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维生素 C 和丙戊酸诱导的胎儿 RPE 干细胞样细胞通过调节 SOX2 恢复视网膜变性。

Vitamin C- and Valproic Acid-Induced Fetal RPE Stem-like Cells Recover Retinal Degeneration via Regulating SOX2.

机构信息

Department of Ophthalmology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Center of Reproduction and Genetics, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou 215002, China.

出版信息

Mol Ther. 2020 Jul 8;28(7):1645-1657. doi: 10.1016/j.ymthe.2020.04.008. Epub 2020 Apr 16.

Abstract

Retinal pigment epithelial (RPE) cell replacement therapy has provided promising outcomes in the treatment of retinal degenerative diseases (RDDs), but the resulting limited visual improvement has raised questions about graft survival and differentiation. Through combined treatment with vitamin C and valproic acid (together, VV), we activated human fetal RPE (fRPE) cells to become highly proliferative fetal RPE stem-like cells (fRPESCs). In this study, we report that SOX2 (SRY-box 2) activation contributed to mesenchymal-epithelial transition and elevated the retinal progenitor and mesenchymal stromal markers expressions of fRPESCs. These fRPESCs could differentiate into RPE cells, rod photoreceptors, and mesenchymal lineage progenies under defined conditions. Finally, fRPESCs were transplanted into the subretinal space of an RDD mouse model, and a photoreceptor rescue benefit was demonstrated. The RPE and rod photoreceptor differentiation of transplanted fRPESCs may account for the neural retinal recovery. This study establishes fRPESCs as a highly proliferative, multi-lineage differentiation potential (including RPE, rod photoreceptor, and mesenchymal lineage differentiation), mesenchymal-to-epithelial-transitioned retinal stem-like cell source for cell-based therapy of RDDs.

摘要

视网膜色素上皮 (RPE) 细胞替代疗法在治疗视网膜退行性疾病 (RDD) 方面提供了有希望的结果,但由此产生的有限视觉改善引发了对移植物存活和分化的质疑。通过与维生素 C 和丙戊酸(合称 VV)联合治疗,我们激活了人胎儿 RPE(fRPE)细胞,使其成为高增殖的胎儿 RPE 干细胞样细胞(fRPESCs)。在这项研究中,我们报告说 SOX2(SRY 盒 2)的激活有助于间充质上皮转化,并提高了 fRPESCs 的视网膜祖细胞和间充质基质标记物的表达。这些 fRPESCs 在特定条件下可分化为 RPE 细胞、杆状光感受器和间充质谱系祖细胞。最后,fRPESCs 被移植到 RDD 小鼠模型的视网膜下腔,证明了光感受器的挽救益处。移植的 fRPESCs 的 RPE 和杆状光感受器分化可能是神经视网膜恢复的原因。这项研究确立了 fRPESCs 作为一种具有高增殖性、多谱系分化潜能(包括 RPE、杆状光感受器和间充质谱系分化)的间充质上皮转化的视网膜干细胞样细胞来源,可用于 RDD 的细胞治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ed/7335738/4078eb43f251/fx1.jpg

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