Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders

The ocular surface is the outermost part of the visual system that faces many extrinsic or intrinsic threats, such as chemical burn, infectious pathogens, thermal injury, Stevens–Johnson syndrome, ocular pemphegoid, and other autoimmune diseases. The cornea plays an important role in conducting ligh...

Full description

Bibliographic Details
Main Authors: Chih-Chien Hsu, Chi-Hsien Peng, Kuo-Hsuan Hung, Yi-Yen Lee, Tai-Chi Lin, Shih-Fan Jang, Jorn-Hon Liu, Yan-Ting Chen, Lin-Chung Woung, Chien-Ying Wang, Ching-Yao Tsa, Shih-Hwa Chiou, Shih-Jen Chen, Yuh-Lih Chang Ph.D.
Format: Article
Language:English
Published: SAGE Publishing 2015-10-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368914X685744
_version_ 1818533119486066688
author Chih-Chien Hsu
Chi-Hsien Peng
Kuo-Hsuan Hung
Yi-Yen Lee
Tai-Chi Lin
Shih-Fan Jang
Jorn-Hon Liu
Yan-Ting Chen
Lin-Chung Woung
Chien-Ying Wang
Ching-Yao Tsa
Shih-Hwa Chiou
Shih-Jen Chen
Yuh-Lih Chang Ph.D.
author_facet Chih-Chien Hsu
Chi-Hsien Peng
Kuo-Hsuan Hung
Yi-Yen Lee
Tai-Chi Lin
Shih-Fan Jang
Jorn-Hon Liu
Yan-Ting Chen
Lin-Chung Woung
Chien-Ying Wang
Ching-Yao Tsa
Shih-Hwa Chiou
Shih-Jen Chen
Yuh-Lih Chang Ph.D.
author_sort Chih-Chien Hsu
collection DOAJ
description The ocular surface is the outermost part of the visual system that faces many extrinsic or intrinsic threats, such as chemical burn, infectious pathogens, thermal injury, Stevens–Johnson syndrome, ocular pemphegoid, and other autoimmune diseases. The cornea plays an important role in conducting light into the eyes and protecting intraocular structures. Several ocular surface diseases will lead to the neovascularization or conjunctivalization of corneal epithelium, leaving opacified optical media. It is believed that some corneal limbal cells may present stem cell-like properties and are capable of regenerating corneal epithelium. Therefore, cultivation of limbal cells and reconstruction of the ocular surface with these limbal cell grafts have attracted tremendous interest in the past few years. Currently, stem cells are found to potentiate regenerative medicine by their capability of differentiation into multiple lineage cells. Among these, the most common cell sources for clinical use are embryonic, adult, and induced stem cells. Different stem cells have varied specific advantages and limitations for in vivo and in vitro expansion. Other than ocular surface diseases, culture and transplantation of corneal endothelial cells is another major issue for corneal decompensation and awaits further studies to find out comprehensive solutions dealing with nonregenerative corneal endothelium. Recently, studies of in vitro endothelium culture and ρ-associated kinase (ROCK) inhibitor have gained encouraging results. Some clinical trials have already been finished and achieved remarkable vision recovery. Finally, nanotechnology has shown great improvement in ocular drug delivery systems during the past two decades. Strategies to reconstruct the ocular surface could combine with nanoparticles to facilitate wound healing, drug delivery, and even neovascularization inhibition. In this review article, we summarized the major advances of corneal limbal stem cells, limbal stem cell deficiency, corneal endothelial cell culture/transplantation, and application of nanotechnology on ocular surface reconstruction. We also illustrated potential applications of current knowledge for the future treatment of ocular surface diseases.
first_indexed 2024-12-11T17:54:28Z
format Article
id doaj.art-63cb328275de473d9641749ee8483768
institution Directory Open Access Journal
issn 0963-6897
1555-3892
language English
last_indexed 2024-12-11T17:54:28Z
publishDate 2015-10-01
publisher SAGE Publishing
record_format Article
series Cell Transplantation
spelling doaj.art-63cb328275de473d9641749ee84837682022-12-22T00:56:07ZengSAGE PublishingCell Transplantation0963-68971555-38922015-10-012410.3727/096368914X685744Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal DisordersChih-Chien Hsu0Chi-Hsien Peng1Kuo-Hsuan Hung2Yi-Yen Lee3Tai-Chi Lin4Shih-Fan Jang5Jorn-Hon Liu6Yan-Ting Chen7Lin-Chung Woung8Chien-Ying Wang9Ching-Yao Tsa10Shih-Hwa Chiou11Shih-Jen Chen12Yuh-Lih Chang Ph.D.13Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROCDepartment of Ophthalmology, Shin Kong Wu Ho-Su Memorial Hospital and Fu-Jen Catholic University, Taipei, Taiwan, ROCSchool of Medicine, National Yang-Ming University, Taipei, Taiwan, ROCDepartment of Medical Research and Education, Taipei Veterans General Hospital, Taipei, Taiwan, ROCInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan, ROCInstitute of Pharmacology, National Yang-Ming University, Taipei, Taiwan, ROCDepartment