Exploring Stem-Cell-Based Therapies for Retinal Regeneration

被引:4
作者
Radu, Madalina [1 ]
Branisteanu, Daniel Constantin [2 ]
Pirvulescu, Ruxandra Angela [3 ,4 ]
Dumitrescu, Otilia Maria [1 ]
Ionescu, Mihai Alexandru [1 ]
Zemba, Mihail [1 ,3 ]
机构
[1] Dr Carol Davila Cent Mil Emergency Univ Hosp, Dept Ophthalmol, Bucharest 010825, Romania
[2] Univ Med & Pharm Grigore T Popa, Dept Ophthalmol, Iasi 700115, Romania
[3] Univ Med & Pharm Carol Davila, Dept Ophthalmol, Bucharest 050474, Romania
[4] Univ Emergency Hosp, Dept Ophthalmol, Bucharest 050098, Romania
来源
LIFE-BASEL | 2024年 / 14卷 / 06期
关键词
stem cell; stem cell therapy; retinal degenerative diseases; age-related macular degeneration; retinitis pigmentosa; Stargardt's disease; embryonic stem cells; induced pluripotent stem cell; mesenchymal stem cells; PIGMENT EPITHELIUM; MACULAR DEGENERATION; SCAFFOLDS; DELIVERY; SAFETY;
D O I
10.3390/life14060668
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
The escalating prevalence of retinal diseases-notably, age-related macular degeneration and hereditary retinal disorders-poses an intimidating challenge to ophthalmic medicine, often culminating in irreversible vision loss. Current treatments are limited and often fail to address the underlying loss of retinal cells. This paper explores the potential of stem-cell-based therapies as a promising avenue for retinal regeneration. We review the latest advancements in stem cell technology, focusing on embryonic stem cells (ESCs), pluripotent stem cells (PSCs), and mesenchymal stem cells (MSCs), and their ability to differentiate into retinal cell types. We discuss the challenges in stem cell transplantation, such as immune rejection, integration into the host retina, and functional recovery. Previous and ongoing clinical trials are examined to highlight the therapeutic efficacy and safety of these novel treatments. Additionally, we address the ethical considerations and regulatory frameworks governing stem cell research. Our analysis suggests that while stem-cell-based therapies offer a groundbreaking approach to treating retinal diseases, further research is needed to ensure long-term safety and to optimize therapeutic outcomes. This review summarizes the clinical evidence of stem cell therapy and current limitations in utilizing stem cells for retinal degeneration, such as age-related macular degeneration, retinitis pigmentosa, and Stargardt's disease.
引用
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页数:19
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共 94 条
[1]   Ethical challenges regarding the use of stem cells: interviews with researchers from Saudi Arabia [J].
Alahmad, Ghiath ;
Aljohani, Sarah ;
Najjar, Muath Fahmi .
BMC MEDICAL ETHICS, 2020, 21 (01)
[2]   Mesenchymal Stem/Stromal Cells and Their Paracrine Activity-Immunomodulation Mechanisms and How to Influence the Therapeutic Potential [J].
Alvites, Rui ;
Branquinho, Mariana ;
Sousa, Ana C. ;
Lopes, Bruna ;
Sousa, Patricia ;
Mauricio, Ana Colette .
PHARMACEUTICS, 2022, 14 (02)
[3]   Developing Cellular Therapies for Retinal Degenerative Diseases [J].
Bharti, Kapil ;
Rao, Mahendra ;
Hull, Sara Chandros ;
Stroncek, David ;
Brooks, Brian P. ;
Feigal, Ellen ;
van Meurs, Jan C. ;
Huang, Christene A. ;
Miller, Sheldon S. .
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2014, 55 (02) :1191-1201
[4]   MESENCHYMAL STEM-CELLS [J].
CAPLAN, AI .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1991, 9 (05) :641-650
[5]   High-Content Analysis of CRISPR-Cas9 Gene-Edited Human Embryonic Stem Cells [J].
Carlson-Stevermer, Jared ;
Goedland, Madelyn ;
Steyer, Benjamin ;
Movaghar, Arezoo ;
Lou, Meng ;
Kohlenberg, Lucille ;
Prestil, Ryan ;
Saha, Krishanu .
STEM CELL REPORTS, 2016, 6 (01) :109-120
[6]   Stem cell therapy for inherited retinal diseases: a systematic review and meta-analysis [J].
Chen, Xiaodong ;
Xu, Ningda ;
Li, Jiarui ;
Zhao, Mingwei ;
Huang, Lvzhen .
STEM CELL RESEARCH & THERAPY, 2023, 14 (01)
[7]   The suprachoroidal space as a route of administration to the posterior segment of the eye [J].
Chiang, Bryce ;
Jung, Jae Hwan ;
Prausnitz, Mark R. .
ADVANCED DRUG DELIVERY REVIEWS, 2018, 126 :58-66
[8]   Clinical studies using stem cells for treatment of retinal diseases: state of the art [J].
Cotrim, Carina Costa ;
Jorge, Rodrigo ;
de Oliveira, Maria Carolina ;
Pieroni, Fabiano ;
Vieira Messias, Andre M. ;
Siqueira, Rubens Camargo .
ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, 2020, 83 (02) :160-167
[9]   Phase 1 clinical study of an embryonic stem cell-derived retinal pigment epithelium patch in age-related macular degeneration [J].
da Cruz, Lyndon ;
Fynes, Kate ;
Georgiadis, Odysseas ;
Kerby, Julie ;
Luo, Yvonne H. ;
Ahmado, Ahmad ;
Vernon, Amanda ;
Daniels, Julie T. ;
Nommiste, Britta ;
Hasan, Shazeen M. ;
Gooljar, Sakina B. ;
Carr, Amanda-Jayne F. ;
Vugler, Anthony ;
Ramsden, Conor M. ;
Bictash, Magda ;
Fenster, Mike ;
Steer, Juliette ;
Harbinson, Tricia ;
Wilbrey, Anna ;
Tufail, Adnan ;
Feng, Gang ;
Whitlock, Mark ;
Robson, Anthony G. ;
Holder, Graham E. ;
Sagoo, Mandeep S. ;
Loudon, Peter T. ;
Whiting, Paul ;
Coffey, Peter J. .
NATURE BIOTECHNOLOGY, 2018, 36 (04) :1-+
[10]   Ocular immune privilege and retinal pigment epithelial cells [J].
Du, Yuxiang ;
Yan, Bo .
JOURNAL OF LEUKOCYTE BIOLOGY, 2023, 113 (03) :288-304