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Future directions in managing aniridia-associated keratopathy

  • Arianne J.H. van Velthoven
  • , Tor P. Utheim
  • , Maria Notara
  • , Dominique Bremond-Gignac
  • , Francisco C. Figueiredo
  • , Heli Skottman
  • , Daniel Aberdam
  • , Julie T. Daniels
  • , Giulio Ferrari
  • , Christina Grupcheva
  • , Carina Koppen
  • , Mohit Parekh
  • , Thomas Ritter
  • , Vito Romano
  • , Stefano Ferrari*
  • , Claus Cursiefen
  • , Neil Lagali
  • , Vanessa L.S. LaPointe
  • , Mor M. Dickman
  • *Corresponding author for this work

    Research output: Contribution to journalReview Articlepeer-review

    28 Citations (Scopus)
    31 Downloads (Pure)

    Abstract

    Congenital aniridia is a panocular disorder that is typically characterized by iris hypoplasia and aniridia-associated keratopathy (AAK). AAK results in the progressive loss of corneal transparency and thereby loss of vision. Currently, there is no approved therapy to delay or prevent its progression, and clinical management is challenging because of phenotypic variability and high risk of complications after interventions; however, new insights into the molecular pathogenesis of AAK may help improve its management. Here, we review the current understanding about the pathogenesis and management of AAK. We highlight the biological mechanisms involved in AAK development with the aim to develop future treatment options, including surgical, pharmacological, cell therapies, and gene therapies.

    Original languageEnglish
    Pages (from-to)940-956
    Number of pages17
    JournalSurvey of Ophthalmology
    Volume68
    Issue number5
    DOIs
    Publication statusPublished - 2023
    Publication typeA2 Review article in a scientific journal

    Funding

    This work was supported by the European Union’s Cooperation on Science and Technology (COST) Program, under COST Action CA-18116 ANIRIDIA-NET: “Aniridia: networking to address an unmet medical, scientific, and societal challenge; DFG German Research Council FOR 2240 (www.for2240.de) to C. C. and M. N.; the European Joint Programme on Rare Diseases (EJP RD 2020) to N. L., D. B. G., D. A. (AAK-INSIGHT); the Science Foundation Ireland Investigator Award (Grant 12/IA/1624 ), the European Regional Development Fund and the European Union’s Horizon 2020 Research and Innovation Programme (Grant 814439) to T. R.; Academy of Finland (Grant 338988 ) to H. S.; the Dutch Research Council ZonMw TOP (Grant 91217058 , VISION) to M. M. D., S. F. and V. L. S. L. This work was supported by the European Union's Cooperation on Science and Technology (COST) Program, under COST Action CA-18116 ANIRIDIA-NET: “Aniridia: networking to address an unmet medical, scientific, and societal challenge; DFG German Research Council FOR 2240 (www.for2240.de) to C. C. and M. N.; the European Joint Programme on Rare Diseases (EJP RD 2020) to N. L., D. B. G., D. A. (AAK-INSIGHT); the Science Foundation Ireland Investigator Award (Grant 12/IA/1624), the European Regional Development Fund and the European Union's Horizon 2020 Research and Innovation Programme (Grant 814439) to T. R.; Academy of Finland (Grant 338988) to H. S.; the Dutch Research Council ZonMw TOP (Grant 91217058, VISION) to M. M. D., S. F. and V. L. S. L.

    Keywords

    • Aniridia
    • Aniridia-associated keratopathy
    • Cell therapy
    • Gene therapy
    • Keratopathy
    • PAX6
    • Pharmacological action
    • Surgical procedures

    Publication forum classification

    • Publication forum level 1

    ASJC Scopus subject areas

    • Ophthalmology

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