Restoration of visual function in advanced disease after transplantation of purified human pluripotent stem cell-derived cone photoreceptors.

Restoration of visual function in advanced disease after transplantation of purified human pluripotent stem cell-derived cone photoreceptors.
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DOI:
10.1016/j.celrep.2021.109022
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发表时间:
2021-04-20
期刊:
影响因子:
8.8
通讯作者:
Ali RR
Ali RR
中科院分区:
生物学1区
文献类型:
--
作者:
Ribeiro J;Procyk CA;West EL;O'Hara-Wright M;Martins MF;Khorasani MM;Hare A;Basche M;Fernando M;Goh D;Jumbo N;Rizzi M;Powell K;Tariq M;Michaelides M;Bainbridge JWB;Smith AJ;Pearson RA;Gonzalez-Cordero A;Ali RR

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Age-related macular degeneration and other macular diseases result in the loss of light-sensing cone photoreceptors, causing irreversible sight impairment. Photoreceptor replacement may restore vision by transplanting healthy cells, which must form new synaptic connections with the recipient retina. Despite recent advances, convincing evidence of functional connectivity arising from transplanted human cone photoreceptors in advanced retinal degeneration is lacking. Here, we show restoration of visual function after transplantation of purified human pluripotent stem cell-derived cones into a mouse model of advanced degeneration. Transplanted human cones elaborate nascent outer segments and make putative synapses with recipient murine bipolar cells (BCs), which themselves undergo significant remodeling. Electrophysiological and behavioral assessments demonstrate restoration of surprisingly complex light-evoked retinal ganglion cell responses and improved light-evoked behaviors in treated animals. Stringent controls exclude alternative explanations, including material transfer and neuroprotection. These data provide crucial validation for photoreceptor replacement therapy and for the potential to rescue cone-mediated vision. Rescue of cone-mediated function by transplantation of purified human cones Restoration of complex retinal responses and behavior in advanced degeneration Formation of human-murine putative synaptic connections Relevant controls exclude material transfer and trophic support Cone photoreceptor death and associated central vision loss are common to many retinal dystrophies. Ribeiro et al. show that transplantation of purified human pluripotent stem cell-derived cones into a mouse model of end-stage disease allows the formation of functional connections with the underlying retina and restores cone-mediated visual function.
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