Sehic Amer, Utheim Øygunn Aass, Ommundsen Kristoffer, Utheim Tor Paaske
Department of Oral Biology, Faculty of Dentistry, University of Oslo, Sognsvannsveien 10, Oslo 0372, Norway.
Department of Ophthalmology, Oslo University Hospital, Kirkeveien 166, Oslo 0407, Norway.
J Funct Biomater. 2015 Aug 28;6(3):863-88. doi: 10.3390/jfb6030863.
The cornea is essential for normal vision by maintaining transparency for light transmission. Limbal stem cells, which reside in the corneal periphery, contribute to the homeostasis of the corneal epithelium. Any damage or disease affecting the function of these cells may result in limbal stem cell deficiency (LSCD). The condition may result in both severe pain and blindness. Transplantation of ex vivo cultured cells onto the cornea is most often an effective therapeutic strategy for LSCD. The use of ex vivo cultured limbal epithelial cells (LEC), oral mucosal epithelial cells, and conjunctival epithelial cells to treat LSCD has been explored in humans. The present review focuses on the current state of knowledge of the many other cell-based therapies of LSCD that have so far exclusively been explored in animal models as there is currently no consensus on the best cell type for treating LSCD. Major findings of all these studies with special emphasis on substrates for culture and transplantation are systematically presented and discussed. Among the many potential cell types that still have not been used clinically, we conclude that two easily accessible autologous sources, epidermal stem cells and hair follicle-derived stem cells, are particularly strong candidates for future clinical trials.
角膜通过维持透光性对正常视力至关重要。位于角膜周边的角膜缘干细胞有助于角膜上皮的稳态。任何影响这些细胞功能的损伤或疾病都可能导致角膜缘干细胞缺乏症(LSCD)。这种情况可能导致严重疼痛和失明。将体外培养的细胞移植到角膜上通常是治疗LSCD的有效策略。在人类中已经探索了使用体外培养的角膜缘上皮细胞(LEC)、口腔黏膜上皮细胞和结膜上皮细胞来治疗LSCD。由于目前对于治疗LSCD的最佳细胞类型尚无共识,本综述聚焦于目前许多其他基于细胞的LSCD治疗方法的知识现状,这些方法迄今为止仅在动物模型中进行了探索。系统地呈现并讨论了所有这些研究的主要发现,特别强调了培养和移植的基质。在许多尚未临床应用的潜在细胞类型中,我们得出结论,两种易于获取的自体来源,即表皮干细胞和毛囊衍生干细胞,是未来临床试验特别有力的候选者。