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      Derivation of Traceable and Transplantable Photoreceptors from Mouse Embryonic Stem Cells

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          Summary

          Retinal degenerative diseases resulting in the loss of photoreceptors are one of the major causes of blindness. Photoreceptor replacement therapy is a promising treatment because the transplantation of retina-derived photoreceptors can be applied now to different murine retinopathies to restore visual function. To have an unlimited source of photoreceptors, we derived a transgenic embryonic stem cell (ESC) line in which the Crx-GFP transgene is expressed in photoreceptors and assessed the capacity of a 3D culture protocol to produce integration-competent photoreceptors. This culture system allows the production of a large number of photoreceptors recapitulating the in vivo development. After transplantation, integrated cells showed the typical morphology of mature rods bearing external segments and ribbon synapses. We conclude that a 3D protocol coupled with ESCs provides a safe and renewable source of photoreceptors displaying a development and transplantation competence comparable to photoreceptors from age-matched retinas.

          Highlights

          • De novo isolation of Crx-GFP embryonic stem cell lines to trace photoreceptors

          • 3D culture system fine-tuning to generate many integration-competent photoreceptors

          • Revealing in-vitro- and in-vivo-developing retina similarities

          • Characterization of the most appropriate stage to transplant photoreceptors

          Abstract

          Photoreceptor replacement therapy is feasible because the transplantation of retina-derived photoreceptors can restore some visual functions of blind mice. To have an unlimited source of photoreceptors, Arsenijevic, Decembrini, and colleagues derived a specific ESC line to trace photoreceptors and established a 3D protocol to produce large amounts of integration-competent photoreceptors. Integrated cells develop active synapses, external segments, and make connections with the recipient retina.

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          Most cited references30

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          Modeling early retinal development with human embryonic and induced pluripotent stem cells.

          Human pluripotent stem cells have the potential to provide comprehensive model systems for the earliest stages of human ontogenesis. To serve in this capacity, these cells must undergo a targeted, stepwise differentiation process that follows a normal developmental timeline. Here we demonstrate the ability of both human embryonic stem cells (hESCs) and induced pluripotent stem (iPS) cells to meet these requirements for human retinogenesis. Upon differentiation, hESCs initially yielded a highly enriched population of early eye field cells. Thereafter, a subset of cells acquired features of advancing retinal differentiation in a sequence and time course that mimicked in vivo human retinal development. Application of this culture method to a human iPS cell line also generated retina-specific cell types at comparable times in vitro. Lastly, altering endogenous signaling during differentiation affected lineage-specific gene expression in a manner consistent with established mechanisms of early neural and retinal cell fate determination. These findings should aid in the investigation of the molecular events governing retinal specification from human pluripotent stem cells.
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            Transplantation of human embryonic stem cell-derived photoreceptors restores some visual function in Crx-deficient mice.

            Some of the most common causes of blindness involve the degeneration of photoreceptors in the neural retina; photoreceptor replacement therapy might restore some vision in these individuals. Embryonic stem cells (ESCs) could, in principle, provide a source of photoreceptors to repair the retina. We have previously shown that retinal progenitors can be efficiently derived from human ESCs. We now show that retinal cells derived from human ESCs will migrate into mouse retinas following intraocular injection, settle into the appropriate layers, and express markers for differentiated cells, including both rod and cone photoreceptor cells. After transplantation of the cells into the subretinal space of adult Crx(-/-) mice (a model of Leber's Congenital Amaurosis), the hESC-derived retinal cells differentiate into functional photoreceptors and restore light responses to the animals. These results demonstrate that hESCs can, in principle, be used for photoreceptor replacement therapies.
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              Photovoltaic Retinal Prosthesis with High Pixel Density

              Retinal degenerative diseases lead to blindness due to loss of the “image capturing” photoreceptors, while neurons in the “image processing” inner retinal layers are relatively well preserved. Electronic retinal prostheses seek to restore sight by electrically stimulating surviving neurons. Most implants are powered through inductive coils, requiring complex surgical methods to implant the coil-decoder-cable-array systems, which deliver energy to stimulating electrodes via intraocular cables. We present a photovoltaic subretinal prosthesis, in which silicon photodiodes in each pixel receive power and data directly through pulsed near-infrared illumination and electrically stimulate neurons. Stimulation was produced in normal and degenerate rat retinas, with pulse durations from 0.5 to 4 ms, and threshold peak irradiances from 0.2 to 10 mW/mm2, two orders of magnitude below the ocular safety limit. Neural responses were elicited by illuminating a single 70 μm bipolar pixel, demonstrating the possibility of a fully-integrated photovoltaic retinal prosthesis with high pixel density.
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                Author and article information

                Contributors
                Journal
                Stem Cell Reports
                Stem Cell Reports
                Stem Cell Reports
                Elsevier
                2213-6711
                22 May 2014
                22 May 2014
                03 June 2014
                : 2
                : 6
                : 853-865
                Affiliations
                [1 ]Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, FAA, Unit of Gene Therapy & Stem Cell Biology, Avenue de France 15, 1004 Lausanne, Switzerland
                [2 ]École Polytechnique Fédérale de Lausanne, Institut Suisse de Recherche Expérimentale sur le Cancer, 1015 Lausanne, Switzerland
                [3 ]Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, FAA, Eye Pathology Laboratory, Avenue de France 15, 1004 Lausanne, Switzerland
                Author notes
                []Corresponding author sarah.decembrini@ 123456fa2.ch
                [∗∗ ]Corresponding author yvan.arsenijevic@ 123456fa2.ch
                Article
                S2213-6711(14)00117-9
                10.1016/j.stemcr.2014.04.010
                4050344
                24936471
                d62fb8eb-63c2-4410-81f2-22ce7b0c40fa
                © 2014 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

                History
                : 6 September 2013
                : 15 April 2014
                : 16 April 2014
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