Stem Cell Technology for Eye Disorders

Authors

P D Gupta

Founder Director, Iladevi Cataract and IOL Research Centre, Ahmadabad, India.

Article Information

*Corresponding Author: P D Gupta, Founder Director, Iladevi Cataract and IOL Research Centre, Ahmadabad, India.

Received Date: June 20, 2022
Accepted Date: August 04, 2022
Published Date: September 20, 2022

Citation: P D Gupta. (2022) “Stem Cell Technology for Eye Disorders”, Ophthalmology and Vision Care, 2(3); DOI: http;//doi.org/09.2022/1.10233
Copyright: © 2022 P D Gupta. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly Cited.

Abstract

Dry and wet, both AMDs have different characteristics however both other than preventative measures, cannot be treated. Recent technological advancement in Stem cell technology have shown some ray of hope in the treatment of age-related macular degeneration AMD. Mesenchymal stem cells offered several advantages for the treatment of eye diseases including an ability to differentiate into retinal cells. In the series of publications [12, 13] we have described a cheaper source of mesenchymal stem cells i.e., menstrual blood.


Keywords: age-related macular degeneration; optogenetics; mesenchymal cell culture; menstrual blood

Introduction:
The eye is the most important sensory organ in humans. Many of the conventional treatments are ineffective for certain ocular disorders. For example, there’s no cure for the age-related macular degeneration (AMD) [1,2]. It is estimated that over 300 genes have been implicated in retinal degenerations. There is no way to regulate that many genes to correct ADM. The earlier management methods for AMD were cumbersome and not much effective; the advanced methods such as, gene therapy, artificial retina involving genetic engineering technology, using optical or laser switches to excite neurons (optogenetics) [3,4] and advanced biological techniques such as transplanting stem cells has better scope for management of macular degeneration. Stem cells can act as a source of new, healthy specialized cells and may provide a way to replace damaged cells in the eye. Therefore, researchers are now using stem cell technology to explore possible new approaches to treatments for loss of vision.

A small study, involving people with wet AMD, published by the New England Journal of Medicine, found that using a person’s own stem  cells  to  replace  damaged  retinal  cells,  resulted  in maintaining  visual  acuity  for  one  year  after  the  procedure [5].  The study authors wrote, “This seems to indicate the surgery helped to halt the  progression  of  the  disease.”   Although this study does not indicate that stem cell therapy is effective for dry AMD, many scientists are confident that upcoming studies on stem cell therapy for dry AMD will be promising.

Stem cell therapy gained momentum for the past three decades in therapeutics. Stem cell therapy can restore   vision and prevent continued deterioration without surgery. It is a great option for patients who want to avoid eye surgeries out of fear of the risks. Stem cells can create new retinal pigment cells to restore the vision, and prevent potential blindness.  Stem Cell Technology has shown promises to slow the disease and keep a patient   from having a severe loss of vision. It was only possible to use newly developed mesenchymal stem cells which offered several advantages for the treatment of eye diseases, including an ability to differentiate into retinal cells and to be grown outside the body [6-10] Recently, researchers at the Centre for Genomic Regulation (CRG) in Barcelona have developed a stem cell treatment for retinal degeneration that focuses on two chemokine receptors, Ccr5 and Cxcr6. They engineered mesenchymal stem cells from bone marrow to have an excessive amount of Ccr5 and Cxcr6 and transplanted them into models of retinal degeneration [11]. That preserved the function of degenerating retinal tissue, they reported in the journal Molecular Therapy [11].

Stem cell culturing technique:

Figure 1: Procedure for using culture and implantation of stem cells in optical disorders.

Cheaper source of Mesenchylal Stem cells:

Approximately a decade ago, discovered menstrual blood-derived stem cells (MenSCs) are boon in therapeutics and a list  of  diseases  are  treated  and  more  are  in  pipeline undergoing  clinical  trials [12,13]  With potential for multi-directional differentiation, MenSCs  are  able  to undergo adipogenic, chondrogenic, osteogenic, myogenic and neurogenic differentiation in vitro.  Compared to other sources of MSCs, MenSCs can be easily selected in a periodic  manner  and  obtained  by  a non -invasive  method,  avoiding  the  ethical  issues. They do not form teratomas and can  be  expanded  by  at  least  20  passages  without genetic  abnormalities. Though nobody has used MenSCs for eye disorders but soon they would be the first choice.

References

  1. Wong, Wan Ling et al. Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis Lancet Global Health 2(2), E106-E116, 2014.  
  2. Michael Eisenstein The quest to treat dry age-related macular degeneration Nature 600, S1 (2021)
  3. Gupta P D, (2021). Blind can “See” through Optogenetics Technology. J. Experimental and Clinical Ophthalmology. 1(1).
  4.  Gupta PD (2021) Recent Advances in Management of Macular Degeneration.  JSM Ophthalmol 8(1): 1080.]
  5. Mandai M, et al. Autologous induced stem-cell-derived retinal cells for macular degeneration. N Engl J Med. 2017;376:1038–46.
  6. Kahraman NS, et al. First yea r results of suprachoroidal adipose tissue derived mesenchymal stem cell implantation in degenerative macular diseases. Int J Stem Cells. 2021;14:47–57.
  7. Kahraman NS, et al. First year results of suprachoroidal adipose tissue derived mesenchymal stem cell implantation in degenerative macular diseases. Int J Stem Cells. 2021;14:47–57
  8. Kashani AH,  et al. One-year follow-up in a phase 1/2a clinical trial of an allogeneic RPE cell bioengineered implant for advanced dry age-related macular degeneration. Transl Vis Sci Technol. 2021;10:13.
  9. Nittala MG,  et al. Effect of human central nervous system stem cell subretinal transplantation on progression of geographic atrophy secondary to nonneovascular age-related macular degeneration, ophthalmol. Retina. 2021;5:32–40.
  10. Li, L.,  et al. Changes in best-corrected visual acuity in patients with dry age-related macular degeneration after stem cell transplantation: systematic review and meta-analysis. Stem Cell Res Ther 13, 237 (2022).]
  11.  Pesaresi, Martina.  The Chemokine Receptors Ccr5 and Cxcr6 Enhance Migration of Mesenchymal Stem Cells into the Degenerating Retina Mol Ther . 2021 Feb 3;29(2):804-821
  12. Gupta P. D. 2020 Menstrual blood: Don’t waste, treasure it J cell Tissue Res 20(2) PV1
  13.  Pushkala K. and Gupta P D, (2021) Menstrual Blood Mesenchymal Stem Cells: Boon in Therapeutics. J, Biotechnology and Bioprocessing2(4); DOI: 10.31579/2766-2314/03