# A Cell-free Approach to the Engineering of Corneal Stroma

> **NIH NIH R01** · MASSACHUSETTS GENERAL HOSPITAL · 2020 · $429,110

## Abstract

ABSTRACT. Over 25 million people worldwide suffer from corneal blindness in one or both eyes. Corneal
transplantation is the only option available to restore vision. However, there is a worldwide donor shortage, and
fewer than 1% of patients with corneal blindness receive a transplant each year. Despite the great promise of
corneal tissue engineering research to fill this gap, efforts to develop a clinically viable corneal substitute are
hindered primarily due to the inability of the existing in vitro culture systems to reproduce the intricate extracellular
matrix structure (ECM) of the stroma. Approximately 95% of the stroma is composed of type I collagen-based
ECM in which regularly packed collagen fibrils have a uniform diameter and are arranged as orthogonal lamellae,
providing the cornea with its unique mechanical and optical properties. The predominantly acellular nature of the
stroma has motivated us to pursue a cell-free approach to the engineering of the stroma. We have recently
demonstrated that the planar confinement of crowded collagen molecules induces self-organization of the
collagen into highly ordered structures. Our objective here is to engineer an acellular stromal analog. Our central
hypothesis is that a fully functional corneal stroma can be developed by harnessing the inherent physicochemical
properties of collagen molecules. Our efforts to pursue the goals of this proposal will be pursued in three specific
aims: In Aim 1, the effects of confining and crowding conditions on the long and short-range organization of
collagen fibrils will be determined. Next, the impact of lumican and decorin proteoglycans on collagen
ultrastructure (i.e. diameter and spacing) will be elucidated. In Aim 2, we will use a combination of theoretical and
numerical modeling to provide an understanding of how crowding and confining conditions, as well as
interactions with proteoglycans, impact collagen organization, morphology, and self-assembly. The predictive
nature of the model would also enable identifying additional experimental parameters to further optimize the
stromal-mimetic collagenous structures. In Aim 3, the long-term in vivo function of the acellular stromal analogs
will be delineated by transplanting them into rabbits with deep corneal scars. In addition, in a set of exploratory
studies we will investigate whether the native-like physical characteristics of the constructs (e.g., fibrillary
organization, diameter and mechanical properties), would improve the differentiation of corneal stromal stem
cells into native corneal stromal keratocytes. If successful, the work described here is expected to result in the
development of first generation acellular corneal stromal analogs which can restore corneal function upon
transplantation. The acellular stroma could be used directly for lamellar transplant in vivo or they could be
integrated with the epithelial and endothelial layers to produce a fully functional cornea. Furthermore, the
versati...

## Key facts

- **NIH application ID:** 9999596
- **Project number:** 5R01EY028234-04
- **Recipient organization:** MASSACHUSETTS GENERAL HOSPITAL
- **Principal Investigator:** Nima Saeidi
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $429,110
- **Award type:** 5
- **Project period:** 2017-09-30 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9999596

## Citation

> US National Institutes of Health, RePORTER application 9999596, A Cell-free Approach to the Engineering of Corneal Stroma (5R01EY028234-04). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/9999596. Licensed CC0.

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