of Ophthalmology, Cheng-Hsin Hospital, Taipei, Taiwan, ROCDepartment of Optometrics, Central Taiwan University of Science and Technology, Changhua, Taiwan, ROCDepartment of Ophthalmology, Taipei City Hospital, Taipei, Taiwan, ROCInstitute of Pharmacology, National Yang-Ming University, Taipei, Taiwan, ROCDepartment of Ophthalmology, Taipei City Hospital, Taipei, Taiwan, ROCInstitute of Pharmacology, National Yang-Ming University, Taipei, Taiwan, ROCSchool of Medicine, National Yang-Ming University, Taipei, Taiwan, ROCInstitute of Pharmacology, National Yang-Ming University, Taipei, Taiwan, ROCThe ocular surface is the outermost part of the visual system that faces many extrinsic or intrinsic threats, such as chemical burn, infectious pathogens, thermal injury, Stevens–Johnson syndrome, ocular pemphegoid, and other autoimmune diseases. The cornea plays an important role in conducting light into the eyes and protecting intraocular structures. Several ocular surface diseases will lead to the neovascularization or conjunctivalization of corneal epithelium, leaving opacified optical media. It is believed that some corneal limbal cells may present stem cell-like properties and are capable of regenerating corneal epithelium. Therefore, cultivation of limbal cells and reconstruction of the ocular surface with these limbal cell grafts have attracted tremendous interest in the past few years. Currently, stem cells are found to potentiate regenerative medicine by their capability of differentiation into multiple lineage cells. Among these, the most common cell sources for clinical use are embryonic, adult, and induced stem cells. Different stem cells have varied specific advantages and limitations for in vivo and in vitro expansion. Other than ocular surface diseases, culture and transplantation of corneal endothelial cells is another major issue for corneal decompensation and awaits further studies to find out comprehensive solutions dealing with nonregenerative corneal endothelium. Recently, studies of in vitro endothelium culture and ρ-associated kinase (ROCK) inhibitor have gained encouraging results. Some clinical trials have already been finished and achieved remarkable vision recovery. Finally, nanotechnology has shown great improvement in ocular drug delivery systems during the past two decades. Strategies to reconstruct the ocular surface could combine with nanoparticles to facilitate wound healing, drug delivery, and even neovascularization inhibition. In this review article, we summarized the major advances of corneal limbal stem cells, limbal stem cell deficiency, corneal endothelial cell culture/transplantation, and application of nanotechnology on ocular surface reconstruction. We also illustrated potential applications of current knowledge for the future treatment of ocular surface diseases.https://doi.org/10.3727/096368914X685744
spellingShingle Chih-Chien Hsu
Chi-Hsien Peng
Kuo-Hsuan Hung
Yi-Yen Lee
Tai-Chi Lin
Shih-Fan Jang
Jorn-Hon Liu
Yan-Ting Chen
Lin-Chung Woung
Chien-Ying Wang
Ching-Yao Tsa
Shih-Hwa Chiou
Shih-Jen Chen
Yuh-Lih Chang Ph.D.
Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
Cell Transplantation
title Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
title_full Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
title_fullStr Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
title_full_unstemmed Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
title_short Stem Cell Therapy for Corneal Regeneration Medicine and Contemporary Nanomedicine for Corneal Disorders
title_sort stem cell therapy for corneal regeneration medicine and contemporary nanomedicine for corneal disorders
url https://doi.org/10.3727/096368914X685744
work_keys_str_mv AT chihchienhsu stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT chihsienpeng stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT kuohsuanhung stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT yiyenlee stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT taichilin stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT shihfanjang stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT jornhonliu stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT yantingchen stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT linchungwoung stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT chienyingwang stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT chingyaotsa stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT shihhwachiou stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT shihjenchen stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders
AT yuhlihchangphd stemcelltherapyforcornealregenerationmedicineandcontemporarynanomedicineforcornealdisorders