Review Article

Advances in Regulatory Strategies of Differentiating Stem Cells towards Keratocytes

Table 3

Systematic regulation induces keratocyte differentiation.

Stem cellsSystematic regulationFindings

hESCsStem cells cocultured with mouse PA6 fibroblasts in serum-free medium containing ascorbate in order to generate NCCs. Subsequently, NCCs were cultured in the pellet model supplemented with KDMUpregulated gene expression of keratocyte markers (AQP1, B3GNT7, PTDGS, and ALDH3A1); increased secretion of corneal-specific proteoglycan [32]
hiPSCsStem cells cocultured with bone marrow stroma cell line such as PA6 or MS5, supplemented with FGF-2 to generate NCCs. Subsequently, NCCs were cultured in the pellet model supplemented with KDMUpregulated gene and protein expression of keratocyte markers (ALDH3A1, KERA, PTDGS, AQP1, CHST6) [33]
Stem cells were seeded onto the sclera of corneal rim slice (specific niche including both the physical and biochemical regulations)Keratocyte-like morphology; upregulated gene expression of keratocyte markers (ALDH3A1, KERA, PTDGS, AQP1, CHST6) [33]
hPDLSCsStem cells cultured in the pellet model supplemented with CSK induction mediaKeratocyte-like morphology; upregulated gene expression of keratocyte markers (CD34, ALDH3A1, KERA, LUM, CHST6, B3GNT7, Collagen Type VIII Alpha 2 Chain (Col8A2)) [6]
Stem cells cultured in the pellet model on human amnion stroma (specific niche including both the physical and biochemical regulations)Keratocyte-like morphology; suppression of fibroblast genes (α-SMA); upregulated gene expression of keratocyte markers (CD34, ALDH3A1, KERA, LUM, CHST6, B3GNT7, Col8A2) [6]
Stem cells cultured on porcine corneal stroma (specific niche including both the physical and biochemical regulations)Presence of keratocyte gene expression (CD34, ALDH3A1, KERA, LUM, CHST6, B3GNT7, Col8A2); negligible fibroblast gene expression (α-SMA) [6]
ASCsStem cells cultured on fibrin gel supplemented with KDMPresence of the stroma-specific ECM molecules; keratocyte-like cells; presence of less consistent expression of both KERA and keratan sulfate at protein and mRNA level [1]
Stem cells cultured in the pellet model supplemented with KDMPresence of the stroma-specific ECM molecules; keratocyte-like cells; presence of more consistent expression of both KERA and keratan sulfate at protein and mRNA level [1]
hCCSCsStem cells cultured on fibrin gel supplemented with KDMLower level of KERA mRNA compared with that cultured in pellet; presence of the stroma-specific ECM molecules [1]
Stem cells were cultured on highly aligned 3D gel MA hydrogel scaffold with the supplementation of chemical factors (serum, insulin, FGF-2, and ascorbic acid)Upregulated expression of keratocytes’ genes (KERA, AQP1, and ALDH3A1); Downregulated expression of fibroblastic genes (α-SMA) [66]
hMSCsStem cells were transplanted into mice’s corneaUpregulated expression of keratocytes’ mRNA (KERA and LUM) [36]

NCCs: neural crest cells; KDM: keratocyte differentiation media which consist of advanced DMEM, ascorbate-2-phosphate (A2-P), and 10 ng/ml fibroblast growth factor-2 (FGF-2); CSK: corneal stroma keratocyte induction media which consist of DMEM/F12, insulin-selenate-transferrin, ascorbate-2-phosphate (A2-P), 20 ng/ml fibroblast growth factor-2 (FGF-2), and 0.1 ng/ml transforming growth factor-β3 (TGF-β3).