Treating blindness with stem cell therapy

Stem cell-derived retinal cells can now be used to treat age-related macular degeneration (AMD). These advances have been made my a team of scientists led by a person of Indian origin.

Findings

• Tiny tube-like protrusions called primary cilia on cells of the retinal pigment epithelium (RPE) — a layer of cells in the back of the eye — are essential for the survival of the retina's light-sensing photoreceptors.
• This may help scientists to use induced-pluripotent stem cells to create adult RPE for transplants to treat patients with geographic atrophy, otherwise known as dry AMD.

"We now have a better idea about how to generate and replace RPE cells, which appear to be among the first type of cells to stop working properly in AMD," said lead researcher Kapil Bharti, Stadtman Investigator at the National Eye Institute (NEI), part of the National Institutes of Health.

How they go about it

• In geographic atrophy, RPE cells die, which causes photoreceptors to degenerate, leading to vision loss.
• The team hopes to halt the degeneration and reverse the progression of geographic atrophy, by replacing diseased the RPE with lab-made RPE.
• The team tested three drugs known to modulate the growth of primary cilia on stem cells-derived RPE.
• However, these RPE cells have a tendency to get developmentally stuck.
• The cells frequently fail to mature into functional RPE capable of supporting photoreceptors. In cases where they do mature, however, RPE maturation coincides with the emergence of primary cilia on the induced-pluripotent stem cells-RPE cells.
• They found that the two drugs known to enhance cilia growth significantly improved the structural and functional maturation of the RPE stem cells, while the cells exposed to the third drug, demonstrated severely disrupted structure and functionality.

The results have been incorporated into the group's protocol for making clinical-grade RPE stem cells, Bharti said.

The study was published in journal Cell Reports. (IANS)