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Culturing Conjunctival Cells from a Patient’s Own Stem Cells

February 24, 2017

Culturing Conjunctival Cells from a Patient’s Own Stem Cells: the Next Frontier in Pterygium Surgery

Our next goal is to grow a patient’s conjunctival cells from his or her own stem cells.
We hope to take a patient’s own stem cells from his or her buccal (inside the mouth) mucosa or serum (blood) to grow more cojnunctiva to be able to use this tissue to help them with the following conditions:
1. Limbal Stem Cell Deficiency
2. Steven Johnson’s Syndrome
3. Pterygium & Pterygium surgery
4. Pinguecula & Pinguecula surgery
5. Dry Eyes
6. Chemical burns
7. Trauma

Eventually I would like to grow stem cells to see if we can regrow Meibomian Glands which have proven to be vital in one not feeling one’s eyes daily.

Sandra Lora Cremers, MD, FACS

References:

Invest Ophthalmol Vis Sci. 2015 Feb 26;56(3):2021-30. doi: 10.1167/iovs.14-16266.

Human Conjunctival Stem Cells are Predominantly Located in the Medial Canthal and Inferior Forniceal Areas.

Stewart RM1, Sheridan CM2, Hiscott PS2, Czanner G3, Kaye SB1.

Author information

  • 1Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom St. Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom.
  • 2Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom.
  • 3Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom Department of Biostatistics, University of Liverpool, Liverpool, United Kingdom.

Abstract

PURPOSE:

The conjunctiva plays a key role in ocular surface defence and maintenance of the tear film. Ex vivo expansion of conjunctival epithelial cells offers potential to reconstruct the ocular surface in cases of severe cicatrising disease, but requires initial biopsies rich in stem cells to ensure long-term success. The distribution of human conjunctival stem cells, however, has not been clearly elucidated.

METHODS:

Whole human cadaveric conjunctiva was retrieved and divided into specific areas for comparison. From each donor, all areas from one specimen were cultured for colony-forming efficiency assays and immunocytochemical studies; all areas from the other specimen were fixed and paraffin embedded for immunohistochemical studies. Expression of CK19, p63, and stem cell markers ABCG2, ΔNp63, and Hsp70 were analyzed. Results were correlated to donor age and postmortem retrieval time.

RESULTS:

Conjunctiva was retrieved from 13 donors (26 specimens). Colony-forming efficiency and expression of stem cell markers ABCG2, ΔNp63, and Hsp70 in cultures and ABCG2 in fixed tissue were all consistently demonstrated throughout the tissue but with highest levels in the medial canthal and inferior forniceal areas (P < 0.01 for each). Both increasing donor age and longer postmortem retrieval times were associated with significantly lower colony-forming efficiency, stem cell marker expression in cell cultures and ABCG2 expression in fixed tissue.

CONCLUSIONS:

Biopsies from the medial canthus and inferior forniceal areas, from younger donors, and with short postmortem retrieval times offer the greatest potential to developing conjunctival stem cell-rich epithelial constructs for transplantation.
Copyright 2015 The Association for Research in Vision and Ophthalmology, Inc.

KEYWORDS:

conjunctiva; inferior fornix; medial canthus; progenitor cell; stem cell
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75.
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78.
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79.
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Successful reconstruction of damaged ocular outer surface in humans using limbal and conjuctival stem cell culture methods.
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Ocular surface reconstruction, amniotic membrane, and cultivated epithelial cells from the limbus.
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85.
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86.
Use of autologous cultured limbal and conjunctival epithelium in a patient with severe bilateral ocular surface disease induced by acid injury: a case report of unique application.
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87.
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102.
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