Abstract
Cell therapy for treatment of corneal lesions, with associated corneal (limbal) stem cell deficiency due to ocular burns, has recently gained regulatory approval from the European Medicines Agency (EMA), and it is the first choice to restore corneal surface integrity when corneal epithelial stem cells have been lost. LSCD can be due to a number of genetic, inflammatory, or traumatic disorders and frequently results in mono- or binocular blindness. In this chapter, we will review different limbal stem cell therapies for LSCD. We will do so by considering the epidemiology of LSCD and different types of cultivated limbal stem cell treatments. Alternative treatments will also be briefly reviewed. Potential advantages, and pitfalls, of autologous versus allogenic limbal stem cell transplantation will be considered.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Notara M, Alatza A, Gilfillan J, et al. In sickness and in health: corneal epithelial stem cell biology, pathology and therapy. Exp Eye Res. 2010;90(2):188–95.
Ordonez P, Chow S, Wakefield D, et al. Human limbal epithelial progenitor cells express alphavbeta5-integrin and the interferon-inducible chemokine CXCL10/IP-10. Stem Cell Res. 2013;11(2):888–901.
Cotsarelis G, Cheng SZ, Dong G, et al. Existence of slow-cycling limbal epithelial basal cells that can be preferentially stimulated to proliferate: implications on epithelial stem cells. Cell. 1989;57(2):201–9.
Thoft RA, Wiley LA, Sundarraj N. The multipotential cells of the limbus. Eye (Lond). 1989;3(Pt 2):109–13. The limbus is the transition area placed between the conjunctiva and the cornea.
Dua HS, Saini JS, Azuara-Blanco A. Limbal stem cell deficiency: concept, aetiology, clinical presentation, diagnosis and management. Indian J Ophthalmol. 2000;48(2):83–92. Review
Daniels JT, Notara M, Shortt A, et al. Limbal epithelial stem cell therapy. Expert Opin Biol Ther. 2007;7(1):1–3. Review.
Vemuganti GK, Sangwan VS. Interview: affordability at the cutting edge: stem cell therapy for ocular surface reconstruction. Regen Med. 2010;5:337–4.
Basu S, Sureka SP, Shanbhag SS, et al. Simple limbal epithelial transplantation: long-term clinical outcomes in 125 cases of unilateral chronic ocular surface burns. Ophthalmology. 2016;123(5):1000–10.
Rheinwald JG, Green H. Serial cultivation of strains of human epidermal keratinocytes: the formation of keratinizing colonies from single cells. Cell. 1975;6(3):331–43.
Pellegrini G, Traverso CE, Franzi AT, et al. Long-term restoration of damaged corneal surfaces with autologous cultivated corneal epithelium. Lancet. 1997;349(9057):990–3.
Pellegrini G, Golisano O, Paterna P, et al. Location and clonal analysis of stem cells and their differentiated progeny in the human ocular surface. J Cell Biol. 1999;145(4):769–82.
Rama P, Matuska S, Paganoni G, et al. Limbal stem-cell therapy and long-term corneal regeneration. N Engl J Med. 2010;363(2):147–55.
Pellegrini G, Rama P, Matuska S, et al. Biological parameters determining the clinical outcome of autologous cultures of limbal stem cells. Regen Med. 2013;8(5):553–67.
Chen P, Zhou Q, Wang J, et al. Characterization of the corneal surface in limbal stem cell deficiency and after transplantation of cultured allogeneic limbal epithelial cells. Graefes Arch Clin Exp Ophthalmol. 2016;254:1765–77.
Henderson TR, Coster DJ, Williams KA, et al. The long term outcome of limbal allografts: the search for surviving cells. Br J Ophthalmol. 2001;85:604–9.
Daya SM, Watson A, Sharpe JR, et al. Outcomes and DNA analysis of ex vivo expanded stem cell allograft for ocular surface reconstruction. Ophthalmology. 2005;112:470–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rama, P., Ferrari, G. (2019). Cell Therapy Using Ex Vivo Cultured Limbal Cells: CLET and Equivalent. In: Alió, J., Alió del Barrio, J., Arnalich-Montiel, F. (eds) Corneal Regeneration . Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-01304-2_15
Download citation
DOI: https://doi.org/10.1007/978-3-030-01304-2_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-01303-5
Online ISBN: 978-3-030-01304-2
eBook Packages: MedicineMedicine (R0)