Publications by authors named "Bruce Ksander"

Bilateral limbal stem cell deficiency (LSCD) is a significant cause of corneal blindness and is more difficult to treat, as compared with unilateral LSCD because no source of autologous limbal stem cells (LSCs) remains in these patients. Thus, bilateral patients could be candidates for treatment with allogeneic LSC transplants that require long-term systemic immunosuppression therapy. Thus, if possible, for the correct candidates, using autologous LSCs could be a preferred treatment.

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  • Corneal transparency and avascularity are crucial for clear vision, with a transition to vascularized conjunctiva at the limbus.
  • This study identifies a specific sub-population of limbal stromal cells expressing ABCB5, which exhibit mesenchymal stem cell traits and show potential for pluripotency and multi-lineage differentiation.
  • ABCB5+ cells demonstrate lower levels of pro-inflammatory and pro-angiogenic factors, suggesting they could help reduce inflammation and neovascularization in the cornea, with potential implications for therapeutic applications elsewhere in the body.
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  • The study aimed to better classify uveal melanoma (UM) cell lines by examining their genetic and expression profiles, particularly focusing on identifying any underlying genetic causes for their behavior.
  • Researchers analyzed 14 UM cell lines using techniques like next-generation sequencing and SNP arrays to assess protein and mRNA expression, and to identify genetic variants.
  • Results indicated that cell lines Mel285 and Mel290, which do not have typical UM mutations, possess distinct genetic alterations and expression profiles, making them potentially unsuitable for research on therapeutic targets for UM.
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  • The study utilized a mouse model with a mutation that restricts FasL expression to its membrane-bound form to observe CNV development, revealing no significant difference in leakage size when compared to normal mice.
  • Interestingly, heterozygous FasL mice experienced less vascular leakage and quicker maturation of new blood vessels, suggesting that the effectiveness of FasL in reducing CNV is linked to its cleavage characteristics and its interaction with specific immune cells.
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Autoimmune uveitis is a major cause of blindness in the working-age population of developed countries. Experimental autoimmune uveitis (EAU) depends on activation of interphotoreceptor retinoid-binding protein (IRBP) specific CD4 effector T cells that migrate systemically and infiltrate into the retina. Following systemic induction of retinal antigen-specific T cells, the development of EAU can be broken down into three phases: early phase when inflammatory cells begin to infiltrate the retina, amplification phase, and peak phase.

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  • Glaucoma, a major cause of blindness, leads to the loss of crucial retinal cells, and a new treatment involving the expression of three transcription factors (OSK) has shown promise in rejuvenating these cells without changing their identity.
  • In a year-long study, this therapy demonstrated that just 2 months of OSK treatment could fully restore vision in damaged mice, with benefits lasting up to 11 months with continuous expression.
  • The study found no harmful effects on eye structure or overall health in the treated mice, highlighting the potential for OSK gene therapy in treating glaucoma and other age-related diseases.
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Background: In 2005, we reported 3 patients with bilateral optic nerve damage early in life. These patients had stable vision for decades but then experienced significant bilateral vision loss with no obvious cause. Our hypothesis, novel at that time, was that the late decline of vision was due to age-related attrition of retinal ganglion cells superimposed on a reduced neuronal population due to the earlier injury.

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Background: Increased age is a risk factor for the development and progression of retinal diseases including age-related macular degeneration (AMD). Understanding the changes that occur in the eye due to aging is important in enhancing our understanding of AMD pathogenesis and the development of novel AMD therapies. Microglia, the resident brain and retinal immune cells are associated with both maintaining homeostasis and protection of neurons and loss of microglia homeostasis could be a significant player in age related neurodegeneration.

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Limbal stem cell (LSC) deficiency is a frequent and severe complication after chemical injury to the eye. Previous studies have assumed this is mediated directly by the caustic agent. Here we show that LSC damage occurs through immune cell mediators, even without direct injury to LSCs.

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  • The limbus, the area connecting the cornea and conjunctiva, may protect against abnormal blood vessel growth in the cornea, but how it does this isn't fully understood.
  • Researchers studied ABCB5, a marker for limbal epithelial stem cells (LESCs), to explore its role in corneal blood vessel development and found it has different effects in young and adult mice.
  • The study revealed that ABCB5+ cells can inhibit blood vessel growth during development but promote it during inflammation in adults, suggesting a complex role that could be important for therapies aimed at preventing blindness.
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  • Epigenetic modification of DNA through 5-hydroxymethylcytosine (5hmC), produced by TET enzymes, plays a crucial role in regulating gene expression in various tissues, including the cornea of the human eye.
  • The study showed that 5hmC and the enzyme TET2 are highly expressed in mature corneal cells, and reducing TET2 led to decreased 5hmC levels and disrupted key molecular pathways that are essential for corneal differentiation.
  • These findings suggest that TET2 has a significant role in regulating gene expression in corneal epithelial cells and may offer new strategies for treating corneal diseases linked to issues with cell maturation.
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All living things experience an increase in entropy, manifested as a loss of genetic and epigenetic information. In yeast, epigenetic information is lost over time due to the relocalization of chromatin-modifying proteins to DNA breaks, causing cells to lose their identity, a hallmark of yeast aging. Using a system called "ICE" (inducible changes to the epigenome), we find that the act of faithful DNA repair advances aging at physiological, cognitive, and molecular levels, including erosion of the epigenetic landscape, cellular exdifferentiation, senescence, and advancement of the DNA methylation clock, which can be reversed by OSK-mediated rejuvenation.

