Centre for Biomedical Ethics, National University of Singapore, Singapore.
Centre for Stem Cell Systems, University of Melbourne, Melbourne, Australia.
Cytotherapy. 2018 Sep;20(9):1103-1109. doi: 10.1016/j.jcyt.2018.06.004. Epub 2018 Aug 19.
We report on a roundtable event hosted in Singapore that sought to identify some of the ethical and regulatory challenges in translating autologous cell-based interventions, particularly those claiming to involve stem cells, into safe and effective therapies and to propose some solutions to encourage responsible innovation with these products. Challenges are identified in the three areas of cell manufacturing and processing, innovative uses of autologous cells in clinical practice and standards of evidence. Proposed solutions are discussed within a co-operative model of statutory laws and regulations that can enable product development with autologous cells and professional codes and standards that can encourage ethical conduct in clinical practice. Future research should be directed toward establishing regional networks for the development of internationally consistent standards in manufacturing and ethical codes of conduct for innovating with stem cells, and other autologous cells, and fostering ongoing exchange between jurisdictions.
我们报道了在新加坡举行的一次圆桌会议活动,该活动旨在确定将自体细胞为基础的干预措施(特别是那些声称涉及干细胞的干预措施)转化为安全有效的疗法所面临的一些伦理和监管挑战,并提出一些解决方案,以鼓励对这些产品进行负责任的创新。在细胞制造和加工、自体细胞在临床实践中的创新用途以及证据标准这三个领域都发现了挑战。在所提出的解决方案中,讨论了在法定法规的合作模式内,如何能够促进自体细胞产品的开发,以及专业准则和标准如何能够鼓励在临床实践中的伦理行为。未来的研究应致力于建立区域网络,制定国际一致的制造标准和创新干细胞及其他自体细胞的行为伦理准则,并促进司法管辖区之间的持续交流。