Innovative Approaches in Corneal Surface Regeneration: Clinical Evaluation of the Use of Cultured Epithelial Cells of the Oral Mucosa in the Treatment of Limbal Stem Cell Deficiency
https://doi.org/10.18008/1816-5095-2025-3-692-696
Abstract
Purpose. To evaluate the effectiveness and safety of the transplantation of cultured epithelial cells of the oral mucosa for the treatment of limbal stem cell deficiency. Materials and methods: The study was conducted at the Ismailov Center for High Technology Medicine from February 2023 to October 2024. The study involved 10 patients who underwent CAOMECS transplantation. Efficacy was assessed based on the condition of the epithelium and corneal parameters 180 days after the procedure. Results. 75 % of the participants had a clinical improvement in the condition of the cornea. At the same time, three patients had serious side effects requiring modification of therapeutic approaches. Conclusions. The CAOMECS method has demonstrated encouraging results in the treatment of limbal stem cell deficiency (LSCD), which allows it to be recommended as a promising direction in ophthalmic therapy. The main conclusions of the study emphasize a significant clinical improvement in the condition of the cornea in the majority of patients who underwent therapy using cultured epithelial cells of the oral mucosa.
About the Authors
P. B. AvkaevaRussian Federation
Patimat B. Avkaeva - 6th-year student.
Lenin sq., 1, Makhachkala, 367000
A. A. Zagidullin
Russian Federation
Aidar A. Zagidullin - 6th-year student.
Lenin sq., 1, Makhachkala, 367000
L. R. Elzhurkaeva
Russian Federation
Lidiya R. Elzhurkaeva - PhD, Assistant Professor of the Normal and Topographic Anatomy with Operative Surgery Department.
Sheripova str., 32, Grozny, 364024
G. H. Ataeva
Russian Federation
Gulaybat K. Atayeva - 6th-year student.
Lenin sq., 1, Makhachkala, 367000
References
1. Zhao Y, Ma L. Systematic review and meta-analysis on transplantation of ex vivo cultivated limbal epithelial stem cell on amniotic membrane in limbal stem cell deficiency. Cornea. 2015;34(5):592–600. doi: 10.1097/ICO.0000000000000398.
2. Satake Y, Dogru M, Yamane G-Y, Kinoshita S, Tsubota K, Shimazaki J. Barrier function and cytologic features of the ocular surface epithelium after autologous cultivated oral mucosal epithelial transplantation. Arch Ophthalmol. 2008;126(1):23–28. doi: 10.1001/archopht.126.1.23.
3. Kolli S, Ahmad S, Mudhar HS, Meeny A, Lako M, Figueiredo FC. Successful application of ex vivo expanded human autologous oral mucosal epithelium for the treatment of total bilateral limbal stem cell deficiency. Stem Cells. 2014;32(8):2135– 2146. doi: 10.1002/stem.1694.
4. Baradaran-Rafii A, Delfazayebaher S, Aghdami N, Taghiabadi E, Bamdad S, Roshandel D. Midterm outcomes of penetrating keratoplasty after cultivated oral mucosal epithelial transplantation in chemical burn. Ocul Surf. 2017;15(4):789– 794. doi: 10.1016/j.jtos.2017.08.006.
5. Kim YJ, Lee HJ, Ryu JS, Kim YH, Jeon S, Oh JY, Choung HK, Khwarg SI, Wee WR, Kim MK. Prospective Clinical Trial of Corneal Reconstruction With Biomaterial-Free Cultured Oral Mucosal Epithelial Cell Sheets. Cornea. 2018 Jan;37(1):76–83. doi: 10.1097/ICO.0000000000001409.
6. Wang J, Qi X, Dong Y, Cheng J, Zhai H, Zhou Q, Xie L. Comparison of the efficacy of different cell sources for transplantation in total limbal stem cell deficiency. Graefes Arch Clin Exp Ophthalmol. 2019 Jun;257(6):1253–1263. doi: 10.1007/s00417-019-04316-z.
7. Oliva J, Bardag-Gorce F, Niihara Y. Clinical Trials of Limbal Stem Cell Deficiency Treated with Oral Mucosal Epithelial Cells. Int J Mol Sci. 2020 Jan 9;21(2):411. doi: 10.3390/ijms21020411.
8. Burillon C, Huot L, Justin V, Nataf S, Chapuis F, Decullier E, Damour O. Cultured autologous oral mucosal epithelial cell sheet (CAOMECS) transplantation for the treatment of corneal limbal epithelial stem cell deficiency. Invest Ophthalmol Vis Sci. 2012 Mar 13;53(3):1325–1331. doi: 10.1167/iovs.11-7744.
9. Fernandez-Buenaga R, Aiello F, Zaher SS, Grixti A, Ahmad S. Twenty years of limbal epithelial therapy: An update on managing limbal stem cell deficiency. BMJ Open Ophthalmol. 2018;3:e000164. doi: 10.1136/bmjophth-2018-000164.
10. Kim YJ, Lee HJ, Ryu JS, Kim YH, Jeon S, Oh JY, Choung HK, Khwarg SI, Wee WR, Kim MK. Prospective Clinical Trial of Corneal Reconstruction with Biomaterial-Free Cultured Oral Mucosal Epithelial Cell Sheets. Cornea. 2018;37:76–83. doi: 10.1097/ICO.0000000000001409.
11. Kim YH, Kim DH, Shin EJ, Lee HJ, Wee WR, Jeon S, Kim MK. Comparative Analysis of Substrate-Free Cultured Oral Mucosal Epithelial Cell Sheets from Cells of Subjects with and without Stevens-Johnson Syndrome for Use in Ocular Surface Reconstruction. PLoS ONE. 2016;11:e0147548. doi: 10.1371/journal.pone.0147548.
12. Bogerd BVD, Ni Dhubhghaill S, Koppen C, Tassignon MJ, Zakaria N. A review of the evidence for in vivo corneal endothelial regeneration. Surv. Ophthalmol. 2018;63:149–165. doi: 10.1016/j.survophthal.2017.07.004.
Review
For citations:
Avkaeva P.B., Zagidullin A.A., Elzhurkaeva L.R., Ataeva G.H. Innovative Approaches in Corneal Surface Regeneration: Clinical Evaluation of the Use of Cultured Epithelial Cells of the Oral Mucosa in the Treatment of Limbal Stem Cell Deficiency. Ophthalmology in Russia. 2025;22(3):692-696. (In Russ.) https://doi.org/10.18008/1816-5095-2025-3-692-696