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Table 1 Summary of studies reporting human corneal endothelial progenitors with potential location, identification, and differentiated functions

From: Regenerative capacity of the corneal transition zone for endothelial cell therapy

Possible location of endothelial progenitors

Methods of identification

Markers

Remarks

References

Not specific in corneal endothelium

Sphere-forming assay

Nestin, GFAP, β3-tubulin, αSMA

Dissociated sphere cells showed hexagonal shape and pumping activity; no p75NTR expression.

[45]

Peripheral endothelium

BrdU labeling and immunostaining

Alkaline phosphatase, telomerase

Progenitors in a niche at the junction between corneal endothelium and TM.

[49]

TM and transition zone between TM and corneal periphery

Corneal wounding model and immunostaining

Alkaline phosphatase, nestin, telomerase, Oct3/4, Pax6, Wnt1, Sox2

Wounding activated Oct3/4 and Wnt1 expression as a response to initiate the endothelial repair process.

[50]

Peripheral endothelium

Sphere-forming assay

Nil

PE had a significantly higher percentage of sphere formation, representing precursor density.

[51]

Peripheral endothelium

Immunostaining and flow cytometry

Lgr5, Hedgehog pathway markers (SHH, Gli1, Gli2)

Lgr5+ cells were proliferative. Generation of differentiated corneal endothelium and functional assay was not demonstrated.

[52]

Central and peripheral endothelium; progenitor enriched at transition region between CE and TM

Immunostaining and flow cytometry

P75NTR, Sox9, FoxC2

Expressed partial properties of neural crest and periocular mesenchyme; differentiated cell sheet had pumping activity by Ussing chamber system and in vivo transplantation to rabbit corneas.

[53]

Whole corneal endothelium of normal and FECD corneas

Colony-forming populations; > 80 passages

Pax3, nestin, Sox9, AP-2β, p75NTR, Sox2, Lgr5, p63, Oct4

Adult corneal endothelium harbored neural crest-derived progenitors capable of perpetual proliferation and formation of endothelial layer exhibiting trans-endothelial resistance.

[54]

Trabecular meshwork

3D Matrigel culture to activate BMP signaling

AQP1, MGP, CHI3L1, AnkG, Oct4, Sox2, Nanog, ABCG2, p75NTR, FOXD3, Sox9, Sox10, MSX1

TM progenitors were multipotent to differentiate into corneal endothelial cells, adipocytes, and chondrocytes.

[55]

Transition zone (inner TZ)

Immunostaining, cell culture

Lgr5, telomerase, nestin, Sox2, p75NTR, Pitx2, HNK1

Inner TZ, adjacent to PE, contained progenitors that projected as multicellular clusters into PE. Porcine TZ progenitors differentiated to endothelial monolayer expressing ZO1 and Na+K+ATPase.

[56]