Fat Tissue Shows Promise as Drug Carrier in Lab Cancer Studies
Giulio Alessandri, Valentina Coccè, Fabio Pastorino, Rita Paroni, Michele Dei Cas, Francesco Restelli, Bianca Pollo, Laura Gatti, Carlo Tremolada, Angiola Berenzi, Eugenio Parati, Anna Teresa Brini, Gianpietro Bondiolotti, Mirco Ponzoni, Augusto Pessina · Journal of Controlled Release · 2019
Researchers Explore New Way to Deliver Chemotherapy Directly to Tumors
Standard chemotherapy travels through your entire body when injected into a vein. This means the drugs reach both cancer cells and healthy tissues. That widespread exposure causes many of the difficult side effects patients experience during treatment. Researchers are now exploring whether processed fat tissue could carry cancer drugs directly to tumor sites. This approach might reduce harmful effects on healthy organs while keeping drugs active at the tumor location for longer periods.
Micro-Fragmented Fat Can Absorb and Release Cancer Drugs
In this laboratory study, scientists tested whether micro-fragmented adipose tissue (MFAT)—specially processed fat from the body—could absorb the chemotherapy drug Paclitaxel and then release it to kill cancer cells. The fat tissue acts like a sponge, soaking up the drug and slowly releasing it over time. The researchers found that both living fat tissue and fat tissue that had been devitalized through freezing worked effectively. This devitalized version (called DMFAT) may be easier to store and use in medical settings.
Lab Tests Show Drug-Loaded Fat Kills Multiple Cancer Types
When the researchers placed drug-loaded fat tissue near various human cancer cell lines in laboratory dishes, the treatment killed cancer cells effectively. The fat tissue released enough Paclitaxel to destroy tumor cells while maintaining its cancer-fighting activity for an extended period. This long-lasting effect is notable because previous methods using individual stem cells to deliver drugs only worked for a few days.
Mouse Study Shows Reduced Tumor Return After Surgery
The research team tested their approach in mice with neuroblastoma—a type of cancer that begins in nerve cells. After surgically removing tumors from the mice, they placed drug-loaded devitalized fat at the surgery site. The results were encouraging:
Tumors were prevented from returning or took longer to grow back
The mice showed no signs of toxic side effects
The treatment appeared safe when placed directly at the tumor site
Important Limitations: This Is Early-Stage Research
This study represents very early scientific exploration. Key points to understand:
All testing was done in laboratory dishes and mice, not humans
Neuroblastoma in mice may respond differently than human cancers
No clinical trials in people have been conducted
Safety and effectiveness in humans remain unknown
This research explored fat tissue as a drug carrier, which differs from current Lipogems® orthopedic uses
The researchers suggest this approach might someday help deliver chemotherapy drugs locally during cancer surgery. However, many years of additional research and human trials would be needed before this could become an available treatment option.
What This Means for Your Treatment Decisions
If you have neuroblastoma and are exploring options, this study does not provide evidence for any currently available treatment. The findings represent an interesting scientific concept that requires extensive further research. Current Lipogems® treatments are FDA cleared for orthopedic applications—not cancer treatment. Any decisions about cancer therapy should involve detailed conversations with your oncology team about proven treatment approaches available today.
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Source: Alessandri et al., Journal of Controlled Release, 2019.
Original Publication
Microfragmented human fat tissue is a natural scaffold for drug delivery: Potential application in cancer chemotherapy
Giulio Alessandri, Valentina Coccè, Fabio Pastorino, Rita Paroni, Michele Dei Cas, Francesco Restelli, Bianca Pollo, Laura Gatti, Carlo Tremolada, Angiola Berenzi, Eugenio Parati, Anna Teresa Brini, Gianpietro Bondiolotti, Mirco Ponzoni, Augusto Pessina · Journal of Controlled Release · 2019
Localization of chemotherapy at the tumor site can improve therapeutic efficacy and reduce systemic toxicity. In previous studies we have shown that mesenchymal stromal cells (MSCs) isolated from bone marrow or adipose tissue can be loaded with the anti-cancer drug Paclitaxel (PTX) and kill cancer cells when localized nearby. We here investigated the capacity of human micro-fragmented adipose tissue (MFAT), used as a natural scaffold of MSCs, to deliver PTX with the idea to improve local drug concentration and to prolong the therapeutic activity. Surprisingly, we found that both fresh but also devitalized MFAT (DMFAT) (by freezing/thawing procedure) were able to deliver and release significant amount of PTX, killing several human cancer cell lines in vitro with a long lasting activity. In an orthotopic mice model of Neuroblastoma (NB) transplant, DMFAT loaded with PTX prevents or delays NB relapse when placed in the surgical area of tumor resection, without any collateral toxicity. We concluded that MFAT, but also DMFAT, may represent very innovative natural biomaterials able to localize and release anti-cancer molecules at the tumor site, helping to fight cancer in human.