英國有3000多個小孩生下來得到先天性視網膜萎縮症(Leber Congenital Amaurosis:LCA)造成視力喪失.UCL科學家目前在動物實驗成功的發現,患有LCA的老鼠植入帶有Crx基因的幹細胞於視網膜,能再生錐狀細胞(cone cell)和桿狀細胞(rod cell)並形成視覺接受器(photoreceptor)產生視力.這項研究已被發表在人類分子基因學期刊中(Human Molecular Genetics).
Visionary stem cell technique offers new potential to treat blindness
Scientists funded by the Medical Research Council (MRC) are pioneering a stem cell treatment to replace diseased parts of the retina, which could lead to a future treatment for retinal diseases that affect around 3,000 children in the UK.
The researchers from UCL Institute of Child Health and UCL Institute of Ophthalmology successfully implanted cells from healthy mice into mice with an inherited form of childhood blindness called Leber Congenital Amaurosis (LCA).
The implanted cells express a gene called Crx which is needed to make healthy cone and rod photoreceptors. The cells were able to integrate with the retina and become new cone photoreceptors. This is the first time this has been achieved. Further studies are needed to demonstrate whether it is possible to restore sight using this method.
Dr Jane Sowden from the UCL Institute of Child Health, who led the study, said:
“We have shown for the first time that it is possible to transplant new cone photoreceptors into the mature retina. The newly-developed cones looked as good as new. This is an important step forward as cone photoreceptors are essential for reading vision and for colour vision and loss of this type of cell has the biggest impact on sight.
“It may be possible to translate this success into treatments for humans. Recent research has shown that embryonic stem cells capable of self-renewal could provide an equivalent source of human cells that express the Crx ‘photoreceptor-creating’ gene and could be grown in the lab before being transplanted in the retina.”
Professor Robin Ali from UCL Institute of Ophthalmology, who co-led the study, said:
“We are now working to assess how much vision can be improved by photoreceptor cell transplantation and how effectively they can replace degenerating cells at different stages of disease. There is still a lot more basic research that needs to be carried out, but this is a very promising area that we hope will translate into a future treatment for patients who cannot see because their photoreceptors have degenerated.”
Investigating replacement and regeneration techniques that can help repair human tissue is a fundamental area of research for the MRC. Studies like this one, which was supported with around £2 million of MRC funding, aim to develop therapies to treat damaged tissue and overcome disease.
One in 3,000 people are affected by incurable genetically inherited retinal disease. LCA is the most severe form that causes blindness from birth or during the first few months of life and affects around 200,000 children worldwide. These diseases cause the light sensitive photoreceptor cells in the retina to die, leading to loss of sight.
‘Cone and rod photoreceptor transplantation in models of the childhood retinopathy Leber congenital amaurosis using flow-sorted Crx-positive donor cells’ is published in
Human Molecular Genetics today. The research was funded by the MRC, the Macula Vision Research Foundation and Fight for Sight.
