国际眼科纵览

• 综述 • 上一篇    下一篇

角膜缘上皮干细胞相关信号通路及自体替代干细胞来源的研究进展

吴德福 钟兴武   

  1. 中山大学中山眼科中心海南眼科医院(海南省眼科医院),海南省眼科学重点实验室,海口 570311
  • 收稿日期:2019-09-15 出版日期:2020-02-22 发布日期:2020-02-27
  • 通讯作者: 钟兴武,Email:zhongxiwu@mail.sysu.edu.cn E-mail:zhongxiwu@mail.sysu.edu.cn
  • 基金资助:
    海南省自然科学基金团队项目(2017CXTD011)

Signaling pathway and source of autologous replacement stem cells associated with corneal limbal epithelial stem cells

Wu Defu, Zhong Xingwu   

  1. Hainan Eye Hospital and Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Haikou 570311, China
  • Received:2019-09-15 Online:2020-02-22 Published:2020-02-27
  • Contact: Zhong Xingwu, Email: zhongxiwu@mail.sysu.edu.cn E-mail:zhongxiwu@mail.sysu.edu.cn
  • Supported by:
    Hainan Natural Science Foundation Team Project (2017CXTD011)

摘要: 角膜盲约占我国不可逆盲疾病患者总数的40%,Stevens-Johnson综合征及瘢痕类天疱疮等疾病是导致角膜盲的主要原因之一。自体及异体角膜移植术已在临床应用获得一定成功,但仍存在诸多问题。目前治疗上述角膜疾病的重要方式是通过直接或体外培养的方式移植自体或异体的角膜缘上皮干细胞。相关信号通路,如Wnt信号通路、Notch信号通路及STAT信号通路等对角膜缘上皮干细胞的体外培养具有重要影响,可与多种因子相作用调节角膜缘上皮干细胞的增生、分化及静止的动态平衡。双眼均存在角膜缘干细胞缺乏的患者可有望通过体外培养的方式诱导自体其他干细胞,如间充质干细胞、口腔黏膜上皮干细胞、人胚胎干细胞、牙髓干细胞等,向角膜样上皮干细胞分化而重建眼表。

Abstract: Corneal blindness accounts for about 40% of the total number of irreversible blindness patients in China. Stevens-Johnson syndrome and scar pemphigoid are the main causes of corneal blindness. Autologous and allogeneic corneal transplantation has achieved some success in clinical applications, but there are still many problems. At present, an important way to treat the above corneal diseases is to transplant autologous or allogeneic limbal epithelial stem cells through direct or in vitro culture. Signaling pathways, such as the Wnt signaling pathway, Notch signaling pathway, and STAT signaling pathway, have important effects on the culture of limbal epithelial stem cells in vitro, and can interact with a variety of factors to regulate the proliferation, differentiation, and resting homeostasis of limbal epithelial stem cells. Patients with limbal stem cell deficiency in both eyes are expected to induce other autologous stem cells by in vitro culture, such as mesenchymal stem cells, oral mucosal epithelial stem cells, human embryonic stem cells, dental pulp stem cells, differentiate into corneal epithelial stem cells, and reconstruct the ocular surface.