Where Are We with RPE Replacement Therapy? A Translational Review from the Ophthalmologist Perspective

Int J Mol Sci. 2022 Jan 8;23(2):682. doi: 10.3390/ijms23020682.

Abstract

The retinal pigmented epithelium (RPE) plays a pivotal role in retinal homeostasis. It is therefore an interesting target to fill the unmet medical need of different retinal diseases, including age-related macular degeneration and Stargardt disease. RPE replacement therapy may use different cellular sources: induced pluripotent stem cells or embryonic stem cells. Cells can be transferred as suspension on a patch with different surgical approaches. Results are promising although based on very limited samples. In this review, we summarize the current progress of RPE replacement and provide a comparative assessment of different published approaches which may become standard of care in the future.

Keywords: Stargardt disease; age related macular degeneration; embryonic stem cells; induced pluripotent stem cells; replacement; retinal pigmented epithelium.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Humans
  • Macular Degeneration / therapy
  • Ophthalmologists*
  • Retinal Pigment Epithelium / pathology*
  • Stargardt Disease / therapy
  • Translational Research, Biomedical*