Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats

Retinal pigment epithelium (RPE) replacement therapy is evolving as a feasible approach to treat age-related macular degeneration (AMD). In many preclinical studies, RPE cells are transplanted as a cell suspension into immunosuppressed animal eyes and transplant effects have been monitored only shor...

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Autores principales: Deepthi S. Rajendran Nair, Danhong Zhu, Ruchi Sharma, Juan Carlos Martinez Camarillo, Kapil Bharti, David R. Hinton, Mark S. Humayun, Biju B. Thomas
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/0be3be12448847bb9cacd7559b8922c4
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spelling oai:doaj.org-article:0be3be12448847bb9cacd7559b8922c42021-11-25T17:09:44ZLong-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats10.3390/cells101129512073-4409https://doaj.org/article/0be3be12448847bb9cacd7559b8922c42021-10-01T00:00:00Zhttps://www.mdpi.com/2073-4409/10/11/2951https://doaj.org/toc/2073-4409Retinal pigment epithelium (RPE) replacement therapy is evolving as a feasible approach to treat age-related macular degeneration (AMD). In many preclinical studies, RPE cells are transplanted as a cell suspension into immunosuppressed animal eyes and transplant effects have been monitored only short-term. We investigated the long-term effects of human Induced pluripotent stem-cell-derived RPE (iPSC-RPE) transplants in an immunodeficient Royal College of Surgeons (RCS) rat model, in which RPE dysfunction led to photoreceptor degeneration. iPSC-RPE cultured as a polarized monolayer on a nanoengineered ultrathin parylene C scaffold was transplanted into the subretinal space of 28-day-old immunodeficient RCS rat pups and evaluated after 1, 4, and 11 months. Assessment at early time points showed good iPSC-RPE survival. The transplants remained as a monolayer, expressed RPE-specific markers, performed phagocytic function, and contributed to vision preservation. At 11-months post-implantation, RPE survival was observed in only 50% of the eyes that were concomitant with vision preservation. Loss of RPE monolayer characteristics at the 11-month time point was associated with peri-membrane fibrosis, immune reaction through the activation of macrophages (CD 68 expression), and the transition of cell fate (expression of mesenchymal markers). The overall study outcome supports the therapeutic potential of RPE grafts despite the loss of some transplant benefits during long-term observations.Deepthi S. Rajendran NairDanhong ZhuRuchi SharmaJuan Carlos Martinez CamarilloKapil BhartiDavid R. HintonMark S. HumayunBiju B. ThomasMDPI AGarticleiPSC-RPEretinal pigment epitheliumimmunodeficient RCS ratultrathin paryleneretinal degenerationretinal transplantationBiology (General)QH301-705.5ENCells, Vol 10, Iss 2951, p 2951 (2021)
institution DOAJ
collection DOAJ
language EN
topic iPSC-RPE
retinal pigment epithelium
immunodeficient RCS rat
ultrathin parylene
retinal degeneration
retinal transplantation
Biology (General)
QH301-705.5
spellingShingle iPSC-RPE
retinal pigment epithelium
immunodeficient RCS rat
ultrathin parylene
retinal degeneration
retinal transplantation
Biology (General)
QH301-705.5
Deepthi S. Rajendran Nair
Danhong Zhu
Ruchi Sharma
Juan Carlos Martinez Camarillo
Kapil Bharti
David R. Hinton
Mark S. Humayun
Biju B. Thomas
Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
description Retinal pigment epithelium (RPE) replacement therapy is evolving as a feasible approach to treat age-related macular degeneration (AMD). In many preclinical studies, RPE cells are transplanted as a cell suspension into immunosuppressed animal eyes and transplant effects have been monitored only short-term. We investigated the long-term effects of human Induced pluripotent stem-cell-derived RPE (iPSC-RPE) transplants in an immunodeficient Royal College of Surgeons (RCS) rat model, in which RPE dysfunction led to photoreceptor degeneration. iPSC-RPE cultured as a polarized monolayer on a nanoengineered ultrathin parylene C scaffold was transplanted into the subretinal space of 28-day-old immunodeficient RCS rat pups and evaluated after 1, 4, and 11 months. Assessment at early time points showed good iPSC-RPE survival. The transplants remained as a monolayer, expressed RPE-specific markers, performed phagocytic function, and contributed to vision preservation. At 11-months post-implantation, RPE survival was observed in only 50% of the eyes that were concomitant with vision preservation. Loss of RPE monolayer characteristics at the 11-month time point was associated with peri-membrane fibrosis, immune reaction through the activation of macrophages (CD 68 expression), and the transition of cell fate (expression of mesenchymal markers). The overall study outcome supports the therapeutic potential of RPE grafts despite the loss of some transplant benefits during long-term observations.
format article
author Deepthi S. Rajendran Nair
Danhong Zhu
Ruchi Sharma
Juan Carlos Martinez Camarillo
Kapil Bharti
David R. Hinton
Mark S. Humayun
Biju B. Thomas
author_facet Deepthi S. Rajendran Nair
Danhong Zhu
Ruchi Sharma
Juan Carlos Martinez Camarillo
Kapil Bharti
David R. Hinton
Mark S. Humayun
Biju B. Thomas
author_sort Deepthi S. Rajendran Nair
title Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
title_short Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
title_full Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
title_fullStr Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
title_full_unstemmed Long-Term Transplant Effects of iPSC-RPE Monolayer in Immunodeficient RCS Rats
title_sort long-term transplant effects of ipsc-rpe monolayer in immunodeficient rcs rats
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/0be3be12448847bb9cacd7559b8922c4
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