Miotti Giovanni, Parodi Pier Camillo, Zeppieri Marco
Department of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy.
Department of Ophthalmology, University Hospital of Udine, Udine 33100, Italy.
World J Stem Cells. 2021 May 26;13(5):366-385. doi: 10.4252/wjsc.v13.i5.366.
Stem cell therapies are successfully used in various fields of medicine. This new approach of research is also expanding in ophthalmology. Huge investments, resources and important clinical trials have been performed in stem cell research and in potential therapies. In recent years, great strides have been made in genetic research, which permitted and enhanced the differentiation of stem cells. Moreover, the possibility of exploiting stem cells from other districts (such as adipose, dental pulp, bone marrow stem cells, ) for the treatment of ophthalmic diseases, renders this topic fascinating. Furthermore, great strides have been made in biomedical engineering, which have proposed new materials and three-dimensional structures useful for cell therapy of the eye. The encouraging results obtained on clinical trials conducted on animals have given a significant boost in the creation of study protocols also in humans. Results are limited to date, but clinical trials continue to evolve. Our attention is centered on the literature reported over the past 20 years, considering animal (the most represented in literature) and human clinical trials, which are limiting. The aim of our review is to present a brief overview of the main types of treatments based on stem cells in the field of ophthalmic pathologies.
干细胞疗法已成功应用于医学的各个领域。这种新的研究方法在眼科领域也在不断扩展。在干细胞研究和潜在治疗方面已经进行了大量投资、投入了大量资源并开展了重要的临床试验。近年来,基因研究取得了巨大进展,这使得干细胞的分化成为可能并得到了加强。此外,利用其他部位的干细胞(如脂肪、牙髓、骨髓干细胞等)治疗眼科疾病的可能性,使得这个话题极具吸引力。此外,生物医学工程也取得了巨大进展,提出了对眼部细胞治疗有用的新材料和三维结构。在动物身上进行的临床试验所取得的令人鼓舞的结果,也极大地推动了人类研究方案的制定。迄今为止结果有限,但临床试验仍在不断发展。我们关注的重点是过去20年报道的文献,其中动物试验(文献中占比最多)和人类临床试验都存在局限性。我们综述的目的是简要概述眼科病理学领域基于干细胞的主要治疗类型。