Stem Cell Therapy and Cell Transplantation
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Neurosphere from adult stem cells, stained with the glial marker GFAP |
Isolation,
culture and differentiation of adult stem cells
Stem/progenitor
cells that give rise to neurons and glia have been identified in
several regions of the central nervous system, including the embryonic
retina and the ciliary epithelium of the adult eye, raising the
possibility of autologous transplantation. We have shown the presence
of stem/progenitor cells in additional regions of the porcine eye
including the pars plana and iris, regions that, in the human, are
readily accessible during routine eye surgery. When cultured in
the presence of growth factors, these cells proliferate to form
neurospheres comprised of cells expressing retinal stem/progenitor
markers.
Using an adherent monolayer culture system, these cells could be
readily expanded to increase their number more than a million-fold,
while maintaining a progenitor phenotype. Another source of potential
progenitor cells is the sub-ventricular zone in the brain, although
this source would not be usable for autologous transplants as it
is not available for sampling during routine procedures.
Before transplantation into the eye, these cells need to be differentiated
to a developmental stage that allows them to integrate into and
connect with the neuroretina, similar to the immature photoreceptor
cells mentioned before. A promising strategy for directing the differentiation
of a population of progenitor cells is to utilise viral gene transfer
to express key transcription factors. Studies using rat and primate
iris tissue have been successful in generating cells with a photoreceptor
like phenotype following transduction with Crx and Crx/Nrl, respectively.
Further studies will be needed to establish if similar techniques
may be used to guide the differentiation of iris, ciliary body and
pars plana stem/progenitor cells that have undergone multiple passages
and expansion in tissue culture. Ideally, by using gene transfer,
the appropriate combination of factors could be delivered to generate
functional photoreceptor precursor cells with the potential for
integration into a recipient retina.
Introduction
Retinal repair by transplantation of photoreceptor precursors
This page last modified
18 December, 2012
by xxx
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