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Tapping Stem Cells to Target AMD: Challenges and Prospects

机译:利用干细胞靶向AMD:挑战与前景

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摘要

Human pluripotent stem cells (hPSCs) are increasingly gaining attention in biomedicine as valuable resources to establish patient-derived cell culture models of the cell type known to express the primary pathology. The idea of “a patient in a dish” aims at basic, but also clinical, applications with the promise to mimic individual genetic and metabolic complexities barely reflected in current invertebrate or vertebrate animal model systems. This may particularly be true for the inherited and complex diseases of the retina, as this tissue has anatomical and physiological aspects unique to the human eye. For example, the complex age-related macular degeneration (AMD), the leading cause of blindness in Western societies, can be attributed to a large number of genetic and individual factors with so far unclear modes of mutual interaction. Here, we review the current status and future prospects of utilizing hPSCs, specifically induced pluripotent stem cells (iPSCs), in basic and clinical AMD research, but also in assessing potential treatment options. We provide an outline of concepts for disease modelling and summarize ongoing and projected clinical trials for stem cell-based therapy in late-stage AMD.
机译:人类多能干细胞(hPSC)在生物医学中正日益受到关注,因为它是建立已知可表达主要病理学的细胞类型的患者来源细胞培养模型的宝贵资源。 “一碗中的病人”的想法针对基本的但也是临床的应用,有望模仿目前无脊椎动物或脊椎动物模型系统中几乎没有反映的个体遗传和代谢复杂性。对于视网膜的遗传性和复杂性疾病,尤其如此,因为该组织具有人眼特有的解剖和生理方面。例如,复杂的与年龄有关的黄斑变性(AMD)是西方社会失明的主要原因,其原因可能是大量的遗传和个体因素,到目前为止,它们之间的相互作用方式尚不清楚。在这里,我们回顾了在基础和临床AMD研究中以及在评估潜在治疗方案时利用hPSC(特别是诱导性多能干细胞(iPSC))的现状和未来前景。我们提供了疾病建模的概念概述,并总结了正在进行的和计划的晚期AMD干细胞疗法的临床试验。

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