Evaluation of CD49f as a novel surface marker to identify functional adipose‐derived mesenchymal stem cell subset

Abstract Objectives CD49f is expressed on a variety of stem cells and has certain effects on their cytological functions, such as proliferation and differentiation potential. However, whether CD49f is expressed on the surface of adipose tissue‐derived mesenchymal stem cells (ADSCs) and its effect on ADSCs has not been clarified. Materials and methods The effects of in vitro culture passage and inflammatory factor treatment on CD49f expression and the adhesion ability of ADSCs from mice and rats were investigated. CD49f+ cells were selected from rat ADSCs (rADSCs) by magnetic‐activated cell sorting (MACS), and the cellular functions of CD49f+ ADSCs and unsorted ADSCs, including their clonogenic, proliferation, adipogenic and osteogenic differentiation, migration and anti‐apoptotic capacities, were compared. Results CD49f expression and the adhesion ability of ADSCs decreased with increasing in vitro culture passage number. TNF‐α and IFN‐γ treatment decreased CD49f expression but increased the adhesion ability of ADSCs. After CD49f was blocked with an anti‐CD49f antibody, the adhesion ability of ADSCs was decreased. No significant difference in clonogenic activity was observed between unsorted ADSCs and CD49f+ ADSCs. CD49f+ ADSCs had greater proliferation, adipogenic and osteogenic differentiation, migration and anti‐apoptotic capacities than unsorted ADSCs. Conclusion In the current study, the expression of CD49f on ADSCs was identified for the first time. The expression of CD49f on ADSCs was influenced by in vitro culture passage number and inflammatory factor treatment. Compared with unsorted ADSCs, CD49f + ADSCs exhibited superior cellular functions, thus may have great application value in mesenchymal stem cell (MSC)‐based therapies.


Mesenchymal stem cells (MSCs) are multipotent stem cells originat-
ing from the bone marrow stromal cells. Due to their self-renewal, multiple differentiation and immune regulation potential, MSCs are widely used in the treatment of various degenerative, traumatic and inflammatory diseases. [1][2][3] To standardize the research and application of MSCs, the International Society for Cell Therapy provided the following minimum criteria for the definition of MSCs: (1) MSCs must be plastic-adherent under standard culture conditions; (2) MSCs must express CD105, CD73 and CD90 and not express CD45, CD34, CD14 or CD11b; CD79 or CD19; and HLA-DR, and (3) MSCs must have the ability to differentiate into adipocytes, osteoblasts and chondrocytes in vitro. 4 MSCs have been found in a variety of tissues, such as adipose tissue, 5 bone marrow, 6 umbilical cord, 7 synovial membrane, 8 peripheral blood 9 and skin, 10 11 ADSCs possess greater proliferation, anti-apoptotic and immunoregulatory abilities than BMSCs. 12,13 In addition, ADSCs have great clinical value as there is sufficient source of ADSCs that are easily acquired with little trauma. 14 Up to 500 times more, stem cells were reported to be isolated from adipose tissue than from bone marrow. 15 Mesenchymal stem cells from the same tissue source are also heterogeneous in their phenotypes and functions. 16 In addition to CD73, CD90 and CD105, some novel cell surface markers have also been found to be expressed on MSCs, which can reflect the developmental status of progeny from a common precursor of MSCs during culture expansion or the physiological state of MSCs in different microenvironments. Identifying sets of unique surface markers associated with various stages of MSCs will improve MSCbased therapies. 17 For example, Mifune et al found that CD271 + BMSCs exhibited a stronger proliferation ability in vitro and more effectively promoted cartilage regeneration in rats than unsorted BMSCs. 18 In our previous experiments, we observed that CD146 + ADSCs possessed stronger immunoregulatory potential than unsorted ADSCs. When injected into the cartilage defect area in animal models, CD146 + ADSCs were found to be more effective in reducing the early inflammatory response, resulting in a better regenerative effect. 19 CD49f, also known as integrin α6, is a transmembrane protein that mediates cell-cell and cell-extracellular matrix adhesion. 20 It is expressed on the surface of a number of stem cells, and many studies have shown that CD49f positive stem cells possess stronger 'stemness'. 21 For example, researchers found that CD49f could be used as a surface marker of haematopoietic stem cells (HSCs) with great potential to generate long-term multilineage grafts, while HSCs without CD49f expression represented only transiently multipotent progenitors. 22 In terms of MSCs, CD49f has been found to be expressed on the surfaces of BMSCs, 23-25 dental pulp-derived MSCs (DPSCs), 26 skin-derived MSCs (SSCs) 27 and umbilical cord blood-derived MSCs (UCBMSCs). 28 It was reported that CD49f + BMSCs possess greater colony-forming, proliferation, migration and multiple differentiation abilities than CD49f -MSCs. 23,24 Lee et al intravenously injected MSCs into mice with myocardial infarction and found that PODXL hi /CD49f hi BMSCs were more likely to in lung and migrate to damaged cardiac and renal tissues. 29 These findings indicate that CD49f + BMSCs represent an MSC subset with ideal cellular functions and therapeutic potential. However, whether CD49f is expressed on ADSCs and the effects of CD49f on the cytological functions of ADSCs have not yet been studied. Since adipose tissue could provide a sufficient cell source for the isolation and application of MSC subpopulations, further studies focusing on the role of CD49f in ADSCs are urgently needed.
In the current study, we first examined the expression level of CD49f in ADSCs at different culture passages and the effect of inflammatory factors on CD49f expression in ADSCs. Then, we verified that CD49f plays an important role in regulating the adhesion ability of ADSCs. Finally, we isolated CD49f + ADSCs by magneticactivated cell sorting (MACS) and found that CD49f + ADSCs have stronger proliferation, adipogenic and osteogenic differentiation, migration and anti-apoptotic capacities than unsorted ADSCs.

