PMID- 34314890 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20211028 IS - 1878-7568 (Electronic) IS - 1742-7061 (Linking) VI - 134 DP - 2021 Oct 15 TI - Biodegradable scaffolds facilitate epiretinal transplantation of hiPSC-Derived retinal neurons in nonhuman primates. PG - 289-301 LID - S1742-7061(21)00478-5 [pii] LID - 10.1016/j.actbio.2021.07.040 [doi] AB - Transplantation of stem cell-derived retinal neurons is a promising regenerative therapy for optic neuropathy. However, significant anatomic differences compromise its efficacy in large animal models. The present study describes the procedure and outcomes of human-induced pluripotent stem cell (hiPSC)-derived retinal sheet transplantation in primate models using biodegradable materials. Stem cell-derived retinal organoids were seeded on polylactic-coglycolic acid (PLGA) scaffolds and directed toward a retinal ganglion cell (RGC) fate. The seeded tissues showed active proliferation, typical neuronal morphology, and electrical excitability. The cellular scaffolds were then epiretinally transplanted onto the inner surface of rhesus monkey retinas. With sufficient graft-host contact provided by the scaffold, the transplanted tissues survived for up to 1 year without tumorigenesis. Histological examinations indicated survival, further maturation, and migration. Moreover, green fluorescent protein-labeled axonal projections toward the host optic nerve were observed. Cryopreserved organoids were also able to survive and migrate after transplantation. Our results suggest the potential efficacy of RGC replacement therapy in the repair of optic neuropathy for the restoration of visual function. STATEMENT OF SIGNIFICANCE: In the present study, we generated a human retinal sheet by seeding hiPSC-retinal organoid-derived RGCs on a biodegradable PLGA scaffold. We transplanted this retinal sheet onto the inner surface of the rhesus monkey retina. With scaffold support, donor cells survive, migrate and project their axons into the host optic nerve. Furthermore, an effective cryopreservation strategy for retinal organoids was developed, and the thawed organoids were also observed to survive and show cell migration after transplantation. CI - Copyright (c) 2021. Published by Elsevier Ltd. FAU - Luo, Ziming AU - Luo Z AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Xian, Bikun AU - Xian B AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Li, Kang AU - Li K AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Li, Kaijing AU - Li K AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Yang, Runcai AU - Yang R AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Chen, Mengfei AU - Chen M AD - Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD 21287, United States. FAU - Xu, Chaochao AU - Xu C AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Tang, Mingjun AU - Tang M AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Rong, Huifeng AU - Rong H AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Hu, Dongpeng AU - Hu D AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Ye, Meifang AU - Ye M AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Yang, Sijing AU - Yang S AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. FAU - Lu, Shoutao AU - Lu S AD - Bai Duoan Medical Equipment Company. Qihe Economic Development Zone, Qihe, Dezhou, Shandong 251100, China. FAU - Zhang, Haijun AU - Zhang H AD - Bai Duoan Medical Equipment Company. Qihe Economic Development Zone, Qihe, Dezhou, Shandong 251100, China. FAU - Ge, Jian AU - Ge J AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong 510060, China. Electronic address: gejian@mail.sysu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210724 PL - England TA - Acta Biomater JT - Acta biomaterialia JID - 101233144 SB - IM MH - Animals MH - Axons MH - *Induced Pluripotent Stem Cells MH - Optic Nerve MH - Retina MH - Retinal Ganglion Cells OTO - NOTNLM OT - Biodegradable scaffold OT - Retinal ganglion cell OT - Retinal sheet OT - Rhesus monkey OT - hiPSC COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/07/28 06:00 MHDA- 2021/10/29 06:00 CRDT- 2021/07/27 20:17 PHST- 2021/03/29 00:00 [received] PHST- 2021/06/30 00:00 [revised] PHST- 2021/07/20 00:00 [accepted] PHST- 2021/07/28 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2021/07/27 20:17 [entrez] AID - S1742-7061(21)00478-5 [pii] AID - 10.1016/j.actbio.2021.07.040 [doi] PST - ppublish SO - Acta Biomater. 2021 Oct 15;134:289-301. doi: 10.1016/j.actbio.2021.07.040. Epub 2021 Jul 24.