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医疗实践中的干细胞和组织工程:伦理和监管政策。

Stem Cells and Tissue Engineering in Medical Practice: Ethical and Regulatory Policies.

机构信息

Iinovations and Solutions Inc. FSU Tallahassee AMET University Global, United States.

出版信息

Curr Drug Targets. 2019;20(4):388-398. doi: 10.2174/1389450119666180831095830.

DOI:10.2174/1389450119666180831095830
PMID:30173644
Abstract

Stem Cell Research and Tissue Engineering, in present time, have emerged as a legalized and regulated stem cell treatment option globally, but scientifically, their success is unestablished. Novel stem cell-based therapies have evolved as innovative and routine clinical solutions by commercial companies and hospitals across the world. Such rampant spread of stem cell clinics throughout UK, US, Europe and Asia reflect the public encouragement of benefits to incurable diseases. However, ever growing stem cell therapy developments need constant dogwatch and careful policy making by government regulatory bodies for prompt action in case of any untoward public concern. Therefore, researchers and physicians must keep themselves abreast of current knowledge on stem cells, tissue engineering devices in treatment and its safe legal limits. With this aim, stem cell scienctific developments, treatment options and legal scenario are introduced here to beginner or actively inolved scientists and physicians. Introduction to stem cell therapy will provide basic information to beginner researchers and practice physicians on engineered stem cell research concepts and present stem cell therapy federal regulations in different North American, European and Asian countries. FDA, CDC, EU, ICMR government policies in different countries include information on the current legal position, ethical policies, regulatory oversight and relevant laws.

摘要

目前,干细胞研究和组织工程已经成为全球合法化和规范化的干细胞治疗选择,但从科学角度来看,其成功尚未得到证实。世界各地的商业公司和医院已经将新型基于干细胞的疗法发展为创新和常规的临床解决方案。英国、美国、欧洲和亚洲的干细胞诊所如雨后春笋般涌现,这反映了公众对治疗不治之症的益处的鼓励。然而,不断增长的干细胞治疗发展需要政府监管机构不断关注和谨慎制定政策,以便在出现任何公众关注的不当问题时迅速采取行动。因此,研究人员和医生必须了解当前关于干细胞、组织工程设备在治疗中的应用及其安全合法限制的最新知识。为此,本研究介绍了干细胞科学的发展、治疗选择和法律现状,供初学者或积极参与的科学家和医生参考。干细胞治疗的介绍将为初学者研究人员和实践医生提供关于工程化干细胞研究概念的基本信息,并介绍不同北美、欧洲和亚洲国家的联邦干细胞治疗法规。不同国家的 FDA、CDC、EU、ICMR 政府政策包括当前法律地位、伦理政策、监管监督和相关法律的信息。

相似文献

1
Stem Cells and Tissue Engineering in Medical Practice: Ethical and Regulatory Policies.医疗实践中的干细胞和组织工程:伦理和监管政策。
Curr Drug Targets. 2019;20(4):388-398. doi: 10.2174/1389450119666180831095830.
2
Administrative and research policies required to bring cellular therapies from the research laboratory to the patient's bedside.将细胞疗法从研究实验室应用于患者床边所需的管理和研究政策。
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Stem cell controversy to stall European tissue and cell therapy rules.干细胞争议将使欧洲组织和细胞治疗法规停滞不前。
Nat Biotechnol. 2006 May;24(5):479-80. doi: 10.1038/nbt0506-479.
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Legal and ethical status of stem cells as medicinal products.干细胞作为医药产品的法律和伦理地位。
Adv Drug Deliv Rev. 2005 Dec 12;57(13):1970-80. doi: 10.1016/j.addr.2005.08.005. Epub 2005 Nov 16.
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Unproven stem cell-based interventions and achieving a compromise policy among the multiple stakeholders.未经证实的基于干细胞的干预措施以及在多个利益相关者之间达成妥协政策。
BMC Med Ethics. 2015 Nov 4;16(1):75. doi: 10.1186/s12910-015-0069-x.
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European regulation for therapeutic use of stem cells.欧洲干细胞治疗用途的法规。
Biomed Mater Eng. 2017;28(s1):S3-S7. doi: 10.3233/BME-171619.
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Engineering human tissue and regulation: confronting biology and law to bridge the gaps.工程化人体组织与监管:直面生物学与法律以弥合差距
Med Law Int. 2001;5(2):101-15. doi: 10.1177/096853320100500202.
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Regulatory insight into the European human pluripotent stem cell registry.对欧洲人类多能干细胞登记处的监管洞察。
Stem Cells Dev. 2014 Dec;23 Suppl 1(Suppl 1):51-5. doi: 10.1089/scd.2014.0319.
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Culture of Care: Organizational Responsibilities关怀文化:组织职责
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Australian regulation of autologous human cell and tissue products: implications for commercial stem cell clinics.澳大利亚对自体人源细胞和组织产品的监管:对商业干细胞临床应用的影响。
Regen Med. 2020 Feb;15(2):1361-1369. doi: 10.2217/rme-2019-0124. Epub 2020 Mar 31.

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Int J Mol Sci. 2024 Feb 16;25(4):2356. doi: 10.3390/ijms25042356.
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3D-Printing Graphene Scaffolds for Bone Tissue Engineering.用于骨组织工程的3D打印石墨烯支架
Pharmaceutics. 2022 Aug 31;14(9):1834. doi: 10.3390/pharmaceutics14091834.
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The Ethical Implications of Tissue Engineering for Regenerative Purposes: A Systematic Review.组织工程用于再生目的的伦理影响:系统评价。
Tissue Eng Part B Rev. 2023 Apr;29(2):167-187. doi: 10.1089/ten.TEB.2022.0033. Epub 2022 Oct 20.
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Mesenchymal stem cells in neurodegenerative diseases: Opinion review on ethical dilemmas.神经退行性疾病中的间充质干细胞:关于伦理困境的观点综述
World J Stem Cells. 2020 Mar 26;12(3):168-177. doi: 10.4252/wjsc.v12.i3.168.
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Beyond chimerism analysis: methods for tracking a new generation of cell-based medicines.超越嵌合体分析:追踪新一代细胞疗法药物的方法
Bone Marrow Transplant. 2020 Jul;55(7):1229-1239. doi: 10.1038/s41409-020-0822-8. Epub 2020 Feb 5.