| Animals
C57BL/6N mice and Sprague-Dawley (SD) rats were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. All procedures were approved by the Chinese PLA General Hospital Health Sciences Institutional Review Board.

| Isolation and culture of ADSCs
Adipose tissue taken from C57BL/6N mice and SD rats was washed with phosphate-buffered saline (PBS, Corning, NY, USA) and minced into 1-mm 3 pieces. The fragmented adipose tissue was digested with 0.25% type I collagenase (Gibco, ThermoFisher Scientific, Waltham, Scientific), and cells were centrifuged for 5 minutes at 300 g. The precipitate was filtered through 100μm filters and washed twice with PBS. Cells were cultured in DMEM/F12 supplemented with 10% FBS in 5% CO 2 at 37°C. The medium was changed every 2-3 days, and the cells were passaged after reaching 80% confluence using 0.25% trypsin (Gibco, ThermoFisher Scientific).

| ADSC differentiation
Mouse ADSCs (mADSCs) and rADSCs at P3, as well as CD49f + rADSCs, were plated onto 12-well culture plates (Falcon Corning, Tewksbury, MA, USA) at a density of 1 × 10 4 cells/cm 2 for osteogenesis and adipogenesis using MSC adipogenic and osteogenic culture medium (Cyagen, Santa Clara, CA, USA). Relative gene expression levels were measured by quantitative real-time PCR (RT-PCR) 7 days after induction. On the 14th day, cells were stained with Oil Red O to assess adipogenesis or alkaline red to assess osteogenesis.

| Immunofluorescence
mADSCs and rADSCs at P2 and P6 were fixed with 4% paraformaldehyde (PFA) for 10 minutes at room temperature, washed with PBS, permeabilized with 0.25% Triton X-100 for 10 minutes and blocked with 10% goat serum for 30 minutes. To verify the effect of inflammatory environment on expression of CD49f in ADSCs, mADSCs and rADSCs at P2 were treated with 40 ng/mL TNFα (Sigma-Aldrich) or 20 ng/mL IFNγ (R&D Systems) for 24 hours before cell fixation. Then, the cells were incubated with an anti-CD49f antibody (mADSCs: Invitrogen, ThermoFisher Scientific; rADSCs: Bio-Rad). The next day, the cells were washed and incubated with a secondary antibody in the dark for 1 hour at room temperature.
Cells were counterstained with DAPI diluted 1:500 for 3 minutes F I G U R E 2 Expression of CD49f on mADSCs at different passage numbers. A, Representative morphology of mADSCs at P2 and P6. B, Flow cytometry analysis of CD49f expression on mADSCs at P1-P6. C, Immunofluorescence images showing CD49f expression on mADSCs at P2 and P6. D, Assay of mADSCs adhesion to laminin at P2 and P6. E, Assay of mADSCs adhesion to laminin at P3 after blocking CD49f with a monoclonal antibody. Data are expressed as the mean ± standard deviation (SD), *P < .05, **P < .01, ***P < .001. Scale bar: 100 μm

| Colony-forming unit fibroblastic (CFU-F) assay
CD49f + rADSCs and unsorted rADSCs at P3 were seeded onto a 6well plate (Falcon Coring) at 200 cells/well and cultured in DMEM/ F12 supplemented with 10% FBS in 5% CO 2 at 37°C. Culture medium was changed every 3-4 days. Cells were fixed with 4% PFA and stained with 0.1% crystal violet on day 14. Colonies larger than 50 cells were counted.