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  • The research identifies a specific limbal epithelial progenitor subpopulation that is highly proliferative and marked by the expression of basal cell adhesion molecule (BCAM), crucial for corneal epithelial regeneration.
  • BCAM-positive cells exist alongside both ABCB5-positive limbal stem cells and ABCB5-negative epithelial cells, indicating a broader role in the corneal epithelium.
  • The study reveals that BCAM is essential for cellular migration and differentiation, with its expression regulated by the transcription factor p63, highlighting BCAM's importance in corneal epithelial differentiation.
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Unlabelled: Uveal melanoma is a rare form of melanoma that originates in the eye, exerts widespread therapeutic resistance, and displays an inherent propensity for hepatic metastases. Because metastatic disease is characterized by poor survival, there is an unmet clinical need to identify new therapeutic targets in uveal melanoma. Here, we show that the pleiotropic cytokine midkine is expressed in uveal melanoma.

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Purpose: Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). While the ocular surface is considered one of the major SARS-CoV2 transmission routes, the specific cellular tropism of SARS-CoV2 is not fully understood. In the current study, we evaluated the expression and regulation of two SARS-CoV2 viral entry proteins, TMPRSS2 and ACE2, in human ocular epithelial cells and stem cells.

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  • Human induced pluripotent stem cells (hiPSCs) can create various organoids, but their potential to contain specific stem cells was unclear until now.
  • Researchers discovered a subset of cells in hiPSC-derived corneal epithelial cell sheets that express ABCB5, a marker for corneal epithelial stem cells, indicating these cells can form new tissue.
  • These findings suggest that hiPSC-derived cell sheets enriched with ABCB5 could be used for vision recovery in people with stem cell deficiencies, marking a significant step in stem cell research and therapy.
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  • The study focuses on treating severe limbal stem cell deficiency (LSCD) by using a new marker, ABCB5, which helps identify and enrich limbal stem cells (LSCs) for transplantation, improving therapeutic outcomes.
  • Researchers developed a standardized production process to create advanced-therapy medicinal products (ATMPs) from ABCB5 LSCs derived from human cadaveric limbal tissue, ensuring high-quality cell expansion and isolation.
  • Preclinical trials showed that these ABCB5 LSCs could safely engraft without causing toxicity or tumors, leading to approval by regulatory agencies for a clinical trial to further assess their safety and effectiveness in treating LSCD.
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Ageing is a degenerative process that leads to tissue dysfunction and death. A proposed cause of ageing is the accumulation of epigenetic noise that disrupts gene expression patterns, leading to decreases in tissue function and regenerative capacity. Changes to DNA methylation patterns over time form the basis of ageing clocks, but whether older individuals retain the information needed to restore these patterns-and, if so, whether this could improve tissue function-is not known.

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Purpose: To identify factors associated with isolation yields of ATP-binding cassette (ABC) superfamily member B5 (ABCB5)-positive limbal stem cells (LSCs) from human cadaveric donor eyes.

Methods: Whole eye globes were obtained from the Saving Sight eye bank, Kansas City, MO and the CorneaGen eye bank, Seattle, WA. ABCB5-positive LSCs were sorted by flow cytometry upon anti-ABCB5 monoclonal antibody staining within one week after donor death.

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Autoimmune uveitis is a sight-threatening ocular inflammatory condition in which the retina and uveal tissues become a target of autoreactive immune cells. While microglia have been studied extensively in autoimmune uveitis, their exact function remains uncertain. The objective of the current study was to determine whether resident microglia are necessary and sufficient to initiate and amplify retinal inflammation in autoimmune uveitis.

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The 2018 Ocular Oncogenesis and Oncology Conference was held through a partnership of the Association for Research in Vision and Ophthalmology (ARVO) and the Champalimaud Foundation. Twenty-one experts from international ocular oncology centers, from the Champalimaud Clinical Centre and the Champalimaud Foundation Cancer Research Program, and from patient advocacy organizations, delivered lectures on subjects that ranged from global ocular oncology, to basic research in mechanisms of ocular malignancy, to clinical research in ocular cancers, and to anticipated future developments in the area. The scientific program of the conference covered a broad range of ocular tumors-including uveal melanoma, retinoblastoma, ocular surface tumors, and adnexal and intraocular lymphomas-and pathogenesis and management were deliberated in the context of the broader systemic cancer discipline.

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Neutrophil-mediated inflammation plays a critical role in corneal damage following injury or infection. Previous studies demonstrated that membrane-bound FasL (mFasL) induces neutrophil chemokine production. However, the extracellular domain of mFasL is normally cleaved by matrix metalloproteinases to release a soluble form of FasL (sFasL) and sFasL antagonizes mFasL-mediated chemokine production.

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