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首页> 外文期刊>International Journal of Clinical and Experimental Medicine >Stem cell-based therapies for age-related macular degeneration: current status and prospects
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Stem cell-based therapies for age-related macular degeneration: current status and prospects

机译:基于干细胞的年龄相关性黄斑变性的治疗:现状和前景

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Abstract: Age-related macular degeneration (AMD) is one of the major causes of irreversible blindness both in developed and developing countries. During the past decades, the managements of neovascular AMD (wet AMD) have dramatically progressed. However, still no effective treatment for non-neovascular AMD (dry AMD) which was characterized by geographic macular atrophy. Recent advances in stem cell sciences have demonstrated that retinal pigment epithelium (RPE) cells can be generated from several types of stem cells (including embryonic stem cells, induced pluripotent stem cells, mesenchymal stem cells, et al) by cell co-culturing or defined factors. Additionally, studies also showed that visual function could be recovered by transplantation of these cells into subretinal space in vivo. Moreover, the United States Food and Drug Administration already approved several clinical trials to evaluate the efficiencies of stem cell based cell transplantation for dry AMD patients. Till now, a few patients enrolled in these studies achieved promising outcomes. This review will summarize recent advances in stem cell based RPE differentiation, transplantation, and the preliminary results of clinical trials. The obstacles and prospects in this field will also be discussed.
机译:摘要:年龄相关性黄斑变性(AMD)是发达国家和发展中国家不可逆性失明的主要原因之一。在过去的几十年中,新血管AMD(湿性AMD)的管理取得了长足的进步。但是,对于以地理性黄斑萎缩为特征的非血管性AMD(干性AMD),仍然没有有效的治疗方法。干细胞科学的最新进展表明,可以通过细胞共培养或定义从几种类型的干细胞(包括胚胎干细胞,诱导性多能干细胞,间充质干细胞等)生成视网膜色素上皮(RPE)细胞。因素。此外,研究还表明,可以通过将这些细胞体内移植到视网膜下空间中来恢复视觉功能。此外,美国食品和药物管理局已经批准了几项临床试验,以评估基于干细胞的细胞移植对干燥AMD患者的效率。到目前为止,参与这些研究的一些患者取得了可喜的结果。这篇综述将总结基于干细胞的RPE分化,移植和临床试验的初步结果的最新进展。还将讨论该领域的障碍和前景。

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