Gene and Induced Pluripotent Stem Cell Therapy for Retinal Diseases

Annu Rev Genomics Hum Genet. 2019 Aug 31:20:201-216. doi: 10.1146/annurev-genom-083118-015043. Epub 2019 Apr 24.

Abstract

Given the importance of visual information to many daily activities, retinal degenerative diseases-which include both inherited conditions (such as retinitis pigmentosa) and acquired conditions (such as age-related macular degeneration)-can have a dramatic impact on human lives. The therapeutic options for these diseases remain limited. Since the discovery of the first causal gene for retinitis pigmentosa almost three decades ago, more than 250 genes have been identified, and gene therapies have been rapidly developed. Simultaneously, stem cell technologies such as induced pluripotent stem cell-based transplantation have advanced and have been applied to the treatment of retinal degenerative diseases. Here, we review recent progress in these expanding fields and discuss the potential for precision medicine in ophthalmic care.

Keywords: age-related macular degeneration; cell therapy; gene therapy; iPSC; retinitis pigmentosa.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cell- and Tissue-Based Therapy / methods*
  • Clinical Trials as Topic
  • Eye Proteins / genetics*
  • Eye Proteins / metabolism
  • Gene Editing / methods
  • Gene Expression
  • Genetic Predisposition to Disease
  • Genetic Therapy / methods*
  • Humans
  • Induced Pluripotent Stem Cells / cytology
  • Induced Pluripotent Stem Cells / metabolism
  • Induced Pluripotent Stem Cells / transplantation
  • Macular Degeneration / genetics
  • Macular Degeneration / metabolism
  • Macular Degeneration / pathology
  • Macular Degeneration / therapy*
  • Mutation
  • Optogenetics / methods
  • Precision Medicine / methods
  • Retinal Pigment Epithelium / metabolism
  • Retinal Pigment Epithelium / pathology
  • Retinal Pigment Epithelium / transplantation
  • Retinitis Pigmentosa / genetics
  • Retinitis Pigmentosa / metabolism
  • Retinitis Pigmentosa / pathology
  • Retinitis Pigmentosa / therapy*
  • Stem Cell Transplantation / methods*

Substances

  • Eye Proteins