眼科 ›› 2025, Vol. 34 ›› Issue (3): 169-179.doi: 10.13281/j.cnki.issn.1004-4469.2025.03.001

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眼科再生医学新阶段

张昌军  金子兵
  

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所,北京 100730
  • 收稿日期:2025-04-20 出版日期:2025-05-25 发布日期:2025-05-25
  • 通讯作者: 金子兵,Email: jinzb502@ccmu.edu.cn
  • 基金资助:
    国家自然科学基金杰出青年科学基金(82125007);国家自然科学基金重大研究计划(92368206)

New era in ophthalmic regenerative medicine

Zhang Changjun, Jin Zibing    

  1. Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China

  • Received:2025-04-20 Online:2025-05-25 Published:2025-05-25
  • Contact: Jin Zibing, Email: jinzb502@ccmu.edu.cn
  • Supported by:
    National Natural Science Foudation for Distinguished Young Scholars (82125007); Major Research Program of the National Natural Science Foudation (92368206)

摘要: 眼科再生医学高度依赖干细胞和基因治疗技术的发展。我国首张干细胞《药品生产许可证》的颁发标志着国内该领域进入产业化新阶段。本文分析了四类重大致盲性眼病(角膜病、晶状体病、青光眼及视网膜视神经疾病)的病理特点、现有临床治疗方案的局限性及干细胞和基因新兴疗法的研究现状。未来需突破的技术瓶颈主要是移植细胞存活率低、基因载体容量限制等问题,应通过多组学整合、跨界融合等手段加快临床转化。预计至2030年,治疗模式有望从“延缓失明”转向“视觉增强”,实现“所见即所得”的终极目标。(眼科,2025,34: 169-179)

关键词: 致盲性眼病, 干细胞治疗, 基因治疗, 再生医学, 临床转化

Abstract: Ophthalmic regenerative medicine is critically reliant on advancements in stem cell and gene therapy technologies. Following the issuance of China's first production license for a stem cell drug, this field has transitioned into a new phase of industrialization. This paper analyzes the pathological features of four major blinding eye diseases (corneal, lens, glaucoma, and retinal/optic nerve diseases), the limitations of current clinical treatment protocols, and the research progress of stem cell and gene therapies. It highlights that future technical challenges to address include improving the survival rate of transplanted cells and overcoming the capacity limitations of gene vectors. By 2030, it is anticipated that the treatment paradigm will evolve from "delaying blindness" to "visual enhancement", ultimately achieving the goal of "what you see is what you get". (Ophthalmol CHN, 2025, 34: 169-179)

Key words:  blinding eye diseases, stem cell therapy, gene therapy, regenerative medicine, clinical translation