Csöbönyeiová Mária, Danišovič Ľuboš, Polák Štefan
Institute of Histology and Embryology, Faculty of Medicine, Comenius University in Bratislava, Sasinkova 4, 811 08 Bratislava, Slovak Republic.
Gen Physiol Biophys. 2016 Jan;35(1):1-12. doi: 10.4149/gpb_2015023. Epub 2015 Oct 22.
Cardiovascular and neurodegenerative diseases are the most common health threats in developed countries. Limited cell derivation and cell number in cardiac tissue makes it difficult to study the cardiovascular disease using the existing cardiac cell model. Regarding the neurodegenerative disorders, the most potential sources of cell therapeutics such as fetal-derived primary neurons and human embryonic stem cells (ESCs) are associated with ethical or technical limitations. The successful derivation of human-induced pluripotent stem cells (iPSCs) by de-differentiation of somatic cells offers significant potential to overcome hurdles in the field of the replacement therapy. Human iPSCs are functionally similar to human embryonic stem cells, and can be derived autologously without the ethical challenges associated with human ESCs. The iPSCs can, in turn, be differentiated into all cell types including neurons, cardiac cells, blood and liver cells, etc. Recently, target tissues derived from human iPSCs such as cardiomyocytes (CMs) or neurons have been used for new disease modeling and regenerative medicine therapies. Diseases models could be advantageous in the development of personalized medicine of various pathological conditions. This paper reviews efforts aimed at both the practical development of iPSCs, differentiation to neural/cardiac lineages, and the further use of these iPSCs-derived cells for disease modeling, as well as drug toxicity testing.
心血管疾病和神经退行性疾病是发达国家最常见的健康威胁。心脏组织中细胞来源有限且细胞数量较少,这使得利用现有的心脏细胞模型研究心血管疾病变得困难。对于神经退行性疾病而言,细胞治疗最具潜力的来源,如胎儿来源的原代神经元和人类胚胎干细胞(ESCs),都存在伦理或技术限制。通过体细胞去分化成功诱导出人类诱导多能干细胞(iPSCs),为克服替代疗法领域的障碍提供了巨大潜力。人类iPSCs在功能上与人类胚胎干细胞相似,并且可以自体获得,不存在与人类ESCs相关的伦理挑战。反过来,iPSCs可以分化为所有细胞类型,包括神经元、心脏细胞、血细胞和肝细胞等。最近,源自人类iPSCs的靶组织,如心肌细胞(CMs)或神经元,已被用于新的疾病建模和再生医学治疗。疾病模型在各种病理状况的个性化医疗发展中可能具有优势。本文综述了旨在实际开发iPSCs、使其分化为神经/心脏谱系,以及进一步将这些源自iPSCs的细胞用于疾病建模和药物毒性测试的相关研究工作。
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