The prospect of reversing blindness has made a significant leap, according to scientists in the UK. An
animal study in the journal Nature Biotechnology showed the part of the
eye which actually detects light can be repaired using stem cells.The team at
Moorfields Eye Hospital and University College London say human trials
are now, for the first time, a realistic prospect.Experts described it as a “significant breakthrough” and “huge leap” forward.Photoreceptors
are the cells in the retina which react to light and convert it into an
electrical signal which can be sent to the brain.However, these cells can die off in some causes of blindness such as Stargardt’s disease and age-related macular degeneration.There are
already trials in people to use stem cells to replace the “support”
cells in the eye which keep the photoreceptors alive.Blind mice.Now the
London-based team have shown it is possible to replace the light-sensing
cells themselves, raising the prospect of reversing blindness.They have used
a new technique for building retinas in the laboratory. It was used to
collect thousands of stem cells, which were primed to transform into
photoreceptors, and injected them into the eyes of blind mice.The study showed that these cells could hook up with the existing architecture of the eye and begin to function.However, the
effectiveness is still low. Only about 1,000 cells out of a transplant
of 200,000 actually hooked up with the rest of the eye.Lead
researcher Prof Robin Ali said: “This is a real proof of concept that
photoreceptors can be transplanted from an embryonic stem cells source
and it give us a route map to now do this in humans.
“That’s why we’re so excited, five years is a now a realistic aim for starting a clinical trial.”
Rods and cones Rods, blue, and cones, blue-green, detect light and create electrical signals which are sent to the brain.The eye is one of the most advanced fields for stem cell research.
It is
relatively simple as the light sensing cells only have to pass their
electrical message on to one more cell in order to get their message to
the brain, unlike an attempt to reverse dementia which would require
cells to hook up with far more cells all across the brain.The immune
system is also very weak in the eye so there is a low chance of the
transplant being rejected. A few cells can also make a big difference in
the eye.
Tens of
thousands of stem cells in the eye could improve vision, but that number
of stem cells would not regenerate a much larger organ such as a
failing liver.
Prof Chris
Mason, from University College London, told the BBC: “I think they have
made a major step forward here, but the efficiency is still too low for
clinical uses.
“At the moment
the numbers of tiny and it will take quite a bit of work to get the
numbers up and then the next question is “Can you do it in man?”
“But I think
it is a significant breakthrough which may lead to cell therapies and
will give a much expanded knowledge on how to cure blindness.”
Dr Marcelo
Rivolta, from the University of Sheffield, said the study was a “huge
leap” forward for treating blindness and could have implications across
stem cell research.BBC
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