Excerpt
Indeed, the authors did not demonstrate the stemness of the injected stromal vascular fraction cells. Mesenchymal stromal cells have been known for four decades and were initially isolated from the bone marrow. Within the adipose tissue, mesenchymal stromal cells called adipose-derived stromal cells were first reported in 2001 by Zuk et al.4 These cells were defined in vitro by several criteria5:
In our opinion, it is necessary to demonstrate that the cells produced by this method meet the in vitro criteria of the mesenchymal stromal cells. Moreover, it would be interesting to compare the adipose-derived stromal cell yield obtained with these mechanical methods to the cells obtained with specific devices. It is important, because if the cell yield is equivalent, this will reduce the cost of the stromal vascular fraction–grafted cells, which could be extremely interesting in regenerative medicine.
In conclusion, the authors have limited their investigations to phenotypic characterization without realizing differentiation in the mesodermal lineage and colony-forming unit-fibroblast experiment. It seems insufficient to demonstrate that the cells obtained are adipose-derived stromal cells.