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新型治疗方法:雷特综合征与人类诱导多能干细胞技术。

Novel therapeutic approaches: Rett syndrome and human induced pluripotent stem cell technology.

作者信息

Gomathi Mohan, Balachandar Vellingiri

机构信息

Human Molecular Genetics and Stem Cell Laboratory, Department of Human Genetics and Molecular Biology, Bharathiar University, Coimbatore-641 046, Tamil Nadu, India.

出版信息

Stem Cell Investig. 2017 Mar 2;4:20. doi: 10.21037/sci.2017.02.11. eCollection 2017.

Abstract

Recent advances in induced pluripotent stem cell (iPSC) technology target screening and discovering of therapeutic agents for the possible cure of human diseases. Human induced pluripotent stem cells (hiPSC) are the right kind of platform for testing potency of specific active compounds. Ayurveda, the Indian traditional system of medicine developed between 2,500 and 500 BC, is a science involving the intelligent formulations of herbs and minerals. It can serve as a "goldmine" for novel neuroprotective agents used for centuries to treat neurological disorders. This review discusses limitations in screening drugs for neurological disorders and the advantages offered by hiPSC integrated with Indian traditional system of medicine. We begin by describing the current state of hiPSC technology in research on Rett syndrome (RTT) followed by the current controversies in RTT research combined with the emergence of patient-specific hiPSC that indicate an urgent need for researchers to understand the etiology and drug mechanism. We conclude by offering recommendations to reinforce the screening of active compounds present in the ayurvedic medicines using the human induced pluripotent neural model system for research involving drug discovery for RTT. This integrative approach will fill the current knowledge gap in the traditional medicines and drug discovery.

摘要

诱导多能干细胞(iPSC)技术的最新进展旨在筛选和发现可能治愈人类疾病的治疗药物。人类诱导多能干细胞(hiPSC)是测试特定活性化合物效力的合适平台。阿育吠陀医学是公元前2500年至500年间发展起来的印度传统医学体系,是一门涉及草药和矿物质智能配方的科学。它可以作为一个“宝库”,提供数百年来用于治疗神经系统疾病的新型神经保护剂。本综述讨论了神经系统疾病药物筛选的局限性以及hiPSC与印度传统医学体系相结合所带来的优势。我们首先描述hiPSC技术在雷特综合征(RTT)研究中的现状,接着阐述RTT研究中的当前争议以及患者特异性hiPSC的出现,这表明研究人员迫切需要了解病因和药物作用机制。最后,我们提出建议,加强利用人类诱导多能神经模型系统对阿育吠陀药物中活性化合物的筛选,以开展针对RTT的药物发现研究。这种综合方法将填补传统医学和药物发现方面目前的知识空白。

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