To confirm the mesenchymal activity of those cells that grew out naturally from the lipoaspirate clusters, while under culture conditions, their in vitro differentiation capacity was studied according to Noël et al. (26) . Briefly, 10 × 10 3 cells/ cm 2 were cultured in
DMEM-low glucose supplemented with 10% FBS, 0.5 mM
isobutyl-methyl xanthine (IBMX; Sigma-Aldrich), 200 μM
indomethacin, 1 μM
dexamethasone, and 10 μg/ml
insulin (all from Sigma-Aldrich); after 2 weeks they were stained with fresh
Oil red O solution (Sigma-Aldrich) for adipogenesis. After 3 weeks of culture in
DMEM-low glucose supplemented with 10% FBS, 10 mM b-glycerophosphate, 0.2 mM ascorbic acid, and 10 nM
dexamethasone (all from Sigma-Aldrich), for osteogenic differentiation, cells were stained with
calcein solution (Sigma-Aldrich) to evidence mineralization (16) and with
5-bromo-4-chloro-3-indolyl phosphate (BCIP; Sigma-Aldrich) to evidence alkaline phosphatase activity (8). To demonstrate chondrogenic differentiation, pellets of 5 × 10 5 cells were cultured for 3 weeks in
chondrogenic medium (Lonza, Cologne, Germany), formalin-fixed, embedded in paraffin, and immunostained for type II collagen by incubation with rabbit polyclonal anti-collagen type II primary antibody 1 mg/ml (Biogenesis, Oxford, UK) and with secondary antibody conjugated to peroxidase (Vector Laboratories).
Bosetti M., Borrone A., Follenzi A., Messaggio F., Tremolada C, & Cannas M. (2016). Human Lipoaspirate as Autologous Injectable Active Scaffold for One-Step Repair of Cartilage Defects. Cell transplantation, 25(6).