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Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schuller-Petrovic, S; Wölkart, G; Höfler, G; Neuhold, N; Freisinger, F; Brunner, F.
Tissue-toxic effects of phosphatidylcholine/deoxycholate after subcutaneous injection for fat dissolution in rats and a human volunteer.
Dermatol Surg. 2008; 34(4):529-542
Doi: 10.1111/j.1524-4725.2008.34128.x
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Höfler Gerald
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- Abstract:
- The safety of the lipodissolution procedure for the cosmetic treatment of fat is unknown. The objective was to determine the subcutaneous tissue effects of phosphatidylcholine solubilized with deoxycholate (PC/DC) in rats and a human volunteer. Rats were treated subcutaneously three times with 50, 300, or 600 microL of PC/DC formula on the abdomen in a chronic study (30 days). A human volunteer undergoing elective liposuction was similarly treated. Cell membrane lysis, cell viability, and histologic status were determined on fresh biopsies of subcutaneous fat from the injection sites. PC/DC dose-dependently reduced membrane integrity and cell viability. Histologic alterations induced by PC/DC included fibroplasia, bandlike fibrosis in the region of the cutaneous muscle, and partial muscle loss. The highest dose caused widespread fat necrosis, fat cyst formation, and necrotic changes of the walls of small blood vessels. Histologic sections of subcutaneous tissue from the human volunteer showed dose-dependent panniculitis, fat cysts, and vessel necrosis. DC (2.5%), tested for comparison in the rat, exerted membrane and histologic effects similar to those of PC/DC. Solvent controls caused negligible alterations. Injection lipolysis with PC/DC causes tissue fibrosis and necrosis of adipose and vascular tissues in rat and man, making the long-term safety of PC/DC for nonsurgical treatment of subcutaneous fat deposits uncertain.
- Find related publications in this database (using NLM MeSH Indexing)
- Adipocytes - drug effects
- Animals -
- Cholagogues and Choleretics - pharmacology
- Deoxycholic Acid - pharmacology
- Female -
- Humans -
- Injections, Subcutaneous -
- Lipectomy - methods
- Lipolysis - drug effects
- Male -
- Middle Aged -
- Phosphatidylcholines - administration & dosage
- Phosphatidylcholines - pharmacology
- Rats -
- Rats, Sprague-Dawley -
- Subcutaneous Fat, Abdominal - drug effects
- Subcutaneous Fat, Abdominal - pathology