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:
Human Conjunctival Stem Cells are Predominantly Located in the Medial Canthal and Inferior Forniceal Areas.
1 Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom St. Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom.
2 Department of Eye and Vision Science, University of Liverpool, Liverpool, United Kingdom.
3 Department 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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https://www.ncbi.nlm.nih .gov/pubmed/17939121
(1)Foundation O.N.L.U.S. Stem Cells and Life, Pisa, Italy. We report on an in vitro organ culture method to investigate human conjunctival epithelial basal …
https://www.ncbi.nlm.nih .gov/pubmed/26344231
May 1, 2015 – Here we describe a simple protocol for the isolation and culture of mesenchymal stem cells (MSCs) from conjunctiva stromal tissue, with …
https://www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
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https://www.ncbi.nlm.nih .gov/pubmed/25722207
Feb 26, 2015 – Human Conjunctival Stem Cells are Predominantly Located in the Medial … of stem cell markers ABCG2, ΔNp63, and Hsp70 in cultures and …
https://stemcells .nih .gov/info/basics/3.htm
Growing cells in the laboratory is known as cell culture . Human embryonic stem cells (hESCs) are generated by transferring cells from a preimplantation-stage …
https://www.ncbi.nlm.nih .gov/pubmed/10330405
Corneal stem cells are segregated in the limbus, while conjunctival stem cells … Goblet cells were found in cultures of transient amplifying cells, suggesting that …
https://www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
Dec 11, 2015 – The location of the conjunctival epithelial stem cells has been investigated in several studies on mouse [15,16,17], rat [18,19], rabbit [20,21] and …
https://www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
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