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Published in: Aesthetic Plastic Surgery 1/2020

01-02-2020 | Original Article

Effect of Rosmarinic Acid and Alcohol on Fat Graft Survival in Rat Model

Authors: Baris Cin, Nesibe Sinem Ciloglu, Shahruk Omar, Neslihan Kaya Terzi

Published in: Aesthetic Plastic Surgery | Issue 1/2020

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Abstract

Background

Autologous fat grafting is a common procedure performed for cosmetic and reconstructive purposes. Unpredictable graft survival is a major drawback, and a variety of improvements on technique such as using antioxidants have been reported to increase retention. The authors examined whether a natural rosemary plant extract known with antioxidant properties, rosmarinic acid, could improve the survival of the adipose tissue.

Methods

Inguinal fat pads were harvested from 24 Sprague Dawley rats and implanted to the parascapular area. Rats were divided into three groups: rosmarinic acid and ethanol as solvent (RA), ethanol (E), and serum physiologic (C). These substances were administered intraperitoneally daily for 1 week and once a week for 7 weeks. Volume and weight measurements, blood specimens, weight and volume records, and histopathologic examinations were performed and analyzed.

Results

The RA group demonstrated lower TOS, TGF-beta, TNF-alpha, and MDA values compared to E and C groups. TGF-beta increase was statistically insignificant, but TOS, TNF-alpha, MDA decrease was found statistically significant. Weight and volume losses were lower in the RA and E groups compared to the C group. The difference between the RA and E groups in terms of weight and volume loss was statistically insignificant. Histopathologically fat necrosis, inflammation, and fibrosis were less in the RA group compared to the E and C groups (p < 0.05).

Conclusion

Rosmarinic acid increased the fat graft volume retained and decreased cyst formation and abscess formation in the rat model. Further studies can be undertaken to investigate rosmarinic acid’s local application as a tumescent and safety in humans.

No Level Assigned

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Literature
7.
go back to reference Khouri RK, Eisenmann-Klein M, Cardoso E et al (2012) Brava and autologous fat transfer is a safe and effective breast augmentation alternative: results of a 6-year, 81-patient, prospective multicenter study. Plast Reconstr Surg 129(5):1173–1187CrossRef Khouri RK, Eisenmann-Klein M, Cardoso E et al (2012) Brava and autologous fat transfer is a safe and effective breast augmentation alternative: results of a 6-year, 81-patient, prospective multicenter study. Plast Reconstr Surg 129(5):1173–1187CrossRef
13.
go back to reference Medina M, Lee J, Kirkham J et al (2011) Fat grafting, ischemia repurfusion, apoptosis, antioxidants. J Surg Res 165(2):323CrossRef Medina M, Lee J, Kirkham J et al (2011) Fat grafting, ischemia repurfusion, apoptosis, antioxidants. J Surg Res 165(2):323CrossRef
14.
go back to reference Hamed S, Egozi D, Kruchevsky D et al (2010) Erythropoietin improves the survival of fat tissue after its transplantation in nude mice. PLoS ONE 5(11):e13986CrossRef Hamed S, Egozi D, Kruchevsky D et al (2010) Erythropoietin improves the survival of fat tissue after its transplantation in nude mice. PLoS ONE 5(11):e13986CrossRef
16.
go back to reference Alagawany M, El-Hack MEA, Farag MR et al (2017) Rosmarinic acid: modes of action, medicinal values and health benefits. Anim Health Res Rev 18(2):167–176CrossRef Alagawany M, El-Hack MEA, Farag MR et al (2017) Rosmarinic acid: modes of action, medicinal values and health benefits. Anim Health Res Rev 18(2):167–176CrossRef
19.
go back to reference Jordán MJ, Lax V, Rota MC et al (2012) Relevance of carnosic acid, carnosol, and rosmarinic acid concentrations in the in vitro antioxidant and antimicrobial activities of Rosmarinus officinalis (L.) methanolic extracts. J Agric Food Chem 60(38):9603–9608CrossRef Jordán MJ, Lax V, Rota MC et al (2012) Relevance of carnosic acid, carnosol, and rosmarinic acid concentrations in the in vitro antioxidant and antimicrobial activities of Rosmarinus officinalis (L.) methanolic extracts. J Agric Food Chem 60(38):9603–9608CrossRef
22.
go back to reference Ritschel W, Starzacher A, Sabouni A et al (1989) Percutaneous absorption of rosmarinic acid in the rat. Methods Find Exp Clin Pharmacol 11(5):345–352PubMed Ritschel W, Starzacher A, Sabouni A et al (1989) Percutaneous absorption of rosmarinic acid in the rat. Methods Find Exp Clin Pharmacol 11(5):345–352PubMed
23.
go back to reference Fonteles AA, de Souza CM, de Sousa Neves JC et al (2016) Rosmarinic acid prevents against memory deficits in ischemic mice. Behav Brain Res 297:91–103CrossRef Fonteles AA, de Souza CM, de Sousa Neves JC et al (2016) Rosmarinic acid prevents against memory deficits in ischemic mice. Behav Brain Res 297:91–103CrossRef
24.
go back to reference von Heimburg D, Lemperle G, Dippe B et al (1994) Free transplantation of fat autografts expanded by tissue expanders in rats. Br J Plast Surg 47(7):470–476CrossRef von Heimburg D, Lemperle G, Dippe B et al (1994) Free transplantation of fat autografts expanded by tissue expanders in rats. Br J Plast Surg 47(7):470–476CrossRef
27.
go back to reference Xie Y, Zheng D, Li Q et al (2010) The effect of centrifugation on viability of fat grafts: an evaluation with the glucose transport test. J Plast Reconstr Aesthet Surg 63(3):482–487CrossRef Xie Y, Zheng D, Li Q et al (2010) The effect of centrifugation on viability of fat grafts: an evaluation with the glucose transport test. J Plast Reconstr Aesthet Surg 63(3):482–487CrossRef
29.
go back to reference Sommer B, Sattler G (2000) Current concepts of fat graft survival: histology of aspirated adipose tissue and review of the literature. Dermatol Surg 26(12):1159–1166CrossRef Sommer B, Sattler G (2000) Current concepts of fat graft survival: histology of aspirated adipose tissue and review of the literature. Dermatol Surg 26(12):1159–1166CrossRef
30.
go back to reference Tansey J, Sztalryd C, Hlavin E et al (2004) The central role of perilipin a in lipid metabolism and adipocyte lipolysis. IUBMB Life 56(7):379–385CrossRef Tansey J, Sztalryd C, Hlavin E et al (2004) The central role of perilipin a in lipid metabolism and adipocyte lipolysis. IUBMB Life 56(7):379–385CrossRef
31.
go back to reference Nakamura Y, Ohto Y, Murakami A et al (1998) Superoxide scavenging activity of rosmarinic acid from Perilla frutescens Britton var. acuta f. viridis. J Agric Food Chem 46(11):4545–4550CrossRef Nakamura Y, Ohto Y, Murakami A et al (1998) Superoxide scavenging activity of rosmarinic acid from Perilla frutescens Britton var. acuta f. viridis. J Agric Food Chem 46(11):4545–4550CrossRef
Metadata
Title
Effect of Rosmarinic Acid and Alcohol on Fat Graft Survival in Rat Model
Authors
Baris Cin
Nesibe Sinem Ciloglu
Shahruk Omar
Neslihan Kaya Terzi
Publication date
01-02-2020
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 1/2020
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-019-01519-x

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