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Muscle tissue remodeling following intramuscular fat grafting: structural and transcriptomic insights

dc.contributor.authorMendanha, Mário
dc.contributor.authorSoares, Raquel
dc.contributor.authorLuís, Carla
dc.contributor.authorPedrosa, Sílvia Santos
dc.contributor.authorFerreira, Carlos
dc.contributor.authorPedrosa, Sílvia Santos
dc.contributor.authorFerreira, Carlos
dc.contributor.authorPinto-Ribeiro, Inês
dc.contributor.authorMadureira, Ana Raquel
dc.contributor.authorQueirós, Lara
dc.date.accessioned2026-07-13T15:18:36Z
dc.date.available2026-07-13T15:18:36Z
dc.date.issued2026-06-22
dc.description.abstractBackground: Liposculpture with autologous fat grafting represents an advanced body contouring approach that enhances muscular definition and volume through selective extraction and anatomical redistribution of adipose tissue. While these procedures are primarily used for aesthetic refinement, emerging evidence suggests autologous fat transfer may also induce significant biological adaptations within grafted muscle. Objectives: Evaluate the biological implications of intramuscular fat grafting. Methods: A retrospective within-subject controlled study was conducted. One year postoperatively, paired biopsies were harvested from the fat-grafted muscle pectoralis major (MPM) and the untreated muscle vastus lateralis (MVL) in 7 male patients following liposculpture and intramuscular fat transfer using the Percutaneous Retrograde Intramuscular Echo-Guided Fat Grafting (PRIME-GRAFT) technique. Subsequent assessments were performed via histological and transcriptome analyses. Results: Histological evaluation comparing treated MPM to untreated MVL one year following liposculpture and intramuscular fat grafting via PRIME-GRAFT technique demonstrated significant reduction in fibrosis and elevated glycogen concentrations within treated muscles. Reduced collagen deposition and elevated glycogen content findings are biologically associated with improved tissue composition. Microarray transcriptomic profiling revealed 70 differentially expressed genes, 51 being up-regulated and 19 down-regulated. Differentially expressed genes showed upregulation of genes associated with Gene Ontology (GO) terms related to muscle structure, organization, extracellular matrix remodeling, energy metabolism, stem cell and cytoskeleton proliferation and organization. Conclusions: PRIME-GRAFT technique induces histological and transcriptional signatures suggesting improved muscle stress resilience, homeostasis, and tissue regeneration. Autologous intramuscular fat transfer provides not only aesthetic improvement but also histological and transcriptomic changes consistent with enhanced muscle integrity and regenerative potential.eng
dc.identifier.doi10.1093/asj/sjag121
dc.identifier.other72246ad4-b58a-435c-951a-98a38a8825b6
dc.identifier.pmid42330138
dc.identifier.urihttp://hdl.handle.net/10400.14/58703
dc.identifier.wos001810834000001
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOxford University Press
dc.rights.uriN/A
dc.titleMuscle tissue remodeling following intramuscular fat grafting: structural and transcriptomic insights
dc.typeresearch article
dspace.entity.typePublication
oaire.versionhttp://purl.org/coar/version/c_ab4af688f83e57aa

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