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眼科干细胞移植疗法。

Ophthalmologic stem cell transplantation therapies.

机构信息

Neural Stem Cell Institute, Regenerative Research Foundation, One Discovery Drive, Rensselaer, NY12144, USA.

出版信息

Regen Med. 2012 Nov;7(6 Suppl):32-9. doi: 10.2217/rme.12.77.

DOI:10.2217/rme.12.77
PMID:23210809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3582380/
Abstract

Vision loss is a major social issue, with more than 20 million people over the age of 18 years affected in the USA alone. Loss of vision is feared more than premature death or cardiovascular disease, according to a recent Society for Consumer Research group survey. The annual direct cost of medical care for the most prevalent eye disease, age-related macular degeneration, was estimated at US$255 billion in 2010 with an additional economic impact of US$88 billion due to lost productivity and the burden of family and community care for visual disability. With the blossoming of human stem cell research, regenerative treatments are now being developed that can help reduce this burden. Positive results from animal studies demonstrate that stem cell-based transplants can preserve and potentially improve vision. This has led to new clinical trials for several eye diseases that are yielding encouraging results. In the next few years, additional trials and longer-term results are anticipated to further develop ocular regenerative therapies, with the potential to revolutionize our approach to ophthalmic disease and damage.

摘要

视力丧失是一个重大的社会问题,仅在美国,就有超过 2000 万人受到影响,年龄在 18 岁以上。根据最近消费者研究协会的一项调查,视力丧失比早逝或心血管疾病更令人恐惧。最常见的眼部疾病——年龄相关性黄斑变性,其 2010 年的年直接医疗费用估计为 2550 亿美元,由于生产力下降以及家庭和社区为视力残疾提供护理的负担,其经济影响额外增加了 880 亿美元。随着人类干细胞研究的蓬勃发展,现在正在开发再生疗法,可以帮助减轻这种负担。动物研究的积极结果表明,基于干细胞的移植可以保存并可能改善视力。这导致了几种眼部疾病的新临床试验,取得了令人鼓舞的结果。在未来几年,预计会有更多的试验和更长期的结果,以进一步开发眼部再生疗法,有可能彻底改变我们治疗眼部疾病和损伤的方法。

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本文引用的文献

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Self-formation of optic cups and storable stratified neural retina from human ESCs.人胚胎干细胞诱导形成的自组织类脑器官。
Cell Stem Cell. 2012 Jun 14;10(6):771-785. doi: 10.1016/j.stem.2012.05.009.
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Age-related macular degeneration.年龄相关性黄斑变性。
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Embryonic stem cell trials for macular degeneration: a preliminary report.胚胎干细胞治疗黄斑变性:初步报告。
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Transplantation of human central nervous system stem cells - neuroprotection in retinal degeneration.人中枢神经系统干细胞移植——视网膜变性的神经保护
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The promise of induced pluripotent stem cells in research and therapy.诱导多能干细胞在研究和治疗中的应用前景。
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Adult human RPE can be activated into a multipotent stem cell that produces mesenchymal derivatives.成人视网膜色素上皮细胞可被激活为多能干细胞,产生间充质衍生物。
Cell Stem Cell. 2012 Jan 6;10(1):88-95. doi: 10.1016/j.stem.2011.11.018.
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Guiding the morphogenesis of dissociated newborn mouse retinal cells and hES cell-derived retinal cells by soft lithography-patterned microchannel PLGA scaffolds.通过软光刻图案化微通道聚乳酸-羟基乙酸共聚物支架引导分离新生鼠视网膜细胞和人胚胎干细胞源性视网膜细胞的形态发生。
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Concise review: limbal epithelial stem cell therapy: controversies and challenges.简明综述:角膜缘上皮干细胞治疗:争议与挑战。
Stem Cells. 2011 Dec;29(12):1923-32. doi: 10.1002/stem.756.
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Concise review: The magic act of generating induced pluripotent stem cells: many rabbits in the hat.简明回顾:诱导多能干细胞生成的魔术表演:帽子里的许多兔子。
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Harmonin (Ush1c) is required in zebrafish Müller glial cells for photoreceptor synaptic development and function.Harmonin (Ush1c) 在斑马鱼 Müller 胶质细胞中对于光感受器突触的发育和功能是必需的。
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