Genome Institute of Singapore, Office of Strategic Alliances, 60 Biopolis Street, Singapore 138672, Singapore.
Curr Mol Med. 2013 Jun;13(5):879-83. doi: 10.2174/1566524011313050018.
New developments in DNA sequencing platforms and the advancements in GWAS studies (genome-wide association studies) are changing the understanding of human pathologies. Such developments will ultimately result in a deeper understanding of how genomic variations contribute to diseases. Induced pluripotent stem cells (iPSCs) are currently entering clinical research phases, allowing the investigation of disease pathways and the identification of new targets and potentially druggable biomarkers. IPSCs can serve as a model for studying human diseases as they retain all the genetic information from a patient; iPSC-derived cells can be used as a tool for drug screening or discovery. In combination with next generation sequencing (NGS)-based and GWAS technologies, iPSCs have the potential to become a novel platform technology to predict adverse drug and off-target effects, and using such cell models to predict toxicity. In view of the arising concepts of regenerative theranostics, iPSCs and NGS technologies provide a powerful means to analyze the complexity of diseases on the molecular level and to better understand the processes that lead to pathobiology. To promote the widespread use of iPSC-based approaches in drug development it has to be shown that the cells can be reliably produced in the quantity, consistency and purity needed to meet pharmaceutical standards. Integrative genomics and genetic approaches have shown to be a useful tool in elucidating the complexity found in gene regulatory pathways. In this review, the application of pluripotent stem cells for the generation of next-generation theranostics and newer perspectives on iPSCs in modeling clinical diseases, are discussed.
DNA 测序平台的新发展和 GWAS 研究(全基因组关联研究)的进展正在改变人们对人类病理学的认识。这些发展最终将使人们更深入地了解基因组变异如何导致疾病。诱导多能干细胞(iPSCs)目前正在进入临床研究阶段,允许研究疾病途径和确定新的靶点和潜在可成药的生物标志物。iPSCs 可以作为研究人类疾病的模型,因为它们保留了患者的所有遗传信息;iPSC 衍生的细胞可用于药物筛选或发现。与基于下一代测序(NGS)和 GWAS 技术结合使用,iPSCs 有可能成为一种新的平台技术,用于预测药物不良和脱靶效应,并使用此类细胞模型预测毒性。鉴于再生治疗学的出现概念,iPSCs 和 NGS 技术为分析疾病的分子水平的复杂性提供了强大的手段,并更好地了解导致病理生物学的过程。为了促进基于 iPSC 的方法在药物开发中的广泛应用,必须证明细胞可以以满足制药标准所需的数量、一致性和纯度可靠地产生。整合基因组学和遗传方法已被证明是阐明基因调控途径中发现的复杂性的有用工具。在这篇综述中,讨论了多能干细胞在下一代治疗学中的应用,以及 iPSCs 在模拟临床疾病方面的新观点。