Stem Cell Ophthalmology Treatment Study (SCOTS):bone marrow-derived stem cells in the treatment of Leber’s hereditary optic neuropathy
摘要hTe Stem Cell Ophthalmology Treatment Study (SCOTS) is currently the largest-scale stem cell ophthal-mology trial registered at ClinicalTrials.gov (identiifer: NCT01920867). SCOTS utilizes autologous bone marrow-derived stem cells (BMSCs) to treat optic nerve and retinal diseases. Treatment approaches include a combination of retrobulbar, subtenon, intravitreal, intra-optic nerve, subretinal, and intravenous injection of autologous BMSCs according to the nature of the disease, the degree of visual loss, and any risk factors related to the treatments. Patients with Leber’s hereditary optic neuropathy had visual acuity gains on the Early Treatment Diabetic Retinopathy Study (ETDRS) of up to 35 letters and Snellen acuity improvements from hand motion to 20/200 and from counting ifngers to 20/100. Visual ifeld improvements were noted. Macular and optic nerve head nerve ifber layer typically thickened. No serious complications were seen. hTe increases in visual acuity obtained in our study were encouraging and suggest that the use of autolo-gous BMSCs as provided in SCOTS for ophthalmologic mitochondrial diseases including Leber’s hereditary optic neuropathy may be a viable treatment option.
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