Majo François, Rochat Ariane, Nicolas Michael, Jaoudé Georges Abou, Barrandon Yann
Laboratory of Stem Cell Dynamics, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne CH, Switzerland.
Nature. 2008 Nov 13;456(7219):250-4. doi: 10.1038/nature07406. Epub 2008 Oct 1.
The integrity of the cornea, the most anterior part of the eye, is indispensable for vision. Forty-five million individuals worldwide are bilaterally blind and another 135 million have severely impaired vision in both eyes because of loss of corneal transparency; treatments range from local medications to corneal transplants, and more recently to stem cell therapy. The corneal epithelium is a squamous epithelium that is constantly renewing, with a vertical turnover of 7 to 14 days in many mammals. Identification of slow cycling cells (label-retaining cells) in the limbus of the mouse has led to the notion that the limbus is the niche for the stem cells responsible for the long-term renewal of the cornea; hence, the corneal epithelium is supposedly renewed by cells generated at and migrating from the limbus, in marked opposition to other squamous epithelia in which each resident stem cell has in charge a limited area of epithelium. Here we show that the corneal epithelium of the mouse can be serially transplanted, is self-maintained and contains oligopotent stem cells with the capacity to generate goblet cells if provided with a conjunctival environment. Furthermore, the entire ocular surface of the pig, including the cornea, contains oligopotent stem cells (holoclones) with the capacity to generate individual colonies of corneal and conjunctival cells. Therefore, the limbus is not the only niche for corneal stem cells and corneal renewal is not different from other squamous epithelia. We propose a model that unifies our observations with the literature and explains why the limbal region is enriched in stem cells.
角膜作为眼球最前端的部分,其完整性对于视力而言不可或缺。全球有4500万人双目失明,另有1.35亿人双眼视力严重受损,皆是由于角膜透明度丧失所致;治疗方法涵盖从局部用药到角膜移植,以及最近的干细胞疗法。角膜上皮是一种不断更新的鳞状上皮,在许多哺乳动物中其垂直更新周期为7至14天。在小鼠角膜缘中鉴定出缓慢循环细胞(标记保留细胞),这使得人们认为角膜缘是负责角膜长期更新的干细胞的微环境;因此,角膜上皮据推测是由在角膜缘产生并从角膜缘迁移而来的细胞更新的,这与其他鳞状上皮明显不同,在其他鳞状上皮中每个驻留干细胞负责有限面积的上皮。在此我们表明,小鼠的角膜上皮可以进行连续移植,能够自我维持,并且含有多能干细胞,在提供结膜环境的情况下具有产生杯状细胞的能力。此外,猪包括角膜在内的整个眼表都含有多能干细胞(全克隆),具有产生角膜和结膜细胞单个集落的能力。因此,角膜缘并非角膜干细胞的唯一微环境,角膜更新与其他鳞状上皮并无差异。我们提出了一个模型,将我们的观察结果与文献统一起来,并解释了为什么角膜缘区域富含干细胞。