Potential therapeutic strategies for photoreceptor degeneration: the path to restore vision

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Karamali, Fereshteh
Behtaj, Sanaz
Babaei-Abraki, Shahnaz
Hadady, Hanieh
Atefi, Atefeh
Savoj, Soraya
Soroushzadeh, Sareh
Najafian, Samaneh
Nasr Esfahani, Mohammad Hossein
Klassen, Henry
Griffith University Author(s)
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2022
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Abstract

Photoreceptors (PRs), as the most abundant and light-sensing cells of the neuroretina, are responsible for converting light into electrical signals that can be interpreted by the brain. PR degeneration, including morphological and functional impairment of these cells, causes significant diminution of the retina’s ability to detect light, with consequent loss of vision. Recent findings in ocular regenerative medicine have opened promising avenues to apply neuroprotective therapy, gene therapy, cell replacement therapy, and visual prostheses to the challenge of restoring vision. However, successful visual restoration in the clinical setting requires application of these therapeutic approaches at the appropriate stage of the retinal degeneration. In this review, firstly, we discuss the mechanisms of PR degeneration by focusing on the molecular mechanisms underlying cell death. Subsequently, innovations, recent developments, and promising treatments based on the stage of disorder progression are further explored. Then, the challenges to be addressed before implementation of these therapies in clinical practice are considered. Finally, potential solutions to overcome the current limitations of this growing research area are suggested. Overall, the majority of current treatment modalities are still at an early stage of development and require extensive additional studies, both pre-clinical and clinical, before full restoration of visual function in PR degeneration diseases can be realized. Graphical Abstract: [Figure not available: see fulltext.].

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Journal of Translational Medicine

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20

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© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Biomedical and clinical sciences

Ophthalmology and optometry

Science & Technology

Life Sciences & Biomedicine

Medicine, Research & Experimental

Research & Experimental Medicine

MESENCHYMAL STEM-CELLS

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Karamali, F; Behtaj, S; Babaei-Abraki, S; Hadady, H; Atefi, A; Savoj, S; Soroushzadeh, S; Najafian, S; Nasr Esfahani, MH; Klassen, H, Potential therapeutic strategies for photoreceptor degeneration: the path to restore vision, Journal of Translational Medicine, 2022, 20, pp. 572

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