LONDON - British scientists plan to use stem cells to cure a common form of
blindness, with the first patients receiving test treatment in five years.
An image courtesy of the National Eye Institute shows an
image seen through normal vision on the left and the same scene as viewed
by an individual with age-related macular degeneration on the right.
British scientists plan to use stem cells to cure the common form of
blindness, with the first patients receiving test treatment in five years.
[Reuters]
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The pioneering project, launched
on Tuesday, aims to repair damaged retinas with cells derived from human
embryonic stem cells. Its backers say it involves simple surgery that could one
day become as routine as cataract operations.
They believe the technique is capable of restoring vision in the vast
majority of patients with age-related macular degeneration (AMD), a leading
cause of blindness among the elderly that afflicts around 14 million people in
Europe.
Some drugs, like Genentech Inc.'s Lucentis, can help the one in 10 patients
with so-called "wet" AMD and US biotech firm Advanced Cell Technology is looking
at stem cells in other eye conditions. But there is no treatment for the 90
percent with "dry" AMD.
AMD is caused by faulty retinal pigment epithelial (RPE) cells, which form a
supporting carpet under the light-sensitive rods and cones in the retina.
The new procedure will generate replacement RPE cells from stem cells in the
lab, with surgeons then injecting a small patch of new cells, measuring 4 by 6
millimeters, back into the eye.
US donor
The London Project to Cure AMD brings together scientists from University
College London (UCL), Moorfields Eye Hospital in London and the University of
Sheffield.
It has been made possible by a 4 million pounds ($8 million) donation from an
anonymous US donor, who the project's leaders said had become frustrated by US
curbs on stem cell work.
Embryonic stem cells are the ultimate master cells of the body, giving rise
to all of the tissues and organs. Their use is controversial because many people
oppose embryo destruction, although Britain has encouraged such research.
Surgeons at Moorfields have already restored the vision of a few patients
using cells harvested from their own eyes, which were moved to a new site. But
this process is complicated and only a small number of cells can be moved,
limiting its use.
By injecting RPE cells derived from stem cells instead, Dr Lyndon Da Cruz of
Moorfields hopes the operation can be reduced to a simple 45-minute procedure
under local anesthetic.
"If it hasn't become routine in about 10 years it would mean we haven't
succeeded," he told reporters. "It has to be something that's available to large
numbers of people."
Similar tests on rats have already proved highly effective.
Pete Coffey of UCL, the director of the project, said he was confident the
procedure would work in humans but the team needed to ensure the safety and
quality of batches of cells, which would take time.
"The goal is within five years to have a cohort of 10 or 12 patients to put
the cells into," he said.
The project, which is non-commercial, was welcomed by patient support groups.
Alistair Fielder of the eye research charity Fight for Sight said it represented
a real chance to tackle a hitherto untreatable condition.