[New possibilities in the treatment of Stargardt disease]

N V Zhorzholadze1, N L Sheremet1, A S Tanas2

  • 1Research Institute of Eye Diseases, Moscow, Russia.

Vestnik Oftalmologii
|September 4, 2020
PubMed

Insights

Stargardt disease, a genetic retinal condition, lacks approved treatments. This review covers emerging therapies targeting vitamin A byproduct buildup, inflammation, and gene defects, including stem cells and gene therapy.

Area of Science:

  • Ophthalmology
  • Genetics
  • Retinal Diseases

Background:

  • Stargardt disease is an inherited retinal dystrophy caused by mutations in the ABCA4 gene.
  • Current therapeutic options for Stargardt disease are limited, with no treatments having fully completed clinical trials.

Purpose of the Study:

  • To review experimental and clinical studies on potential treatments for Stargardt disease.
  • To summarize novel therapeutic strategies targeting the underlying mechanisms of the disease.

Main Methods:

  • Review of experimental and clinical studies on Stargardt disease treatments.
  • Analysis of therapeutic approaches including reducing vitamin A dimers, inhibiting complement, stem cell transplantation for RPE regeneration, and gene therapy.

Main Results:

  • Various therapeutic strategies are under investigation, showing promise in preclinical and early clinical stages.
  • Approaches include targeting toxic byproducts, modulating immune responses, cell-based therapies, and gene replacement.

Conclusions:

  • Emerging treatments for Stargardt disease show potential but require further clinical validation.
  • Gene therapy and stem cell transplantation represent promising avenues for future Stargardt disease management.

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