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人诱导多能干细胞衍生心肌细胞在生物医学研究中的应用展望。

Perspectives on the Use of Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes in Biomedical Research.

机构信息

Department of Anatomy and Embryology, Leiden University Medical Centre, PO Box 9600, 2300 RC Leiden, the Netherlands.

出版信息

Stem Cell Reports. 2018 Dec 11;11(6):1306-1311. doi: 10.1016/j.stemcr.2018.11.011.

Abstract

Cardiovascular disease is still a major cause of ill-health and mortality, heart failure and arrhythmia being among the causes of sudden cardiac death. There are few drugs available for treatment or prevention and it remains difficult to predict who will develop these conditions, even when disease-causing mutations or associated gene variants are identified in individuals or families. This is in part because widely used rodent models may not fully capture the physiology of the human heart. The advent of pluripotent stem cell technology that allows cardiovascular cells to be derived from patients and healthy individuals, in some cases genetically matched through mutation repair, is leading to paradigm shifts in how cardiovascular diseases are studied in humans. However, these cells are often only partially mature imposing some limitations in use. This Perspective reviews aspects of recent advances but also remaining challenges.

摘要

心血管疾病仍然是导致健康不良和死亡的主要原因,心力衰竭和心律失常是导致心源性猝死的原因之一。目前可用的治疗或预防药物很少,即使在个体或家族中发现导致疾病的突变或相关基因变异,仍然很难预测谁会患上这些疾病。部分原因是因为广泛使用的啮齿动物模型可能无法完全捕捉人类心脏的生理学。多能干细胞技术的出现使得可以从患者和健康个体中获得心血管细胞,在某些情况下通过突变修复进行基因匹配,这正在导致人们研究心血管疾病的范式转变。然而,这些细胞通常仅部分成熟,这在使用上带来了一些限制。本观点综述了最近的一些进展,但也讨论了仍然存在的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2297/6294284/113d2f294a26/gr1.jpg

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