| Cell cycle assay
CD49f + rADSCs and unsorted rADSCs at P3 were fixed in 70% ethanol for 2 hours and washed with PBS. Cell pellets were incubated with RNase A and propidium iodide (PI) (Beyotime, Beijing, China) at 37°C in the dark for 30 minutes. Cytometric analysis was performed using a BD FACSCelesta™ flow cytometer (Becton Dickinson), and the results were analysed using ModiFit software.

| Evaluation of proliferation by the Cell Counting Kit-8 (CCK-8) assay
CD49f + rADSCs and unsorted rADSCs at P3 were seeded onto a 96-well plate (Falcon Coring) at 2 × 10 3 cells/well and cultured in DMEM/F12 supplemented with 10% FBS in 5% CO 2 at 37°C. Ten microliters of CCK-8 reagent (Dojindo, Kumamoto, Japan) was added after 1, 3 and 5 days of culture. After incubation at 37°C for 2.5 hours, the optical density (OD) value (absorbance at 450 nm) was measured with an EPOCH microplate reader (BioTek, Winooski, VT, USA). The cell proliferation (fold change) was calculated as follows: where A x represents the average OD values of cells at day 1, 3 or 5; A b represent the average OD values of control plate (without cells); A 1 represents the average OD values of cells at day 1.

| Migration assay
CD49f + rADSCs and unsorted rADSCs at P3 were seeded in a 24-well plate (Falcon Corning) at 1 × 10 5 cells/well and cultured in DMEM/F12 containing 10% FBS medium. After reaching 90% confluence, a bidirectional wound on the monolayer cells was formed with a sterile pipette tip, and the cell debris was washed away with PBS. Then, DMEM/ F12 containing 1% FBS was added, and the cells were incubated in 5% CO 2 at 37°C. Wound closure was measured at 0, 12 and 24 hours after wounding. Each experiment was performed in triplicate.

| RT-PCR
Total RNA was isolated from cells using TRIzol reagent (Invitrogen, ThermoFisher Scientific). cDNA was synthesized by reverse F I G U R E 3 Expression of CD49f on rADSCs at different passage numbers. A, Representative morphology of rADSCs at P2 and P6. B, Flow cytometry analysis of CD49f expression on rADSCs at P1-P6. C, Immunofluorescence images showing CD49f expression on rADSCs at P2 and P6. D, Assay of rADSCs adhesion to laminin at P2 and P6. E, Assay of rADSCs adhesion to laminin at P3 after blocking CD49f with a monoclonal antibody. Data are expressed as the mean ± SD, *P < .05, **P < .01, ***P < .001. Scale bar: 100 μm

| Statistical analyses
The statistical analysis software SPSS 25.0 was used to analyse the differences in data from each group, and P < .05 indicated a significant difference. Student's t test or one-way analysis of variance (ANOVA) was used for comparisons of groups. Flow cytometry analysis was performed to detect surface phenotypes of mADSCs and rADSCs at P3. mADSCs were negative for CD34 and CD45 and positive for CD90 and SCA-1 ( Figure 1B), while rADSCs were negative for CD34 and CD45 and positive for CD90 and CD105 ( Figure 1D).

| Expression of CD49f on mADSCs and rADSCs at different passages
Both mADSCs and rADSCs exhibited a fibroblast-like morphology at P2 but became larger and less confluent and showed fewer signs of senescence at P6 (Figures 2A and 3A). CD49f expression on mADSCs and rADSCs at different passages was determined by flow cytometry. The expression of CD49f peaked at P2 and then gradually decreased with increasing numbers of culture passages in both mADSCs ( Figure 2B) and rADSCs ( Figure 3B). The expression of CD49f on rADSCs was higher than that on mAD-SCs. Immunofluorescence staining verified that the expression of CD49f on both mADSCs and rADSCs at P6 was significantly lower than that at P2 (P < .05) (Figures 2C and 3C). As shown by the adhesion assay, the adhesion of both mADSCs and rADSCs to laminin was significantly lower at P6 than P2 (P < .001) (Figures 2D and   3D). An anti-CD49f antibody was applied to investigate whether the adhesion of ADSCs to laminin was mediated by CD49f. After treatment with a monoclonal antibody against CD49f, the adhesion of both mADSCs and rADSCs to laminin was significantly inhibited (P < .01) (Figures 2E and 3E).

