2003
DOI: 10.1167/iovs.02-0132
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Limitation of Anatomical Integration between Subretinal Transplants and the Host Retina

Abstract: The present study demonstrates that the host photoreceptor layer plays a role in limiting graft-host anatomical integration.

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Cited by 49 publications
(40 citation statements)
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“…Instead of trying to increase neuronal survival, we for the current experiment, wanted to use the explant system to instead specifically enhance photoreceptor cell death with the prospect of removing diseased cells within a future fullthickness transplantation paradigm. In this setting, a tissue engineering intervention in which diseased photoreceptors are removed in the diseased host without damage to the inner retina would increase the possibility of graft-host connectivity (Ghosh et al, 1999;Zhang et al, 2003). From our results, adding insult to injury, i. e MNU treatment of adult retina in vitro, results in incomplete removal of photoreceptors with concomitant significant death of horizontal and rod bipolar cells.…”
Section: Discussionmentioning
confidence: 75%
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“…Instead of trying to increase neuronal survival, we for the current experiment, wanted to use the explant system to instead specifically enhance photoreceptor cell death with the prospect of removing diseased cells within a future fullthickness transplantation paradigm. In this setting, a tissue engineering intervention in which diseased photoreceptors are removed in the diseased host without damage to the inner retina would increase the possibility of graft-host connectivity (Ghosh et al, 1999;Zhang et al, 2003). From our results, adding insult to injury, i. e MNU treatment of adult retina in vitro, results in incomplete removal of photoreceptors with concomitant significant death of horizontal and rod bipolar cells.…”
Section: Discussionmentioning
confidence: 75%
“…However, to restore visual function in a diseased eye, grafted photoreceptors also need to form synaptic connections with host inner retinal cells, a phenomenon which is hampered by remaining host photoreceptor and reactive glial cells even in severely degenerated retinas (Ghosh et al, 2007;Wanner et al, 2008). Interestingly, neuronal integration has been demonstrated if the outer retina of the host is disrupted mechanically or by ischemia, indicating that selective removal of photoreceptors prior to transplantation may be required for successful fusion of graft-host neurons (Ghosh et al, 1999;Zhang et al, 2003).…”
Section: Introductionmentioning
confidence: 99%
“…The first mechanism is direct replacement of the damaged retina and reestablishment of functional neural connections with the remaining host retina. Although there is evidence that transplants themselves are functional (Adolph et al, 1994;Seiler et al, 1999) and that some degree of graft-host integration can occur after retinal transplantation (Ehinger et al, 1991;Silverman et al, 1992;Gouras et al, 1994;Aramant and Seiler, 1995;Seiler and Aramant, 1998;Ghosh et al, 1999;Kwan et al, 1999;Gouras and Tanabe, 2003;Zhang et al, 2003), the presence of definite functional synaptic connections has not yet been reported. As a second potential mechanism of action, the transplanted tissue could provide an indirect effect via the release of humoral factors that could prevent or retard the degeneration of the remaining host photoreceptors (Mohand-Said et al, 1997, 2000Fintz et al, 2003).…”
Section: Discussionmentioning
confidence: 99%
“…Graft-host integration has been shown sporadically in cases where host photoreceptors are absent, indicating that removal of these cells before actual transplantation may be important. 3,4 Prolonged separation of the neuroretina from the retinal pigment epithelium (RPE), retinal detachment, leads to degeneration of photoreceptors due to diminished nutritive support from the choroid. 5 For the present experiment, we wanted to investigate if photoreceptors can be removed by temporary retinal detachment induced by a biodegradable membrane, poly(glycerol sebacate) (PGS), placed in the subretinal space.…”
mentioning
confidence: 99%