Molecular Therapy,
Journal Year:
2019,
Volume and Issue:
27(6), P. 1195 - 1205
Published: April 9, 2019
Severe
photoreceptor
cell
death
in
retinal
degenerative
diseases
leads
to
partial
or
complete
blindness.
Optogenetics
is
a
promising
strategy
treat
The
feasibility
of
this
has
been
demonstrated
through
the
ectopic
expression
microbial
channelrhodopsins
(ChRs)
and
other
genetically
encoded
light
sensors
surviving
neurons
animal
models.
A
major
drawback
for
ChR-based
visual
restoration
low
sensitivity.
Here,
we
report
development
highly
operational
light-sensitive
ChRs
by
optimizing
kinetics
recently
reported
ChR
variant,
Chloromonas
oogama
(CoChR).
In
particular,
identified
two
CoChR
mutants,
CoChR-L112C
CoChR-H94E/L112C/K264T,
with
markedly
enhanced
improved
sensitivity
mutants
was
confirmed
ex
vivo
electrophysiological
recordings
retina.
Furthermore,
restored
vision
blind
mouse
model
under
ambient
conditions
remarkably
good
contrast
acuity,
as
evidenced
results
behavioral
assays.
ability
restore
functional
normal
variants
removed
obstacle
optogenetic
restoration.
Progress in Retinal and Eye Research,
Journal Year:
2021,
Volume and Issue:
86, P. 100975 - 100975
Published: May 29, 2021
Inherited
and
age-related
retinal
degeneration
is
the
hallmark
of
a
large
group
heterogeneous
diseases
main
cause
untreatable
blindness
today.
Genetic
factors
play
major
pathogenic
role
in
degenerations
for
both
monogenic
(such
as
retinitis
pigmentosa)
complex
with
established
genetic
risk
macular
degeneration).
Progress
genotyping
techniques
back
eye
imaging
are
completing
our
understanding
these
their
manifestations
patient
populations
suffering
from
degenerations.
It
clear
that
whatever
cause,
majority
vision
loss
results
photoreceptor
function.
The
timing
circumstances
surrounding
function
determine
adequate
therapeutic
approach
to
use
each
patient.
Among
such
approaches,
gene
therapy
rapidly
becoming
reality
applicable
clinic.
This
massive
move
laboratory
work
towards
clinical
application
has
been
propelled
by
advances
disease
genetics
mechanisms,
delivery
vectors,
editing
systems,
compensatory
strategies
Here,
we
provide
an
overview
existing
modalities
relevance
based
on
needs
inherited
Molecular Therapy,
Journal Year:
2017,
Volume and Issue:
25(11), P. 2546 - 2560
Published: July 20, 2017
The
majority
of
inherited
retinal
degenerations
converge
on
the
phenotype
photoreceptor
cell
death.
Second-
and
third-order
neurons
are
spared
in
these
diseases,
making
it
possible
to
restore
light
responses
using
optogenetics.
Viral
expression
channelrhodopsin
under
ubiquitous
promoters
was
previously
shown
visual
function,
albeit
at
intensities
above
illumination
safety
thresholds.
Here,
we
report
(to
our
knowledge,
for
first
time)
activation
macaque
retinas,
up
6
months
post-injection,
channelrhodopsin-Ca2+-permeable
(CatCh)
safe
intensities.
High-level
CatCh
achieved
due
a
new
promoter
based
regulatory
region
gamma-synuclein
gene
(SNCG)
allowing
strong
ganglion
cells
across
species.
Our
promoter,
combination
with
clinically
proven
adeno-associated
virus
2
(AAV2),
provides
peri-foveolar
responding
robustly
thresholds
human
eye.
On
contrary,
threshold
proportion
unresponsive
were
much
higher
when
(cytomegalovirus
[CMV])
used
express
CatCh.
results
study
suggest
that
inclusion
optimized
is
key
path
clinical
translation
Nature Communications,
Journal Year:
2019,
Volume and Issue:
10(1)
Published: March 15, 2019
Abstract
Inherited
and
age-related
retinal
degenerative
diseases
cause
progressive
loss
of
rod
cone
photoreceptors,
leading
to
blindness,
but
spare
downstream
neurons,
which
can
be
targeted
for
optogenetic
therapy.
However,
approaches
have
been
limited
by
either
low
light
sensitivity
or
slow
kinetics,
lack
adaptation
changes
in
ambient
light,
not
shown
restore
object
vision.
We
find
that
the
vertebrate
medium
wavelength
opsin
(MW-opsin)
overcomes
these
limitations
supports
vision
dim
light.
MW-opsin
enables
an
otherwise
blind
retinitis
pigmenotosa
mouse
discriminate
temporal
spatial
patterns
displayed
on
a
standard
LCD
computer
tablet,
displays
adaption
restores
open-field
novel
exploration
under
incidental
room
By
contrast,
rhodopsin,
is
similar
slower
response
has
greater
rundown,
fails
tests.