| Expression of CD49f on mADSCs and rADSCs after treatment with TNFα and IFNγ
CD49f expression on mADSCs and rADSCs after treatment with TNFα and IFNγ was determined by flow cytometry. No significant difference in morphology was observed between TNFα-and IFNγ-treated ADSCs and untreated ADSCs (Figures 4A and 5A).
The results of flow cytometry analysis demonstrated that after treatment with TNFα and IFNγ, the expression of CD49f was decreased on both mADSCs (mean, 12.7% vs 8.7% and 12.7% vs 9.5%; P < .05) ( Figure 4B) and rADSCs (mean, 20.8% vs 6.3% and 20.8% vs 16.9%; P < .05) ( Figure 5B). Immunofluorescence staining verified that the expression of CD49f on both mADSCs and rAD-SCs after treatment with TNFα and IFNγ was significantly lower than that on untreated mADSCs and rADSCs, respectively (P < .05) ( Figures 4C and 5C). As shown by the adhesion assay, the adhesion of mADSCs to laminins was significantly increased after treatment with TNFα (P < .001). No significant difference in adhesion to laminins was observed between untreated mADSCs-and IFNγtreated mADSCs ( Figure 4D). The adhesion of rADSCs to laminins was significantly increased after treatment with TNFα and IFNγ (P < .001) ( Figure 5D), which might be attributed to the increased expression of other adhesion-related molecules. VCAM-1 is a wellknown cell adhesion molecule, and we found that after treatment with TNFα and IFNγ, the expression of VCAM-1 was significantly up-regulated on both mADSCs (mean, 50.1% vs 93.5% and 50.1% vs 71%; P < .001) ( Figure 4E) and rADSCs (mean, 54.6% vs 85.1% and 54.6% vs 72%; P < .001) ( Figure 5E).

F I G U R E 4
Expression of CD49f on mADSCs at P2 after treatment with TNFα and IFNγ. A, Representative morphology of mADSCs after treatment with TNFα and IFNγ. B, Flow cytometry analysis of CD49f expression on mADSCs after treatment with TNFα and IFNγ. C, Immunofluorescence images showing CD49f expression on mADSCs after treatment with TNFα and IFNγ. D, Assay of mADSCs adhesion to laminin after treatment with TNFα and IFNγ. E, Flow cytometry analysis of VCAM-1 expression on mADSCs after treatment with TNFα and IFNγ. Data are expressed as the mean ± SD, *P < .05, ***P < .001. Scale bar: 100 μm | 11 of 15 ZHA et Al.

| CD49f + ADSCs exhibited greater proliferation and adipogenic and osteogenic differentiation abilities
To investigate the broader role of CD49f in the regulation of ADSC functions, MACS was performed to isolate CD49f + subpopulations from rADSCs ( Figure 6A). The positive rate of CD49f + ADSCs after enrichment was examined by flow cytometry and reached 92.9% ( Figure 6B). The clonogenic activity of MSCs was measured by CFU-F assay, and the results showed that the total number of colonies formed by unsorted ADSCs and CD49f + ADSCs at day 14 was not significantly different ( Figure S1). The results of cell cycle assay showed that more CD49f + ADSCs than unsorted ADSCs were in S phase (mean, 3.6% vs 1.9%; P <.05) ( Figure 6C). In cell cycle, S phase plays a vital role in DNA replication. To further verify the cell cycle assay results, we performed a CCK-8 assay and found that CD49f + ADSCs grew faster than unsorted ADSCs, indicating that CD49f + ADSCs possess a higher proliferation ability (P < .05) ( Figure 6D). As shown in Figure 6E, CD49f + ADSCs were more prone to differentiate into adipocytes (P < .001) and osteoblasts (P < .01) than unsorted ADSCs. After induction, the expression of the PPAR-y (P < .01), RUNX2 (P < .05) and OCN (P < .01) genes in CD49f + ADSCs was significantly higher than that in unsorted ADSCs ( Figure 6F).

