Corneal limbal stem cells: morphological and pathogenetic aspects

Authors

DOI:

https://doi.org/10.26641/1997-9665.2023.4.84-89

Keywords:

eye, cornea, stem cells, corneal limbal insufficiency.

Abstract

The creation of the concept of corneal limbal stem cells (SCs) significantly advanced ophthalmological researchers in understanding the processes of proliferation, migration and regeneration of the corneal epithelium, which made a direct contribution to improving the treatment of a wide range of diseases of the eye surface. However, from the point of view of the application of limbal SCs in clinical practice, many questions remain unresolved, the most important of which are the long-term survival of limbal allografts and their rejection, as well as the improvement of immunosuppressive treatment regimens. Limbal SCs are functionally defined as cells that are capable of self-renewal and organization of a permanent population of identical daughter cells with the same unlimited potential for proliferation and formation of any body tissue. Since the discovery that epithelial SCs are located in the cornea, the treatment of ophthalmic diseases has reached a high level: new promising diagnostic and therapeutic methods have appeared. The potential clinical benefit of SCs lies in the ability to replace damaged cells with healthy ones that are generated from them or arise as a result of their paracrine effect and are able to maintain the tissue microenvironment or recruit endogenous factors from circulating progenitor cells to repair damaged eye cells. Stem cells are widely used in clinical practice: their effectiveness has been proven in the treatment of a wide range of diseases. The problem of finding new effective pathogenetically based methods, the use of which will allow to reduce the number of complications, shorten the time of providing medical care and achieve positive results, remains relevant.

