国际眼科纵览

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干细胞治疗视网膜退行性病变的进展

陈昱凝  沈畅  魏文斌   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼内肿瘤诊治研究北京市重点实验室 眼科学与视觉科学北京市重点实验室100730
  • 收稿日期:2019-04-04 出版日期:2019-08-22 发布日期:2019-08-26
  • 通讯作者: 魏文斌,Email: weiwenbintr@163.com E-mail:weiwenbintr@163.com
  • 基金资助:

    北京市医院管理局“登峰”人才培养计划(DFL20150201);科技创新基地培育与发展专项项目(Z151100001615052);国家自然科学基金(81570891);北京市科技计划项目(Z181100001818003)

Stem cell therapies for retinal degenerative diseases

Chen Yuning, Shen Chang, Wei Wenbin   

  1. Beijing Tongren Eye Center,Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China
  • Received:2019-04-04 Online:2019-08-22 Published:2019-08-26
  • Contact: Wei Wenbin, Email:weiwenbintr@163.com E-mail:weiwenbintr@163.com
  • Supported by:

    Beijing Municipal Administration of Hospitals’ Ascent Plan (DFL20150201);Science & Technology Project of Bering Municipal Science & Technology Commission (Z151100001615052);National Natural Science Foundation of China (81570891); Beijing Municipal Science and Technology Project (Z181100001818003)

摘要:

视网膜退行性病变如年龄相关性黄斑变性、视网膜色素变性、黄斑萎缩类疾病等作为一类全球性致盲疾病,在目前尚无特殊有效疗法。干细胞具有特殊的自我更新和多向分化的潜能,因此被考虑作为视网膜退行性病变的替代治疗方式。有望治疗视网膜退行性病变的干细胞包括胚胎干细胞、骨髓间充质干细胞、诱导多能干细胞等。不同类型的干细胞移植有各自的优缺点。干细胞分化的调控机制和体内外适宜的环境仍不明确、能否分化为特定种类的细胞、细胞功能能否表达完全、如何避免免疫排斥反应和致瘤风险等均是亟待解决的问题。

Abstract:

Although many of retinal diseases have been treated with appropriate treatments, as a group of global blinding disease, retinal degenerative diseases such as age-related macular degeneration, retinitis pigmentosa and macular atrophy diseases still have no special effective therapies. Stem cells are considered as an alternative treatment for retinal degenerative diseases because they have special self-renewal and multi-directional differentiation capabilities. Stem cells that are expected to treat retinal degenerative diseases include embryonic stem cells, bone marrow mesenchymal stem cells and induced pluripotent stem cells. These different types of stem cell transplantation have their own advantages and disadvantages, and have achieved certain positive effects. However, the regulation mechanism of stem cell differentiation and the appropriate in-vivo and in-vitro environment are still unclear, whether it can differentiate into specific types of cells, whether cell function can be completely expressed, how to avoid immune rejection and tumorigenicity are all urgent problems to be solved.