Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Melbourne, Australia.
Centre for Eye Research Australia, Royal Victorian Eye and Ear Hospital; Ophthalmology, Department of Surgery, University of Melbourne, Melbourne, Australia.
Indian J Ophthalmol. 2022 Jan;70(1):201-209. doi: 10.4103/ijo.IJO_473_21.
There are no effective treatments currently available for optic nerve transection injuries. Stem cell therapy represents a feasible future treatment option. This study investigated the therapeutic potential of human umbilical cord-derived mesenchymal stem cell (hUC-MSC) transplantation in rats with optic nerve injury.
Sprague-Dawley (SD) rats were divided into three groups: a no-treatment control group (n = 6), balanced salt solution (BSS) treatment group (n = 6), and hUC-MSCs treatment group (n = 6). Visual functions were assessed by flash visual evoked potential (fVEP) at baseline, Week 3, and Week 6 after optic nerve crush injury. Right eyes were enucleated after 6 weeks for histology.
The fVEP showed shortened latency delay and increased amplitude in the hUC-MSCs treated group compared with control and BSS groups. Higher cellular density was detected in the hUC-MSC treated group compared with the BSS and control groups. Co-localized expression of STEM 121 and anti-S100B antibody was observed in areas of higher nuclear density, both in the central and peripheral regions.
Peribulbar transplantation of hUC-MSCs demonstrated cellular integration that can potentially preserve the optic nerve function with a significant shorter latency delay in fVEP and higher nuclear density on histology, and immunohistochemical studies observed cell migration particularly to the peripheral regions of the optic nerve.
目前,对于视神经横断损伤,尚无有效的治疗方法。干细胞治疗代表了一种可行的未来治疗选择。本研究探讨了人脐带间充质干细胞(hUC-MSC)移植治疗视神经损伤大鼠的治疗潜力。
将 Sprague-Dawley(SD)大鼠分为三组:无治疗对照组(n = 6)、平衡盐溶液(BSS)治疗组(n = 6)和 hUC-MSCs 治疗组(n = 6)。在视神经挤压伤后基线、第 3 周和第 6 周,通过闪光视觉诱发电位(fVEP)评估视觉功能。6 周后,右眼行组织学检查。
fVEP 显示,与对照组和 BSS 组相比,hUC-MSCs 治疗组潜伏期延迟缩短,振幅增加。与 BSS 组和对照组相比,hUC-MSCs 治疗组细胞密度更高。在中央和周围区域,均观察到 STEM 121 和抗 S100B 抗体的共定位表达,在核密度较高的区域。
球周注射 hUC-MSCs 具有细胞整合作用,能显著缩短 fVEP 的潜伏期延迟,提高组织学的核密度,并通过免疫组织化学研究观察到细胞向视神经的外周区域迁移,从而可能保留视神经功能。