References

  1. Attico E, Galaverni G, Pellegrini G. Clinical Studies of COMET for Total LSCD: A Review of the Methods and Molecular Markers for Follow-Up Characterizations. Curr. Ophthalmol. Rep. 2021;9:25–37. doi: 10.1007/s40135-020-00263-9.
  2. Chiavelli C, Attico E, Sceberras V, Fantacci M, Melonari M, Pellegrini G. Encyclopedia of Tissue Engineering and Regenerative Medicine. Volume 2. Amsterdam, The Netherlands: Elsevier; 2019. 578 p.
  3. Adamo D, Attico E, Pellegrini G. Education for the translation of Advanced Therapy Medicinal Products. Front. Med. 2023;10:658. doi: 10.3389/fmed.2023.1125892.
  4. Osei-Bempong C, Figueiredo FC, Lako M. The limbal epithelium of the eye – a review of limbal stem cell biology, disease and treatment. BioEssays. 2013;35:211–9.
  5. Lagali N, Wowra B, Fries FN, Latta L, Moslemani K, Utheim TP, Wylegala E, Seitz B, Käsmann-Kellner B. Early phenotypic features of aniridia-associated keratopathy and association with PAX6 coding mutations. Ocul. Surf. 2020;18:130–40. doi: 10.1016/j.jtos.2019.11.002.
  6. Dua HS, Azuara-Blanco A. Limbal stem cells of the corneal epithelium. Surv Ophthalmol. 2000;44(5):415–25.
  7. Maurizi E, Adamo D, Magrelli FM, Galaverni G, Attico E, Merra A, Maffezzoni MBR, Losi L, Genna VG, Sceberras V. Regenerative Medicine of Epithelia: Lessons from the Past and Future Goals. Front. Bioeng. Biotechnol. 2021;9:652214. doi: 10.3389/fbioe.2021.652214.
  8. Latta L, Figueiredo FC, Ashery-Padan R, Collinson JM, Daniels J, Ferrari S, Szentmáry N, Solá S, Shalom-Feuerstein R, Lako M. Pathophysiology of aniridia-associated keratopathy: Developmental aspects and unanswered questions. Ocul. Surf. 2021;22:245–66. doi: 10.1016/j.jtos.2021.09.001.
  9. Enzo E, Cattaneo C, Consiglio F, Polito MP, Bondanza S, De Luca M. Clonal analysis of human clonogenic keratinocytes. Methods Cell Biol. 2022;170:101–16. doi: 10.1016/bs.mcb.2022.02.009.
  10. Ahmad S. Concise review: limbal stem cell deficiency, dysfunction, and distress. Stem Cells Transl Med. 2012;1(2):110– 15.
  11. Nicholas MP, Mysore N. Corneal neovascularization. Exp. Eye Res. 2021;202:108363. doi: 10.1016/j.exer.2020.108363.
  12. Yu W, Sun Z, Sweat Y, Sweat M, Venugopalan SR, Eliason S, Cao H, Paine M.L, Amendt BA. Pitx2-Sox2-Lef-1 interactions specify progenitor oral/dental epithelial cell signaling centers. Development. 2020;147:186023. doi: 10.1242/dev.186023.
  13. Deng SX, Borderie V, Chan CC, Dana R, Figueiredo FC, Gomes JAP, Pellegrini G, Shimmura S, Kruse FE. Global Consensus on Definition, Classification, Diagnosis, and Staging of Limbal Stem Cell Deficiency. Cornea. 2019;38:364–75. doi: 10.1097/ICO.0000000000001820.
  14. Attico E, Sceberras V, Pellegrini G. Approaches for Effective Clinical Application of Stem Cell Transplantation. Curr. Transplant. Rep. 2018;5:244–50. doi: 10.1007/s40472-018-0202-0.
  15. Li Y, Inoue T, Takamatsu F. Differences between niche cells and limbal stromal cells in maintenance of corneal limbal stem cells. Invest Ophthalmol Vis Sci. 2014;55:1453–62.
  16. Park SH, Kim KW, Chun YS, Kim YC. Human mesenchymal stem cells differentiate into keratocyte-like cells in keratocyte-conditioned medium. Exp Eye Res.2012;101:16–26.
  17. Kalabusheva EP, Shtompel AS, Rippa AL, Ulianov SV, Razin SV, Vorotelyak EA. A Kaleidoscope of Keratin Gene Expression and the Mosaic of Its Regulatory Mechanisms. Int. J. Mol. Sci. 2023;24:5603. doi: 10.3390/ijms24065603.
  18. Lovatt M, Yam GHF, Peh GS, Colman A, Dunn NR, Mehta JS. Directed differentiation of periocular mesenchyme from human embryonic stem cells. Differentiation. 2018;99:62–9. doi: 10.1016/j.diff.2017.11.003.
  19. Tibbetts MD, Samuel MA, Chang TS. Stem cell therapy for retinal disease. Curr Opin Ophthalmol. 2012;23:226–34.
  20. Linda E, Frank AE, Giuseppe G. Cell death independent of caspases: a review. Clin Cancer Res. 2005;11:3155–62.
  21. Agrawal R, Iyer J, Connolly J. Cytokines and Biologics in non-infectious autoimmune uveitis: Bench to Bedside. Indian J Ophthalmol. 2014;62(1):74–81.
  22. Horai R, Caspi.RR. Cytokines in autoimmune uveitis. J. Interferon Cytokine Res. 2011;31(10):734–44.
  23. Anshu A, Price M, Price F. Risk of corneal transplant rejection significantly reduced with Descemet's membrane endothelial keratoplasty. Ophthalmology. 2012;19(3):536–40.
  24. Baradaran-Rafii A, Eslani M, Tseng SC. Sulfur mustard-induced ocular surface disorders. Ocul Surf. 2011;9:163–78.
  25. Mesquida M, Leszczynska A, Llorenç V, Adán A. Interleukin-6 blockade in ocular inflammatory diseases. Clin Exp Immunol. 2014;176(3):301–9.

Published

2024-01-15

How to Cite

Tverdokhlib , I., Servetnyk , M., Dudash , A., & Fik , V. (2024). Corneal limbal stem cells: morphological and pathogenetic aspects. Морфологія / Morphologia / Morfologìâ, 17(4), 84–89. https://doi.org/10.26641/1997-9665.2023.4.84-89

Issue

Section

Статті