| CD49f + ADSCs exhibited higher migration and anti-apoptotic abilities
To explore the migration ability of CD49f + ADSCs, we performed a bidirectional wound-healing assay. Both CD49f + ADSCs and unsorted ADSCs gradually migrated towards the wound area over 24 hours. The mean wound-healing percentage was 81.9% at 12 hours and 90.1% at 24 hours in CD49f + ADSCs compared with 57.8% at 12 hours and 73.2% at 24 hours in unsorted ADSCs (P < .05) ( Figure 7A). To study the anti-apoptotic capacity of CD49f + ADSCs, we treated cells with 10 ng/mL ILβ for 24 hours to induce their apoptosis. Flow cytometry results showed that both apoptotic CD49f + ADSCs and unsorted ADSCs were increased. The mean increased proportion of apoptotic cells in CD49f + ADSCs was 7%, while 13.7% in unsorted ADSCs, reaching statistical significance (P < .01) ( Figure 7B).

| D ISCUSS I ON
Mesenchymal stem cells are regarded as one of the most promising cell types in the field of tissue engineering, and their safety and efficacy have been verified. 30 However, the application of MSCs also faces some problems, such as insufficient cell sources, cell senescence and the loss of 'stemness' during in vitro culture, and rapid cell death after in vivo transplantation. 31 Besides, increasing studies have shown that MSCs are a heterogeneous population, which pose an obstacle to its clinical application. 32,33 How to reduce MSC heterogeneity is still a bottleneck and has not been effectively solved.
To address these issues, we isolated CD49f + cells from ADSCs by MACS and confirmed that CD49f + ADSCs possessed greater proliferation, adipogenic and osteogenic differentiation, migration and anti-apoptotic potential than unsorted ADSCs. After treatment with an anti-CD49f antibody, ADSCs exhibited significantly reduced adhesion ability. To our knowledge, this is the first time it has been demonstrated that CD49f + ADSCs have cellular functions superior to those of unsorted ADSCs and considerable application prospects. Previous studies have confirmed that CD49f + BMSCs possessed greater clonogenic capacity than CD49f − BMSCs. 24 Our data showed that CD49f + ADSCs shared similar clonogenic capacity with unsorted ADSCs. In our next study, we would like to directly compare the clonogenic activities of CD49f + ADSCs and CD49f − ADSCs. In addition, because it was verified that ADSCs decreased their CD49f expression during the in vitro culture expansion, further studies using knock-out and knock-in models might help to clarify whether CD49f has impact on ADSCs colony-forming potential.
As a transmembrane glycoprotein, CD49f is more than an ad- In addition to proliferating and differentiating into target cells, MSCs have also been proposed to enhance tissue regeneration through paracrine actions. 35 In response to the environment of the injured area, MSCs are activated and secrete a wide range of F I G U R E 5 Expression of CD49f on rADSCs at P2 after treatment with TNFα and IFNγ. A, Representative morphology of mADSCs after treatment with TNFα and IFNγ. B, Flow cytometry analysis of CD49f expression on rADSCs after treatment with TNFα and IFNγ. C, Immunofluorescence images showing CD49f expression on rADSCs after treatment with TNFα and IFNγ. D, Assay of rADSCs adhesion to laminin after treatment with TNFα and IFNγ. E, Flow cytometry analysis of VCAM-1 expression on rADSCs after treatment with TNFα and IFNγ. Data are expressed as the mean ± SD, *P < .05, **P < .01, ***P < .001. Scale bar: 100 μm  15 Although CD49f + ADSCs showed remarkable superiority to unsorted ADSCs in terms of their proliferation, mutidifferentiation, adhesion, migration and anti-apoptotic abilities, investigation of their paracrine activity was absent in our research, and such an investigation will be carried out in our next study. The effect of CD49f + ADSCs on other types of cells is also worth exploring.
