Adipose-derived stromal cells (ASCs) are attractive cell source for tissue engineering. However, one
obstacle to this approach is that the transplanted ASC population can decline rapidly in the recipient
tissue. The aim of this study was to investigate the effects of low-level laser therapy (LLLT) on
transplanted human ASCs (hASCs) spheroid in a hindlimb ischemia animal model. LLLT, hASCs
spheroid and hASCs spheroid transplantation with LLLT (spheroid + LLLT) were applied to the
ischemic hindlimbs in athymic mice. The survival, differentiation and secretion of vascular
endothelial growth (VEGF) of spheroid ASCs were evaluated by immunohistochemistry. The
spheroid + LLLT group enhanced the tissue regeneration, including angiogenesis, compared with
other groups. The spheroid contributed tissue regeneration via differentiation and secretion of
growth factors. In the spheroid + LLLT group, the survival of spheroid hASCs was increased by the
decreased apoptosis of spheroid hASCs in the ischemic hindlimb. The secretion of growth factors
was stimulated in the spheroid + LLLT group compared with the ASCs group and spheroid group.
These data suggest that LLLT is an effective biostimulator of spheroid hASCs in tissue regeneration
that enhances the survival of ASCs and stimulates the secretion of growth factors in the ischemic
hindlimb.
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