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多能干细胞的现状:将首批疗法推向临床。

Current status of pluripotent stem cells: moving the first therapies to the clinic.

机构信息

Ocata Therapeutics, 33 Locke Drive, Marlborough, Massachusetts 01752, USA.

出版信息

Nat Rev Drug Discov. 2015 Oct;14(10):681-92. doi: 10.1038/nrd4738. Epub 2015 Sep 22.

Abstract

Pluripotent stem cells (PSCs) hold great promise for drug discovery and regenerative medicine owing to their ability to differentiate into any cell type in the body. After more than three decades of research, including delays due to the potential tumorigenicity of PSCs and inefficiencies in differentiation methods, the field is at a turning point, with a number of clinical trials across the globe now testing PSC-derived products in humans. Ocular diseases dominate these first-in-man trials, and Phase l/ll results are showing promising safety data as well as possible efficacy. In addition, the advent of induced PSC (iPSC) technology is enabling the development of a wide range of cell-based disease models from genetically predisposed patients, thereby facilitating drug discovery. In this Review, we discuss the recent progress and remaining challenges for the use of PSCs in regenerative medicine and drug development.

摘要

多能干细胞(PSCs)因其能够分化为体内任何一种细胞类型而在药物发现和再生医学方面具有巨大的应用潜力。经过三十多年的研究,包括 PSCs 的潜在致瘤性和分化方法效率低下等延迟,该领域正处于一个转折点,目前全球有多项临床试验正在人体中测试 PSC 衍生产品。眼部疾病在这些首次人体试验中占主导地位,I 期/II 期结果显示出有希望的安全性数据和可能的疗效。此外,诱导多能干细胞(iPSC)技术的出现使人们能够从遗传易感性患者中开发出广泛的基于细胞的疾病模型,从而促进药物发现。在这篇综述中,我们讨论了 PSCs 在再生医学和药物开发中的最新进展和仍然存在的挑战。

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