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医疗 · Stem Cell

Adipose-derived Stem Cell

别名: 脂肪来源间充质干/基质细胞, 脂肪基质细胞, 脂肪来源干细胞, 脂肪间充质干细胞, 自体脂肪干细胞, ADSC, ASC

发布 2026年9月14日更新 2026年9月20日
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语言English尚未翻译为该语言,此处显示英文原文。
定义

Adipose-derived stem cells (ADSC) are mesenchymal stem/stromal cells isolated from fat tissue and expanded in culture; they are studied for tissue repair and are a component of the stromal vascular fraction.

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자가 줄기세포 의미와 종류는 무엇인가요?

자가 줄기세포는 치료받는 사람 본인의 몸에서 채취해 본인에게 다시 쓰는 줄기세포입니다. 대표적인 예로 골수나 말초혈액에서 얻는 조혈모세포, 골수나 지방조직에서 얻는 중간엽 줄기/기질세포가 있습니다. 성체 줄기세포는 다분화능을 가지지만 만능성은 없습니다. 확립된 치료로 쓰이는 대표적인 예는 조혈모세포 이식입니다. 지방 유래 세포 등을 다른 용도에 쓰는 치료는 대부분 아직 연구 단계입니다. 본인 세포라는 사실만으로 안전성이나 효과가 보장되지는 않습니다.

已验证 2026年9月18日

关键事实

属性来源
Consensus definitionPlastic-adherent, cultured and serially passaged, multipotent cell population from adipose tissue (IFATS/ISCT joint statement, Bourin et al., Cytotherapy 2013)[3]journalAdipose-derived mesenchymal stromal/stem cells: An update on their phenotype in vivo and in vitroWorld Journal of Stem Cells (via PubMed Central)
Surface marker profile (cultured ASC)CD73+/CD90+/CD105+/CD44+, CD45−/CD31−; CD36 expression reported to help distinguish ASC from bone marrow MSC[3]journalAdipose-derived mesenchymal stromal/stem cells: An update on their phenotype in vivo and in vitroWorld Journal of Stem Cells (via PubMed Central)
In vitro differentiationAdipogenic, osteogenic, chondrogenic and myogenic lineages[4]journalAdipose Stem Cells: From Bench to BedsideStem Cells International (Ferraro, Mizuno, Pallua; via PubMed Central)
Cell classMesenchymal stem/stromal cell (adult, multipotent)[1]governmentStem Cell BasicsNational Institutes of Health (NIH)
First described as multilineage cells from lipoaspirate2001 (Zuk et al., 'processed lipoaspirate' cells)[4]journalAdipose Stem Cells: From Bench to BedsideStem Cells International (Ferraro, Mizuno, Pallua; via PubMed Central)
Relation to SVFADSC are a minority population within SVF and are typically culture-expanded to obtain a purer product[2]academicAdvancing fat graft survival: from adipose-derived stem cell mechanisms to next-generation regenerative strategiesFrontiers in Cell and Developmental Biology (2026)
Korea MFDS approvalsQueencell (Anterogen, autologous, subcutaneous tissue defects, 2010); Cupistem (Anterogen, autologous, Crohn's fistula, 2012)截至 2023年9月1日[5]journalMesenchymal Stem Cell Therapies Approved by Regulatory Agencies around the World (Fernández-Garza LE, et al., Pharmaceuticals 16(9):1334)Pharmaceuticals (MDPI)
EU status of darvadstrocel (Alofisel)Allogeneic adipose-derived product; authorised 2018-03-23 for complex perianal fistulas in Crohn's disease; marketing authorisation withdrawn 2024-12-13 at holder's request截至 2024年12月13日[6]governmentAlofisel: EPAREuropean Medicines Agency
Phase 3 confirmatory trial result (ADMIRE-CD II) (official claim)568 patients; primary endpoint (combined remission at 24 weeks) not met; no statistical difference in secondary endpoints patients截至 2024年12月13日[7]industryTakeda Update on Alofisel (darvadstrocel)Takeda Pharmaceutical Company
US FDA approval statusNo adipose-derived MSC product listed as FDA-approved in a 2023 review of approved MSC therapies worldwide截至 2023年9月1日[5]journalMesenchymal Stem Cell Therapies Approved by Regulatory Agencies around the World (Fernández-Garza LE, et al., Pharmaceuticals 16(9):1334)Pharmaceuticals (MDPI)
US court ruling on adipose-derived cell productsNinth Circuit (US v. California Stem Cell Treatment Center, 2024-09-27): enzymatically processed adipose SVF is not covered by the same-surgical-procedure exception, and the products are drugs that need premarket approval截至 2024年9月27日[8]industryNinth Circuit Confirms: Certain Stem Cell Products Require FDA Premarket ApprovalCooley LLP
Example post-approval study (Korea)Phase IV study of autologous adipose-derived stem cells (Anterogen) in children with refractory Crohn's complex fistula截至 2021年1月1日[9]journalEfficacy and safety of autologous adipose tissue-derived stem cell therapy for children with refractory Crohn's complex fistula: a Phase IV clinical studyAnnals of Surgical Treatment and Research (Cho YJ et al.; via PubMed Central)

