Towards Stem/Progenitor Cell-Based Therapies for Retinal Degeneration.

IF 4.5 3区 医学 Q2 CELL & TISSUE ENGINEERING
Stem Cell Reviews and Reports Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI:10.1007/s12015-024-10740-4
Hui Liu, Shuaiyan Lu, Ming Chen, Na Gao, Yuhe Yang, Huijuan Hu, Qing Ren, Xiaoyu Liu, Hongxu Chen, Qunyan Zhu, Shasha Li, Jianzhong Su
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Abstract

Retinal degeneration (RD) is a leading cause of blindness worldwide and includes conditions such as retinitis pigmentosa (RP), age-related macular degeneration (AMD), and Stargardt's disease (STGD). These diseases result in the permanent loss of vision due to the progressive and irreversible degeneration of retinal cells, including photoreceptors (PR) and the retinal pigment epithelium (RPE). The adult human retina has limited abilities to regenerate and repair itself, making it challenging to achieve complete self-replenishment and functional repair of retinal cells. Currently, there is no effective clinical treatment for RD. Stem cell therapy, which involves transplanting exogenous stem cells such as retinal progenitor cells (RPCs), embryonic stem cells (ESCs), induced pluripotent stem cells (iPSCs), and mesenchymal stem cells (MSCs), or activating endogenous stem cells like Müller Glia (MG) cells, holds great promise for regenerating and repairing retinal cells in the treatment of RD. Several preclinical and clinical studies have shown the potential of stem cell-based therapies for RD. However, the clinical translation of these therapies for the reconstruction of substantial vision still faces significant challenges. This review provides a comprehensive overview of stem/progenitor cell-based therapy strategies for RD, summarizes recent advances in preclinical studies and clinical trials, and highlights the major challenges in using stem/progenitor cell-based therapies for RD.

Abstract Image

基于干细胞/祖细胞的视网膜退化治疗方法。
视网膜变性(RD)是全球失明的主要原因,包括视网膜色素变性(RP)、老年性黄斑变性(AMD)和斯达加特病(STGD)等疾病。这些疾病由于视网膜细胞(包括感光细胞(PR)和视网膜色素上皮细胞(RPE))发生进行性和不可逆的变性,导致永久性视力丧失。成人视网膜的自我再生和修复能力有限,因此要实现视网膜细胞的完全自我再生和功能修复极具挑战性。目前,临床上还没有治疗视网膜病变的有效方法。干细胞疗法涉及移植外源性干细胞,如视网膜祖细胞(RPC)、胚胎干细胞(ESC)、诱导多能干细胞(iPSC)和间充质干细胞(MSC),或激活内源性干细胞,如Müller胶质细胞(MG),在治疗RD的视网膜细胞再生和修复方面前景广阔。多项临床前和临床研究表明,干细胞疗法具有治疗RD的潜力。然而,将这些疗法应用于临床以重建实质性视力仍面临重大挑战。本综述全面概述了以干细胞/祖细胞为基础的RD治疗策略,总结了临床前研究和临床试验的最新进展,并强调了以干细胞/祖细胞为基础的RD疗法面临的主要挑战。
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来源期刊
Stem Cell Reviews and Reports
Stem Cell Reviews and Reports 医学-细胞生物学
CiteScore
9.30
自引率
4.20%
发文量
0
审稿时长
3 months
期刊介绍: The purpose of Stem Cell Reviews and Reports is to cover contemporary and emerging areas in stem cell research and regenerative medicine. The journal will consider for publication: i) solicited or unsolicited reviews of topical areas of stem cell biology that highlight, critique and synthesize recent important findings in the field. ii) full length and short reports presenting original experimental work. iii) translational stem cell studies describing results of clinical trials using stem cells as therapeutics. iv) papers focused on diseases of stem cells. v) hypothesis and commentary articles as opinion-based pieces in which authors can propose a new theory, interpretation of a controversial area in stem cell biology, or a stem cell biology question or paradigm. These articles contain more speculation than reviews, but they should be based on solid rationale. vi) protocols as peer-reviewed procedures that provide step-by-step descriptions, outlined in sufficient detail, so that both experts and novices can apply them to their own research. vii) letters to the editor and correspondence. In order to facilitate this exchange of scientific information and exciting novel ideas, the journal has created five thematic sections, focusing on: i) the role of adult stem cells in tissue regeneration; ii) progress in research on induced pluripotent stem cells, embryonic stem cells and mechanism governing embryogenesis and tissue development; iii) the role of microenvironment and extracellular microvesicles in directing the fate of stem cells; iv) mechanisms of stem cell trafficking, stem cell mobilization and homing with special emphasis on hematopoiesis; v) the role of stem cells in aging processes and cancerogenesis.
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