As for mctSVF, the inguinal AT was harvested on the same day of IA injection and processed in a single sterile disposable device Hy-Tissue SVF (Fidia Farmaceutici, Abano Terme, Italy). After collection, AT was minced with scissors, resuspended with saline, and then moved into a closed sterile bag to perform mechanical fragmentation. Duografter (Fidia Farmaceutici) subjected the filtered intermediate adipose product to centrifugation at 600 g for 10 min to generate the final product (Desando et al., 2021 (link)).
Eight weeks after OA induction, animals received IA injection of 2 × 106 ASC (n = 8) or mctSVF (n = 8) in each knee to assess their efficacy. For local biodistribution groups, 2 ×106 ASC and mctSVF were labelled with 2 μM PKH26 (Sigma-Aldrich, Cat. PKH26GL), and injected in each knee to monitor cell migration at 1 month from treatments. Live&Dead test (Thermo Fisher Scientific, Waltham, MA, United States, Cat. L10119) was performed on all adipose products for efficacy analyses before the IA treatment. Live (green staining) and dead (red staining) cells were evaluated with the DS-Ri2 microscope (Nikon, Tokyo, Japan), by using fluorescence channels: fluorescein isothiocyanate (FITC) and tetramethyl rhodamine isothiocyanate (TRITC). Trypan blue staining was used to assess the number of viable labelled cells in the cell suspension before IA injection for biodistribution analysis. The dye stains non-viable cells in blue, while it is excluded from living cells.