Zhu Ying-Ting, Li Fu, Han Bo, Tighe Sean, Zhang Suzhen, Chen Szu-Yu, Liu Xin, Tseng Scheffer C G
TissueTech, Inc., Ocular Surface Center, and Ocular Surface Research & Education Foundation, Miami, FL 33173.
Pediatric Research Institute and Department of Pediatric Hematology, Qilu Children's Hospital, Shandong University, Jinan, Shandong 250022, People's Republic of China.
J Cell Biol. 2014 Sep 15;206(6):799-811. doi: 10.1083/jcb.201404032. Epub 2014 Sep 8.
Currently there are limited treatment options for corneal blindness caused by dysfunctional corneal endothelial cells. The primary treatment involves transplantation of healthy donor human corneal endothelial cells, but a global shortage of donor corneas necessitates other options. Conventional tissue approaches for corneal endothelial cells are based on EDTA-trypsin treatment and run the risk of irreversible endothelial mesenchymal transition by activating canonical Wingless-related integration site (Wnt) and TGF-β signaling. Herein, we demonstrate an alternative strategy that avoids disruption of cell-cell junctions and instead activates Ras homologue gene family A (RhoA)-Rho-associated protein kinase (ROCK)-canonical bone morphogenic protein signaling to reprogram adult human corneal endothelial cells to neural crest-like progenitors via activation of the miR302b-Oct4-Sox2-Nanog network. This approach allowed us to engineer eight human corneal endothelial monolayers of transplantable size, with a normal density and phenotype from one corneoscleral rim. Given that a similar signal network also exists in the retinal pigment epithelium, this partial reprogramming approach may have widespread relevance and potential for treating degenerative diseases.
目前,对于由功能失调的角膜内皮细胞引起的角膜盲,治疗选择有限。主要治疗方法是移植健康供体的人角膜内皮细胞,但全球供体角膜短缺使得必须寻找其他选择。传统的角膜内皮细胞组织处理方法基于乙二胺四乙酸 - 胰蛋白酶处理,存在通过激活经典的无翅相关整合位点(Wnt)和转化生长因子-β(TGF-β)信号传导导致不可逆的内皮间充质转化的风险。在此,我们展示了一种替代策略,该策略避免破坏细胞间连接,而是激活Ras同源基因家族A(RhoA)-Rho相关蛋白激酶(ROCK)-经典骨形态发生蛋白信号传导,通过激活miR302b - Oct4 - Sox2 - Nanog网络将成人角膜内皮细胞重编程为神经嵴样祖细胞。这种方法使我们能够从一个角膜缘构建出八个具有正常密度和表型、可移植大小的人角膜内皮单层。鉴于视网膜色素上皮中也存在类似的信号网络,这种部分重编程方法可能在治疗退行性疾病方面具有广泛的相关性和潜力。