Human cone photoreceptor transplantation stimulates retinal remodelling and restores retinal and visual function in AIPL1 mouse model of end-stage Leber Congenital Amaurosis

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Abstract

Photoreceptor degeneration is a leading cause of untreatable sight-loss. Previously, we showed that human pluripotent stem cell-derived cone photoreceptors (human cones) can rescue retinal function in the Rd1 mouse model of rod-cone dystrophy. However, retinal degenerations display markedly different severities and concomitant remodelling of the remaining retina; for photoreceptor replacement therapy to be broadly effective, it must work for a variety of disease phenotypes. Here, we sought to rescue the Aipl1-/- model of Leber Congenital Amaurosis, a particularly fast, severe condition. After transplantation of human cones, host cone bipolar cells underwent extensive remodelling and formed nascent synaptic-like connections. Electrophysiological recordings showed robust rescue of light-evoked activity across visually relevant photopic intensities and treated mice exhibited visually-evoked optokinetic head tracking behaviour. Thus, human cone photoreceptor replacement therapy is feasible even in very severe cases of retinal dystrophy, offering promise as a disease-agnostic therapy in LCA and in other advanced retinal degenerations.
Original languageEnglish
JournalStem Cell Reports
Publication statusAccepted/In press - 19 Feb 2025

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