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Retinal ganglion cell repopulation for vision restoration in optic neuropathy: a roadmap from the RReSTORe Consortium

  • The RReSTORe Consortium
  • Harvard University
  • The Schepens Eye Research Institute of Massachusetts Eye and Ear
  • University College London
  • Stanford University
  • Moorfields Eye Hospital NHS Foundation Trust
  • Johns Hopkins University
  • Boston Children's Hospital
  • University of Miami
  • University of Washington
  • University of Montreal
  • Centre Hospitalier de L'Universite de Montreal
  • Legacy Clinical Research and Technology Center
  • University of Southern California
  • University of Louisville
  • Columbia University
  • University of California at San Francisco
  • University of Washington
  • University of Pennsylvania
  • University of Alabama at Birmingham
  • University of California at San Diego
  • University of Arkansas for Medical Sciences
  • University of California at Davis
  • Sorbonne Université
  • National Institutes of Health
  • University of California at Los Angeles
  • University of Colorado
  • Instituto Mexicano de Oftalmología
  • Indiana University
  • University of Utah
  • Baylor College of Medicine
  • Casey Eye Institute
  • Oregon Health and Science University
  • Louisiana State University Health Sciences Center
  • Washington University St. Louis
  • Icahn School of Medicine at Mount Sinai
  • University of Michigan, Ann Arbor
  • University of California at Santa Cruz
  • Washington University

Research output: Contribution to journalReview articlepeer-review

66 Scopus citations

Abstract

Retinal ganglion cell (RGC) death in glaucoma and other optic neuropathies results in irreversible vision loss due to the mammalian central nervous system’s limited regenerative capacity. RGC repopulation is a promising therapeutic approach to reverse vision loss from optic neuropathies if the newly introduced neurons can reestablish functional retinal and thalamic circuits. In theory, RGCs might be repopulated through the transplantation of stem cell-derived neurons or via the induction of endogenous transdifferentiation. The RGC Repopulation, Stem Cell Transplantation, and Optic Nerve Regeneration (RReSTORe) Consortium was established to address the challenges associated with the therapeutic repair of the visual pathway in optic neuropathy. In 2022, the RReSTORe Consortium initiated ongoing international collaborative discussions to advance the RGC repopulation field and has identified five critical areas of focus: (1) RGC development and differentiation, (2) Transplantation methods and models, (3) RGC survival, maturation, and host interactions, (4) Inner retinal wiring, and (5) Eye-to-brain connectivity. Here, we discuss the most pertinent questions and challenges that exist on the path to clinical translation and suggest experimental directions to propel this work going forward. Using these five subtopic discussion groups (SDGs) as a framework, we suggest multidisciplinary approaches to restore the diseased visual pathway by leveraging groundbreaking insights from developmental neuroscience, stem cell biology, molecular biology, optical imaging, animal models of optic neuropathy, immunology & immunotolerance, neuropathology & neuroprotection, materials science & biomedical engineering, and regenerative neuroscience. While significant hurdles remain, the RReSTORe Consortium’s efforts provide a comprehensive roadmap for advancing the RGC repopulation field and hold potential for transformative progress in restoring vision in patients suffering from optic neuropathies.

Original languageEnglish
Article number64
JournalMolecular Neurodegeneration
Volume18
Issue number1
DOIs
StatePublished - Dec 2023

Keywords

  • Glaucoma
  • Neuroprotection
  • Ophthalmology
  • Optic neuropathy
  • Organoids
  • Regenerative medicine
  • Retinal ganglion cells
  • Stem cells
  • Transplantation

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