EyeTherapy Newsletter The Gene and Cell Therapy Group at the UCL Institute of Ophthalmology Winter 2013 Prof. Ali’s welcome Welcome to the First Edition of the EyeTherapy Newsletter, bringing you news from the Gene and Cell Therapy Group at the UCL Institute of Ophthalmology. We start what will be an exciting year in 2013 with a look back at significant developments in 2012, including major advances in gene and cell therapy research from our group and elsewhere, updates from our clinical trials, and our first ever Retina Patient Day. This is the first in a series of regular Newsletters, through which you can engage with our research - you can also stay up-to-date through our website, follow us via Facebook and Twitter, and contact us via email; details are on the last page. We hope you find the information here both interesting and useful! Research Highlights 2012 May 2012 saw the publication of a landmark study by Dr. Rachael Pearson, leader of our group’s cell transplantation team, in the prestigious journal Nature. The study showed that transplanting immature light-sensitive photoreceptor cells can restore vision in a model of sight loss. We were able to show for the first time that cell transplantation can improve vision as measured by the ability to respond to a visual stimulus by navigating a water maze... Continued on page 2 We also began Europe’s first clinical trial investigating the use of stem cells, which are grown into retinal pigment epithelium (RPE) cells before being injected into the eyes of participants with Stargardt Macular Dystrophy… Continued on page 2 EyeTherapy Newsletter Research Highlights 2012 Stem cell transplants restore vision in mice (Continued from page 1…) Dr. Pearson’s study provides the first convincing evidence that transplanted immature photoreceptors (the light-sensitive cells in the retina) can mature into fully-functioning cells that detect light, produce a nerve signal in response to it, and transmit this signal to the brain as efficiently as normal photoreceptors. These encouraging results confirm that photoreceptor cell transplantation is a feasible therapy for sight loss, repairing the degenerating retina and restoring vision in this model of disease. We tested vision in mice that received cell transplants using a head-tracking test (left) and a water-maze (right). More details, including a video of the water-maze test, can be found on the Gene and Cell Therapy website. Clinical trial testing the safety of stem cell transplants (Continued from page 1…) Prof. James Bainbridge began Europe’s first clinical trial testing the safety of transplanting retinal cells derived from stem cells into the eye. The surgery involves injecting a suspension of retinal pigment epithelial cells, which have been grown from stem cells in a dish. The study, which will last approximately 2 years, is designed to determine whether the technique is safe. Future studies will be required to find out if the technique can help protect or improve sight. EyeTherapy Newsletter Retina Patient Day 2012 We held the first “Retina Patient Day” in London on April 21st 2012. Over 250 people with retinal degeneration and their family members met with more than 40 clinicians and scientists from UCL Institute of Ophthalmology Department of Genetics and Moorfields Eye Hospital Biomedical Research Centre for Ophthalmology. We provided updates on our efforts to develop effective treatments for sight loss through information stalls, a chance to ‘meet the doctor’, ‘meet the scientist’ and ‘meet the counsellor,’ an artist’s workshop, and most importantly, over 30 poster presentations explaining our research in terms that attendees could relate to. Through these posters our researchers explained how their area of research fits into the broader effort of seeking therapies for visual disorders. They answered many excellent questions put to them by the attendees, who were keen to understand more about their conditions and about the research into treatments. This opportunity to engage with scientists at the forefront of delivering innovative therapies is not often afforded to people with vision loss, and the interaction proved very welcome. Commenting on the day, Prof. Robin Ali, Head of Department of Genetics and the BRC Gene Therapy Theme leader, said “The day has been a great success. We aim to hold a “Retina Patient Day” regularly. Patient engagement is an essential part of developing an effective translational research programme. Our team not only look forward to further opportunities to explain our work to patients and their families, but to involve and learn from those who may benefit from it in the future.” For further details, photographs and feedback from Retina Patient Day 2012, please visit https://www.ucl.ac.uk/ioo/genetics/gene-and-cell-therapy/patient-engagement/patientengagement-day - we will also provide information on the planned Patient Day in 2013 in future newsletters and on our website. EyeTherapy Newsletter Research commentary Restoring vision in mice Scientists at Columbia University, New York have successfully restored retinal function for at least five months in a model of sight loss caused by damage to the PDE6-alpha gene. By delivering a working copy of that gene using an engineered virus, they showed that light-sensitive photoreceptor cells can survive longer and improve retinal function. This is further evidence that AAV-mediated gene therapy is valid for various forms of sight loss, and lead researcher Dr. Stephen Tsang says that clinical trials may follow soon. Dr. Tsang’s group also published a study in which they turned human skin cells into cells that resemble stem cells (so-called iPS cells), then grew retinal pigment epithelium (RPE) cells from these iPS cells. Transplanting these RPE cells into a model of sight loss,where the RPE doesn’t work properly but is largely intact, partially restored some elements of vision. These results are promising, and if such cells can be shown to improve vision where RPE cells are lost, such as in Stargardt disease, they may be a welcome source of RPE cells for use in clinical trials. Stem cell transplants In January 2013 the BBC reported that Professor Pete Coffey and Mr Lyndon da Cruz are preparing a clinical trial testing the safety and efficacy of injecting patches of RPE cells, grown from stem cells, into the eyes of people with Age-Related Macular Degeneration (AMD). The trial will take place at Moorfields Eye Hospital and will add to our understanding of how to treat advanced sight loss. Further laboratory evidence of how useful cell transplantation can be in restoring sight was provided in a study by Professor Robert MacLaren and colleagues at Oxford University. They used a similar approach to our previous studies on photoreceptor transplantation, showing that sight can be restored even in an animal model of very advanced sight loss. We will report on further advances on our website and in future Newsletters. EyeTherapy Newsletter Get involved! Stay up-to-date with our research and contact us Website: http://www.ucl.ac.uk/ioo/genetics/gene-and-cell-therapy/ Blog: http://blogs.ucl.ac.uk/eyetherapy/ Email: eye.info@ucl.ac.uk Twitter: https://twitter.com/Eye_Therapy Facebook: https://www.facebook.com/UCLeyetherapy Contribute to our work Developing therapies for inherited and acquired sight loss requires significant investment, and we are seeking substantial support from charities and research councils. But we also need your support. Your generous donation – however big or small – will help us reach our goal of bringing a pipeline of gene therapies for sight loss to clinical trial. If you would like to support our work, please visit our JustGiving page where you can select which area of our research you would like to contribute to. All support, however big or small, is welcome - your contribution will help us invest in vital equipment and people to advance our work. Just £5 or £10 would help pay for tests that show how well our gene and cell therapies are working in the lab. You can even donate by text message! Just text EYES48, followed by £5 or any amount, to 70070. We appreciate all contributions of any size. Should you wish to discuss your donation, or set up regular monthly payments to support our work, please email eye.info@ucl.ac.uk or call 0207 608 7982 Future EyeTherapy Newsletters and the EyeTherapy blog We hope you enjoyed the first edition of our Newsletter. If there are features you would like to see in future editions, or you want to share your thoughts on treatments for sight loss on our blog, please contact us using the details on this page. We would really appreciate your input, as our aim with the Newsletter and the blog is to provide content you would like to see - please get in touch with Dr. Prateek Buch who manages our patient and public engagement programme and share your ideas using the contact details above!