Singh Vijay K, Newman Victoria L, Berg Allison N, MacVittie Thomas J
Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Department of Radiation Biology , Bethesda, MD , USA.
Expert Opin Drug Discov. 2015 May;10(5):497-517. doi: 10.1517/17460441.2015.1023290. Epub 2015 Mar 27.
Although significant scientific advances have been made over the past six decades in developing safe, nontoxic and effective radiation/medical countermeasures (MCMs) for acute radiation syndrome (ARS), no drug has been approved by the US FDA. The availability of adequate animal models is a prime requisite under the criteria established by the FDA 'animal rule' for the development of novel MCMs for ARS and the discovery of biomarkers for radiation exposure.
This article reviews the developments of MCMs to combat ARS, with particular reference to the various animal models (rodents: mouse and rat; canine: beagle; minipigs and nonhuman primates [NHPs]) utilized for the in-depth evaluation. The objective, pathways and challenges of the FDA Animal Efficacy Rule are also discussed.
There are a number of well-defined animal models, the mouse, canine and NHP, that are being used for the development of MCMs. Additional animal models, such as the minipig, are under development to further assist in the identification, efficacy testing and approval of MCMs under the FDA Animal Efficacy Rule.
尽管在过去六十年里,在开发用于急性放射综合征(ARS)的安全、无毒且有效的辐射/医学对策(MCMs)方面取得了重大科学进展,但尚无药物获得美国食品药品监督管理局(FDA)的批准。根据FDA“动物规则”为ARS开发新型MCMs以及发现辐射暴露生物标志物所确立的标准,拥有足够的动物模型是首要必备条件。
本文回顾了对抗ARS的MCMs的发展情况,特别提及了用于深入评估的各种动物模型(啮齿动物:小鼠和大鼠;犬类:比格犬;小型猪和非人灵长类动物[NHPs])。还讨论了FDA动物有效性规则的目标、途径和挑战。
有许多明确的动物模型,如小鼠、犬类和非人灵长类动物,正在用于MCMs的开发。其他动物模型,如小型猪,也在开发中,以根据FDA动物有效性规则进一步协助MCMs的鉴定、疗效测试和批准。