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Stem Cell Experiments Slow Vision Loss in Rats
By Rick Weiss
Washington Post Staff Writer
Thursday, September 21, 2006; Page A12
Researchers will report today that cells grown from human embryonic stem
cells slowed vision loss when injected into the eyes of rats with a disease
similar to macular degeneration, the leading cause of blindness in people
older than 55.
The experiments do not prove that the cells, obtained through the
destruction of human embryos, will work in people. But by showing that the
cells have the potential to fill in for failing cells in the retina, experts
said, the work may help justify trying the technique in humans.

Raymond D. Lund, then at the University of Utah's John A. Moran Eye Center
in Salt Lake City, and Robert Lanza of Advanced Cell Technology Inc. (ACT)
in Worcester, Mass., started by developing a reliable method for turning
embryonic stem cells into retinal pigment epithelium cells, which nourish
the light-sensitive "photoreceptor" cells in the eye. In macular
degeneration, the pigment cells gradually disappear.
The researchers achieved the transformation in all 18 stem cell lines they
worked with -- including some provided by the National Institutes of Health
and others developed privately at Harvard University and at ACT -- proving
that their approach can consistently produce the crucial pigment cells. Then
they injected the cells, about 20,000 per eye, into the retinas of 14 rats
with a genetic disease similar to macular degeneration. Eight control rats
received eye injections without any cells.
Forty days after treatment, the team measured retinal electrical activity in
response to flashes of light, and it found that the treated rats were twice
as responsive as the untreated ones, which by then were going blind. A
separate test -- which tracks eye and head movements in response to a moving
display, a measure of an animal's ability to discern fine details -- showed
that the treated rats had twice the visual acuity of the untreated rats
nearly three months after treatment.
Microscopic examination of the retinas at autopsy showed that the treated
eyes had healthy photoreceptor layers five to seven cells thick, while the
untreated eyes had an average thickness of just one cell. (Healthy rats have
layers 10 to 12 cells thick.) None of the cells divided abnormally or grew
into tumors, the team reports in today's issue of the journal Cloning and
Stem Cells.
"It's important and pretty exciting work," said Lucian V. Del Priore, an
expert in retinal cell transplants at Columbia University. A steady source
of safe, laboratory-cultivated cells for retinal transplants would be a
welcome advance, he said.
But Del Priore cautioned that the rat disease is not identical to macular
degeneration (no animal disease is), and it remains uncertain how long the
new cells will survive and work. Immune-system responses, while generally
suppressed inside the eye, can eventually lead to rejection, he said.

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