概述

Adipose-derived stem cells (ADSC/ASC), also called adipose-derived stromal/stem cells, are plastic-adherent, multipotent cells obtained by enzymatic digestion of fat tissue and expanded in culture. In the laboratory they can differentiate into fat, bone, cartilage and muscle-like cells. A 2013 IFATS/ISCT joint statement defines them by markers including CD73, CD90 and CD105 and by the absence of CD45 and CD31. They have been studied for fistulas, soft-tissue defects and wound healing. South Korea's MFDS approved autologous ADSC products (Queencell 2010, Cupistem 2012). The EU authorisation of the allogeneic product darvadstrocel (Alofisel) was withdrawn in 2024 after a failed phase 3 trial. The FDA has not approved any adipose-derived MSC product, and US courts have treated processed fat-derived cells as drugs. Readers should check a product's approval status, the trial registration and how the cells were characterized.

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SC301의원

SC301의원 (SC301 Clinic) is a plastic surgery clinic in Gangnam, Seoul, South Korea whose official site presents SVF (stromal vascular fraction) fat grafting for the breast and face, liposuction, lifting and cell banking as its main services.

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参考来源

独立来源比例 89% (8/9)
等级 A · 2等级 B · 5等级 D · 1等级 E · 1
  1. 等级 A · governmentStem Cell BasicsNational Institutes of Health (NIH) · 访问于 2026年9月15日 · 证据页
  2. 等级 B · academicAdvancing fat graft survival: from adipose-derived stem cell mechanisms to next-generation regenerative strategiesFrontiers in Cell and Developmental Biology (2026) · 访问于 2026年9月20日 · 证据页
  3. 等级 B · journalAdipose-derived mesenchymal stromal/stem cells: An update on their phenotype in vivo and in vitroWorld Journal of Stem Cells (via PubMed Central) · 访问于 2026年9月20日 · 证据页
  4. 等级 B · journalAdipose Stem Cells: From Bench to BedsideStem Cells International (Ferraro, Mizuno, Pallua; via PubMed Central) · 访问于 2026年9月20日 · 证据页
  5. 等级 B · journalMesenchymal Stem Cell Therapies Approved by Regulatory Agencies around the World (Fernández-Garza LE, et al., Pharmaceuticals 16(9):1334)Pharmaceuticals (MDPI) · 访问于 2026年9月20日 · 证据页
  6. 等级 A · governmentAlofisel: EPAREuropean Medicines Agency · 访问于 2026年9月20日 · 证据页
  7. 等级 E · industryTakeda Update on Alofisel (darvadstrocel)Takeda Pharmaceutical Company · 访问于 2026年9月20日 · 证据页
  8. 等级 D · industryNinth Circuit Confirms: Certain Stem Cell Products Require FDA Premarket ApprovalCooley LLP · 访问于 2026年9月20日 · 证据页
  9. 等级 B · journalEfficacy and safety of autologous adipose tissue-derived stem cell therapy for children with refractory Crohn's complex fistula: a Phase IV clinical studyAnnals of Surgical Treatment and Research (Cho YJ et al.; via PubMed Central) · 访问于 2026年9月20日 · 证据页
变更历史
首次发布 · 2026年9月14日