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Adipose-derived stem cells (ADSC): biology, uses and regulation

Adipose-derived stem cells are mesenchymal stem/stromal cells from fat tissue. This article covers what they are, how they are obtained, where the evidence stands and how they are regulated.

Published 2026-09-14Updated 2026-09-14Reviewed 2026-09-14editor

Quick answer

Adipose-derived stem cells (ADSC) are adult mesenchymal stem/stromal cells isolated from fat tissue. They can self-renew and differentiate into a limited range of cell types, and they secrete factors that influence surrounding tissue. They are obtained from the stromal vascular fraction and usually expanded in culture.[1][2]

Biology

ADSC belong to the adult stem cell class: multipotent rather than pluripotent.[1] Research on fat graft survival proposes that ADSC support angiogenesis and protect grafted fat through secreted factors rather than by becoming fat cells themselves.[3]

How they are obtained

Fat is harvested by liposuction, processed into SVF, and the adherent stromal cells are expanded in culture. The resulting product is more uniform than SVF but requires a licensed manufacturing environment.[2]

Evidence

Established clinical use of adult stem cells is limited to hematopoietic transplantation; ADSC applications in aesthetics, orthopedics and other fields remain largely investigational.[1]

Regulation and safety

Culture-expanded ADSC are regulated as biological products in most countries. The U.S. FDA warns consumers about unapproved stem cell products.[4]

References

  1. governmentStem Cell BasicsNational Institutes of Health (NIH)
  2. academicSafety profile of autologous adipose-derived stromal vascular fraction in clinical use: an exhaustive literature reviewStem Cell Research & Therapy (2026)
  3. academicAdvancing fat graft survival: from adipose-derived stem cell mechanisms to next-generation regenerative strategiesFrontiers in Cell and Developmental Biology (2026)
  4. governmentFDA Warns About Stem Cell TherapiesU.S. Food and Drug Administration