Department of Surgery, Stanford University School of Medicine, 257 Campus Drive, Stanford, CA 94305, USA.
Biotechnol Adv. 2013 Sep-Oct;31(5):744-51. doi: 10.1016/j.biotechadv.2012.11.006. Epub 2012 Nov 22.
Stem cells embody the tremendous potential of the human body to develop, grow, and repair throughout life. Understanding the biologic mechanisms that underlie stem cell-mediated tissue regeneration is key to harnessing this potential. Recent advances in molecular biology, genetic engineering, and material science have broadened our understanding of stem cells and helped bring them closer to widespread clinical application. Specifically, innovative approaches to optimize how stem cells are identified, isolated, grown, and utilized will help translate these advances into effective clinical therapies. Although there is growing interest in stem cells worldwide, this enthusiasm must be tempered by the fact that these treatments remain for the most part clinically unproven. Future challenges include refining the therapeutic manipulation of stem cells, validating these technologies in randomized clinical trials, and regulating the global expansion of regenerative stem cell therapies.
干细胞体现了人体在整个生命周期中发育、生长和修复的巨大潜力。理解干细胞介导的组织再生的生物学机制是利用这种潜力的关键。分子生物学、基因工程和材料科学的最新进展拓宽了我们对干细胞的理解,并帮助它们更接近广泛的临床应用。具体来说,优化干细胞鉴定、分离、生长和利用的创新方法将有助于将这些进展转化为有效的临床治疗方法。尽管全世界对干细胞的兴趣日益浓厚,但必须认识到,这些治疗方法在大多数情况下尚未在临床上得到证实。未来的挑战包括完善对干细胞的治疗操作,在随机临床试验中验证这些技术,并对再生干细胞治疗的全球扩展进行监管。