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胚胎干细胞来源的心肌细胞尚未准备好进行人体试验。

Embryonic stem cell-derived cardiac myocytes are not ready for human trials.

机构信息

From the Departments of Internal Medicine and Molecular Physiology & Biophysics, Cardiovascular Research Center, Carver College of Medicine, University of Iowa, Iowa City (M.E.A); Cedars-Sinai Heart Institute, Los Angeles, CA (J.G.); Department of Physiology and Cardiovascular Research Center, Temple University School of Medicine, Philadelphia, PA (S.R.H.); INSERM UMR 910, Génétique médicale et génomique fonctionnelle, Université Aix Marseille, Team Physiopathology of Cardiac Development, Faculté de Medecine La Timone, Marseille, France (M.P.); and Biology Department, Integrated Regenerative Research Institute, San Diego State University, CA (M.A.S.).

出版信息

Circ Res. 2014 Jul 18;115(3):335-8. doi: 10.1161/CIRCRESAHA.114.304616. Epub 2014 Jun 16.

DOI:10.1161/CIRCRESAHA.114.304616
PMID:24935962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4133694/
Abstract

Recently a preclinical report assessed the efficacy, safety, and feasibility of using human embryonic stem cells to regenerate infarcted myocardium in a non-human primate model. This commentary evaluates that study by pointing out key weaknesses, offering an alternative perspective, and summarizing major unresolved issues. Our conclusion is that significant challenges remain before human embryonic stem cells are ready for use in clinical trials.

摘要

最近有一份临床前报告评估了使用人类胚胎干细胞在非人类灵长类动物模型中再生梗死心肌的疗效、安全性和可行性。本评论通过指出关键弱点、提供替代观点和总结主要未解决问题来评估该研究。我们的结论是,在人类胚胎干细胞准备用于临床试验之前,仍然存在重大挑战。

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本文引用的文献

1
Human embryonic-stem-cell-derived cardiomyocytes regenerate non-human primate hearts.人类胚胎干细胞衍生的心肌细胞可使非人类灵长类动物的心脏再生。
Nature. 2014 Jun 12;510(7504):273-7. doi: 10.1038/nature13233. Epub 2014 Apr 30.
2
The advancing field of cell-based therapy: insights and lessons from clinical trials.基于细胞疗法的前沿领域:来自临床试验的见解与经验教训。
J Am Heart Assoc. 2013 Oct 10;2(5):e000338. doi: 10.1161/JAHA.113.000338.
3
Could a pluripotent stem cell give rise to a high yield of a single cell lineage: a myocardial cell?多能干细胞能否产生高产的单一细胞谱系,即心肌细胞?
Curr Opin Genet Dev. 2013 Aug;23(4):498-9. doi: 10.1016/j.gde.2013.06.001. Epub 2013 Jul 10.
4
Functional consequences of human induced pluripotent stem cell therapy: myocardial ATP turnover rate in the in vivo swine heart with postinfarction remodeling.人类诱导多能干细胞治疗的功能后果:梗死后重构的体内猪心脏中的心肌 ATP 周转率。
Circulation. 2013 Mar 5;127(9):997-1008. doi: 10.1161/CIRCULATIONAHA.112.000641. Epub 2013 Jan 31.
5
Human ES-cell-derived cardiomyocytes electrically couple and suppress arrhythmias in injured hearts.人胚胎干细胞来源的心肌细胞在损伤心脏中电耦合并抑制心律失常。
Nature. 2012 Sep 13;489(7415):322-5. doi: 10.1038/nature11317.
6
Transplantation and tracking of human-induced pluripotent stem cells in a pig model of myocardial infarction: assessment of cell survival, engraftment, and distribution by hybrid single photon emission computed tomography/computed tomography of sodium iodide symporter transgene expression.人诱导多能干细胞在心肌梗死猪模型中的移植和示踪:通过钠碘转运体转基因表达的混合单光子发射计算机断层扫描/计算机断层扫描评估细胞存活、植入和分布。
Circulation. 2012 Jul 24;126(4):430-9. doi: 10.1161/CIRCULATIONAHA.111.087684. Epub 2012 Jul 5.
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Impact of stirred suspension bioreactor culture on the differentiation of murine embryonic stem cells into cardiomyocytes.搅拌悬浮生物反应器培养对小鼠胚胎干细胞向心肌细胞分化的影响。
BMC Cell Biol. 2011 Dec 14;12:53. doi: 10.1186/1471-2121-12-53.
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Report of the National Heart, Lung, and Blood Institute working group on the translation of cardiovascular molecular imaging.美国国立心肺血液研究所心血管分子成像翻译工作组报告
Circulation. 2011 May 17;123(19):2157-63. doi: 10.1161/CIRCULATIONAHA.110.000943.
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Scalable platform for human embryonic stem cell differentiation to cardiomyocytes in suspended microcarrier cultures.悬浮微载体培养中人类胚胎干细胞向心肌细胞分化的可扩展平台。
Tissue Eng Part C Methods. 2010 Dec;16(6):1609-19. doi: 10.1089/ten.TEC.2010.0104. Epub 2010 Aug 28.