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Restoring Vision Using Stem Cells and Transplantation

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Retinal Degenerative Diseases

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1185))

Abstract

The replacement of retinal cells, or the support of surviving retinal neurons, in a degenerated retina presents a significant challenge in the fields of ophthalmology and regenerative medicine. Stem cell-based therapies are being explored as an approach for treating retinal dystrophies, such as retinitis pigmentosa (RP), Stargardt’s disease, and age-related macular degeneration (AMD). This review provides an update on the recent progress made toward the restoration of vision lost to degenerative disease using stem cell-based transplantation strategies and the challenges that need to be overcome. Both retinal pigmented epithelium (RPE) and photoreceptor replacement therapies are discussed.

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References

  • Bainbridge JWB et al (2015) Long-term effect of gene therapy on Leber’s congenital amaurosis. N Engl J Med 372:1887–1897

    Article  Google Scholar 

  • Barnea-Cramer AO et al (2016) Function of human pluripotent stem cell-derived photoreceptor progenitors in blind mice. Sci Rep 6:1–15

    Article  Google Scholar 

  • Da Cruz L et al (2018) Phase 1 clinical study of an embryonic stem cell-derived retinal pigment epithelium patch in age-related macular degeneration. Nat Biotechnol 36:328–337

    Article  Google Scholar 

  • Gonzalez-Cordero A et al (2017) Recapitulation of human retinal development from human pluripotent stem cells generates transplantable populations of cone photoreceptors. Stem Cell Reports 9:820–837

    Article  Google Scholar 

  • Gonzalez-Cordero A et al (2013) Photoreceptor precursors derived from three-dimensional embryonic stem cell cultures integrate and mature within adult degenerate retina. Nat Biotechnol 31:741–747

    Article  CAS  Google Scholar 

  • Idelson M et al (2009) Directed differentiation of human embryonic stem cells into functional retinal pigment epithelium cells. Cell Stem Cell 5:396–408

    Article  CAS  Google Scholar 

  • Kamao H et al (2014) Characterization of human induced pluripotent stem cell-derived retinal pigment epithelium cell sheets aiming for clinical application. Stem Cell Reports 2:205–218

    Article  CAS  Google Scholar 

  • Kashani AH et al (2018) A bioengineered retinal pigment epithelial monolayer for advanced, dry-age-related macular degeneration. Sci Transl Med 10:1–10

    Article  Google Scholar 

  • Kruczek K et al (2017) Differentiation and transplantation of embryonic stem cell-derived cone photoreceptors into a mouse model of end-stage retinal degeneration. Stem Cell Reports 8:1659–1674

    Article  CAS  Google Scholar 

  • Lamba DA, Gust J, Reh TA (2009) Transplantation of human embryonic stem cell-derived photoreceptors restores some visual function in Crx-deficient mice. Cell Stem Cell 4:73–79

    Article  CAS  Google Scholar 

  • MacLaren RE et al (2006) Retinal repair by transplantation of photoreceptor precursors. Nature 444:203–207

    Article  CAS  Google Scholar 

  • Mandai M et al (2017a) iPSC-derived retina transplants improve vision in rd1 end-stage retinal-degeneration mice. Stem Cell Reports 8:69–83

    Article  Google Scholar 

  • Mandai M et al (2017b) Autologous induced stem-cell-derived retinal cells for macular degeneration. N Engl J Med 376:1038–1046

    Article  CAS  Google Scholar 

  • Nakano T et al (2012) Self-formation of optic cups and storable stratified neural retina from human ESCs. Cell Stem Cell 10:771–785

    Article  CAS  Google Scholar 

  • Ortin-Martinez A et al (2017) A reinterpretation of cell transplantation: GFP transfer from donor to host photoreceptors. Stem Cells 35:932–939

    Article  CAS  Google Scholar 

  • Osakada F et al (2008) Toward the generation of rod and cone photoreceptors from mouse, monkey and human embryonic stem cells. Nat Biotechnol 26:215–224

    Article  CAS  Google Scholar 

  • Ovando-Roche P et al (2017) Harnessing the potential of human pluripotent stem cells and gene editing for the treatment of retinal degeneration. Curr Stem Cell Rep 3:112–123

    Article  CAS  Google Scholar 

  • Pearson RA et al (2012) Restoration of vision after transplantation of photoreceptors. Nature 485:99–103

    Article  CAS  Google Scholar 

  • Pearson RA et al (2016) Donor and host photoreceptors engage in material transfer following transplantation of post-mitotic photoreceptor precursors. Nat Commun 7:1–15

    Google Scholar 

  • Pezzullo L et al (2018) The economic impact of sight loss and blindness in the UK population. BMC Health Serv Res 18:1–13

    Article  Google Scholar 

  • Phillips MJ et al (2012) Blood-derived human iPS cells generate optic vesicle-like structures with the capacity to form retinal laminae and develop synapses. Invest Ophthalmol Vis Sci 53:2007–2019

    Article  Google Scholar 

  • Powell C et al (2016) Zebrafish Muller glia-derived progenitors are multipotent, exhibit proliferative biases and regenerate excess neurons. Sci Rep 6:1–10

    Article  Google Scholar 

  • Ramsden CM et al (2013) Stem cells in retinal regeneration: past, present and future. Development 140:2576–2585

    Article  CAS  Google Scholar 

  • Santos-Ferreira TF et al (2016) Retinal transplantation of photoreceptors results in donor-host cytoplasmic exchange. Nat Commun 7:1–7

    Article  Google Scholar 

  • Schwartz SD et al (2015) Human embryonic stem cell-derived retinal pigment epithelium in patients with age-related macular degeneration and Stargardt’s macular dystrophy: follow-up of two open-label phase 1/2 studies. Lancet 385:509–516

    Article  Google Scholar 

  • Shirai H et al (2015) Transplantation of human embryonic stem cell-derived retinal tissue in two primate models of retinal degeneration. PNAS 113:E81–E90

    Article  Google Scholar 

  • Singh MS et al (2013) Reversal of end-stage retinal degeneration and restoration of visual function by photoreceptor transplantation. PNAS 110:1101–1106

    Article  CAS  Google Scholar 

  • Welby E et al (2017) Isolation and comparative transcriptome analysis of human fetal and iPSC-derived cone photoreceptor cells. Stem Cell Reports 9:1898–1915

    Article  CAS  Google Scholar 

  • Zhong X et al (2014) Generation of three-dimensional retinal tissue with functional photoreceptors from human iPSCs. Nat Commun 5:1–14

    Google Scholar 

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Acknowledgment

This work was supported by the MRC UK grant MR/M015688/1, GOSHCC, and the NIHR.

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Correspondence to Jane C. Sowden .

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Cuevas, E., Parmar, P., Sowden, J.C. (2019). Restoring Vision Using Stem Cells and Transplantation. In: Bowes Rickman, C., Grimm, C., Anderson, R., Ash, J., LaVail, M., Hollyfield, J. (eds) Retinal Degenerative Diseases. Advances in Experimental Medicine and Biology, vol 1185. Springer, Cham. https://doi.org/10.1007/978-3-030-27378-1_92

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