Friday, August 3, 2007

Treatment of Damaged Retinas: New Drugs on the Horizon?

Filed under: Ophthalmology

Scientists from the RIKEN Research Institute and Kyoto University in Japan are reporting that when they stimulated a specific biochemical pathway they achieved retinal regeneration in a rat model:

It is a discovery that may ultimately lead to new therapies for retinal diseases including the degenerative disease called retinitis pigmentosa.

Previous research by the team led by Masayo Takahashi at the RIKEN Center for Developmental Biology, Kobe, demonstrated that retinal support cells called Muller glia could de-differentiate to assume a neuronal fate, but the level of regeneration via this mechanism was very low, occurring in just a few cells.

But the new study, published recently in the Journal of Neuroscience, indicates that retinal cell regeneration in an in vitro model of retinal damage can be increased by as much as twenty-fold in the presence of the protein Wnt3a.

The researchers initially performed experiments in cultured retinas isolated from rats. When they administered Wnt3a, they found a significant increase in proliferation of neuronal progenitors from the de-differentiated cells...

"Newly generated cells constituted almost a layer of cells in the outer nuclear layer in the retinal degeneration model mice," says Takahashi. "We only observed several cells per field without Wnt treatment. Furthermore, the retinal neurons were regenerated all over the retina."

The regenerated cells migrated to the outer nuclear layer of the retina, where, in the presence of retinoic acid (a form of vitamin A) or valproic acid, the team observed differentiation into rod photoreceptor cells.

The phenomenon appears to involve the canonical Wnt signaling pathway, in which Wnt activation protects the β-catenin protein from degradation, allowing it to accumulate in the nucleus where it regulates gene transcription. The process could also be stimulated with small molecule inhibitors of glycogen synthase kinase-3β, which normally blocks activation of the pathway.

Treatment of retinas isolated from a murine model of retinitis pigmentosa with Wnt3a similarly resulted in the regeneration of retinal cells, suggesting that the Wnt/β-catenin signaling pathway contributes to central nervous system regeneration.

Press release: Stimulating retinal repair ...

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replies: 10 comments
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My friend's right eye cornea and retina got severely damaged in an accident. Due to the injury, her cornea was split in 3 pieces which was operated and stitched by the doctors. Her Retina also got damaged causing complete loss of vision from her right eye.

Is there any chance, that her retina be repaired or re-planted, so that she can regain her eye sight through a cornea transplant.

Please revert back, if there are other possible ways.


Posted by: Sudhanshu Singh
on September 7, 2007 12:32 AM GMT

Hello,

I have lost 80% vision in my left eye - the doctors tell me this is something i will have to live with as the damage was very extensive due to loss of oxygen to the eye. I have a condition called Poly myalgia rheumatica as this was the cause of the dmaged retina. Is there anything i can do to help bring back the lost vision and not lose anymore of the 20% i have. I do not have diabeties, cholestrol, do not smoke or drink, however i have high blood pressure because i am on 10mg at the moment of prednisone. I was on 75mg slowly tapering it down. I am also overweight.

Anxiously awaiting your response.


Posted by: Jennifer
on September 28, 2007 06:42 PM GMT

Hi
I want to know by what time the treament will be available for retinal diease .One of my friend has problem of retina whole . Please reply
Shailaja


Posted by: shailaja
on January 3, 2008 03:39 AM GMT

I have retinitis pigmentosa. I would like to be updated whenever possible. I take many vitamins and have done many alternative things because the medical community has had no answer for me. Please keep me updated so that hopefully I can benefit from this finding. I also have two brothers with the same disease and of course it has only gotten worse over time.

Diane


Posted by: Diane
on February 10, 2008 03:22 PM GMT

I AM SUFFERING FROM RETINAL DAMAGE, I HAVE LOST COMPLETE VISION IN MY LEFT EYE.
I AM WAITING FOR NEW BREAK THROUGH DRUG. AND I AM AWAITING REPLY FROM YOU.


Posted by: inderjeet singh
on June 14, 2008 09:35 AM GMT

HI, I have a damaged left eye. It was shattered. The cornea, the retina and pretty much everything but the lens were torn and terrible destroyed. I wear a prosthetic right now. Will there be any hope of anything a bit more realistic with movement and closer to the real eye and a bit more comfortable? Please respond at your earliest convenience. Feel free to contact me with any questions or suggestions. Thank you. BTW the accident that shattered my left eye happened when i was 7 and now i am 29.


Posted by: Ati
on June 19, 2008 05:59 PM GMT

hi i had an cracker injury in my right eye in 1991 and my (fundus) retina is totally damaged  i have no vision in the right eye but eye ball is ok plz suggest me somethig.                                      waiting for ur reply                                               Thanx


Posted by: shallinder
on July 26, 2008 12:31 AM GMT

hi,
i am suffering from retinitis pigmentosa/macular degeneration from last two years and my vision is decreasing very fast. i have major problem in night and low light area. my mom is also suffering from same disease and her vision is almost 90% lost.
please update me if any breakthrough in medical science comes.
i am very frustrated.
i will be highly obliged to you all.
thanking you

balbir


Posted by: balbir
on June 12, 2009 01:04 AM GMT

HI,
along with several other people that have posted comments on this site, i too was involved in a car accident where i damaged the center part of my retina. I have my peripheral vision however there isa big gray spot in the middle of my vison which is the cause of my 20/400 vision in my right eye. I was told that there may not be a cure in the near future but i have yet to give up hope. Any thoughts or recomendations that you mmay have would be greatly appreciated.


Posted by:
on September 13, 2009 07:01 PM GMT

My right eye cornea and retina got severely damaged in a car accident. Due to the injury cornea split in 2 pieces which was operated and stitched by the doctors. Retina also got damaged causing complete loss of vision from right eye.
Is there any chance, that my retina be repaired or re-planted, so that I can regain eyesight.
Please revert back, if there are other possible ways.
ALSO I WANT TO KNOW WHETHER ANY PROBLEM WILL BE HAPPEN IN THE FUTURE WITH MY LEFT EYE. WHAT PRECAUTIONS I HAVE TO TAKE.
GIVE SOME IMPORTENT TIPS.


Posted by: mohini mulay
on October 11, 2009 12:06 AM GMT

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