Thus,
provides
speed,
needed
patterned
Journal of Clinical Investigation,
Journal Year:
2018,
Volume and Issue:
128(6), P. 2177 - 2188
Published: May 31, 2018
Precision
medicine
seeks
to
treat
disease
with
molecular
specificity.
Advances
in
genome
sequence
analysis,
gene
delivery,
and
surgery
have
allowed
clinician-scientists
genetic
conditions
at
the
level
of
their
pathology.
As
a
result,
progress
treating
retinal
using
tools
has
advanced
tremendously
over
past
several
decades.
Breakthroughs
delivery
vectors,
both
viral
nonviral,
payloads
preclinical
models
disorders
paved
way
for
numerous
successful
clinical
trials.
Moreover,
adaptation
CRISPR-Cas
systems
engineering
enabled
correction
recessive
dominant
pathogenic
alleles,
expanding
disease-modifying
power
therapies.
Here,
we
highlight
translational
therapy
editing
disorders,
including
RPE65-,
CEP290-,
GUY2D-associated
Leber
congenital
amaurosis,
as
well
choroideremia,
achromatopsia,
Mer
tyrosine
kinase–
(MERTK–)
RPGR
X-linked
retinitis
pigmentosa,
Usher
syndrome,
neovascular
age-related
macular
degeneration,
retinoschisis,
Stargardt
disease,
hereditary
optic
neuropathy.
Scientific Reports,
Journal Year:
2019,
Volume and Issue:
9(1)
Published: June 24, 2019
Abstract
Degenerative
retinal
diseases
such
as
retinitis
pigmentosa
and
macular
degeneration
cause
irreversible
vision
loss
in
more
than
10
million
people
worldwide.
Retinal
prostheses,
now
implanted
over
250
patients
worldwide,
electrically
stimulate
surviving
cells
order
to
evoke
neuronal
responses
that
are
interpreted
by
the
brain
visual
percepts
(‘phosphenes’).
However,
instead
of
seeing
focal
spots
light,
current
implant
users
perceive
highly
distorted
phosphenes
vary
shape
both
across
subjects
electrodes.
We
characterized
these
distortions
asking
Argus
prosthesis
system
(Second
Sight
Medical
Products
Inc.)
draw
elicited
on
a
touchscreen.
Using
ophthalmic
fundus
imaging
computational
modeling,
we
show
can
be
accurately
predicted
topographic
organization
optic
nerve
fiber
bundles
each
subject’s
retina,
successfully
replicating
ranging
from
‘blobs’
oriented
‘streaks’
‘wedges’
depending
location
stimulating
electrode.
This
provides
first
evidence
activation
passing
axon
fibers
accounts
for
rich
repertoire
phosphene
commonly
reported
psychophysical
experiments,
which
severely
distort
quality
generated
experience.
Overall
our
findings
argue
detailed
modeling
biological
detail
neural
engineering
applications.
Human Gene Therapy,
Journal Year:
2016,
Volume and Issue:
27(2), P. 134 - 147
Published: Jan. 11, 2016
Retinal
degenerative
diseases
are
a
leading
cause
of
irreversible
blindness.
cell
death
is
the
main
vision
loss
in
genetic
disorders
such
as
retinitis
pigmentosa,
Stargardt
disease,
and
Leber
congenital
amaurosis,
well
complex
age-related
macular
degeneration.
For
these
blinding
conditions,
gene
therapy
approaches
offer
therapeutic
intervention
at
various
disease
stages.
The
present
review
outlines
advances
therapies
for
retinal
focusing
on
progress
challenges
development
clinical
translation
therapies.
A
significant
body
preclinical
evidence
initial
results
pave
way
further
cutting
edge
treatments
patients
with
disorders.
Journal of Neural Engineering,
Journal Year:
2017,
Volume and Issue:
14(5), P. 051003 - 051003
Published: June 14, 2017
The
'bionic
eye'—so
long
a
dream
of
the
future—is
finally
becoming
reality
with
retinal
prostheses
available
to
patients
in
both
US
and
Europe.
However,
clinical
experience
these
implants
has
made
it
apparent
that
visual
information
provided
by
devices
differs
substantially
from
normal
sight.
Consequently,
ability
learn
make
use
this
abnormal
input
plays
critical
role
whether
or
not
some
functional
vision
is
successfully
regained.
goal
present
review
summarize
vast
basic
science
literature
on
developmental
adult
cortical
plasticity
an
emphasis
how
might
relate
field
prosthetic
vision.
We
begin
describing
distortion
loss
likely
be
experienced
prosthesis
users.
then
define
perceptual
learning,
describe
what
known,
unknown,
about
across
hierarchy
brain
regions
involved
processing,
different
stages
life.
close
discussing
known
sight
restoration
discuss
biological
mechanisms
eventually
harnessed
improve
learning
patients.