Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases

The corneal functions (transparency, refractivity and mechanical strength) deteriorate in many corneal diseases but can be restored after corneal transplantation (penetrating and lamellar keratoplasties). However, the global shortage of transplantable donor corneas remains significant and patients a...

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Main Authors: Hassan Mansoor, Hon Shing Ong, Andri K. Riau, Tisha P. Stanzel, Jodhbir S. Mehta, Gary Hin-Fai Yam
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/20/12/2853
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author Hassan Mansoor
Hon Shing Ong
Andri K. Riau
Tisha P. Stanzel
Jodhbir S. Mehta
Gary Hin-Fai Yam
author_facet Hassan Mansoor
Hon Shing Ong
Andri K. Riau
Tisha P. Stanzel
Jodhbir S. Mehta
Gary Hin-Fai Yam
author_sort Hassan Mansoor
collection DOAJ
description The corneal functions (transparency, refractivity and mechanical strength) deteriorate in many corneal diseases but can be restored after corneal transplantation (penetrating and lamellar keratoplasties). However, the global shortage of transplantable donor corneas remains significant and patients are subject to life-long risk of immune response and graft rejection. Various studies have shown the differentiation of multipotent mesenchymal stem cells (MSCs) into various corneal cell types. With the unique properties of immunomodulation, anti-angiogenesis and anti-inflammation, they offer the advantages in corneal reconstruction. These effects are widely mediated by MSC differentiation and paracrine signaling via exosomes. Besides the cell-free nature of exosomes in circumventing the problems of cell-fate control and tumorigenesis, the vesicle content can be genetically modified for optimal therapeutic affinity. The pharmacology and toxicology, xeno-free processing with sustained delivery, scale-up production in compliant to Good Manufacturing Practice regulations, and cost-effectiveness are the current foci of research. Routes of administration via injection, topical and/or engineered bioscaffolds are also explored for its applicability in treating corneal diseases.
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spelling doaj.art-db0ef838dd7147d49a361ae3ecabe2352022-12-22T02:51:10ZengMDPI AGInternational Journal of Molecular Sciences1422-00672019-06-012012285310.3390/ijms20122853ijms20122853Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal DiseasesHassan Mansoor0Hon Shing Ong1Andri K. Riau2Tisha P. Stanzel3Jodhbir S. Mehta4Gary Hin-Fai Yam5Tissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeTissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeTissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeTissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeTissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeTissue Engineering and Stem Cell group, Singapore Eye Research Institute (SERI), Singapore 169856, SingaporeThe corneal functions (transparency, refractivity and mechanical strength) deteriorate in many corneal diseases but can be restored after corneal transplantation (penetrating and lamellar keratoplasties). However, the global shortage of transplantable donor corneas remains significant and patients are subject to life-long risk of immune response and graft rejection. Various studies have shown the differentiation of multipotent mesenchymal stem cells (MSCs) into various corneal cell types. With the unique properties of immunomodulation, anti-angiogenesis and anti-inflammation, they offer the advantages in corneal reconstruction. These effects are widely mediated by MSC differentiation and paracrine signaling via exosomes. Besides the cell-free nature of exosomes in circumventing the problems of cell-fate control and tumorigenesis, the vesicle content can be genetically modified for optimal therapeutic affinity. The pharmacology and toxicology, xeno-free processing with sustained delivery, scale-up production in compliant to Good Manufacturing Practice regulations, and cost-effectiveness are the current foci of research. Routes of administration via injection, topical and/or engineered bioscaffolds are also explored for its applicability in treating corneal diseases.https://www.mdpi.com/1422-0067/20/12/2853mesenchymal stem cellsexosomesinflammationangiogenesisimmunomodulationcorneal regeneration
spellingShingle Hassan Mansoor
Hon Shing Ong
Andri K. Riau
Tisha P. Stanzel
Jodhbir S. Mehta
Gary Hin-Fai Yam
Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
International Journal of Molecular Sciences
mesenchymal stem cells
exosomes
inflammation
angiogenesis
immunomodulation
corneal regeneration
title Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
title_full Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
title_fullStr Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
title_full_unstemmed Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
title_short Current Trends and Future Perspective of Mesenchymal Stem Cells and Exosomes in Corneal Diseases
title_sort current trends and future perspective of mesenchymal stem cells and exosomes in corneal diseases
topic mesenchymal stem cells
exosomes
inflammation
angiogenesis
immunomodulation
corneal regeneration
url https://www.mdpi.com/1422-0067/20/12/2853
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