Recently, it was reported that CD49f high skin-derived MSCs were able to regulate hair follicle development of co-cultured hair follicle epithelial cells through Notch signalling pathway, indicating that CD49f + MSCs might play a role in maintaining tissue homeostasis and regeneration. 27 In this study, we found that with increasing in vitro culture passages, the percentage of CD49f + ADSCs was gradually decreased, which may partly explain the weakened adhesion ability of ADSCs after culture expansion. In addition, the expression of CD49f was susceptible to the inflammatory environment caused by TNFα or IFNγ treatment. ADSCs decreased their CD49f expression but increased their adhesion capacity after treated with TNFα or IFNγ, which may be attributed to upregulation of other adhesion molecules such as intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1). 36,37 We confirmed that the expression of VCAM-1 was significantly up-regulated in ADSCs treated with TNFα or IFNγ. Based on these results, the expression of CD49f on ADSCs seems to be inconstant, which may impede the application of CD49f + subpopulations. Developments in culture conditions and bioactive molecules or materials that can maintain F I G U R E 6 CD49f + ADSCs exhibited higher proliferation and multiple differentiation abilities than unsorted ADSCs at P3. A, Morphology of CD49f + ADSCs: the same culture at two different magnifications. B, Flow cytometry analysis of the positive rate of CD49f + ADSC after enrichment. C, Cell cycle analysis of CD49f + ADSCs and unsorted ADSCs. D, CCK-8 assay of CD49f + ADSCs and unsorted ADSCs. The cell proliferation (fold change) was calculated as follows: Cell proliferation ( fold change ) = ( Ax − Ab ) ∕ ( A1 − Ab ), where A x represents the average OD values of cells at day 1, 3 or 5; A b represents the average OD values of control plate (without cells); A 1 represents the average OD values of cells at day 1. E, Adipogenic and osteogenic differentiation of CD49f + ADSCs and unsorted ADSCs. Left: Oil Red O staining; right: Alizarin red staining. F, Relative mRNA expression of an adipogenic marker (PPARγ) at day 7 after adipogenic induction and osteoblast markers (OCN and Runx2) at day 7 after osteogenic induction in CD49f + ADSCs and unsorted ADSCs. Data are expressed as the mean ± SD, *P < .05, **P < .01, ***P < .001. Scale bar: 100 μm F I G U R E 7 CD49f + ADSCs exhibited higher migration and anti-apoptotic abilities than unsorted ADSCs at P3. A, Wound-healing assay of CD49f + ADSCs and unsorted ADSCs. B, Apoptosis assay of CD49f + ADSCs and unsorted ADSCs after treatment with 10 ng/mL ILβ for 24 h. Data are expressed as the mean ± SD, *P < .05, **P < .01 MSC phenotypes may be conducive to promoting the application of CD49f + ADSCs in tissue engineering.
In recent years, the use of functional MSCs subset has become an important aspect of improving the therapeutic effect of MSCbased therapy. 38,39 Since CD49f + ADSCs have shown superiority over unsorted ADSCs in terms of some cellular properties, their use to repair damaged tissues and organs is quite feasible. However, to date, relevant research that verifies the effectiveness of the CD49f + MSC subset in animal models is lacking. More research should be performed to address this point. A weakness of our research is that all of the experiments were performed in mADSCs and rADSCs rather than human ADSCs. The reason is that we would like to utilize CD49f + ADSCs to repair tissue damage in mice and rats to verify its safety and effectiveness in vivo in our future study. It would be conducive to promoting the application of CD49f + ADSCs in regenerative medicine. On the other hand, investigation on the expression and role of CD49f in human ADSCs is also quite essential, which will be conducted in our next study.

| CON CLUS ION
The application of MSCs faces some problems, such as insufficient cell sources, cell senescence and the loss of 'stemness' during in vitro culture, and rapid cell death after in vivo transplantation. CD49f has been reported to be expressed on a variety of stem cells and has certain effects on their cytological functions. We identified the expression of CD49f on ADSCs for the first time and confirmed that it was influenced by in vitro culture passage number and inflammatory factor treatment. CD49f + ADSCs have shown greater adhesion, proliferation, adipogenic and osteogenic differentiation, migration and anti-apoptotic potential than unsorted ADSCs. These results indicated that CD49f + ADSCs have superior cellular functions and considerable application prospects.

ACK N OWLED G M ENTS
This work was supported by the National Key R&D Program of China (2019YFA0110600) and National Natural Science Foundation of China (81772319).

CO N FLI C T S O F I NTE R E S T
The authors declare no conflicts of interest.

DATA AVA I L A B I L I T Y S TAT E M E N T
The authors confirm that the data supporting the findings of this study are available within the article and/or its Supplementary Materials.