Stem cell–based therapy for corneal epithelial reconstruction: present and future

Abstract Limbal stem cell deficiency is a painful and potentially blinding disease. Cultured limbal epithelial transplantation (CLET) is frequently performed for corneal surface reconstruction with variable clinical success. This work summarizes recent developments and trends that have the potential...

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Veröffentlicht in:Canadian journal of ophthalmology 2013-02, Vol.48 (1), p.13-21
Hauptverfasser: Menzel-Severing, Johannes, MD, MSc, Kruse, Friedrich E., MD, Schlötzer-Schrehardt, Ursula, PhD
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container_issue 1
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container_title Canadian journal of ophthalmology
container_volume 48
creator Menzel-Severing, Johannes, MD, MSc
Kruse, Friedrich E., MD
Schlötzer-Schrehardt, Ursula, PhD
description Abstract Limbal stem cell deficiency is a painful and potentially blinding disease. Cultured limbal epithelial transplantation (CLET) is frequently performed for corneal surface reconstruction with variable clinical success. This work summarizes recent developments and trends that have the potential to increase safety and efficacy of CLET in the future. Apart from gradual transition to xenobiotic-free culture systems, novel biofunctional scaffolds presenting components of stem cell microenvironments aim at promoting long-term maintenance of stem cells in vitro and after transplantation. Hair follicles and other tissues may serve as autologous sources of adult stem cells in bilateral ocular surface disease. However, despite all progress made in the fields of tissue engineering and cell therapy, it is unlikely that CLET will yield fully satisfactory clinical results until the factors that govern limbal stem cell maintenance and differentiation are identified.
doi_str_mv 10.1016/j.jcjo.2012.11.009
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subjects Cell- and Tissue-Based Therapy
Cells, Cultured
Corneal Diseases - therapy
Epithelium, Corneal - pathology
Epithelium, Corneal - transplantation
Humans
Internal Medicine
Limbus Corneae - cytology
Ophthalmology
Reconstructive Surgical Procedures
Stem Cell Transplantation
Tissue Engineering
title Stem cell–based therapy for corneal epithelial reconstruction: present and future
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