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Progress of stem/progenitor cell-based therapy for retinal degeneration

机译:基于干细胞/祖细胞治疗视网膜变性的研究进展

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Retinal degeneration (RD), such as age-related macular degeneration (AMD) and retinitis pigmentosa, is one of the leading causes of blindness. Presently, no satisfactory therapeutic options are available for these diseases principally because the retina and retinal pigmented epithelium (RPE) do not regenerate, although wet AMD can be prevented from further progression by anti-vascular endothelial growth factor therapy. Nevertheless, stem/progenitor cell approaches exhibit enormous potential for RD treatment using strategies mainly aimed at the rescue and replacement of photoreceptors and RPE. The sources of stem/progenitor cells are classified into two broad categories in this review, which are (1) ocular-derived progenitor cells, such as retinal progenitor cells, and (2) non-ocular-derived stem cells, including embryonic stem cells, induced pluripotent stem cells, and mesenchymal stromal cells. Here, we discuss in detail the progress in the study of four predominant stem/progenitor cell types used in animal models of RD. A short overview of clinical trials involving the stem/progenitor cells is also presented. Currently, stem/progenitor cell therapies for RD still have some drawbacks such as inhibited proliferation and/or differentiation in vitro (with the exception of the RPE) and limited long-term survival and function of grafts in vivo. Despite these challenges, stem/progenitor cells represent the most promising strategy for RD treatment in the near future.
机译:视网膜变性(RD),例如年龄相关性黄斑变性(AMD)和色素性视网膜炎,是失明的主要原因之一。目前,对于这些疾病没有令人满意的治疗选择,主要是因为视网膜和视网膜色素上皮(RPE)不能再生,尽管可以通过抗血管内皮生长因子疗法防止湿性AMD进一步发展。然而,干细胞/祖细胞方法使用主要旨在抢救和替换感光细胞和RPE的策略,在RD治疗中显示出巨大的潜力。在本综述中,干/祖细胞的来源分为两大类,它们是(1)眼来源的祖细胞,例如视网膜祖细胞,以及(2)非眼来源的干细胞,包括胚胎干细胞,诱导多能干细胞和间充质基质细胞。在这里,我们详细讨论在RD动物模型中使用的四种主要干/祖细胞类型的研究进展。还简要介绍了涉及干/祖细胞的临床试验。当前,用于RD的干/祖细胞疗法仍然具有一些缺点,例如在体外(除了RPE之外)抑制了增殖和/或分化,并且在体内移植物的长期存活和功能受到限制。尽管有这些挑战,干细胞/祖细胞仍代表着在不久的将来进行RD治疗的最有希望的策略。

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