Cure for blindness 'within five years'

Last Updated: 12:01am BST 06/06/2007

Roger Highfield - a real chance of success

Pioneering stem cell transplants to restore the sight of people
affected by a leading cause of blindness could start within five
years, according to a British
team which has reported successful human eye cell implants.

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What causes the blindness and how it could be cured using stem cells:
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More than 500,000 people in the UK have irreversible blindness caused
by macular degeneration.

The disease is marked by a progressive loss of central vision due to
degeneration of the macula - a pigmented spot at the back of the
retina.

Now an anonymous American philanthropist, who saw his father go blind,
has given a London-led team almost £4 million towards the cost of
developing a stem
cell therapy, where eye cells from an embryo are used to restore sight.

Prof Pete Coffey and Lyndon da Cruz, an eye surgeon, of the UCL
Institute of Ophthalmology, have teamed up with Prof Peter Andrews, of
the University of
Sheffield, to conduct trials.
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Mr da Cruz said yesterday: ''Given age- related macular degeneration
could affect up to one third of the population by 2070 the potential
to create a treatment
strategy for this condition is critical and may have a major impact on
vision loss in the community.''

The team estimates the stem cell implants could start within five
years and eventually become a routine, 45-minute operation.

Prof Coffey said: "If it hasn't become routine in about 10 years it
would mean we haven't succeeded. It has to be something that's
available to large numbers
of people."

As a trial run for the operations, the team has repaired the vision of
patients with macular degeneration with tissue from their own eyes,
moving it from
the region of the eye responsible for peripheral vision to the macula.

The treatment is not initially aimed at the transparent skin of nerve
cells that detect light but at an underlying carpet of cells called
the retinal pigment
epithelium, or RPE.

RPE was transplanted by surgeons, without the use of stem cells in an
experimental procedure on 12 patients at Moorfields Eye Hospital,
London, using RPE
taken from another site in their own retina.

However, replacing RPE in what are long, complex operations is of
limited benefit in treating common eye diseases such as macular
degeneration.

Mr Da Cruz, having transplanted and moved tissue in the eye, has seen
more than 25 per cent of patients reporting an improvement in what is
otherwise an
untreatable disease, demonstrating that cell transplants work in principle.

>From stem cells taken from early human embryos, Prof Coffey has found
a way to turn them into RPE cells by adding growth factors. The team
has successfully
tested this method on rats.

Prof Alistair Fielder, senior medical adviser for the eye research
charity Fight for Sight, said the project "represents a real chance to
tackle this untreatable
condition and bring hope to many".

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