The Effect of Minocycline on Fat Graft Survival and Apoptotic Pathway

Author:

Güney Kırdar1,Özel Bora2,Seymen Cemile3,Elmas Çiğdem3,Tuncer Serhan4,Çenetoğlu Seyhan4,Tatar Sedat5

Affiliation:

1. Department of Plastic Surgery, René Clinic, Istanbul, Turkey

2. Department of Plastic Surgery, Memorial Hospital, Istanbul, Turkey

3. Department of Histology and Embryology, Gazi Universitesi Tip Fakultesi, Ankara, Turkey

4. Department of Plastic Surgery, Gazi Universitesi Tip Fakultesi, Ankara, Turkey

5. Department of Plastic Reconstructive and Aesthetic Surgery, Koc Universitesi Tip Fakultesi, Istanbul, Turkey

Abstract

AbstractVariable absorption rate is one of the biggest problems of fat grafting and one of the most important causes of fat graft volume loss is apoptosis. Minocycline is a tetracycline derivative and besides its antibacterial capacity, it has been widely using for anti-apoptotic effects. This study was designed to investigate the effect of minocycline on fat graft survival and adipocyte apoptosis. A total of two main and eight subgroups were designed and a total of 48 experimental animals, 6 in each group, were used. Fat grafts are obtained from Wistar albino rats and implanted to dorsal area of rats. Local and systemic minocycline was applied in the study groups. On the 9th day, apoptotic cells were detected by the terminal deoxynucleotidyl transferase dUTP nick end labeling method and on the 90th day morphologic characteristics and viability of adipocytes were evaluated using histologic and immunohistochemical methods and statistically compared. This study revealed that the fat grafts were bigger, and they kept their structures better and they were more vascular in the minocycline groups and apoptosis was significantly lower in the minocycline groups. The authors demonstrated that minocycline increases fat graft survival and statistical improvement in apoptosis inhibition via using minocycline therapy has been shown.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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