determine the mechanism employed by ASCs and PRP in protecting against RT-induced adverse effects.
METHODSWe have established an immunodeficient mouse transplantation model using which human hair follicular units were implanted. When the follicular units were macroscopically and microscopically mature and anagenic, we administered localized RT. Subsequently, the mice were randomly divided into 4 groups based on the subcutaneous injection of the following to the irradiated transplantation sitesaline, PRP, ASCs, and a combination of ASCs and PRP. Next, we used macroscopic and microscopic analyses to determine the protective effects of the injected solutions on skin and hair follicles.
RESULTSAdipose-derived stem cells reduced RT-induced adverse effects, such as impaired wound healing, alopecia, skin atrophy, and fibrosis by suppressing inflammation, dystrophy, degeneration, connective tissue synthesis, and apoptosis and increasing cellular proliferation, differentiation, and signaling. Moreover, these effects were augmented by PRP.
CONCLUSIONSThus, co-administering ASCs with PRP in mice prevented RT-induced adverse effects and can be tested for use in clinical practice.