Generic placeholder image

Current Stem Cell Research & Therapy

Editor-in-Chief

ISSN (Print): 1574-888X
ISSN (Online): 2212-3946

Cornea and Ocular Surface Treatment

Author(s): Maria P. De Miguel, Jorge L. Alio, Francisco Arnalich-Montiel, Sherezade Fuentes-Julian, Laura de Benito-Llopis, Francisco Amparo and Laurent Bataille

Volume 5, Issue 2, 2010

Page: [195 - 204] Pages: 10

DOI: 10.2174/157488810791268663

Price: $65

Abstract

In addition to being a protective shield, the cornea represents two thirds of the eyes refractive power. Corneal pathology can affect one or all of the corneal layers, producing corneal opacity. Although full corneal thickness keratoplasty has been the standard procedure, the ideal strategy would be to replace only the damaged layer. Current difficulties in corneal transplantation, mainly immune rejection and shortage of organ supply, place more emphasis on the development of artificial corneas. Bioengineered corneas range from prosthetic devices that solely address the replacement of the corneal function, to tissue-engineered hydrogels that allow regeneration of the tissue. Recently, major advances in the biology of corneal stem cells have been achieved. However, the therapeutic use of these stem cell types has the disadvantage of needing an intact stem cell compartment, which is usually damaged. In addition, long ex vivo culture is needed to generate enough cell numbers for transplantation. In the near future, combination of advanced biomaterials with cells from abundant outer sources will allow advances in the field. For the former, magnetically aligned collagen is one of the most promising ones. For the latter, different cell types will be optimal: 1) for epithelial replacement: oral mucosal epithelium, ear epidermis, or bone marrow- mesenchymal stem cells, 2) for stromal regeneration: adipose-derived stem cells and 3) for endothelial replacement, the possibility of in vitro directed differentiation of adipose-derived stem cells towards endothelial cells provides an exciting new approach.

Keywords: Cell therapy, ophthalmology, cornea, stem cells, ocular surface


Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy