Fliegner Daniela, Gerdes Christoph, Meding Jörg, Stasch Johannes-Peter
Bayer HealthCare AG, Cardiovascular I/III, Aprather Weg 18a, 42096, Wuppertal, Germany.
Handb Exp Pharmacol. 2016;232:223-34. doi: 10.1007/164_2015_31.
Cardiovascular diseases are still the first leading cause of death and morbidity in developed countries. Experimental cardiology research and preclinical drug development in cardiology call for appropriate and especially clinically relevant in vitro and in vivo studies. The use of animal models has contributed to expand our knowledge and our understanding of the underlying mechanisms and accordingly provided new approaches focused on the improvement of diagnostic and treatment strategies of various cardiac pathologies.Numerous animal models in different species as well as in small and large animals have been developed to address cardiovascular complications, including heart failure, pulmonary hypertension, and thrombotic diseases. However, a perfect model of heart failure or other indications that reproduces every aspect of the natural disease does not exist. The complexity and heterogeneity of cardiac diseases plus the influence of genetic and environmental factors limit to mirror a particular disease with a single experimental model.Thus, drug development in the field of cardiology is not only very challenging but also inspiring; therefore animal models should be selected that reflect as best as possible the disease being investigated. Given the wide range of animal models, reflecting critical features of the human pathophysiology available nowadays increases the likelihood of the translation to the patients. Furthermore, this knowledge and the increase of the predictive value of preclinical models help us to find more efficient and reliable solutions as well as better and innovative treatment strategies for cardiovascular diseases.
心血管疾病仍然是发达国家首要的死亡和发病原因。心脏病学的实验研究和临床前药物开发需要适当的,尤其是与临床相关的体外和体内研究。动物模型的使用有助于扩展我们的知识,增进我们对潜在机制的理解,从而提供专注于改善各种心脏疾病诊断和治疗策略的新方法。为解决包括心力衰竭、肺动脉高压和血栓性疾病在内的心血管并发症,已开发出许多不同物种以及大小动物的动物模型。然而,不存在能重现自然疾病各个方面的完美心力衰竭模型或其他适应症模型。心脏病的复杂性和异质性,加上遗传和环境因素的影响,限制了用单一实验模型来反映特定疾病。因此,心脏病学领域的药物开发不仅极具挑战性,而且鼓舞人心;所以应选择尽可能反映所研究疾病的动物模型。鉴于动物模型种类繁多,反映当今人类病理生理学关键特征的模型增加了转化应用于患者的可能性。此外,这些知识以及临床前模型预测价值的提高有助于我们找到更有效、可靠的解决方案,以及更好、创新的心血管疾病治疗策略。